IN THE COURT OF APPEALS OF IOWA
No. 21-1742 Filed October 19, 2022
STATE OF IOWA, Plaintiff-Appellee,
vs.
PAUL ROOSEVELT BELK, Defendant-Appellant. ________________________________________________________________
Appeal from the Iowa District Court for Woodbury County, Jeffrey A. Neary,
Judge.
Paul Belk appeals his conviction for second-degree murder. AFFIRMED.
R. Ben Stone of Parrish Kruidenier Bunn Gentry Brown Bergmann &
Messamer, LLP, Des Moines, for appellant.
Thomas J. Miller, Attorney General, and Louis S. Sloven, Assistant Attorney
General, for appellee.
Heard by Vaitheswaran, P.J., Ahlers, J., and Mullins, S.J.*
*Senior judge assigned by order pursuant to Iowa Code section 602.9206
(2022). 2
AHLERS, Judge.
Paul Belk stabbed his mother to death and also stabbed his sister, causing
injuries.1 The State charged him with first-degree murder for the attack on his
mother, willful injury for the attack on his sister, and possession of marijuana. He
asserted defenses of insanity, diminished responsibility, and intoxication.
Following a bench trial, the district court found Belk failed to prove his
insanity defense. On the other hand, the court found that Belk’s diminished
responsibility and intoxication from marijuana use negated his ability to form the
specific intent needed to find him guilty of first-degree murder and willful injury, so
the district court acquitted Belk on those charges. As those defenses do not apply
to general-intent crimes, the district court found Belk guilty of the lesser-included
offense of second-degree murder and possession of marijuana. See State v.
Artzer, 609 N.W.2d 526, 531 (Iowa 2000) (holding the defenses of intoxication and
diminished capacity are not available to a defendant charged with second-degree
murder because those defenses only apply to specific-intent crimes and second-
degree murder is a general-intent crime). On appeal, Belk claims the district court
erred in rejecting his insanity defense, there is insufficient evidence that he had
malice aforethought to support the second-degree murder conviction, and his trial
counsel was ineffective for failing to effectively cross-examine one of the State’s
witnesses.
1 This case involves family members who share the last name Belk. We will refer to Paul Belk as “Belk,” while referring to other Belk family members by first name. 3
I. Factual Background
In April 2020, Belk planned to visit his sister, Susan, in Sioux City, but he
requested she tell no one else he was visiting. Upon arrival, Susan and her friend
picked Belk up from the airport. Belk asked both of them if they could get him a
firearm.
Belk stayed at Susan’s home that night. The next day, Belk gave his sister
permission to tell their mother that Belk was in town. Later that day, Belk’s mother
and sister, Zoe, came over to Susan’s apartment to see Belk. Belk’s sisters
reported that Belk was acting strangely that day. After the family sat down for
dinner, Belk left the table and grabbed a knife from the kitchen. Knife in hand, Belk
threatened to stab Susan’s cat. Shortly after, Belk’s threats turned toward his
family, and he took their cell phones away from them.
Belk then lit a cigarette inside the apartment, making a point of telling his
mother—who had a well-known rule against smoking inside—that there was
nothing she could do about it. He then instructed his mother and sisters to pile
objects in the middle of the room. There was no apparent rhyme or reason to the
items he sought to gather, but Belk was very particular about what objects should
be added to the pile. At one point Belk forced his mother to remove her watch and
place it on his wrist. When his mother moved toward the pile at Belk’s request to
add a basket to the pile, Belk stabbed her. He then stabbed Susan. Susan and
Zoe ran from the apartment to get help. Belk then stabbed his mother repeatedly,
causing her death. 4
II. Standard of Review
Belk contends there is insufficient evidence supporting the district court’s
finding that (1) he was not legally insane at the time of the stabbing and (2) he had
malice aforethought at the time of the stabbing. We review sufficiency-of-the-
evidence claims for correction of legal error. State v. Schiebout, 944 N.W.2d 666,
670 (Iowa 2020). “We will uphold the verdict on a sufficiency-of-evidence claim if
substantial evidence supports it.” Id. In a bench trial, we review the district court’s
findings as we would a jury verdict, meaning we will affirm the verdict if supported
by substantial evidence. State v. Weaver, 608 N.W.2d 797, 803 (Iowa 2000).
