People v. Floyd
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Opinion
2025 IL App (1st) 160406-U SECOND DIVISION June 17, 2025
No. 1-16-0406
NOTICE: This order was filed under Supreme Court Rule 23 and may not be cited as precedent by any party except in the limited circumstances allowed under Rule 23(e)(1). ______________________________________________________________________________
IN THE APPELLATE COURT OF ILLINOIS FIRST JUDICIAL DISTRICT ______________________________________________________________________________
THE PEOPLE OF THE STATE OF ILLINOIS, ) Appeal from the ) Circuit Court of Plaintiff-Appellee, ) Cook County. ) v. ) No. 10 CR 12502 ) MARCUS FLOYD, ) Honorable ) Timothy Joseph Joyce, Defendant-Appellant. ) Judge Presiding. ______________________________________________________________________________
JUSTICE HOWSE delivered the judgment of the court. Justices Ellis and Cobbs concurred in the judgment.
ORDER
¶1 Held: The judgment of the circuit court of Cook County finding defendant fit to stand trial is reversed; the trial court is directed to conduct a new retroactive fitness hearing because the nonpattern jury instruction on amnesia given to jurors effectively negated evidence about the impact of amnesia on defendant’s ability to assist in his own defense; the cause is remanded for further proceedings consistent with this judgment.
¶2 Following a jury trial the circuit court of Cook County convicted defendant, Marcus
Floyd, of first degree murder for the death of Chicago Police Department Officer Thomas
Wortham IV (hereinafter, “Officer Wortham”) and the felony murder of the co-offender in the
crime that led to Officer Wortham’s death, defendant’s cousin, Brian Floyd. Brian Floyd was
killed by Officer Wortham’s father, Thomas Wortham III (hereinafter, “Mr. Wortham”), a retired
Chicago Police Department officer, as he was trying to stop the crime, which occurred in front of
his home. The jury also convicted defendant of attempt (first degree murder) of Mr. Wortham. 1-16-0406
Mr. Wortham also shot defendant several times while attempting to stop the crime. As a result of
his injuries defendant developed retrograde amnesia of the crime. Due to defendant’s amnesia,
before the trial of the charges the trial court held a trial before a jury of six to determine
defendant’s fitness for trial. The fitness jury found defendant fit for trial. Following trial, the trial
jury found defendant guilty of the crimes charged and the court sentenced defendant to two
consecutive terms of life imprisonment.
¶3 Defendant appealed both the judgment finding him fit to stand trial and his convictions.
We reversed the judgment finding defendant fit to stand trial and remanded for a retroactive
fitness trial, with instructions. We retained jurisdiction over the appeal to consider any preserved
claims of error in the retroactive fitness hearing and defendant’s appeal of his conviction should
it be found defendant was fit to stand trial. People v. Floyd, 2019 IL App (1st) 160406, ¶ 62. On
remand, the trial court conducted a retroactive fitness trial and a jury again found defendant fit to
stand trial. We allowed supplemental briefing to address allegations of error in the retroactive
fitness hearing. The parties have fully briefed the issues surrounding the retroactive fitness trial.
¶4 For the following reasons, we reverse the judgment of fitness for trial and remand for
further proceedings consistent with this judgment.
¶5 BACKGROUND
¶6 The underlying facts of this case may be found in our dispositions of the appeals of
codefendants Toyious Taylor (People v. Taylor, 2017 IL App (1st) 150726-U) and Paris McGee
(People v. McGee, 2017 IL App (1st) 150838-U). In light of our holding we once again focus our
discussion here on the retroactive fitness trial and only briefly recount the circumstances of the
offense to the extent necessary to understand the retroactive fitness trial.
-2- 1-16-0406
¶7 On the night of the occurrence, Officer Wortham left his parents’ home in Chicago after
visiting them. Mr. Wortham watched from his front porch as his son got on his motorcycle. Mr.
Wortham saw defendant and Brian Floyd in the middle of the street. Officer Wortham rode his
motorcycle to where they were in the street, stopped, and spoke to them. Mr. Wortham saw Brian
put a gun to Officer Wortham’s head. Mr. Wortham yelled for the men to get away from Officer
Wortham and Brian turned and pointed his gun at Mr. Wortham. Brian yelled at Mr. Wortham to
get back into the house. Officer Wortham then shouted “Police,” and Mr. Wortham instantly
heard gunfire. Mr. Wortham ran into the house to retrieve his gun and told his wife to dial 9-1-1.
After Mr. Wortham ran back outside with his gun he saw a red car in front of his home facing the
wrong direction on the one-way street. The passenger was outside the car yelling “Get in.” Mr.
Wortham told the passenger to “get away from there.” The passenger got back into the car and
the driver backed the car away. Mr. Wortham testified he thought the passenger fired a gun at
him before the car reached the intersection. Mr. Wortham hid behind his daughter’s car, saw
Officer Wortham’s gun on the ground and picked it up so that he then had a gun in each hand.
Defendant and Brian were facing Mr. Wortham. Mr. Wortham saw a gun in Brian’s hand. Mr.
Wortham opened fire and saw both men go down. Mr. Wortham saw Officer Wortham on the
ground approximately 20 yards away. The State elicited testimony that in addition to being shot
multiple times Officer Wortham’s injuries were consistent with being hit by a car and dragged.
¶8 Before the first fitness trial began the trial court granted the State’s motion to bar the
testimony of a defense witness who would testify as to why a defendant’s ability to recall the
incident that is the subject of the prosecution is relevant to that defendant’s ability to assist in
their own defense.
-3- 1-16-0406
¶9 At the first fitness trial, Dr. Matthew Markos, a forensic psychiatrist, testified for the
State. Dr. Markos testified that his clinical forensic psychiatric opinion to a reasonable degree of
medical and psychiatric certainty following his examination of defendant was that defendant was
“mentally fit to stand trial.” Dr. Markos took defendant’s amnesia into account in reaching his
opinion. Dr. Markos testified defendant had reported amnesia and “in order to be able to assist
his counsel, it was important for me to determine if he has the capacity to learn and retain new
information.”
¶ 10 At the first fitness trial Dr. Markos testified he asked defendant questions to determine if
defendant had any knowledge of the crime itself and details pertaining to the crime, what the
source of defendant’s information was, and whether defendant had the capacity to learn and
retain new information. Dr. Markos testified that defendant clearly demonstrated the capacity to
learn new information from extrinsic sources and retain and remember it; defendant had the
capacity to communicate with his attorney and cooperate with his attorney to obtain information;
defendant did not have ongoing amnesia for day-to-day events and recent information, and the
amnesia was “just for the arrest incident circumscribed and capsulated.”
¶ 11 At the first fitness trial the State asked Dr. Markos about a second fitness examination he
conducted of defendant. Dr. Markos testified in part as follows:
“Again his memory was—pertained only to the arrest incident, and I did
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2025 IL App (1st) 160406-U SECOND DIVISION June 17, 2025
No. 1-16-0406
NOTICE: This order was filed under Supreme Court Rule 23 and may not be cited as precedent by any party except in the limited circumstances allowed under Rule 23(e)(1). ______________________________________________________________________________
IN THE APPELLATE COURT OF ILLINOIS FIRST JUDICIAL DISTRICT ______________________________________________________________________________
THE PEOPLE OF THE STATE OF ILLINOIS, ) Appeal from the ) Circuit Court of Plaintiff-Appellee, ) Cook County. ) v. ) No. 10 CR 12502 ) MARCUS FLOYD, ) Honorable ) Timothy Joseph Joyce, Defendant-Appellant. ) Judge Presiding. ______________________________________________________________________________
JUSTICE HOWSE delivered the judgment of the court. Justices Ellis and Cobbs concurred in the judgment.
ORDER
¶1 Held: The judgment of the circuit court of Cook County finding defendant fit to stand trial is reversed; the trial court is directed to conduct a new retroactive fitness hearing because the nonpattern jury instruction on amnesia given to jurors effectively negated evidence about the impact of amnesia on defendant’s ability to assist in his own defense; the cause is remanded for further proceedings consistent with this judgment.
¶2 Following a jury trial the circuit court of Cook County convicted defendant, Marcus
Floyd, of first degree murder for the death of Chicago Police Department Officer Thomas
Wortham IV (hereinafter, “Officer Wortham”) and the felony murder of the co-offender in the
crime that led to Officer Wortham’s death, defendant’s cousin, Brian Floyd. Brian Floyd was
killed by Officer Wortham’s father, Thomas Wortham III (hereinafter, “Mr. Wortham”), a retired
Chicago Police Department officer, as he was trying to stop the crime, which occurred in front of
his home. The jury also convicted defendant of attempt (first degree murder) of Mr. Wortham. 1-16-0406
Mr. Wortham also shot defendant several times while attempting to stop the crime. As a result of
his injuries defendant developed retrograde amnesia of the crime. Due to defendant’s amnesia,
before the trial of the charges the trial court held a trial before a jury of six to determine
defendant’s fitness for trial. The fitness jury found defendant fit for trial. Following trial, the trial
jury found defendant guilty of the crimes charged and the court sentenced defendant to two
consecutive terms of life imprisonment.
¶3 Defendant appealed both the judgment finding him fit to stand trial and his convictions.
We reversed the judgment finding defendant fit to stand trial and remanded for a retroactive
fitness trial, with instructions. We retained jurisdiction over the appeal to consider any preserved
claims of error in the retroactive fitness hearing and defendant’s appeal of his conviction should
it be found defendant was fit to stand trial. People v. Floyd, 2019 IL App (1st) 160406, ¶ 62. On
remand, the trial court conducted a retroactive fitness trial and a jury again found defendant fit to
stand trial. We allowed supplemental briefing to address allegations of error in the retroactive
fitness hearing. The parties have fully briefed the issues surrounding the retroactive fitness trial.
¶4 For the following reasons, we reverse the judgment of fitness for trial and remand for
further proceedings consistent with this judgment.
¶5 BACKGROUND
¶6 The underlying facts of this case may be found in our dispositions of the appeals of
codefendants Toyious Taylor (People v. Taylor, 2017 IL App (1st) 150726-U) and Paris McGee
(People v. McGee, 2017 IL App (1st) 150838-U). In light of our holding we once again focus our
discussion here on the retroactive fitness trial and only briefly recount the circumstances of the
offense to the extent necessary to understand the retroactive fitness trial.
-2- 1-16-0406
¶7 On the night of the occurrence, Officer Wortham left his parents’ home in Chicago after
visiting them. Mr. Wortham watched from his front porch as his son got on his motorcycle. Mr.
