BAZELON, Chief Judge:
Appellant was convicted of robbery and assault with a dangerous weapon. He waived a jury trial, and stipulated that he had committed the acts charged, contesting only the issue of criminal responsibility.
Conflicting evidence on that issue was presented to the judge, who set forth his evaluation of the evidence in a memorandum opinion explaining the basis for his decision.
Appellant now contends that the opinion shows that the judge rejected the testimony of a principal defense witness for an arbitrary and impermissible reason. While we find the question somewhat troublesome, we are persuaded that on the facts of this case there was no error, and consequently we affirm the judgment below.
Prior to trial, Mr. Schappel’s mental condition was explored in some detail. He was initially committed to St. Eliza-beths Hospital for a mental examination in April of 1968, two months after the acts in question occurred.
At that time Dr. Blum, the staff psychologist, administered a battery of psychological tests; Dr. Kunev, a staff psychiatrist, interviewed him; the ward attendants kept him under routine daily observation; and finally he was interviewed at a diagnostic staff conference by Dr. Kunev and Dr. Platkin, acting director of the maximum security division of the Hospital.
The psychologist found in Mr. Schap-pel’s test responses the indications of serious mental illness.
Initially Dr. Ku-nev shared that view, largely on the ba
sis of the patient’s statements concerning hallucinations and fears of persecution. Subsequently, however, he and Dr. Platkin concluded that Mr. Schappel’s fear of persecution was not a sign of illness, but simply a realistic fear of the police on the part of a man who had committed many crimes.
Moreover, the psychiatrists concluded that Mr. Schap-pel’s reported hallucinations were not genuine, but fabricated in a conscious effort to persuade the doctors that he was mentally ill. Accordingly, he was reported competent for trial and responsible for his acts, and released to the jail to await his trial.
Five days later, Mr. Schappel slashed his arms severely with a razor blade, and the court returned him to the Hospital for further examination.
He continued cutting himself and opening his wounds in the Hospital, and he was given some tranquilizing medication to control that behavior. At a second staff conference, the doctors again concluded that he was feigning the symptoms of mental illness rather than suffering from any genuine illness.
Mr. Schappel then filed a motion for the appointment of an independent psychiatrist to assist him in the preparation of an insanity defense.
The motion was granted, and he was examined by a Dr. Myers who interviewed him at the jail, and also reviewed the records of St. Elizabeths Hospital and of other institutions in which Mr. Schappel had previously been confined.
Dr. Myers was Mr. Schappel’s principal witness at trial.
The expert witnesses all seemed to agree that Mr. Schappel’s symptoms, if genuine, indicated the presence of serious mental illness.
His hallucina
tions, his fears, and his self-destructive conduct, together with the psychological test results, were’ not challenged as standard manifestations of mental illness. The conflict among the experts arose in connection with the question of the genuiness of those symptoms.
The Hospital psychiatrists, Dr. Kunev and Dr. Platkin, were convinced that Mr. Schappel was fabricating symptoms for the purpose of deception,
i. e.,
that he was malingering. In support of that conclusion, Dr. Kunev stated that Mr. Schappel had on several occasions asked Hospital attendants to help him be declared mentally ill; according to Dr. Ku-nev, the patient finally told a nurse that he was giving up, that he was tired of trying to prove he was sick, and that he understood he could not fool the doctors. [Tr. 69, 75-76.] Dr. Kunev also emphasized that Mr. Schappel had a particularly compelling reason to seek to establish that he was suffering from mental illness. According to the doctor, Mr. Schappel’s brother had killed a prison guard, and he feared retaliation if he should be sent to prison; consequently he strongly preferred hospitalization to imprisonment.
Dr. Platkin gave additional reasons for the conclusion that Mr. Schappel was malingering. He noted that Mr. Schap-pel had repeatedly slashed his arms without seriously endangering his life. Since it would not have been difficult for the patient to succeed in a suicide attempt, Dr. Platkin concluded that he was not attempting suicide, but simply seeking to arouse sympathy or to persuade the doctors that he was mentally ill. Finally, Dr. Platkin relied on the fact that the patient spoke about having hallucinations, and he was aware they were not real. In Dr. Platkin’s view, “when an individual is aware of what he calls hallucinations, which are not real, he is not having hallucinations.”
Dr. Myers, on the other hand, asserted that it is “not unusual for a patient to have hallucinations which he knows are not completely real but which nevertheless are very disturbing.” Both Dr. Myers, the independent psychiatrist, and Dr. Blum, the Hospital psychologist, were confident that they could distinguish Mr. Schappel’s flimsy attempts to exaggerate his symptoms from his genuine symptoms of mental illness.