“Evidence is substantial when ‘a rational trier of fact could conceivably find the
defendant guilty beyond a reasonable doubt.’” State v. Howse, 875 N.W.2d 684,
688 (Iowa 2016) (quoting State v. Thomas, 561 N.W.2d 37, 39 (Iowa 1997)).
III. Analysis
As noted, Belk raises three issues. We address each in turn.
A. Insanity Defense
Belk argues he was legally insane at the time of the stabbing.
A person shall not be convicted of a crime if at the time the crime is committed the person suffers from such a diseased or deranged condition of the mind as to render the person incapable of knowing the nature and quality of the act the person is committing or incapable of distinguishing between right and wrong in relation to that act.
Iowa Code § 701.4 (2020). The defendant has the burden to prove insanity by a
preponderance of the evidence. State v. Buck, 510 N.W.2d 850, 852 (Iowa 1994).
The district court found that Belk failed to establish he was legally insane at the
time of the killing. Belk challenges the sufficiency of the evidence supporting this 5
conclusion. In a sufficiency-of-the-evidence challenge, we are bound by fact
findings that are supported by substantial evidence. State v. Jones, 967 N.W.2d
336, 339 (Iowa 2021). In determining whether a verdict is supported by substantial
evidence, we view the evidence in the light most favorable to the party with the
burden of proof, including all legitimate inferences and presumptions that can be
deduced from the evidence. See id. Our ultimate task is to determine whether the
evidence supports the finding actually made, not whether it would support a
contrary finding. Id.
The district court was presented with reports and heard testimony from both
a psychiatrist and psychologist regarding Belk’s mental state at the time of the
stabbing. Both reviewed footage of Belk shortly after the stabbing and also met
with Belk in person. The psychiatrist, hired by Belk, concluded that Belk has
underlying schizophrenia and psychotic process, which at the time of the stabbing
caused him to be incapable of distinguishing right from wrong. The forensic
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IN THE COURT OF APPEALS OF IOWA
No. 21-1742 Filed October 19, 2022
STATE OF IOWA, Plaintiff-Appellee,
vs.
PAUL ROOSEVELT BELK, Defendant-Appellant. ________________________________________________________________
Appeal from the Iowa District Court for Woodbury County, Jeffrey A. Neary,
Judge.
Paul Belk appeals his conviction for second-degree murder. AFFIRMED.
R. Ben Stone of Parrish Kruidenier Bunn Gentry Brown Bergmann &
Messamer, LLP, Des Moines, for appellant.
Thomas J. Miller, Attorney General, and Louis S. Sloven, Assistant Attorney
General, for appellee.
Heard by Vaitheswaran, P.J., Ahlers, J., and Mullins, S.J.*
*Senior judge assigned by order pursuant to Iowa Code section 602.9206
(2022). 2
AHLERS, Judge.
Paul Belk stabbed his mother to death and also stabbed his sister, causing
injuries.1 The State charged him with first-degree murder for the attack on his
mother, willful injury for the attack on his sister, and possession of marijuana. He
asserted defenses of insanity, diminished responsibility, and intoxication.
Following a bench trial, the district court found Belk failed to prove his
insanity defense. On the other hand, the court found that Belk’s diminished
responsibility and intoxication from marijuana use negated his ability to form the
specific intent needed to find him guilty of first-degree murder and willful injury, so
the district court acquitted Belk on those charges. As those defenses do not apply
to general-intent crimes, the district court found Belk guilty of the lesser-included
offense of second-degree murder and possession of marijuana. See State v.
