COYNE, Justice.
In State v. Larson, 453 N.W.2d 42 (Minn. 1990), we affirmed the child sex abuse conviction of the defendant against a number of contentions, including the contention that extrajudicial statements by the complainant were improperly admitted against the defendant in violation of his right of confrontation. We decided Larson on March 23, 1990, and denied defendant’s petition for rehearing on May 15, 1990. Subsequently, on June 27, 1990, the United States Supreme Court filed its opinion in Idaho v. Wright, — U.S. —, 110 S.Ct. 3139, 111 L.Ed.2d 638 (1990). Then on October 1,1990, the United States Supreme Court granted defendant’s petition for a writ of certiorari, vacated the judgment of this court and remanded the case to this court for “further consideration in light of” the Wright case. Larson v. Minnesota, — U.S. —, 111 S.Ct. 29, 112 L.Ed.2d 7 (1990). The parties thereafter filed further briefs and oral argument was held. After careful reconsideration of the case in light of Wright, we reaffirm the judgment of conviction.
In late April of 1987 complainant, B., not quite 4 years old, complained to her mother of vaginal soreness and burning urination. On May 1, B.’s mother, who had custody of the child subject to defendant father’s visitation privileges, took her to a family practice clinic for diagnosis and treatment. The physician’s assistant, who conducted the examination, saw redness and swelling around the vaginal opening. Suspecting abuse, the examiner, after assuring B. that she was there to “assist her,” asked B. if anyone other than her mother or herself had touched her vaginal area. B. initially responded “no” and turned away. When the examiner repeated the question, B. said “yes,” that “Daddy” had touched her there. When the examiner asked whether her daddy had touched her there to help wipe her or dry her, B. said “yes,” but then, when asked “where,” pointed to her abdomen. When asked with what he had touched her, B. replied that “Daddy” had touched her “between [the] legs” with “his bone” that “came out of his pants.” Asked whether this had happened before, B. said “yes,” that “he laid me on the couch and he rubbed my belly * * * until my skin came off.” B. further stated that it hurt “because he pressed hard against her tummy and hugged her real hard,” and that she had asked him to stop. She further described feeling wet on her abdomen and having to wipe herself dry afterwards. Although B. apparently told her mother when the examiner briefly left the room that she was “only kidding,” B. immediately recanted this to the examiner and explained that “she didn’t want to have her father in trouble.” Indeed, the examiner observed that B. was “very nervous and very protective of her father,” whom B. “obviously loved.”
Visits were temporarily discontinued pursuant to a court order obtained on May 2 in the district court in the county where defendant resides.
On May 7, B. made equally damaging statements to a child protection specialist.
Defendant retained an attorney and obtained a court order in June allowing supervised visits.
A doctor who talked with B. four times as part of a psychological evaluation concluded that there was a “high probability” that she had been involved in “inappropriate sexual activity.”
Nonetheless, on July 31, 1987, the court ordered reinstatement of defendant’s unsupervised visitation privileges.
[123]*123In August B. began weekly psychotherapy with Dr. Susan Lund, a clinical psychologist specializing in the treatment of abused children who is employed at Midwest Children’s Resources Center. These one hour long weekly sessions, conducted largely outside the mother’s presence, were for the purpose of therapy, not substantiating the existence of abuse. During a session held on October 22, 1987, B., prompted by Dr. Lund’s questions about B.’s trouble with waking and with nightmares, particularly at defendant’s house, said that defendant “pushed at her with his penis and wiggled his penis on her.” Using anatomically correct dolls, B. demonstrated by pushing the father doll’s penis “at her [doll’s] vaginal area” and “wigglfing] his penis horizontally across the clitoris.” B. said that this “felt warm and nice.” She said it happened during the recently reinstated unsupervised visits.
Hennepin County, the county of the mother’s residence, obtained an order assuming custody of both B. and her younger brother and terminating defendant’s visitation privileges. A social worker and a police officer interviewed B. in November. The prosecution was commenced in December of 1987 in Martin County where the abuse occurred.
The pre-trial suppression hearing was held in June of 1988 shortly before trial was to commence. That hearing was held on the state’s motion for permission to use the extrajudicial statements of B. and on defendant’s motion to suppress the statements on the ground that admitting them would violate defendant’s right of confrontation. For purposes of the suppression hearing the parties stipulated that B., then 5, was incompetent to testify. The trial court rejected defendant’s arguments in favor of suppression and ruled that the statements were admissible under Minn.Stat. § 595.02, subd. 3 (1988). Afterward, the trial court granted the defense a continuance so that the defense could try to obtain expert testimony and also so the defense could decide whether to call B. to testify.