Confronted with this range of expert opinion, the trial judge as finder of fact was obliged to resolve the apparent conflicts in the testimony. He concluded that the testimony of Dr. Blum was not necessarily in conflict with that of the Hospital psychiatrists. That conclusion was supported by the testimony of Dr. Kunev, who stated that he had no quarrel with the findings of the psychologist, so long as they were properly confined; the psychologist, he said, tests only the emotional state of the patient, and not the effect of his emotional state on behavior. Since Dr. Kunev’s statement concerning the role of the psychologist was not challenged, there is no reason to question the trial judge’s reliance on it in analyzing the possible conflict between the testimony of Dr. Blum and that of the Hospital psychiatrists.
The testimony of Dr. Myers, however, confronted the trial judge with an unavoidable conflict in expert opinion. He resolved the conflict by accepting the
testimony of Dr. Kunev and Dr. Platkin “for the reason that they had a much more extensive opportunity of observing, interviewing, and studying the pertinent records in defendant’s ease than did the private psychiatrist on whose testimony defendant relied.”
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BAZELON, Chief Judge:
Appellant was convicted of robbery and assault with a dangerous weapon. He waived a jury trial, and stipulated that he had committed the acts charged, contesting only the issue of criminal responsibility.
Conflicting evidence on that issue was presented to the judge, who set forth his evaluation of the evidence in a memorandum opinion explaining the basis for his decision.
Appellant now contends that the opinion shows that the judge rejected the testimony of a principal defense witness for an arbitrary and impermissible reason. While we find the question somewhat troublesome, we are persuaded that on the facts of this case there was no error, and consequently we affirm the judgment below.
Prior to trial, Mr. Schappel’s mental condition was explored in some detail. He was initially committed to St. Eliza-beths Hospital for a mental examination in April of 1968, two months after the acts in question occurred.
At that time Dr. Blum, the staff psychologist, administered a battery of psychological tests; Dr. Kunev, a staff psychiatrist, interviewed him; the ward attendants kept him under routine daily observation; and finally he was interviewed at a diagnostic staff conference by Dr. Kunev and Dr. Platkin, acting director of the maximum security division of the Hospital.
The psychologist found in Mr. Schap-pel’s test responses the indications of serious mental illness.
Initially Dr. Ku-nev shared that view, largely on the ba
sis of the patient’s statements concerning hallucinations and fears of persecution. Subsequently, however, he and Dr. Platkin concluded that Mr. Schappel’s fear of persecution was not a sign of illness, but simply a realistic fear of the police on the part of a man who had committed many crimes.
Moreover, the psychiatrists concluded that Mr. Schap-pel’s reported hallucinations were not genuine, but fabricated in a conscious effort to persuade the doctors that he was mentally ill. Accordingly, he was reported competent for trial and responsible for his acts, and released to the jail to await his trial.
Five days later, Mr. Schappel slashed his arms severely with a razor blade, and the court returned him to the Hospital for further examination.
He continued cutting himself and opening his wounds in the Hospital, and he was given some tranquilizing medication to control that behavior. At a second staff conference, the doctors again concluded that he was feigning the symptoms of mental illness rather than suffering from any genuine illness.
Mr. Schappel then filed a motion for the appointment of an independent psychiatrist to assist him in the preparation of an insanity defense.
The motion was granted, and he was examined by a Dr. Myers who interviewed him at the jail, and also reviewed the records of St. Elizabeths Hospital and of other institutions in which Mr. Schappel had previously been confined.
Dr. Myers was Mr. Schappel’s principal witness at trial.
The expert witnesses all seemed to agree that Mr. Schappel’s symptoms, if genuine, indicated the presence of serious mental illness.
His hallucina
tions, his fears, and his self-destructive conduct, together with the psychological test results, were’ not challenged as standard manifestations of mental illness. The conflict among the experts arose in connection with the question of the genuiness of those symptoms.
The Hospital psychiatrists, Dr. Kunev and Dr. Platkin, were convinced that Mr. Schappel was fabricating symptoms for the purpose of deception,
i. e.,
that he was malingering. In support of that conclusion, Dr. Kunev stated that Mr. Schappel had on several occasions asked Hospital attendants to help him be declared mentally ill; according to Dr. Ku-nev, the patient finally told a nurse that he was giving up, that he was tired of trying to prove he was sick, and that he understood he could not fool the doctors. [Tr. 69, 75-76.] Dr. Kunev also emphasized that Mr. Schappel had a particularly compelling reason to seek to establish that he was suffering from mental illness. According to the doctor, Mr. Schappel’s brother had killed a prison guard, and he feared retaliation if he should be sent to prison; consequently he strongly preferred hospitalization to imprisonment.