Artzer, 609 N.W.2d 526, 531 (Iowa 2000) (holding the defenses of intoxication and
diminished capacity are not available to a defendant charged with second-degree
murder because those defenses only apply to specific-intent crimes and second-
degree murder is a general-intent crime). On appeal, Belk claims the district court
erred in rejecting his insanity defense, there is insufficient evidence that he had
malice aforethought to support the second-degree murder conviction, and his trial
counsel was ineffective for failing to effectively cross-examine one of the State’s
witnesses.
1 This case involves family members who share the last name Belk. We will refer to Paul Belk as “Belk,” while referring to other Belk family members by first name. 3
I. Factual Background
In April 2020, Belk planned to visit his sister, Susan, in Sioux City, but he
requested she tell no one else he was visiting. Upon arrival, Susan and her friend
picked Belk up from the airport. Belk asked both of them if they could get him a
firearm.
Belk stayed at Susan’s home that night. The next day, Belk gave his sister
permission to tell their mother that Belk was in town. Later that day, Belk’s mother
and sister, Zoe, came over to Susan’s apartment to see Belk. Belk’s sisters
reported that Belk was acting strangely that day. After the family sat down for
dinner, Belk left the table and grabbed a knife from the kitchen. Knife in hand, Belk
threatened to stab Susan’s cat. Shortly after, Belk’s threats turned toward his
family, and he took their cell phones away from them.
Belk then lit a cigarette inside the apartment, making a point of telling his
mother—who had a well-known rule against smoking inside—that there was
nothing she could do about it. He then instructed his mother and sisters to pile
objects in the middle of the room. There was no apparent rhyme or reason to the
items he sought to gather, but Belk was very particular about what objects should
be added to the pile. At one point Belk forced his mother to remove her watch and
place it on his wrist. When his mother moved toward the pile at Belk’s request to
add a basket to the pile, Belk stabbed her. He then stabbed Susan. Susan and
Zoe ran from the apartment to get help. Belk then stabbed his mother repeatedly,
causing her death. 4
II. Standard of Review
Belk contends there is insufficient evidence supporting the district court’s
finding that (1) he was not legally insane at the time of the stabbing and (2) he had
malice aforethought at the time of the stabbing. We review sufficiency-of-the-
evidence claims for correction of legal error. State v. Schiebout, 944 N.W.2d 666,
670 (Iowa 2020). “We will uphold the verdict on a sufficiency-of-evidence claim if
substantial evidence supports it.” Id. In a bench trial, we review the district court’s
findings as we would a jury verdict, meaning we will affirm the verdict if supported
by substantial evidence. State v. Weaver, 608 N.W.2d 797, 803 (Iowa 2000).
“Evidence is substantial when ‘a rational trier of fact could conceivably find the
defendant guilty beyond a reasonable doubt.’” State v. Howse, 875 N.W.2d 684,
688 (Iowa 2016) (quoting State v. Thomas, 561 N.W.2d 37, 39 (Iowa 1997)).
III. Analysis
As noted, Belk raises three issues. We address each in turn.
A. Insanity Defense
Belk argues he was legally insane at the time of the stabbing.
A person shall not be convicted of a crime if at the time the crime is committed the person suffers from such a diseased or deranged condition of the mind as to render the person incapable of knowing the nature and quality of the act the person is committing or incapable of distinguishing between right and wrong in relation to that act.
Iowa Code § 701.4 (2020). The defendant has the burden to prove insanity by a
preponderance of the evidence. State v. Buck, 510 N.W.2d 850, 852 (Iowa 1994).
The district court found that Belk failed to establish he was legally insane at the
time of the killing. Belk challenges the sufficiency of the evidence supporting this 5
conclusion. In a sufficiency-of-the-evidence challenge, we are bound by fact
findings that are supported by substantial evidence. State v. Jones, 967 N.W.2d
336, 339 (Iowa 2021). In determining whether a verdict is supported by substantial
evidence, we view the evidence in the light most favorable to the party with the
burden of proof, including all legitimate inferences and presumptions that can be
deduced from the evidence. See id. Our ultimate task is to determine whether the
evidence supports the finding actually made, not whether it would support a
contrary finding. Id.