Wortham saw defendant and Brian Floyd in the middle of the street. Officer Wortham rode his
motorcycle to where they were in the street, stopped, and spoke to them. Mr. Wortham saw Brian
put a gun to Officer Wortham’s head. Mr. Wortham yelled for the men to get away from Officer
Wortham and Brian turned and pointed his gun at Mr. Wortham. Brian yelled at Mr. Wortham to
get back into the house. Officer Wortham then shouted “Police,” and Mr. Wortham instantly
heard gunfire. Mr. Wortham ran into the house to retrieve his gun and told his wife to dial 9-1-1.
After Mr. Wortham ran back outside with his gun he saw a red car in front of his home facing the
wrong direction on the one-way street. The passenger was outside the car yelling “Get in.” Mr.
Wortham told the passenger to “get away from there.” The passenger got back into the car and
the driver backed the car away. Mr. Wortham testified he thought the passenger fired a gun at
him before the car reached the intersection. Mr. Wortham hid behind his daughter’s car, saw
Officer Wortham’s gun on the ground and picked it up so that he then had a gun in each hand.
Defendant and Brian were facing Mr. Wortham. Mr. Wortham saw a gun in Brian’s hand. Mr.
Wortham opened fire and saw both men go down. Mr. Wortham saw Officer Wortham on the
ground approximately 20 yards away. The State elicited testimony that in addition to being shot
multiple times Officer Wortham’s injuries were consistent with being hit by a car and dragged.
¶8 Before the first fitness trial began the trial court granted the State’s motion to bar the
testimony of a defense witness who would testify as to why a defendant’s ability to recall the
incident that is the subject of the prosecution is relevant to that defendant’s ability to assist in
their own defense.
-3- 1-16-0406
¶9 At the first fitness trial, Dr. Matthew Markos, a forensic psychiatrist, testified for the
State. Dr. Markos testified that his clinical forensic psychiatric opinion to a reasonable degree of
medical and psychiatric certainty following his examination of defendant was that defendant was
“mentally fit to stand trial.” Dr. Markos took defendant’s amnesia into account in reaching his
opinion. Dr. Markos testified defendant had reported amnesia and “in order to be able to assist
his counsel, it was important for me to determine if he has the capacity to learn and retain new
information.”
¶ 10 At the first fitness trial Dr. Markos testified he asked defendant questions to determine if
defendant had any knowledge of the crime itself and details pertaining to the crime, what the
source of defendant’s information was, and whether defendant had the capacity to learn and
retain new information. Dr. Markos testified that defendant clearly demonstrated the capacity to
learn new information from extrinsic sources and retain and remember it; defendant had the
capacity to communicate with his attorney and cooperate with his attorney to obtain information;
defendant did not have ongoing amnesia for day-to-day events and recent information, and the
amnesia was “just for the arrest incident circumscribed and capsulated.”
¶ 11 At the first fitness trial the State asked Dr. Markos about a second fitness examination he
conducted of defendant. Dr. Markos testified in part as follows:
“Again his memory was—pertained only to the arrest incident, and I did
ask him additional questions again in order to determine a very important clinical
issue, which is does he have the capacity today as we sit as it relates to his current
fitness, the ability or the capacity to learn and retain new information and if he has
the capacity to follow day-to-day events in his life at Cook County jail.”
-4- 1-16-0406
¶ 12 Dr. Markos testified there are special factors and added “amnesia, per se, does not equal
unfitness. Amnesia, per se, does not deem someone unfit.” Defendant’s attorney objected but the
trial court overruled the objection.
¶ 13 The State also called Dr. Christofer Cooper to testify as an expert at the first fitness trial.
Dr. Cooper had examined defendant regarding defendant’s fitness to stand trial. Dr. Cooper
testified that the “issue at hand” was defendant’s ability to understand what his attorney had
informed him about what happened during the offense. Dr. Cooper stated that the “fundamental
issue” on the question of defendant’s fitness to stand trial was defendant’s ability to retain
information that had been extrinsically reconstructed from an external source by, for example,
being told information by his attorney. Dr. Cooper opined that defendant was capable of assisting
his attorney in his own defense because defendant “can learn, retain, process, logically evaluate
anything that’s presented to him.” Dr. Cooper’s expert opinion after twice examining defendant
was that defendant was fit to stand trial.
¶ 14 After both parties rested the trial court proceeded with the jury instruction conference.
The defense placed on the record its requested instruction based on section 104-16(b) of the
Code of Criminal Procedure of 2012, which provides in part:
“(b) Subject to the rules of evidence, matters admissible on the issue of the
defendant’s fitness include, but are not limited to, the following:
(1) The defendant’s knowledge and understanding of the charge, the proceedings,
the consequences of a plea, judgment or sentence, and the functions of the
participants in the trial process;
-5- 1-16-0406
(2) The defendant’s ability to observe, recollect and relate occurrences, especially
those concerning the incidents alleged, and to communicate with counsel.”
(Emphasis added.) 725 ILCS 5/104-16(b) (West 2016).
The trial court declined to give the instruction. In pertinent part, the trial court instructed the jury
as follows:
“Matters on the issue of the defendant’s fitness that you may consider
include but are not limited to the following: Defendant’s knowledge and
understanding of the charge, the proceedings, the consequences of a plea,
judgment or sentence and the functions of the participants in the trial process; the
defendant’s ability to observe, recollect and relate occurrences and to
communicate with counsel; the defendant’s social behavior and abilities;
orientation as to time and place; recognition of persons, places and things and
performance of motor processes.
Amnesia does not per se make a person unfit. A person is unfit to stand
trial if, because of a mental or physical condition, he is unable to understand the
nature and purpose of the proceedings against him or he is unable to assist in his
defense.” (Emphasis added.)
¶ 15 Following the first fitness trial, the jury found defendant fit to stand trial.
¶ 16 On appeal from the fitness jury’s verdict, defendant argued, in part, that he received
ineffective assistance of counsel where his attorney failed to object to the State’s witnesses
stating an erroneous standard for fitness and the trial court gave the jury an instruction that
bolstered the erroneous testimony and misled the jury as to the standard for fitness to stand trial.
Defendant also argued that the trial court erroneously barred the defense from calling an expert
-6- 1-16-0406
witness to testify as to how defendant’s amnesia affects defendant’s ability to assist in his
defense. In the first appeal, we found that:
“Regardless, our supreme court directs that amnesia of the alleged offense
will not always render a defendant unfit to stand trial. Stahl, 2014 IL 115804, ¶¶
34, 39. We note that our supreme court did not hold that amnesia, alone, will
never render a defendant unfit for trial. Instead, our supreme court recognized the
relevance of amnesia of the alleged events to a defendant’s ability to assist in his
or her own defense. Id. ¶ 38 (recounting testimony by attorney-expert describing
how the defendant’s amnesia as to the relevant events could negatively impact his
ability to assist defense counsel). Our supreme court concluded there were ‘a
number of factors *** that should be considered on the issue of fitness’ including
the defendant’s ‘inability to communicate with counsel because he cannot
recollect his actions and mens rea surrounding the incident.’ Id. ¶ 39. Thus,
‘under article 104 of the Code, amnesia as to the events surrounding the crime
does not per se render a defendant unfit to stand trial. Rather, the fact that a
defendant cannot recollect the incident at issue is just one of the circumstances
that may be considered in determining a defendant’s fitness.” People v. Floyd,
2019 IL App (1st) 160406-U, ¶ 50.
¶ 17 We held that the trial court’s instruction failed to identify a relevant factor in the fitness
determination and, as a result, the trial court’s instruction misled the jury and failed to correctly
state the applicable law. See Stahl, 2014 IL 115804, ¶ 39. The missing factor was the defendant’s
ability to relate and recollect the incident alleged. Floyd, 2019 IL App (1st) 160406-U, ¶ 51. We
found that the error prejudiced defendant. Id. ¶ 52. We found that the State’s experts’ testimony
-7- 1-16-0406
and the prosecutor’s argument in combination with the court’s erroneous instruction left the jury
with the firm impression that it should consider defendant’s ability to recollect information
communicated to him by his attorney and that it need not (indeed should not) consider
defendant’s ability to recollect and relate the occurrences of the incident alleged. Id. We also
found that the trial court abused its discretion in barring defendant’s expert’s testimony as to how
defendant’s lack of memory affected defendant’s ability to assist in his own defense. Id. ¶ 54.
¶ 18 We found that there was no genuine dispute defendant understood the nature and purpose
of the proceedings against him and therefore the fitness hearing hinged on whether defendant
could assist in his own defense. We found that absent consideration of defendant’s ability to
recollect the offense, the jury had no real basis upon which to decide defendant’s ability to assist
in his own defense, making the outcome a virtually foregone conclusion. Id. ¶ 53.
¶ 19 We reversed the judgment and remanded with instructions for the trial court to hold a full
retroactive fitness trial in accordance with our order. Id. ¶ 62. We instructed the trial court to
allow defendant’s expert’s testimony at a retroactive fitness trial. Id. ¶ 54. We also held that “the
trial court must instruct the jury on all of the factors listed in the [fitness] statute that may be
considered in determining a defendant’s fitness for trial” and that the determination is to be made
based on the totality of the circumstances. Id. ¶ 57 (citing 725 ILCS 5/104-16(b) (West 2018)).
We directed defense counsel to object and the trial court to rule on the objection “if the State’s
witnesses restate an erroneous standard” for determining fitness. Id. ¶ 57.
¶ 20 On remand the trial court held a retroactive fitness trial. Before the trial began the defense
filed a motion to exclude certain testimony by the State’s witnesses. Specifically, defendant
sought to bar the State from presenting expert testimony that “someone who suffers from
amnesia can gain ‘personal knowledge’ of a past event by a process called ‘extrinsic memory
-8- 1-16-0406
reconstruction’ which involves listening to others describe events that have been erased from
memory.” The motion complained that the State’s experts had previously opined that defendant
was fit to stand trial because he could learn about the events of the crime from “second-hand
accounts” and that would create “personal memories” that defendant could use to assist in his
own defense. The defense argued this “theory” of “extrinsic memory reconstruction” is not
generally accepted in the relevant scientific community. The trial court denied the motion. The
court believed the testimony proffered by the State’s experts was consistent with Stahl. The court
deferred ruling on a separate defense motion in limine to bar testimony that misstates the factors
used to determine fitness.