At the reconvened suppression hearing in August, shortly before the rescheduled trial date, defendant renewed his suppression motion, relying on Coy v. Iowa, 487 U.S. 1012, 108 S.Ct. 2798, 101 L.Ed.2d 857 (1988). The trial court ruled that Coy did not apply.
On the first day of trial defendant made a continuing objection to the statements on the ground that their admission would violate his right of confrontation. Defendant also said he intended to call B. as a witness. The trial court therefore conducted an in-chambers competency hearing and determined that B. was competent, thereby enabling defendant to call B. as a witness if he wished. Defendant, however, decided not to call B. as a witness.
In our earlier decision we held, inter alia,1 that the statements were admissi[125]*125ble under Minn.R.Evid. 803(24) (the residual exception) and Minn.R.Evid. 803(4) (statements for purpose of medical diagnosis or treatment) and that the statements were sufficiently reliable to satisfy the confrontation clause. But, since our decision preceded the United States Supreme Court’s decision in Wright, we did not have the benefit of the Wright analysis, an analysis on which we relied in upholding the admission of extrajudicial statements of a child sex abuse victim in State v. Lanam, 459 N.W.2d 656 (Minn.1990), cert. denied, — U.S. —, 111 S.Ct. 693, 112 L.Ed.2d 684 (1991).
In Wright there were two girls involved, one 5½ and the other 2½ years old. The older girl told her father’s female companion, Goodman, that her mother’s boyfriend, Giles, had had sexual intercourse with her while her mother covered her mouth and held her down. She said she had seen them do the same thing to her younger sister.
Free access — add to your briefcase to read the full text and ask questions with AI
COYNE, Justice.
In State v. Larson, 453 N.W.2d 42 (Minn. 1990), we affirmed the child sex abuse conviction of the defendant against a number of contentions, including the contention that extrajudicial statements by the complainant were improperly admitted against the defendant in violation of his right of confrontation. We decided Larson on March 23, 1990, and denied defendant’s petition for rehearing on May 15, 1990. Subsequently, on June 27, 1990, the United States Supreme Court filed its opinion in Idaho v. Wright, — U.S. —, 110 S.Ct. 3139, 111 L.Ed.2d 638 (1990). Then on October 1,1990, the United States Supreme Court granted defendant’s petition for a writ of certiorari, vacated the judgment of this court and remanded the case to this court for “further consideration in light of” the Wright case. Larson v. Minnesota, — U.S. —, 111 S.Ct. 29, 112 L.Ed.2d 7 (1990). The parties thereafter filed further briefs and oral argument was held. After careful reconsideration of the case in light of Wright, we reaffirm the judgment of conviction.
In late April of 1987 complainant, B., not quite 4 years old, complained to her mother of vaginal soreness and burning urination. On May 1, B.’s mother, who had custody of the child subject to defendant father’s visitation privileges, took her to a family practice clinic for diagnosis and treatment. The physician’s assistant, who conducted the examination, saw redness and swelling around the vaginal opening. Suspecting abuse, the examiner, after assuring B. that she was there to “assist her,” asked B. if anyone other than her mother or herself had touched her vaginal area. B. initially responded “no” and turned away. When the examiner repeated the question, B. said “yes,” that “Daddy” had touched her there. When the examiner asked whether her daddy had touched her there to help wipe her or dry her, B. said “yes,” but then, when asked “where,” pointed to her abdomen. When asked with what he had touched her, B. replied that “Daddy” had touched her “between [the] legs” with “his bone” that “came out of his pants.” Asked whether this had happened before, B. said “yes,” that “he laid me on the couch and he rubbed my belly * * * until my skin came off.” B. further stated that it hurt “because he pressed hard against her tummy and hugged her real hard,” and that she had asked him to stop. She further described feeling wet on her abdomen and having to wipe herself dry afterwards. Although B. apparently told her mother when the examiner briefly left the room that she was “only kidding,” B. immediately recanted this to the examiner and explained that “she didn’t want to have her father in trouble.” Indeed, the examiner observed that B. was “very nervous and very protective of her father,” whom B. “obviously loved.”
Visits were temporarily discontinued pursuant to a court order obtained on May 2 in the district court in the county where defendant resides.
