in Re Commitment of Edward Lamond Cox

Court of Appeals of Texas·Decided April 10, 2014·No. 09-13-00316-CV·Published

Opinion

In The

Court of Appeals

Ninth District of Texas at Beaumont

NO. 09-13-00316-CV

IN RE COMMITMENT OF EDWARD LAMOND COX

On Appeal from the 435th District Court Montgomery County, Texas

Trial Cause No. 12-10-10525-CV

MEMORANDUM OPINION

The State of Texas filed a petition to commit appellant Edward Lamond Cox as a sexually violent predator. See Tex. Health & Safety Code Ann. §§ 841.001- .151 (West 2010 & Supp. 2013). A jury found that Cox is a sexually violent predator, and the trial court signed a final judgment and an order of civil commitment. In four appellate issues, Cox challenges the trial court’s failure to strike expert testimony, the trial court’s refusal to permit Cox’s counsel to ask “a proper commitment question” during voir dire, and the constitutionality of the SVP statute, both under Article 1, section 16 of the Texas Constitution, and on

vagueness grounds. We affirm the trial court’s judgment and order of civil commitment.

ISSUE ONE

In his first issue, Cox argues the trial court reversibly erred “by failing to strike the unsupported testimony of Dr. Michael Arambula[.]” Specifically, Cox complains that Arambula’s testimony does not meet the standards for scientific reliability, Arambula’s “methodology is flawed and unsupported,” Arambula’s testimony was biased and misleading, Arambula “claims ignorance of the seminal case law controlling civil commitment[,]” and Arambula provided insufficient information to distinguish Cox from “the dangerous but typical recidivist convicted in an ordinary criminal case.”

Arambula testified that he holds board certifications in both general psychiatry and forensic psychiatry, and he explained that he participated in a sexual behaviors clinic, in which he learned about treating and evaluating sex offenders, as well as how to manage the risk sex offenders pose to the community. Arambula explained that his testimony was within the scope of forensic psychiatry, and that he relied upon principles of forensic psychiatry while evaluating Cox. Arambula estimated that he had performed approximately eighty behavioral abnormality evaluations during the last seven years. According to Arambula, a

behavioral abnormality is an acquired or congenital condition that affects a person’s emotional or volitional capacity, causing them to become likely to engage in predatory acts of sexual violence and become a menace to the health and safety of others.

Arambula explained that in conducting evaluations to determine whether a person is a sexually violent predator, he reviews medical, mental health, and administrative records, as well as “a section that has to do with the sexual offenses,” and then he interviews the person. Arambula testified, “I’m comfortable saying all forensic fellowship-trained physicians would do the same thing.” Arambula stated that he followed the same methodology when evaluating Cox, and he also reviewed actuarials. Arambula explained that he cannot calculate a rate of error in such cases, but he opined that based upon physicians’ training regarding what to look for, there is probably a ninety to ninety-five percent degree of certainty. According to Arambula, two of the greatest risk factors are sexual deviance and antisocial personality, and there are other factors such as age at the time of the first sexual offense, lack of treatment, and the presence of denial.

Arambula testified that he interviewed Cox for approximately two-and-a-

half hours, and he explained that based upon his education, experience, and the methodology he followed, he determined that Cox has a behavioral abnormality

that makes him likely to engage in a predatory act of sexual violence. According to Arambula, Cox has “a hefty dose of antisocial personality” and elements of sexual deviance. Arambula explained that antisocial personality disorder entails “breaking the rules of society, aggression towards others, stealing, lack of responsibility, callousness, those kinds of things.” Arambula explained that Cox’s criminal versatility, consistent disregard for others, failure to accept responsibility, blaming his victims, and aggressive behavior evidenced antisocial personality disorder. Arambula testified that Cox was “an agent for women who engaged in prostitution[,]” and that some of the prostitutes were underage. Arambula testified that Cox was convicted of trafficking, i.e., “forcing a young girl into the trade of prostitution.”

Arambula explained that Cox engaged in sexual acts with minors, and that Cox did not accept responsibility for his offenses. According to Arambula, Cox was on probation for the trafficking offense when he was charged with aggravated sexual assault and indecency with a child, and Cox pleaded guilty to aggravated sexual assault and indecency with a child. Arambula testified that Cox’s inability to successfully complete probation is a risk factor, as is the fact that Cox’s victims were strangers and Cox’s belief that he does not need sex offender treatment. Arambula explained that although he does not score actuarials, he considered

Cox’s actuarial scores in performing his evaluation. According to Arambula, Cox’s actuarial scores indicate that he is at high risk for sexual recidivism. Arambula also testified that Cox scored high on the Hare Psychopathy Checklist, which measures the degree of antisocial personality an individual possesses.

Arambula explained that the fact that Cox’s victims were minors and were strangers, as well as the fact that Cox “include[ed] them in his profession[,]” evidenced Cox’s sexual deviancy. Arambula also identified as risk factors Cox’s denial and minimization of his offenses, as well as his demeaning attitude toward women and his lack of job skills. Arambula opined that Cox’s emotional or volitional capacity has been affected to the extent that it predisposes him to commit a sexually violent offense. Arambula characterized Cox as “a particularly dangerous type of sex offender.” According to Arambula, denial is characteristic of both Cox’s antisocial personality disorder and Cox’s sexual deviancy.

During cross-examination, Arambula testified that he does not consider the DSM to be an authoritative source, and he described it instead as “an important resource[.]” When asked whether he had cited any documentation in support of his opinion concerning Cox, Arambula testified, “I mentioned the DSM, as it relates to paraphilia diagnoses.” Arambula explained that he viewed the DSM as

insufficiently comprehensive because it does not describe “the full breadth of the mental conditions, only the criteria.”

Counsel then inquired about “documentation or publications that bridge that analytical gap[,]” and Arambula explained that it is difficult “for one publication to cover all mental conditions with that type of breadth and comprehensiveness.” Arambula explained that the information and methodology he uses to evaluate individuals comes from his fellowship, which was twenty years ago. According to Arambula, during the twenty years since his fellowship, some things “remain the same thing and some changes . . . have emerged in the literature[.]” Arambula testified that

[a]s it relates to this case, there weren’t any particular textbooks or articles that were different from before . . . . And instead, I just relied upon . . . the foundation of how I had been trained and the textbooks that were published subsequent to my training and the articles that I read having to do with sexual offenses, sexual offense recidivism.

And so I keep up with the literature as it emerges . . . .

Arambula testified that the analytical gap is covered “as a result of my training and the information that I have in my brain all the time.” Arambula explained,

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