¶ 21 The State called Dr. Erick Neu, a licensed staff psychologist with Forensic Clinical
Services (FCS) for the Circuit Court of Cook County, to testify as an expert witness. Dr. Neu is
board certified in the specialty of forensic psychology. He testified that forensic psychology is a
specialty in psychology addressing “psycholegal” issues, meaning “a legal topic that has a
psychological component” including, for example, fitness to stand trial. Fitness to stand trial is a
“legal term, but there’s a psychological component to it, whether somebody is having symptoms
of mental illness or cognitive impairment that *** prevents them from being able to understand
the proceedings or assist in their defense.”
¶ 22 According to Dr. Neu, FCS exclusively conducts court-ordered mental health evaluations
to address “legal issues that have a mental health component, such as a defendant’s fitness to
stand trial.” Dr. Neu gratuitously added that FCS is “always impartial.” The majority of
evaluations Dr. Neu has conducted in his over 20 years with FCS have been fitness to stand trial-
related evaluations. Dr. Neu described a fitness evaluation as determining “does the defendant
have symptoms of mental illness or cognitive impairment that renders them either unable to
-9- 1-16-0406
understand the nature of the proceedings and/or unable to rationally assist Counsel in their
defense.” A retroactive fitness evaluation is significantly similar to a fitness evaluation except
that a retroactive fitness evaluation looks at a particular time frame in the past. Dr. Neu received
a court order for an evaluation of defendant to determine his “retrospective fitness at the time of
August [2015.]” Dr. Neu’s evaluation of defendant consisted of reviewing defendant’s medical
records and a face-to-face meeting with defendant. Dr. Neu created a written report of his
evaluation which assisted him in his testimony.
¶ 23 Dr. Neu testified that after the offense defendant was taken to the hospital with “severe,
severe injuries” that at one point required defendant to be resurrected but the records did not
document head injuries. Defendant was not shot in the head and did not receive blunt force
trauma to the head. The hospital treated defendant for “acute physical injuries.” Defendant was
transferred to a different hospital for continued care and eventually defendant was transferred to
a different hospital and placed in a rehabilitation wing. In June 2010, defendant received a
psychological screening when he was placed in the rehabilitation wing. That psychological
screening concluded that defendant was alert and fully oriented to place, time, and situation. Dr.
Neu testified that defendant “was described as having his attention and concentration as well as
his comprehension” and there were “no significant impairments” to his immediate and remote
memory. Defendant’s recent memory “was described as mild to moderately impaired.” In this
screening defendant stated, about the incident, “ ‘they said he shot a cop. I don’t remember. I
was shot by a cop.’ ” Defendant was diagnosed with “cognitive disorder, not otherwise specified
due to anoxic encephalopathy.”
¶ 24 Dr. Neu testified that a July 2010 psychological note from the rehabilitation hospital
states that defendant denied feelings of depression or anxiety and that his first memory before the
- 10 - 1-16-0406
offense was his going to high school. At the end of July 2010 the rehabilitation hospital
discharged defendant. The discharge summary stated that defendant received “ ‘comprehensive
rehabilitation for mobility, [activities of daily living,] and cognitive impairment, secondary to
anoxic brain injury due to cardiac arrest as complication of [multiple gunshot wounds.]’ ”
Anoxic brain injury is injury to the brain that occurs due to a lack of oxygen.
¶ 25 After he was discharged from the rehabilitation hospital defendant was admitted to
Cermak Health Services for ongoing medical treatment. Dr. Neu testified he reviewed medical
records from Cermak to look for things of clinical significance to his evaluation, “which was to
see if there was concerns about [defendant’s] memory or cognitive functioning documented.”
The records “did not document any significant concerns about [defendant’s] intellectual or
cognitive functioning” in November 2010. Defendant received occasional mental health
evaluations and “on no occasion was he described as requiring mental health treatment.” In
particular defendant received a mental health evaluation in October 2011 after stating he was
feeling down and suicidal, but defendant reported to the evaluator only “medical concerns and
not mental health concerns.” The evaluator reported they did not observe any symptoms of
mental illness.
¶ 26 The October 2011 evaluation described defendant as fully oriented to time, place, and
situation, as having normal speech and appearance, and that defendant’s thoughts were organized
with “adequate insight” and “adequate judgment.” The evaluation concluded that defendant was
not in need of mental health services. The evaluator “did not document any difficulty [defendant]
had communicating with her” nor did she document any difficulty she had understanding him or
any cognitive impairment. Subsequent evaluations also “documented that there were no mental
health issues that would prevent [defendant] from being transferred” and there were no observed
- 11 - 1-16-0406
or reported symptoms of mental illness. Again, later an evaluation contained “no mention of
cognitive deficits” and reported that defendant did not appear to have difficulty understanding
his evaluator. Specifically in August 2012 the evaluator reported that defendant “does not really
have any [self-reported] mental health concerns” and did not document that the evaluator
observed any mental health symptoms or notable cognitive impairment.
¶ 27 Dr. Neu opined that defendant’s past medical records documented “significant
improvement” with respect to his injuries at each subsequent medical facility. The retroactive
fitness evaluation was to evaluate defendant as of August 2015, but Dr. Neu also reviewed
defendant’s medical records after 2015. He testified he did this as part of his retroactive fitness
evaluation because “the early end of those additional records are important because they’re
within a couple of months of the timeframe that I’m interested in.” Dr. Neu testified that they
contained no history of defendant receiving mental health treatment. The records after 2015 did
not describe defendant as either reporting or exhibiting any significant cognitive deficits or
intellectual impairments. Defendant “was not deemed to require mental health treatment or any
type of medication for mental illness at any time.”
¶ 28 Dr. Neu opined that “during the actual time period that I’m interested in, [defendant] did
not appear to have any significant mental health concerns based on the medical records.” He
added, that since the time defendant medically stabilized from the trauma caused by the gunshot
wounds defendant “had not been described as exhibiting or reporting symptoms of mental
illness, and he’s not been described as exhibiting significant cognitive deficits.” Dr. Neu opined
that based on the medical records defendant had a “remarkable recovery” both physically and
cognitively. Cognitively, the records from the first hospital in 2010 “describe significant
- 12 - 1-16-0406
problems with his memory and cognitive functioning,” but the later medical records “do not
describe any visible or apparent impairment with his cognition.
¶ 29 In November 2021, Dr. Neu also personally interviewed defendant as part of his
retrospective fitness evaluation. During the interview Dr. Neu conducted a mental status
examination which consists of “a series of questions and observations to assess somebody’s
functioning and for signs and symptoms of mental illness.” Dr. Neu found defendant to be “alert
and fully oriented.” Defendant had “adequate energy and ability to pay attention.” Defendant
knew his own name and what the situation was. Defendant was oriented to time and place.
Defendant did not hallucinate during the interview. Dr. Neu found defendant’s speech to be
“organized and relevant.” Defendant’s responses to questions were related to what Dr. Neu was
asking; defendant did not stray into something else. Defendant’s answers were responsive and
there were no obvious psychotic symptoms. Dr. Neu opined that during the evaluation there were
no obvious significant cognitive deficits. Dr. Neu reached that conclusion because defendant’s
responses were relevant to the question, “meaning he was capable of understanding.” Dr. Neu
did not have to simplify his questions. He noted that defendant “was fairly articulate” and gave
“kind of eloquent answers to questions.”
¶ 30 Defendant reported to Dr. Neu that defendant had amnesia of the time period near the
offense, both shortly before, during, and shortly after the offense. Defendant “also reported some
continued mild memory problems” like forgetting names or portions of conversations. Dr. Neu
testified that he confirmed with defendant that defendant has not required any treatment for this.
Dr. Neu testified that talking to defendant, “he didn’t seem like he was somebody who had
significant cognitive impairment” and that “not a single mental health personnel who’s evaluated
him since he arrived to Cook County Jail described him as appearing to exhibit any significant
- 13 - 1-16-0406
cognitive deficits.” Defendant maintained “adequate attention and appropriate behavior through
the evaluation.”
¶ 31 Dr. Neu testified that you have to rely on self-reporting of whether or not someone
remembers a specific day or specific incident. Dr. Neu testified “you can never, with a hundred
percent certainty, confirm [amnesia] by giving somebody a psychological test or knowing a
diagnosis that they have amnesia.” There is no objective test to determine the span of the
reported amnesia. Defendant reported retrograde amnesia in that “he didn’t remember a period of
time before the alleged offense and a period of time after the alleged offense.” In contrast,
anterograde amnesia “is when you have difficulty forming new memories.” Defendant’s amnesia
added “an additional element” to Dr. Neu’s “clinical focus during [his] evaluation for
retrospective fitness in August 2015.” Dr. Neu testified that when a defendant claims amnesia,
what he is
“looking for is at the time of the trial, had they recovered enough that they were
able to form new memories; would they be able to sustain attention during the
trial; would they be able to have conversations with their attorney; would they
understand what their attorney is telling them; that they’re able to speak
coherently and in a relevant, organized manner with their attorney; would they be
able to understand witness accounts and evidence about what happened; would
they be able to look at and understand police report description[s] of the alleged
offense;” and was defendant able to “make rational and informed decisions about
his defense; understand court proceedings; understand the roles of the court
personnel; understand witness accounts of what happened; understand evidence
about what happened; and so on.”
- 14 - 1-16-0406
¶ 32 Dr. Neu testified, over defendant’s objection, that,
“The essence of a fitness evaluation is to evaluate whether somebody has
symptoms of mental illness or cognitive impairment, that either causes them to
not have an adequate understanding of the nature of the court proceedings and/or
causes them to be unable to rationally assist their lawyer in their defense.”
Dr. Neu questioned defendant on those issues. Dr. Neu testified, over objection, that,
“[D]efendant indicated that he has no memory of the actual alleged
offense, but he did express understanding of the charges. He indicated that he’s
been reviewing ‘discovery’ transcripts of his trial and that he *** was able to
express an understanding of the allegations against him, based on learning about
what allegedly transpired from reading other sources of information.”
¶ 33 Dr. Neu testified that defendant told him that defendant’s last memory before the offense
was being at home with his daughter and her mother but defendant did not know how long
before the offense that was. Defendant described the accusations against him to Dr. Neu. Dr. Neu
testified that he wanted to assess whether defendant was “able to understand collateral sources of
information about what happened.” Dr. Neu testified that based on the fact that defendant
claimed amnesia it is important to determine whether defendant had the ability to learn new
information and retain new information from sources other than his memory.