The district court was presented with reports and heard testimony from both
a psychiatrist and psychologist regarding Belk’s mental state at the time of the
stabbing. Both reviewed footage of Belk shortly after the stabbing and also met
with Belk in person. The psychiatrist, hired by Belk, concluded that Belk has
underlying schizophrenia and psychotic process, which at the time of the stabbing
caused him to be incapable of distinguishing right from wrong. The forensic
psychologist, hired by the State, concluded that Belk was likely feigning mental
illness and he did have the capacity to distinguish right from wrong at the time of
the stabbing. “When conflicting psychiatric testimony is presented to the fact
finder, the issue of sanity is clearly for the fact finder to decide.” State v. Jacobs,
607 N.W.2d 679, 685 (Iowa 2000). “When a case evolves into a battle of experts,
we, as the reviewing court, readily defer to the district court’s judgment as it is in a
better position to weigh the credibility of the witnesses.” Id. Here, the district court
was confronted with the two competing conclusions from competent professionals.
It was the court’s role to determine which expert was more credible. The court’s
conclusion that Belk was sane at the time of the stabbing is supported by the 6
State’s expert’s testimony and additional evidence supporting that expert’s
conclusions. The additional evidence included the fact that Belk used multiple
sharp objects to stab his mother to death; threatened the other people present that
he would harm or kill them if they did not comply with his commands; directed his
sisters to send their children to another room; and expressed concern that the
police would be called and collected their phones, thus preventing any calls for
help. These additional pieces of evidence support the State’s expert’s conclusions
that Belk knew the nature and quality of his actions and was capable of
distinguishing between right and wrong when he stabbed his mother. The district
court’s finding that Belk was not legally insane at the time of the stabbing was
supported by substantial evidence. See State v. Davis, 951 N.W.2d 8, 19–20
(Iowa 2020) (noting “[s]anity is judged at the time of the offense,” after-the-fact
evidence of the defendant’s actions can shed light on sanity at the time of the
offense, and the question of sanity was a question for the fact finder when there
was after-the-fact evidence and expert testimony that the defendant had a long
history of methamphetamine abuse that can lead to “substance-induced
psychosis”).
Before leaving this issue, we address Belk’s contention that the district court
erred when it concluded that Belk suffered from psychosis at the time of the
stabbing but that such psychosis was temporarily induced by his marijuana usage.
In assessing this contention, we start with the principle that a temporary mental
condition caused by voluntary intoxication from alcohol or drugs does not
constitute a complete insanity defense. See State v. Hall, 214 N.W.2d 205, 207–
08 (Iowa 1974). That said, “[e]xtensive alcoholism or drug addiction can of course 7
lead to a condition for which the defense of insanity might be raised.” State v.
Collins, 305 N.W.2d 434, 437 (Iowa 1981). When prolonged extensive use of a
drug damages the brain and “settled or established” insanity results from such use,
the insanity is treated the same as insanity from any other cause. Id. (quoting
State v. Booth, 169 N.W.2d 869, 873 (Iowa 1969)). Belk argues that he suffers
from a mental condition as a result of prolonged extensive drug use that has
resulted in “settled or established” insanity rather than a temporary condition
caused by voluntary drug use. The district court rejected this argument. The court
applied Booth, Hall, and Collins to conclude that any inability of Belk to distinguish
between right and wrong and to know the nature and quality of his actions was
caused by episodic marijuana use near in time to the stabbing rather than from
any settled or established insanity. This conclusion is supported by the fact that,
both before and after the killing, Belk’s mental condition stabilized to a baseline of
sanity fairly rapidly whenever he was institutionalized and did not have access to
illegal drugs.2 Belk’s rapid return to sane mental functioning when not using drugs
negated his claim that he suffered from “settled or established” insanity that
interfered with his ability to know right from wrong. The district court’s conclusion
that Belk’s mental impairment was temporarily induced by his marijuana use is
supported by substantial evidence, and it will not be disturbed on appeal.