On May 7, B. made equally damaging statements to a child protection specialist.
Defendant retained an attorney and obtained a court order in June allowing supervised visits.
A doctor who talked with B. four times as part of a psychological evaluation concluded that there was a “high probability” that she had been involved in “inappropriate sexual activity.”
Nonetheless, on July 31, 1987, the court ordered reinstatement of defendant’s unsupervised visitation privileges.
[123]*123In August B. began weekly psychotherapy with Dr. Susan Lund, a clinical psychologist specializing in the treatment of abused children who is employed at Midwest Children’s Resources Center. These one hour long weekly sessions, conducted largely outside the mother’s presence, were for the purpose of therapy, not substantiating the existence of abuse. During a session held on October 22, 1987, B., prompted by Dr. Lund’s questions about B.’s trouble with waking and with nightmares, particularly at defendant’s house, said that defendant “pushed at her with his penis and wiggled his penis on her.” Using anatomically correct dolls, B. demonstrated by pushing the father doll’s penis “at her [doll’s] vaginal area” and “wigglfing] his penis horizontally across the clitoris.” B. said that this “felt warm and nice.” She said it happened during the recently reinstated unsupervised visits.
Hennepin County, the county of the mother’s residence, obtained an order assuming custody of both B. and her younger brother and terminating defendant’s visitation privileges. A social worker and a police officer interviewed B. in November. The prosecution was commenced in December of 1987 in Martin County where the abuse occurred.
The pre-trial suppression hearing was held in June of 1988 shortly before trial was to commence. That hearing was held on the state’s motion for permission to use the extrajudicial statements of B. and on defendant’s motion to suppress the statements on the ground that admitting them would violate defendant’s right of confrontation. For purposes of the suppression hearing the parties stipulated that B., then 5, was incompetent to testify. The trial court rejected defendant’s arguments in favor of suppression and ruled that the statements were admissible under Minn.Stat. § 595.02, subd. 3 (1988). Afterward, the trial court granted the defense a continuance so that the defense could try to obtain expert testimony and also so the defense could decide whether to call B. to testify.
At the reconvened suppression hearing in August, shortly before the rescheduled trial date, defendant renewed his suppression motion, relying on Coy v. Iowa, 487 U.S. 1012, 108 S.Ct. 2798, 101 L.Ed.2d 857 (1988). The trial court ruled that Coy did not apply.
On the first day of trial defendant made a continuing objection to the statements on the ground that their admission would violate his right of confrontation. Defendant also said he intended to call B. as a witness. The trial court therefore conducted an in-chambers competency hearing and determined that B. was competent, thereby enabling defendant to call B. as a witness if he wished. Defendant, however, decided not to call B. as a witness.
In our earlier decision we held, inter alia,1 that the statements were admissi[125]*125ble under Minn.R.Evid. 803(24) (the residual exception) and Minn.R.Evid. 803(4) (statements for purpose of medical diagnosis or treatment) and that the statements were sufficiently reliable to satisfy the confrontation clause. But, since our decision preceded the United States Supreme Court’s decision in Wright, we did not have the benefit of the Wright analysis, an analysis on which we relied in upholding the admission of extrajudicial statements of a child sex abuse victim in State v. Lanam, 459 N.W.2d 656 (Minn.1990), cert. denied, — U.S. —, 111 S.Ct. 693, 112 L.Ed.2d 684 (1991).
In Wright there were two girls involved, one 5½ and the other 2½ years old. The older girl told her father’s female companion, Goodman, that her mother’s boyfriend, Giles, had had sexual intercourse with her while her mother covered her mouth and held her down. She said she had seen them do the same thing to her younger sister. Goodman reported the matter to the police and took the older daughter to the hospital, where a medical examination revealed evidence of sexual abuse. Police and welfare officials then took the younger daughter into custody. The same doctor who had examined the older daughter examined the younger daughter.