¶ 34 Dr. Neu asked defendant how defendant could assist his attorney. Defendant answered, “
‘talk to him.’ ” Defendant told Dr. Neu he was comfortable answering his attorney’s questions to
the best of his ability, being honest with his attorney, and considering his attorney’s advice.
Defendant volunteered that he could not help his attorney because his lack of memory of the
offense caused him to be unable to help his lawyer.
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¶ 35 Defendant recounted some of the testimony from his first trial to Dr. Neu based on
defendant’s memory of the trial and from reading transcripts. Defendant correctly described the
plea bargaining process and, according to Dr. Neu, “he was able to rationally discuss his decision
to go to trial.” When asked why he went to trial defendant told Dr. Neu he was innocent and that
although he could not remember the offense, in looking at the discovery he concluded he was
just a bystander and that there is not enough evidence that he was involved in a plan.
¶ 36 Dr. Neu’s conclusions from his retrospective fitness evaluation was that “both physically
and mentally [defendant] made a remarkable recovery. And since his arrival to Cook County Jail,
[defendant] has not been documented at any time as reporting or exhibiting any severe lingering
cognitive deficits. *** [A]ll the encounters that he’s had with mental health staff, he’s not been
described as appearing slow or struggling to understand what’s being said to him, or struggling
to express himself.”
¶ 37 Dr. Neu concluded, including the records of psychological testing done of defendant
closer in proximity to the trial, that “at the time of the trial, [defendant] was no longer having
significant cognitive deficits.” Dr. Neu opined that defendant is capable of learning and retaining
new information that has been extrinsically reconstructed from a source other than his memory,
that the reconstruction could be with his attorney, and defendant exhibited an understanding of
the legal process. Defendant can learn information and is “able to logically process any
information that is communicated to him.” Defendant does not have any cognitive problem,
intellectual problem, or psychological problem that would impair his ability to learn what
happened through extrinsic sources. Dr, Neu’s opinion to a reasonable degree of psychological
certainty was that, “Defendant was fit to stand trial on August 20th of 2015.” Dr. Neu based his
opinion on defendant’s understanding of the proceedings, he “demonstrated an ability to have
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learned and retained information,” and the medical records show that “by 2015, he did not have
significant cognitive deficits that lingered.” Dr. Neu concluded “there was nothing to suggest
that at the time of [trial defendant] had cognitive deficits or symptoms of mental illness that
would have significantly compromised his ability to understand the proceedings and/or to have
significantly impeded his ability to have rationally assisted in his defense.”
¶ 38 On cross-examination, Dr. Neu testified that his diagnostic impression of defendant was
“history of mild neurocognitive disorder due to anoxic brain injury.” Dr. Neu was aware that a
person can be unfit for trial because of a psychological issue or because of a medical issue. Dr.
Neu does not specialize in brain injury as a medical doctor and does not know the criteria a
medical doctor would use to diagnose anoxic brain injury. As a psychologist he does not address
the severity of an anoxic brain injury. Instead, he is looking for whether the “medical problem
produce[s] symptoms of mental illness or cognitive defects that impact the referral issue.” Dr.
Neu does not recall ever evaluating a client who suffered from anoxic brain injury.
¶ 39 Dr. Neu agreed that the difference between “mild cognitive disorder” and major or severe
cognitive disorder is how well the person functions on a daily basis; that is, how well they care
for themselves and how they act. He also agreed that defendant had a history of mild cognitive
disorder. Dr. Neu testified that a diagnosis of mild cognitive impairment “tells you nothing as to
whether the person is fit or unfit. So it’s not an important part of my evaluation.” Dr. Neu
testified that if he were to believe defendant when defendant says that he has no memory of the
offense, then he would tell the jury that defendant has a cognitive impairment to his memory.
What was significant to Dr. Neu was that from the time he arrived in jail no mental health or
medical professional described defendant has having ongoing significant problems with his
memory.
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¶ 40 Dr. Neu admitted that he does not know enough about anoxic brain injury to describe the
expected medical effects of that injury. Dr. Neu did not say that he could not read the medical
records and know if defendant exhibited signs that would be expected from severe anoxic brain
injury in the months and years after his injury because that is not the way he looks at things. He
repeated that he determines whether, at the relevant time, the person had deficits that affected
“both the legal [and] psycholegal criteria” which in this case was retrospective fitness to stand
trial in August 2015. Dr. Neu agreed that defendant continues to suffer physical symptoms such
as twitching and poor gait that would be expected from someone with severe anoxic brain injury
and was on medications for them. But he later added that nothing in the medical records suggests
that defendant has lingering significant cognitive impairment that impacts his understanding of
the proceedings or ability to assist in his defense.
¶ 41 Dr. Neu agreed that memory loss is common with anoxic brain injury. He agreed that
damage to different parts of the brain can affect different parts of memory while leaving other
cognitive abilities and memories intact. He admitted that it is not unusual for someone in
defendant’s condition to have memory loss for the time of the event but to have retained most of
their other cognitive abilities. Dr. Neu agreed that retrograde amnesia from the time of the
trauma is associated with the type of injury defendant has.
¶ 42 Dr. Neu testified that he accepted that it is extremely likely that defendant has retrograde
amnesia for the day he was shot. There is no therapy to restore memory for someone with
retrograde amnesia. Dr. Neu testified, “There can be cases of permanent retrograde amnesia that
there’s no treatment that can restore the norm.” Retrograde amnesia would not impact the ability
to identify who the judge is or to state what a trial is or what is evidence. Dr. Neu did not ask
defendant what he would do if a witness gave false testimony. Dr. Neu stated defendant brought
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up his ability to testify in light of his amnesia; but Dr. Neu stated that if a person is not able to
testify because they forgot what happened is “not something that’s relevant to my opinion as to
whether they’re fit or unfit.” Dr. Neu stated,
“What I’m looking at is by the time of the trial, had he recovered enough
that they’re able to understand witness accounts of what happened; understand
and follow along with testimony; look over the police reports; be able to have
conversations with their lawyers. As a psychologist, that’s what I’m asked to do.
I’m not asked to say whether or not a person can testify because you don’t
remember.”
¶ 43 Dr. Neu stated that his concern is whether a cognitive impairment prevents a defendant
from testifying and not whether they are prevented from testifying because they do not remember
what happened, and he described the latter as “a legal issue whether or not that prevents
somebody from having a fair trial, not an issue that a psychologist decides *** this person can’t
testify.” Dr. Neu admitted that “with amnesia, there could be legal reasons why somebody’s
unfit, but those are not reasons a psychologist would opine on.”
¶ 44 Dr. Neu testified that when he spoke about defendant learning what happened from
outside sources he did not mean that defendant had regenerated his own memory but that
defendant has new memories of secondhand accounts, and defendant has no way of knowing
whether those secondhand accounts are true or not.
¶ 45 After Dr. Neu testified the State indicated its intent to rest its case and the defense made a
motion for a directed verdict. The defense argued that the issue of fitness in this case is
surrounded by defendant’s anoxic brain injury “and what it means about his ability to assist his
attorney.” The defense argued that the State’s sole witness is not an expert in anoxic brain injury
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“which *** is the focus of this trial.” The defense highlighted Dr. Neu’s testimony that
defendant is “mentally fit” because “there’s no reason that I’m seeing that he had symptoms of
mental illness that rendered him unfit.” The defense argued that the question of whether
defendant has a mental illness is irrelevant to this trial. The defense argued the State had failed to
meet its burden and asked for a directed verdict. The trial court denied the motion. The defense
also made a motion for a mistrial on the ground that there had been testimony about the trial and
defendant’s guilt or innocence of the offense. The defense argued testimony about a trial of the
offense was prejudicial to defendant. The trial court denied the motion. 1
1 It is notable that the trial court’s statements in denying the motion for a mistrial reflect at least outwardly some confusion about the relationship between amnesia and fitness to stand trial. The court stated:
“It strikes me that everybody seems to be concentrating, and perhaps the defense wishes to concentrate solely on the question of whether [defendant] suffers from amnesia and whether that renders him unit to stand trial, but that’s not the only issue here. The issue isn’t whether he has amnesia, the issue isn’t whether that impacts his ability to be fit for trial. [(It is the issue.)] This is a general question.
The question isn’t whether—the jury isn’t being called upon to say yes, he has amnesia or no, he doesn’t. [(But they must accept or reject that fact to make the ultimate determination in this case.)] Yes, because of amnesia he’s unfit or no, despite his amnesia, he is fit. [(Pursuant to Stahl, this is the precise question in this case. People v. Stahl, 2014 IL 115804, ¶ 39 (‘we find that there are a number of factors, including defendant’s inability to communicate with counsel because he cannot recollect his actions and mens rea surrounding the incident *** that should be considered on the issue of fitness’)).] The question is whether he’s fit.”
The trial court’s comments make clear that what it believed to be the dispositive questions required a determination of whether defendant was “able to understand the nature and puirposes of the proceedings against him, and that he is able to assist in his defense.”
As we have tried to make clear, amnesia is sufficient, by itself, to render a defendant unfit for trial if that amnesia prevents the defendant from assisting in his own defense. Amnesia does not automatically render a defendant unable to assist in their defense, but rather the defendant must prove how amnesia prevents them from assisting in their defense. In this case, it appears defendant is arguing his amnesia prevents him from providing information to his attorney that could form the basis of a defense to the
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¶ 46 The defense elicited expert testimony concerning defendant’s extensive physical injuries
and that as a result defendant suffered anoxic brain injury. A defense expert also testified that
defendant’s report of amnesia of the events is consistent with anoxic brain injury, and that it is
common not to regain memory of the time surrounding a trauma with anoxic brain injury. A
defense expert testified that defendant had a verified case of retrograde amnesia. There is no
known treatment to restore lost memory. Another defense expert in the field of memory and
cognition testified that he had never heard a claim that someone with retrograde amnesia could
have their memory reconstructed with second-hand accounts of events. If someone with
retrograde amnesia learned about events from other people, that would not be a true
“autobiographical” memory.
¶ 47 The defense called Professor Herschella Conyers to testify. Professor Conyers is a
licensed attorney and clinical professor of law and the University of Chicago Law School.