For all these reasons, sufficient evidence supports the district court’s
conclusion that Belk failed to prove his insanity defense. We reject his challenge
on that ground.
2 Belk was admitted to a mental-health facility a couple of months before the stabbing and was held in jail immediately following the stabbing. 8
B. Malice Aforethought
Belk’s next challenge is that he did not have the requisite mental state
required to be found guilty of second-degree murder. To prove second-degree
murder, the State is required to prove malice aforethought. State v. Reeves, 670
N.W.2d 199, 206–07 (Iowa 2003). Belk contends there is not sufficient evidence
that he possessed malice aforethought.
Malice aforethought means “a fixed purpose or design to do some physical
harm to another existing prior to the act complained of.” Id. at 207 (quoting State
v. Hofer, 28 N.W.2d 475, 482 (Iowa 1947)). Malice does not need to be shown to
have existed for any length of time before the act. Id. It is enough to show that
“such purpose was formed and continued to exist at the time of the injury.” Id.
(quoting Hofer, 28 N.W.2d at 482). A permissive presumption of malice
aforethought is allowed from the use of a deadly weapon. State v. Green, 896
N.W.2d 770, 780 (Iowa 2017).
In making his argument that there is insufficient evidence of malice
aforethought, Belk largely repeats the arguments made in support of his insanity
defense. For the same reasons we rejected those arguments in the context of his
insanity defense, we reject them on this challenge as well. To the extent Belk was
acting under temporary psychosis from his use of marijuana, it did not render him
incapable of acting with general intent, which is the only intent element required to
support a second-degree murder charge. See Artzer, 609 N.W.2d at 531 (holding
the defenses of intoxication and diminished capacity are not available to a
defendant charged with second-degree murder because those defenses only 9
apply to specific-intent crimes and second-degree murder is a general-intent
crime).
Without the defenses of diminished responsibility or intoxication available
to him, Belk is left with the other evidence in the record, and that evidence provides
ample proof of malice aforethought. Belk stabbed his mother at least fourteen
times with a kitchen knife and kitchen shears, including multiple stabs to her head,
face, neck, and back. Before stabbing her, Belk threatened the people in the room,
ordered the small children out of the room, expressed concern about the police
being called, and prevented the others from calling for help by taking their cell
phones. This evidence was sufficient to establish that Belk acted with malice
aforethought.
C. Ineffective Assistance of Counsel
Belk’s final claim is that his trial counsel rendered ineffective assistance by
failing to adequately cross-examine his sister, Zoe. Iowa Code section 814.7
prevents us from deciding ineffective-assistance-of-counsel claims on direct
appeal. This statute was upheld as constitutional by the Iowa Supreme Court.
State v. Tucker, 959 N.W.2d 140, 154 (Iowa 2021). Though Belk acknowledges
this, he asserts constitutional challenges to section 814.7 and asks that Tucker be
overturned. Of course, we lack the authority to overturn controlling supreme court
precedent, so we must reject Belk’s constitutional challenge to section 814.7.
Bomgaars v. State, 967 N.W.2d 41, 48 n.4 (Iowa 2021) (noting that lower courts in
Iowa are not at liberty to anticipatorily overrule supreme court precedent); State v.
Beck, 854 N.W.2d 56, 64 (Iowa Ct. App. 2014) (“We are not at liberty to overrule 10
controlling supreme court precedent.”). Therefore, we cannot consider his claims
of ineffective assistance of counsel.
IV. Conclusion
Substantial evidence supports the district court’s ruling that Belk failed to
establish his insanity defense and that he acted with malice aforethought in killing
his mother. We are prohibited from addressing Belk’s claims of ineffective
assistance of counsel. For these reasons, we affirm.
AFFIRMED.