The main issue in Wright, for our purposes, was whether the admission at trial under the Idaho residual exception to the hearsay rule of statements made by the younger girl to the doctor violated the mother’s right of confrontation. The Court reaffirmed that the “indicia of reliability” requirement of Ohio v. Roberts, 448 U.S. 56, 100 S.Ct. 2531, 65 L.Ed.2d 597 (1980), generally can be met by either of two ways: by demonstrating that the extrajudicial statement “falls within a firmly rooted hearsay exception,” or by showing that the statement has “particular guarantees of trustworthiness.” Wright, 110 S.Ct. at 3147. The Court cited the “excited utterance,” “dying declaration” and “medical treatment” exceptions to the hearsay rule as firmly-rooted hearsay exceptions, but concluded that the so-called residual hearsay exception, illustrated by Minn.R.Evid. 803(24), is not firmly rooted for confrontation clause purposes. Id. at 3147-49. Since the state in Wright conceded that the younger daughter’s statements did not fall within a firmly-rooted exception, the Court proceeded to analyze whether the statements possessed “particular guarantees of trustworthiness.” Id. at 3148. The Court said that trustworthiness guarantees must be shown from the totality of the circumstances that surround the actual making of the statement, not evidence corroborating the statement. Id. at 3148-49. As we said in Lanam in our summary of Wright:
“[T]he focus is not on all the circumstances, including evidence at trial corroborating the child’s statements, but only on those circumstances actually surrounding the making of the statements. These circumstances include, but are not limited to, whether the statements were spontaneous, whether the person talking with the child had a preconceived idea of what the child should say, whether the statements were in response to leading or suggestive questions, whether the child had any apparent motive to fabricate, and whether the statements are the type of statements one would expect a child of that age to fabricate.”
459 N.W.2d at 661 (citing Wright, 110 S.Ct. at 3149-52). Other circumstances identified by the Court in Wright include the “mental state” of the child at the time the statements were made and the “consistent repetition” of the child’s statements during [126]*126the same interview or conversation. 110 S.Ct. at 3150. In addition to considering whether the child had an apparent motive to fabricate, it would seem that the Court could consider whether the child had an apparent motive to speak truthfully. State v. Conklin, 444 N.W.2d 268, 276 (Minn. 1989) (case preceding Wright).
Mosteller, Child Sexual Abuse and Statements for the Purpose of Medical Diagnosis or Treatment, 67 N.C.L.Rev. 257 (1989), cited in Wright, 110 S.Ct. at 3149, points out that the federal rule corresponding to Minn.R.Evid. 803(4) (statements for purpose of medical diagnosis or treatment) is broader than the traditional or long-standing “medical treatment” exception and suggests that possibly only statements covered by the “core” part of Rule 803(4) are admissible without a showing of particularized guarantees of trustworthiness. We believe that the key hearsay evidence in this case, B.’s statements to the medical assistant, falls within the “core” part of Rule 803(4) and should be admissible without any additional showing of particular guarantees of trustworthiness. However, we need not decide the point because we are convinced, after considering the factors surrounding B.’s making of the statements to the assistant, that the statements possessed particular guarantees of trustworthiness.2
One key factor is that, unlike the declar-ant in Wright, there is nothing to indicate that B. was taken to the family practice clinic for any purpose other than to have a doctor examine her and determine the reason for the vaginal soreness and burning urination she was experiencing. B. knew she was being examined in a doctor’s office and had the same “selfish” treatment-related motive3 to speak the truth that anyone has when one goes to a doctor’s office sincerely inquiring about one or more symptoms. Second, before beginning the exam the physician’s assistant had no preconceived notion that abuse had occurred or that defendant had committed the abuse. Third, on examination the assistant, a person of both experience and presumed integrity, apparently immediately suspected abuse. Fourth, the questions the assistant asked were not the kind of questions that would prompt a child to fabricate the response the questions elicited, including B.’s statement that “Daddy” had touched her “between the legs” with his “bone” that “came out of his pants.” Fifth, the story B. told had an immediately apparent “ring of credibility” to it and was not the sort of story that a child of that age would be expected to fabricate. Sixth, B. had no apparent motive to fabricate the claim of abuse. Indeed, just the opposite, she made it clear that she did not want to hurt defendant. Seventh, the assistant, who as we said before is a person of experience and presumed integrity, obviously believed the child.
Of B.’s statements, those made to the physician’s assistant clearly were key. B.’s subsequent statements were largely cumulative evidence, evidence which at a minimum was admissible for the non-hearsay purpose of showing that B. was consistent in her allegations of abuse by defendant. See Minn.R.Evid. 801(c) (defining “hearsay” as a statement, other than one made by the declarant while testifying at the trial or hearing, “offered in evidence to prove the truth of the matter asserted”). Although we conclude that any error in admitting the subsequent other statements as substantive evidence of guilt was harmless beyond a reasonable doubt, we none[127]*127theless have analyzed the admission of these statements under Wright.