Professor Conyers agreed that the defense had hired her to review documentation in this case and
to “provide your expert insight into the type of assistance you would need from a client or an
attorney would need from a client in a case like this.” Professor Conyers testified that it is not
enough to just know the allegations in the documents provided by the prosecution and that
ethically an attorney cannot take the documents “as necessarily true and accurate.” Professor
Conyers testified this is because the attorney is ethically bound to represent their client to the
best of their ability and in Professor Conyers’ opinion it would be “unethical for me to without
further inspection and without further investigation to take opposing counsel’s word for it.”
offense and, probably most importantly, there is no other source for that information because the only people who could provide it are deceased.
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Professor Conyers testified that to prepare a defense an attorney must find and interview
witnesses, visit the scene of the offense, become familiar with any medical or expert evidence,
find your own expert, “and you need to talk with your client.”
¶ 48 Professor Conyers testified that the documentation may provide an accurate account of a
defendant’s conduct but that a defense attorney’s investigation can still reveal “other important
evidence that may provide a partial or full defense.” That could occur when the documentation
says the defendant shot someone and they actually did, but the defense attorney would need to
talk to their client to determine why, to determine what the client “was thinking at the time that
he shot the other person.” Professor Conyers testified “there are things that can in fact exonerate,
not make the client guilty of the charged conduct.” Professor Conyers testified that just saying a
person did this “does not say that they’re guilty or innocent.”
¶ 49 Professor Conyers described the type of assistance in general that is sought from the
defendant. Professor Conyers testified the attorney seeks “as much information as humanly
possible” specifically “their telling of what the event was.” The defendant may identify
witnesses. The attorney wants “to know from the client what the client was thinking, what the
client knew at the time that an event occurred, how the client obtained the knowledge that he had
or she had about an event, and again are there other people *** can their conduct be explained in
non-criminal ways.” There may also be physical evidence that affirms or denies what the
defendant says. Professor Conyers also testified that the amount and type of assistance needed
from a client depends on the specific charges in the case.
¶ 50 The type of assistance needed in a felony murder case, as is this case, is different from
other types of murder and other crimes. Felony murder only requires proof the defendant
intended to commit the underlying offense. In a felony murder case the defense attorney needs to
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know “what in fact the client knew about not only the murder aspect but about the underlying
felony. *** If the client knows nothing about the underlying felony, then your decision may as
well be different in deciding how to advise the client, again what other evidence or witnesses you
would need to corroborate what the client was saying. *** [I]t varies and it depends very much
on the specific facts of a specific case.” In this case, defendant was charged with felony murder
and based on Professor Conyers’ review of the records “you have to expand your investigation of
this and it starts definitely with being able to get from your client specifics about what he or she
knew, who else could corroborate that,” and testing that information “to make a coherent rational
picture available to the trier of fact about exactly what happened in any given circumstance and
then be able to make a reliable determination about responsibility.”
¶ 51 Professor Conyers also testified that in a case charging the defendant with accountability
for the actions of another, the type and amount of assistance needed from the defendant changes.
In those cases, “what I need from a client *** is what the client knew, what the client believed
was going to happen, what the client agreed to do and or not do and what the client’s ***
imputed investment is, and it’s critical that what comes out is *** if that exists because
accountability is something more than just being there.” Professor Conyers responded to a
hypothetical in which the client is with a person who shoots someone. In that instance, the
client’s conduct does not give much information about “what was going on with them and
whether they were guilty of a crime.”
¶ 52 Professor Conyers testified there would be more probing involved. In that type of case
described in the hypothetical the defense attorney would need to talk to the client “extensively”
to try to find out what the client was doing there, what the client knew about the shooter, how the
client knew it, and what was the basis for that and what the client knew about the victim; and
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“anything about his own state of mind that day.” If in the hypothetical presented the client had no
memory of the event there were “certain other parts of evidence that [the attorney] would try to
fall back on to try and fill in that lack of assistance” from the defendant. Professor Conyers
testified the defense attorney should “explore all possible avenues until they are exhausted”
including talking to other witnesses who may be able to testify to what the defendant in that
situation heard.
¶ 53 Professor Conyers testified specifically with regard to this case that the fact defendant
could not tell his attorney “who said what” just before the shooting was a key component to
preparing a meaningful defense because the defense is, “based on what he’s charged with, what
he saw, what he knew, what he observed and what he knew and how he knew it” to “allow
counsel to figure out legitimate potential defenses.” If defendant cannot provide that information,
in another case the attorney would try to get that information from other people who heard the
confrontation in this case but that is not available here because the people who heard the words
and saw the confrontation with the victim are both deceased. It may also be useful to know what
defendant and the deceased offender did earlier in the day in this case but there was nothing in
what Professor Conyers reviewed “that says there was a witness who knew when they had come
together.”
¶ 54 Professor Conyers testified that defendant’s testimony is very important in this case
because, “if there is information [that] can only come from the client then it becomes necessary
and it is critical then for the client to be able to assist you in preparing that defense” by testifying
on their own behalf. The defendant cannot repeat on the witness stand what someone else told
them; the defendant can only testify that “this is what somebody told me happened.”
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¶ 55 Professor Conyers opined that if defendant in this case cannot remember the events of
that day, the “short answer” to the question of whether he would be able to assist his attorney in
preparing a defense in this case is, “No.” That conclusion is not “just a function of his amnesia”
but is because of that and the other factors including the way the crime is charged and the state of
the evidence taken together that “would make him unable to assist in his defense.”
¶ 56 On cross-examination, Professor Conyers agreed that it is not necessarily true that
objective witnesses exist in a given case, and possibly the witness the defense wants “doesn’t
even exist.” Professor Conyers also agreed that what people are thinking can relate to their
intent, and intent “can be formed in an instant,” does not “need a lot of preplanning at all,” and
“can be determined by actions.” However, Professor Conyers added that, “that’s when this
case[,] because as I reviewed the documents [defendant’s] only action was standing there, so that
it—he needed to be able to explain or offer some insight into why and standing there is not
sufficient to assume [the] intent necessary.” Professor Conyers agreed that “when you review the
documents in the case and know the evidence, that’s when you determine what possible defenses
that you can put forth to the evidence that the prosecution has in the case.” Professor Conyers
agreed there may be other witnesses other than defendant with answers to the defense attorney’s
questions; however, she added that “those persons listed in the police report you need to explore
further but *** the police report itself may not capture the full universe of potential witnesses
that your client may need and may be the one to know about.”
¶ 57 Professor Conyers testified that “what a client knows or intended at the time of the
offense, and what the client—and only a client knows about who can or cannot corroborate
that[,] became integral to providing a defense.” Later, when asked whether the defense can only
use viable defenses against the evidence that is in the case, Professor Conyers testified on cross
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that, “I think you can only try a case with the evidence that’s there and that’s what the problem is
there is evidence that one would want to have and does not because of the amnesia.”
¶ 58 In response to questioning about defending a client without memory of the event or who
was merely uncooperative, Professor Conyers did say that was possible but testified that “it
depends on the *** nature of each individual case ***. *** [T]here are cases that require the
client’s input more than other cases.” There may or may not be other sources of the information
an attorney would need to defend this case. Professor Conyers stated that every case has
limitations on the evidence that is available. On redirect Professor Conyers testified that in the
police reports she reviewed no one said what the words were between defendant and the victim
when they encountered each other on the street. Professor Conyers testified that there are gaps in
the evidence that “in a normal case your client would fill in for you.”
¶ 59 In closing argument, as it pertains to this appeal, the State began by stating that amnesia
alone as to the events does not by itself render a person unfit to stand trial but should be
considered together with all the other evidence. The State described this as the central issue in
this case, “whether the defendant’s *** amnesia in 2015 rendered him unfit to stand trial.” The
State told the jury (without objection) “the law answers that question for you” and repeated that,
“Amnesia alone as to the events surrounding the crime does not by itself render a person unfit to
stand trial.” The State argued (over defense objection) that the phrase “does not by itself” “means
that there has to be something in addition to the amnesia to find that the defendant was unfit,
something in addition like a psychological issue. [A] further medical issue, a cognitive defect,
something else in addition to the amnesia.” The State argued that for defendant, “[t]here was
nothing else.”
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¶ 60 The State argued that the ongoing issues defendant suffered from manifested in a
physical manner, such as tremors and nerve pain. The State argued that in 2015 defendant could
learn and retain new information, understand court proceedings, and participate in discussions
with his attorney and make rational and informed decisions. The State then said, “it bears
repeating. The law says amnesia alone as to the events surrounding the crime does not by itself
render a person unfit to stand trial but should be considered by you together with all of the other
evidence.”
¶ 61 The State argued that whether the defendant can assist in his defense does not “begin and
end with whether [the defendant] can tell [their] lawyer what happened.” The State conceded
defendant “is not able to relate the events surrounding the incidents that he is charged with,” but
argued defendant has demonstrated his competencies for other considerations given to the
question of whether he can assist in his defense. Specifically, the State argued that defendant
could observe, recollect, and relate new information as it related to the evidence and
communicate with his attorney. The State argued defendant could do these things “outside of his
amnesia, which by itself does not render someone unfit to assist counsel in his defense.” The
State noted evidence that defendant was oriented to time and place and could understand and
interpret evidence and strategize with his lawyer and argued that “these are instructive for you
when you’re determining whether or not the defendant had the ability to assist counsel in his
defense.” The State concluded it could not “over state this enough” that “other than those
physical, those lingering issues physically *** the only thing that [defendant] was left with was
that amnesia, that alone does not render a person unfit to stand trial.”
¶ 62 In rebuttal the State asserted that in 2015 defendant “had no cognitive issue ***. He has
no mental health issues.” The State argued that in 2015 defendant only had physical symptoms
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related to anoxic brain injury. The State again argued that defendant can learn and retain new
information and argued that the events of the crime are being reconstructed to defendant from
“collateral sources that was given to him by possibly his lawyer” and “the contents in the police
report” because he is claiming amnesia. The State argued the jury was not there to determine
whether defendant has amnesia because amnesia alone is not enough for unfitness. The State
argued that whether or not defendant has amnesia, “He is still fit to stand trial because he can
learn and retain new information, create new memories from sources other than his memories.”
¶ 63 The State claimed that Dr. Neu was an “expert in fitness to stand trial.” The State argued
defendant had “no cognitive defects that would impact and no psychological problems that
would impact his fitness to stand trial.” The State again argued that defendant was fit because
defendant can communicate with counsel about the evidence and the strategy to defend the case.
“He can go through a trial, *** knows what is going on, not on any ongoing amnesia.” The State
argued it is not required to prove defendant can meaningfully assist in his defense or that
defendant must have a “meaningful defense.” Rather, “It’s just a defense.” The State argued that
defendant’s memory is not the only source of viable defenses to this case. The State implied the
trier of fact did not need to know what if anything defendant said because “the intention is there”
from Brian Floyd pointing a gun at the victim. The State asserted, “There is nothing that
defendant’s lawyers can’t do just because defendant has amnesia.” The State argued defense
counsel could put together viable defenses, cross-examine witnesses, and locate witnesses
without defendant’s help. The State argued, “There is nothing because of the fact that if
[defendant] has amnesia his memory is not the only source to defend the crime charged, and if he
did have amnesia he could assist counsel in his defense for the times that he did not have
amnesia.”
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¶ 64 The State argued that “[n]o evidence of amnesia would impair his ability to defend
himself” because a lawyer can “craft viable defenses” and try the case based on the evidence the
State presents. The State argued that defendant “is able to assist in his defense except maybe for
that one amnesiac period that he couldn’t testify to his version of events, and who is to say his
version of events is the right version? It presumes that he has some type of innocent explanation
about it.” Again, the State argued that amnesia alone does not render a defendant unfit to stand
trial but amnesia was but “one little *** part of the equation.”
¶ 65 The defense argued that due to his amnesia defendant could not assist with his defense to
felony murder and accountability given the facts of this case including that the eyewitnesses with
pertinent information were killed.
¶ 66 On the State’s motion and over the defense’s objection the trial court gave the jury a non-
pattern jury instruction on the issue of fitness that stated amnesia alone does not render a
defendant unfit. The trial court stated that it believed the nonpattern instruction was consistent
with People v. Stahl and our earlier order in this case and that the instruction “accurately and
adequately describes the law.” The trial court gave the following instructions relevant to this
appeal:
“A person is unfit to stand trial, if, because of a mental or physical
condition
he is unable to understand the nature and purpose of the proceedings
against him;
or
he is unable to assist in his defense.
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To establish that the defendant is fit to stand trial, the State must prove the
following propositions:
First: That the defendant is able to understand the nature and purpose of
the proceedings against him; and
Second: That the defendant is able to assist in his defense.
***
Matters on the issue of defendant’s fitness include, but are not limited to,
the following:
The defendant’s knowledge and understanding of the charge, the
proceedings, the consequences of a plea, judgment or sentence, and the functions
of the participants in the trial process;
The defendant’s ability to observe, recollect and relate occurrences,
especially those concerning the incidents alleged, and to communicate with
counsel;
The defendant’s social behavior and abilities; orientation as to time and
place; recognition of persons, places and things; and performance of motor
processes.
Amnesia alone as to events surrounding the crime does not by itself render
a person unfit to stand trial but should be considered by you together with all the
other evidence.”
¶ 67 The jury returned a verdict finding retroactively defendant was fit to stand to stand trial.
¶ 68 This appeal followed.
¶ 69 ANALYSIS
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¶ 70 This is an appeal after remand for a second fitness trial after the first trial resulted in the
jury finding retroactively that defendant was fit to stand trial but where the trial court’s
instructions to the jury failed to identify a relevant factor in the fitness determination and, as a
result, misled the jury and failed to correctly state the applicable law. A defendant’s fitness to
stand trial is a question of fact. See People v. Stillman, 61 Ill. App. 3d 446, 451 (1978). “A
reviewing court should not substitute its judgment for that of the jury on a question of fact unless
the jury’s verdict is against the manifest weight of the evidence.” Doser v. Savage
Manufacturing & Sales, Inc., 142 Ill. 2d 176, 199 (1990), Joel R. by Salazar v. Board of
Education of Mannheim School District 83, Cook County, Illinois, 292 Ill. App. 3d 607, 613
(1997) (“Questions of fact, whether determined by a jury or by the circuit court in a nonjury
case, are reviewed under the deferential, manifest weight of the evidence standard.”).
“A finding of fact or verdict is against the manifest weight of the evidence
where, upon review of all the evidence in the light most favorable to the
prevailing party, an opposite conclusion is clearly apparent or the fact-finder’s
finding is palpably erroneous and wholly unwarranted, is clearly the result of
passion or prejudice, or appears to be arbitrary and unsubstantiated by the
evidence.” Joel R. by Salazar, 292 Ill. App. 3d at 613.
¶ 71 However, if this court determines that the jury’s verdict resulted from an erroneous jury
instruction reversal is warranted if “the erroneous instruction clearly misled the jury and resulted
in prejudice to the appellant.” Pearson v. DaimlerChrysler Corp., 349 Ill. App. 3d 688, 696
(2004).
¶ 72 Defendant raises several arguments on appeal from the jury’s verdict finding that
defendant was fit for trial in 2015. The issue that we find dispositive of this appeal is whether the
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trial court erroneously instructed the jury that amnesia alone was an insufficient basis on which
to find defendant unfit. For the following reasons, we find the trial court did err in its instructions
to the jury. The trial court’s instructions misled the jury as to how to apply the fitness standard
and resulted in prejudice to defendant. Pearson, 349 Ill. App. 3d at 696. We find that the
argument raises an issue of plain error; therefore, we review the error despite defense counsel’s
failure to preserve the error. See People v. Ulloa, 2015 IL App (1st) 131632, ¶ 25 (“The
misstatement of the applicable law *** is a grave error, affecting the fundamental fairness of the
trial and the integrity of the judicial process.”). We remand with instructions for another fitness
trial. Because of this finding we have no need to address defendant’s remaining arguments on
appeal. Goral v. Dart, 2020 IL 125085, ¶ 76 (“reviewing courts ordinarily will not consider
issues that are not critical to the disposition of the case presented or where the result will not be
affected regardless of how the issues are decided”). However, we will address any remaining
issues only to the extent questions may arise on remand.
¶ 73 Turning to the issue of the instructions to the jury, we begin with the principles applicable
to the fitness determination specifically and the principles applicable to jury instructions
generally. Whether a defendant is fit to stand trial is governed by statute. See 725 ILCS 5/104-1
through 5/104-31 (West 2014). In Illinois a defendant is presumed fit to stand trial. 725 ILCS
5/104-10 (West 2014). A defendant is not fit to stand trial “if, because of his mental or physical
condition, he is unable to understand the nature and purpose of the proceedings against him or to
assist in his defense.” Id. The fitness statute provides that:
“matters admissible on the issue of the defendant’s fitness include, but are not
limited to, the following:
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(1) The defendant’s knowledge and understanding of the charge, the proceedings,
the consequences of a plea, judgment or sentence, and the functions of the
(2) The defendant’s ability to observe, recollect and relate occurrences, especially
those concerning the incidents alleged, and to communicate with counsel;
(3) The defendant’s social behavior and abilities; orientation as to time and place;
recognition of persons, places and things; and performance of motor processes.”
725 ILCS 5/104-16(b) (West 2014).
¶ 74 Generally, “[l]itigants are entitled to have the jury instructed on the issues presented, the
applicable legal principles, and the facts that must be proved to support a verdict. [Citation.] The
trial court has discretion to determine which instructions to give the jury, and that determination
will not be disturbed absent an abuse of that discretion.” Martin v. City of Chicago, 2023 IL App
(1st) 221116, ¶ 18. “[T]he trial court must instruct the jury with an IPI Criminal instruction
unless the court determines that it does not accurately state the law.” People v. Sito, 2013 IL App
(1st) 110707, ¶ 26 (citing Ill. S. Ct. R. 451(a) (eff. Apr. 8, 2013); People v. Hudson, 222 Ill. 2d
392, 399-400 (2006)). “The trial court, in its discretion, may give a non-IPI instruction when the
pattern instructions do not adequately state the law.” People v. Eddington, 117 Ill. App. 3d 953,
962 (1983). The standard for deciding whether a trial court abused its discretion is whether,
taken as a whole, the instructions fairly, fully, and comprehensively apprised the jury of the
relevant legal principles. Martin, 2023 IL App (1st) 221116, ¶ 18. “When the question is whether
the applicable law was conveyed accurately *** the issue is a question of law, and our standard
of review is de novo.” Studt v. Sherman Health Systems, 2011 IL 108182, ¶ 13.
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¶ 75 Our supreme court construed the law applicable to the fitness determination in People v.
Stahl, 2014 IL 115804, and this court provided its interpretation of Stahl in defendant’s appeal
from his original fitness trial. Floyd, 2019 IL App (1st) 160406-U. The parties did not file a
petition for leave to appeal to our supreme court from this court’s earlier order in this case; thus,
our order in Floyd, 2019 IL App (1st) 160406-U became the law of the case binding on any
further proceedings. Hamilton v. Faulkner, 96 Ill. App. 2d 415, 418 (1968) (“the judgment of
this court is the final disposition of the case on the issues decided in the first appeal, absent a
petition for rehearing or a petition for leave to appeal to the Supreme Court”), Harris Trust &
Savings Bank v. Otis Elevator Co., 297 Ill. App. 3d 383, 388 (1998) (in the absence of an order
granting rehearing in this court or leave to appeal to our supreme court, “our decision becomes
the law of the case, and binds the parties and the trial court in any subsequent proceeding on
remand”).
¶ 76 We recognized that in Stahl, just as it was in this case, “the primary issue was ‘whether,
under article 104 of the Code [of Criminal Procedure, the] defendant’s amnesia as to the events
surrounding the crime alone renders him per se unfit to stand trial.’ Stahl, 2014 IL 115804, ¶
25.” Floyd, 2019 IL App (1st) 160406-U, ¶ 44. We observed that our supreme court rejected the
appellate court’s suggestion that “ ‘amnesia as to the events surrounding the crime will always
render a defendant until to stand trial ***.’ Stahl, 2014 IL 115804, ¶ 34.” Id. ¶ 49. Thus, we
concluded that “our supreme court directs that amnesia of the alleged offense will not always
render a defendant unfit to stand trial. Stahl, 2014 IL 115804, ¶¶ 34, 30.” (Emphasis in original.)
Id. ¶ 50. However, in the very next sentence, we also noted that “our supreme court did not hold
that amnesia, alone, will never render a defendant unfit for trial.” (Emphases added.) Id.
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¶ 77 In the first appeal, we went on to find that under Stahl, amnesia of the offense is relevant
to a defendant’s ability to assist in his or her own defense. Id. ¶ 50 (citing Stahl, 2014 IL 115804,
¶ 38). We wrote that “[o]ur supreme court concluded there were ‘a number of factors * * * that
should be considered on the issue of fitness’ including the defendant’s ‘inability to communicate
with counsel because he cannot recollect his actions and mens rea surrounding the incident.’