Of B.’s other statements, those made to the child protection specialist on May 7, to Dr. Lund during therapy, and to the social worker and the police officer on November 24 — the least troubling, of course, are the ones made to Dr. Lund during therapy. Those statements were for the purpose of therapy, not the purpose of substantiating the existence of abuse, and were admissible under the “medical treatment” exception, Rule 803(4), which is a firmly-rooted hearsay exception. However, even if the statements were not admissible pursuant to a firmly-rooted hearsay exception, there were “particular guarantees of trustworthiness” sufficient to satisfy the Wright confrontation clause analysis. On October 22, 1987, Dr. Lund was questioning B. about B.’s trouble with waking and with nightmares, particularly at defendant’s house, when B. said that defendant “pushed at her with his penis and wiggled his penis at her.” B., of course, had a “selfish” treatment-related motive for being truthful with Dr. Lund since the purpose of the weekly sessions, of which B. was obviously aware, was to provide therapy for B. Moreover, there is nothing in the record to indicate that Dr. Lund used leading or suggestive questions. Indeed, the weekly sessions began in August and it was not until October 22 that Dr. Lund, using nonleading questions during the discussion of nightmares, elicited the statements. B.’s “acting out” of rescue themes, e.g., adult female dolls rescuing trapped child dolls, immediately following her revelations further enhances the reliability of the statements, as does the fact that B.’s behavior at the time she made the statements was, in the doctor’s considerable experience, consistent with that of sexually abused children of that age. In addition, B.’s statements and her demonstration of the sexual abuse using the dolls were certainly not what one would expect from a child of B.’s age who had not been sexually abused. State v. Sorenson, 143 Wis.2d 226, 246, 421 N.W.2d 77, 86 (1988), the case cited in Wright for this factor, expressly noted the reliability engendered by a child’s crude depiction of sexual abuse with anatomically correct dolls and a child’s description of wiping herself off. Here, B. used the dolls to demonstrate in detail the positions and movements of defendant and herself during the alleged abuse.
The case is almost as strong for the admission of B.’s statements to the child protection specialist on May 7. The child protection specialist testified as to her awareness of the problem of using leading questions with children and there is no indication that she used leading or suggestive questions. B. said that “someone” had put his penis “between her legs and up her butt.” She used anatomically correct dolls to demonstrate the abuse, showing herself on her back and her abuser “on top of her, face-to-face.” B. would not say who that “someone” was because “she loved her Daddy and she didn’t want him to get into trouble.” But she said the abuse happened on the living room couch “in her Daddy’s house.” Later, while crying quite heavily, she volunteered that even though “her Daddy had promised it would never happen again and he was sorry,” the abuse had reoccurred. In concluding that B.’s statements to the child protection specialist were admissible under the Wright analysis, we rely on some of the factors that we cited in our analysis of the statements to the medical assistant during the initial examination and the statements to the clinical psychologist during the weekly therapy sessions: nonleading questions were asked; the child seemed not motivated to “get” defendant but rather to protect him; the conduct described and demonstrated was not the kind of conduct a child that age would normally be able to describe and demonstrate unless the child had been the victim of sexual abuse. We also note that B.’s emotional state (“crying hysterically”) upon making the allegations to the child protection specialist reinforces our conclusion that the statements were sufficiently reliable for confrontation clause purposes.
While we cannot say that B.’s statements to the social worker on November 24 [128]*128were unreliable, because some of the factors indicating reliability were present, we are nevertheless reluctant to conclude that the statements made on that day were sufficiently reliable to satisfy the Wright test. The initial questions by the police officer, who was present and participated in the interview, were leading questions that began with the premise that “Daddy hurt” B. The questions asked by the participants were often repetitive and leading, B.’s responses were not particularly spontaneous, and B.’s emotional state appeared almost completely unaffected by her revelations at that time. Because of these factors as well as the documented dangers 4 of the “tag team” approach to interviewing children and the repeated questioning of children and because of the ambiguity in B.’s responses, the circumstances do not sufficiently establish the reliability of these particular statements under Wright. However, any error in admitting the statements made on November 24 clearly was harmless error beyond a reasonable doubt.
We conclude that all of the extrajudicial statements except those statements made on November 24 were properly admitted under the Wright analysis, and we are satisfied that defendant received a fair trial and was properly convicted of the offense in question. We therefore reaffirm the judgment of conviction.
Affirmed.