[Citation.]” Id. ¶ 50 (quoting Stahl, 2014 IL 115804, ¶ 39). We concluded, and perhaps
engendered some confusion, that “ ‘under article 104 of the Code, amnesia as to the events
surrounding the crime does not per se render a defendant unfit to stand trial. Rather, the fact that
a defendant cannot recollect the incident at issue is just one of the circumstances that may be
considered in determining a defendant’s fitness.’ [Citation.]” Id.
¶ 78 We believe it is clear that we interpreted Stahl to mean that amnesia by itself does not
always render a defendant unfit for trial, but it could, by itself, render a defendant unfit for trial
if, because of the amnesia, the defendant is unable to assist in their own defense. Id. ¶ 50 (citing
Stahl, 2014 IL 115804, ¶ 38) (“We note that our supreme court did not hold that amnesia, alone,
will never render a defendant unfit for trial.”). A defendant might be unable to assist in their own
defense if, for example:
“(1) defendant could not tell counsel his version of the events or what his state of
mind was at the time, information that is critical to understanding what defenses
might be available; (2) he could not meaningfully testify in his own defense
because he could not remember the events at issue; and (3) he could not even
intelligently decide how to plead because he did not know whether he committed
any of the acts charged.” Stahl, 2014 IL 115804, ¶ 38.
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Our supreme court found these factors to be among “a number of factors,” including defendant’s
inability to recollect his mens rea surrounding the incident, “that should be considered on the
issue of fitness.” Stahl, 2014 IL 115804, ¶ 39. Yet on remand the trial court in this case
instructed the jury that “[a]mnesia alone *** does not by itself render a person unfit to stand
trial” (emphasis added), which we find functionally equivalent to instructing the jury that
“amnesia, alone, [will never] render a defendant unfit for trial,” where we find that in this context
“does not” has the same effective meaning as “will never.”
¶ 79 When we determine whether the trial court’s jury instruction fairly, fully, and
comprehensively apprised the jury of the relevant legal principles (Martin, 2023 IL App (1st)
221116, ¶ 18), we look at the instructions as a whole. Schultz v. Northeast Illinois Regional
Commuter R.R. Corp., 201 Ill. 2d 260, 273-74 (2002) (“The standard for deciding whether a trial
court abused its discretion is whether, taken as a whole, the instructions fairly, fully, and
comprehensively apprised the jury of the relevant legal principles.”). Furthermore, the proper test
of a jury instruction is “not what meaning the ingenuity of counsel can at leisure attribute to the
instructions, but how and in what sense, under the evidence before them and the circumstances
of the trial, ordinary [people] acting as jurors will understand the instructions.” Reivitz v.
Chicago Rapid Transit Co., 327 Ill. 207, 213 (1927). In this case, the jury was instructed both
that:
“A person is unfit to stand trial, if, because of a mental or physical condition
he is unable to understand the nature and purpose of the proceedings
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Amnesia alone as to events surrounding the crime does not by itself render
a person unfit to stand trial but should be considered by you together with all the
¶ 80 These instructions in combination prevented the jury from fairly determining whether,
because of defendant’s amnesia, he was unable to assist in his own defense in the manner
testified to by defendant’s expert because the only “mental or physical condition” at issue was
amnesia, and the jury was instructed that amnesia, alone, is not enough to render a defendant
unfit. Although the jury heard evidence of defendant’s physical injuries and anoxic brain injury
and defendant’s current mental state, all of the evidence pointed back to defendant’s amnesia as
the condition that allegedly made him unfit for trial. The instruction erroneously reinforced the
State’s theme presented through its witnesses and made in its closing argument that defendant
was fit for trial because his only mental or physical condition was amnesia of the offense and
amnesia alone does not render a defendant unfit. The trial court’s instruction effectively negated
evidence about the impact of amnesia on defendant’s ability to assist in his own defense—
evidence that our supreme court deemed relevant in Stahl. See Stahl, 2014 IL 115804, ¶¶ 38-39.
¶ 81 “If the court fails to properly instruct on any of [the] key issues [in the case,] the
defendant’s right to a fair trial is seriously in doubt. [Citation.] The giving of contradictory
instructions on an essential element of the case is prejudicial error and will not be cured by the
fact that another instruction is correct.” People v. Johnson, 254 Ill. App. 3d 74, 79 (1993) (citing
People v. Jenkins, 69 Ill. 2d 61, 66 (1977)). See also Floyd, 2019 IL App (1st) 160406-U, ¶ 43
(“In determining whether a party has been prejudiced, we consider whether the instructions,
taken as a whole, were sufficiently clear so as not to mislead the jury. [Citation.] * * * [T]here
must be a reasonable basis supporting the conclusion that, but for the error, the verdict might
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have been different. [Citation.]”). The erroneous instruction misled the jury as to how to consider
the evidence. The erroneous instruction prevented the jury from properly considering relevant
evidence. We find that the instruction prejudiced defendant. Id.
¶ 82 The fitness standard is determined by the fitness statute. “A defendant is unfit if, because
of his mental or physical condition, he is unable to understand the nature and purpose of the
proceedings against him or to assist in his defense.” 725 ILCS 5/104-10 (West 2014). The only
issue in this case is defendant’s ability to assist in his defense. That jury must answer that
question in the factual context of this case based on relevant evidence.
“(b) Subject to the rules of evidence, matters admissible on the issue of the
defendant’s fitness include, but are not limited to, the following:
(1) The defendant’s knowledge and understanding of the charge, the proceedings,
the consequences of a plea, judgment or sentence, and the functions of the
(2) The defendant’s ability to observe, recollect and relate occurrences, especially
those concerning the incidents alleged, and to communicate with counsel;
(3) The defendant’s social behavior and abilities; orientation as to time and place;
recognition of persons, places and things; and performance of motor processes.”
(Emphasis added.) 725 ILCS 5/104-16 (West 2014).
¶ 83 Under Stahl, amnesia alone may be a basis for unfitness if the amnesia prevents the
defendant from assisting in their own defense. The jury must make that determination based on
all of the admissible evidence presented at the fitness trial. Id. Amnesia alone may prevent a
defendant from assisting in his own defense if, for example, defendant’s ability to “recollect and
relate occurrences *** concerning the incidents alleged” based on the ability to learn and retain
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information from just reading police reports is not enough to assist in his own defense or if,
given the specific facts of the case, knowledge that only could come from defendant’s memory is
needed to sufficiently relate occurrences concerning the incidents alleged to assist in the defense.
Compare People v. Schwartz, 135 Ill. App. 3d 629, 640 (1985) (“Under these particular
circumstances, we find that defendant was able to fully develop and effectively present his
insanity defense before the jury. Nothing in the record suggests that defendant’s own testimony
was necessary to bolster his already well-supported theory of defense.”). The trial court’s
instructions as a whole misled the jury as to whether it could ever reach this question.
¶ 84 The error in instructing the jury requires remand for a new fitness trial. On remand, any
testimony or argument mischaracterizing the law to be that amnesia is categorically not a basis
for a finding of unfitness is improper and should be excluded.
¶ 85 When we previously found an instructional error we remanded this case for a retroactive
fitness trial. Floyd, 2019 IL App (1st) 160406-U, ¶ 62. We believe that is the proper remedy in
this case, but first we must briefly address defendant’s motion for a directed verdict. “It is well
established that a verdict of competency may be directed in a proper case.” People v. Speck, 41
Ill. 2d 177, 205 (1968), reversed on other grounds, Speck v. Illinois, 403 U.S. 946 (1971).
“The ultimate test as to whether a trial judge should direct a verdict is
found in Pedrick v. Peoria and Eastern Railroad Co., 37 Ill. 2d 494, 510, as
follows:
‘In our judgment verdicts ought to be directed *** only in those cases in
which all the evidence, when viewed in its aspect most favorable to the opponent,
so overwhelmingly favors movant that no contrary verdict based on that evidence
could ever stand.’ ” Speck, 41 Ill. 2d at 205.
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Accord People v. Miller, 393 Ill. App. 3d 1060, 1063 (2009) (“The standard for a directed
finding requires the court to take the evidence in the light most favorable to the nonmoving party
and to determine if that party could be deemed to have met its burden of proof.”). “Motions for
directed verdicts and motions for judgment n.o.v. present questions of law, and therefore, our
review is de novo.” Claffey v. Huntley, 2021 IL App (1st) 191938, ¶ 13.
¶ 86 Defendant argues the State’s expert “offered no opinion about whether [defendant’s]
brain injury precluded him from assisting in his defense.” Defendant claims the State’s expert
“acknowledged that his opinion regarding [defendant’s] fitness was limited to the undisputed
question of whether [defendant] was psychologically fit” (emphasis omitted) in that the State’s
expert opined defendant did not suffer from mental illness or cognitive defects. Defendant also
complains the State failed to present evidence from a legal expert regarding whether defendant’s
amnesia would have impacted defendant’s ability to assist in his own defense by assisting
counsel’s determination of what defenses might have been available, by impeding his ability to
testify, or by impeding his ability to knowingly plead. Defendant asks this court to review the
denial of his motion for a directed verdict for plain error.
¶ 87 The State responds its expert “established that defendant had the ability to learn, retain,
and process new information, make rational choices, and work with his attorney, which
established that [defendant] could assist in his defense, even if he could not remember the
shooting.” The State asserts its expert testified that he did consider defendant’s amnesia as part
of his evaluation. The State argues that as a board-certified forensic psychologist its expert could
opine as to “a legal topic that has a psychological component” such as fitness to stand trial.
¶ 88 We find that the trial court did not err in denying defendant’s motion for a directed
verdict.
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“The standard for a directed verdict *** is high and not appropriate if
reasonable minds might differ as to inferences or conclusions to be drawn from
the facts presented. [Citations.] In ruling on these motions, a court does not weigh
evidence nor consider credibility of witnesses; rather, the court only considers the
evidence and any inferences therefrom in the light most favorable to the
nonmoving party. [Citation.] Judgment should not be entered on either motion
when there is any evidence, together with reasonable inferences to be drawn
therefrom, demonstrating a substantial factual dispute, or where the assessment of
credibility of the witnesses or the determination regarding conflicting evidence is
decisive to the outcome. [Citation.]” (Internal quotation marks omitted.) Claffey,
2021 IL App (1st) 191938, ¶ 13.
¶ 89 Here, the State did present some evidence that defendant could assist in his own defense
using information gained about the offense from outside sources. Defendant, on the other hand,
presented expert testimony as to all the reasons that may not be true in this case, including the
fact that certain information crucial to a defense may only be available from defendant. It would
have been up to the jury to weigh these conflicting opinions. Our holding is that the erroneous
instruction foreclosed even the consideration of those conflicting opinions because the only
physical or mental condition weighing on fitness was defendant’s amnesia, and the trial court
erroneously instructed the jury that amnesia alone is not a sufficient mental condition on which
to base a finding of unfitness. Under Stahl, amnesia alone does not always preclude a defendant
from assisting in their own defense, but it can. If properly instructed the jury would have been
required to weigh conflicting evidence. Therefore, the trial court properly denied the motion for a
directed verdict at the close of the State’s case. Id.
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¶ 90 In this appeal from the retrospective fitness trial defendant also argued that the judgment
that defendant was fit to stand trial is against the manifest weight of the evidence; the State’s
expert misrepresented the fitness standard or, alternatively, the State’s expert’s opinion should
have been subject to a determination of whether the expert’s opinion was generally accepted in
the relevant scientific community; the trial court should have declared a mistrial when the
prosecutor “told the jury the evidence at the murder trial established that defendant possessed a
gun” and improperly argued that defendant had the specific intent for felony murder; and the
State’s closing argument misstated the fitness standard, diminished the State’s burden of proof,
and misrepresented the defense evidence. “[C]ourts should refrain from deciding an issue when
resolution of the issue will have no effect on the disposition of the appeal presently before the
court. [Citation.]” People v. Smith, 2023 IL App (1st) 181070, ¶ 30.
¶ 91 We decline to address defendant’s argument that the finding of fitness is against the
manifest weight of the evidence. As we previously stated, our holding that the trial court
committed instructional error means that the jury never properly considered the evidence. People
v. Johnson, 2021 IL App (1st) 190567, ¶ 30 (“We hold that the [second-prong] plain error the
trial court committed by failing to correctly instruct the jury on the limited use of evidence for
the crime of witness tampering is so misleading and prejudicial that it requires reversal and
remand for a new trial.”). We will not find that a judgment is against the manifest weight of the
evidence where the judgment is not based on a proper consideration of the evidence. A new
fitness trial is required. Id.
¶ 92 “It is well settled that Illinois courts cannot *** render an advisory opinion, or give legal
advice as to future events.” In re Luis R., 239 Ill. 2d 295, 306 (2010). See also 48A C.J.S. Judges
§ 154 (“In exercising judicial power, a judge may not give an advisory opinion on any subject,
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and it is not a judge’s responsibility to give legal advice to a party to the proceeding.”). Because
we remand for a new fitness trial we must decline to make any determination as to whether the
State’s evidence or arguments misstated the fitness standard because to do so may amount to
unintended “advice” on the future trial. We have provided clear instruction on the meaning of
Stahl as it relates to the fitness standard. We will not presume that the State will violate our order
that further proceedings conform to this order. Passing judgment on the State’s prior conduct,
whether to affirm it or decry it, will have no impact on this decision and may amount to “advice”
to the State. Therefore, we expressly make no determination on those issues.
¶ 93 “We may, however, address additional issues that are likely to recur on remand to
provide guidance to the lower court and expedite the ultimate termination of the litigation.”
(Internal quotation marks omitted.) Smith, 2023 IL App (1st) 181070, ¶ 30. With that in mind,
we first briefly address defendant’s argument that Dr. Neu’s testimony should have been
subjected to a Frye hearing.
“The purpose of the Frye test is to exclude new or novel scientific
evidence that undeservedly creates a perception of certainty when the basis for the
evidence or opinion is actually invalid. [Citation.] *** We review de novo a trial
court’s determination of whether a Frye hearing is necessary and whether there is
general acceptance in the relevant scientific community.” (Internal quotation
marks omitted.) In re Detention of New, 2014 IL 116306, ¶ 26.
“Initially, we must consider whether [the] expert testimony *** is the type of scientific
evidence subject to the screening function served by the Frye test.” Id. ¶ 28. “Although
not always easy to identify, we have held that generally, scientific evidence is new or
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novel if it is “original or striking” or does “not resembl[e] something formerly known.”
(Internal quotation marks omitted.) Id. ¶ 34.
“If an expert’s opinion is derived solely from his or her observations and
experiences, the opinion is generally not considered scientific evidence.
[Citation.] On the other hand, if the expert’s opinion is derived from a particular
scientific methodology, such as the application of scientific principles or the use
of other literature or studies, then the opinion is generally considered scientific.”
In re Marriage of Alexander, 368 Ill. App. 3d 192, 197 (2006).
¶ 94 Defendant argues there is no evidence that the relevant scientific community generally
accepts Dr. Neu’s opinion “that a defendant’s ability to assist counsel in his defense can be
determined by assessing his ability to learn, retain, and discuss new information from extrinsic
sources.” Defendant also argues that its own expert testified that he had never heard an expert
claim that a person can have their memory reconstructed from extrinsic sources. Dr. Neu’s
testimony was not “original or striking” scientific evidence that did not “resembl[e] something
formerly known.” In re Detention of New, 2014 IL 116306, ¶ 34. He merely testified defendant
can learn new things and in doing so assist his defense attorney. This is not new or novel of
amnesiacs. See Schwartz, 135 Ill. App. 3d at 639-40. Furthermore, defendant’s complaint is with
Dr. Neu’s conclusion that defendant is fit based on certain facts, not with how he determined
those facts through the use of “a particular scientific methodology, such as the application of
scientific principles or the use of other literature or studies.” In re Marriage of Alexander, 368
Ill. App. 3d at 197. Dr. Neu’s opinion was “derived solely from his *** observations and
experiences,” Id.
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¶ 95 We also find that Dr. Neu’s opinion is not “new” or “novel” because it is consistent with
the statute. As once stated by the trial court, “the issue is fitness,” the standard for which is
governed by statute as stated above. The fitness statute provides a non-exhaustive list of matters
admissible on the issue of the defendant’s fitness that includes both the defendant’s ability to
recollect and relate occurrences concerning the incident alleged and the defendant’s knowledge
and understanding of the proceedings. 725 ILCS 5/104-16 (West 2014). Defendant’s ability to
learn, retain and discuss new information relates to defendant’s ability to understand the
proceedings and to defendant’s ability to communicate with his attorney and assist with a
defense that is available despite the defendant’s amnesia, and therefore is relevant to the fitness
determination. See Schwartz, 135 Ill. App. 3d at 640.
¶ 96 We note that based in part on the State’s cross-examination of the defense’s legal expert
the State argued there were defenses available in spite of defendant’s amnesia. Defendant has not
provided any authority that the State must provide evidence as to every matter listed in the
statute. It was for the trier of fact to weigh the conflicting evidence as to whether defendant was
“fit.” 725 ILCS 5/104-12 (West 2014) (“The defense or the State may demand a jury or the court
on its own motion may order a jury.”). The fact the State may have failed to elicit any testimony
on an available point of consideration in the fitness determination goes to the weight of the
State’s evidence (but not its admissibility or sufficiency). 725 ILCS 5/104-16 (West 2014) (“On
the basis of the evidence before it, the court or jury shall determine whether the defendant is fit to
stand trial.” (Emphasis added.)). Based on the record before us, a Frye hearing was not required.
¶ 97 We also find, for purposes of proceedings on remand, that the law is clear that defendant
is entitled to a “meaningful” defense. A bona fide doubt of a defendant’s fitness to stand trial
necessitates a hearing. People v. Hanson, 212 Ill. 2d 212, 216 (2004) (citing 725 ILCS 5/104-
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11(a) (West 2014)). “A bona fide doubt exists when the facts raise a real, substantial, and
legitimate doubt regarding a defendant’s mental capacity to meaningfully participate in his
defense.” (Emphasis added.) People v. Schnoor, 2019 IL App (4th) 170571, ¶¶ 44-45. See also
U.S. ex rel. Newman v. Rednour, 917 F. Supp. 2d 765, 784 (N.D. Ill. 2012) (applying Illinois law
and finding that “the evidence convincingly shows that [the defendant] was unable to provide
‘meaningful assistance’ to his attorney in his defense”). Further, “the Constitution guarantees
criminal defendants a meaningful opportunity to present a complete defense.” (Internal quotation
marks omitted and emphasis added.) Crane v. Kentucky, 476 U.S. 683, 690 (1986). Any
testimony or argument to the contrary is legally wrong and should not be allowed. However, we
specifically decline to address whether the jury instructions should be modified to add
“meaningfully.” Defendant’s only argument on appeal was that the State prejudiced defendant by
attempting to diminish its burden of proof by arguing the jury did not have to find that defendant
could assist his attorney with a meaningful defense. We hold only that the defense to which the
defendant is entitled and to which the fitness statute refers is a “meaningful” defense.
¶ 98 Finally, without deciding the issue we note that the trial court was familiar with the
evidence at defendant’s murder trial and could competently rule as to whether the evidence from
that trial was misstated. We decline to rule on these additional specific issues with the
expectation the parties will conform their conduct to the requirements of this order. We again
leave these and other matters for resolution in the first instance by the trial court, if necessary.
See Floyd, 2019 IL App (1st) 160406, ¶ 57.
¶ 99 The erroneous instruction in this case was the State’s instruction number nine, which
stated that “Amnesia alone as to events surrounding the crime does not by itself render a person
unfit to stand trial but should be considered by you together with all the other evidence.” That
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instruction is not an accurate statement of the law because amnesia alone may, by itself, render a
person unfit to stand trial if, under the totality of the circumstances of the case, including where
the defendant is charged with felony murder and accountability, the amnesia prevents the
defendant from assisting in their own defense, for whatever reason. On remand, the trial court is
instructed not to give the State’s proffered nonpattern jury instruction.
¶ 100 The erroneous instruction prejudiced defendant, but the evidence was not sufficient to
direct a verdict in defendant’s favor. Accordingly, the judgment is reversed, and the cause
remanded for a new retroactive fitness trial. We continue to retain jurisdiction, should defendant
again be found retroactively fit to stand trial, to address any properly preserved contentions of
error in defendant’s conviction and sentence.
¶ 101 CONCLUSION
¶ 102 For the foregoing reasons, the judgment of the circuit court of Cook County is reversed
and the cause remanded for proceedings consistent with this order; we retain jurisdiction over
this appeal for all other issues properly raised.
¶ 103 Reversed in part and remanded with instructions, jurisdiction retained.
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