Dr. Platkin gave additional reasons for the conclusion that Mr. Schappel was malingering. He noted that Mr. Schap-pel had repeatedly slashed his arms without seriously endangering his life. Since it would not have been difficult for the patient to succeed in a suicide attempt, Dr. Platkin concluded that he was not attempting suicide, but simply seeking to arouse sympathy or to persuade the doctors that he was mentally ill. Finally, Dr. Platkin relied on the fact that the patient spoke about having hallucinations, and he was aware they were not real. In Dr. Platkin’s view, “when an individual is aware of what he calls hallucinations, which are not real, he is not having hallucinations.”
Dr. Myers, on the other hand, asserted that it is “not unusual for a patient to have hallucinations which he knows are not completely real but which nevertheless are very disturbing.” Both Dr. Myers, the independent psychiatrist, and Dr. Blum, the Hospital psychologist, were confident that they could distinguish Mr. Schappel’s flimsy attempts to exaggerate his symptoms from his genuine symptoms of mental illness.
Confronted with this range of expert opinion, the trial judge as finder of fact was obliged to resolve the apparent conflicts in the testimony. He concluded that the testimony of Dr. Blum was not necessarily in conflict with that of the Hospital psychiatrists. That conclusion was supported by the testimony of Dr. Kunev, who stated that he had no quarrel with the findings of the psychologist, so long as they were properly confined; the psychologist, he said, tests only the emotional state of the patient, and not the effect of his emotional state on behavior. Since Dr. Kunev’s statement concerning the role of the psychologist was not challenged, there is no reason to question the trial judge’s reliance on it in analyzing the possible conflict between the testimony of Dr. Blum and that of the Hospital psychiatrists.
The testimony of Dr. Myers, however, confronted the trial judge with an unavoidable conflict in expert opinion. He resolved the conflict by accepting the
testimony of Dr. Kunev and Dr. Platkin “for the reason that they had a much more extensive opportunity of observing, interviewing, and studying the pertinent records in defendant’s ease than did the private psychiatrist on whose testimony defendant relied.”
Appellant contends that it was error for the trial judge to resolve the conflict among the experts on that ground. He argues that (1) Dr. Myers’s opportunity to observe was in fact not less extensive than that of the Hospital psychiatrists in any significant respect, and (2) alternatively, if it was, then appellant was deprived of his right to the assistance of a psychiatrist in preparing and presenting his insanity defense.
We find this argument troublesome. It is standard practice in this jurisdiction for the court to commit criminal defendants to St. Elizabeths Hospital for 60 days or more, for the purpose of a pretrial mental examination.
In every case involving such a commitment, it could be argued that the Hospital psychiatrists have greater access to the patient than does an independent psychiatrist, and therefore that every conflict should be resolved in favor of the government doctors. Such a rule, establishing an automatic preference for the testimony of the government doctors, would be intolerable, for it would make a nullity of the defendant’s statutory right to the assistance of an independent psychiatrist.
Moreover, the factual basis for such a rule would be subject to serious question. For it is not at all clear that in a busy public hospital, staff psychiatrists have the opportunity to devote significantly more time and attention to each patient than does an independent psychiatrist. It appears that only the ward attendants ordinarily maintain constant close supervision of the patients, and their daily observations are recorded in the Hospital records, which are available not only to the Hospital psychiatrists but also to any independent expert.
We do not believe, however, that the trial judge in this case was relying on a flat rule, giving an automatic preference to the government doctors. Here there
is testimony that Dr. Kunev was more attentive to Mr. Sehappel than to the ordinary patient. Because of Mr. Schap-pel’s repeated efforts to injure himself, Dr. Kunev testified that he was constantly in contact with the patient, to suture and treat his wounds, and to try to prevent further self-destructive acts. Thus it appears that Dr. Kunev spent more time with Mr. Sehappel than was necessary in order to make an adequate diagnosis.
That additional exposure to the patient undoubtedly provided Dr. Kunev with additional information about his behavior, information which may well have been helpful to the doctor in deciding whether Mr. Schappel’s symptoms were genuine.
When the court must resolve a conflict in expert testimony, a number of factors may be relevant to the decision.
If the experts disagree about a point of psychiatric theory, the court may find it most helpful to consider such factors as the education and experience of the experts, and the internal consistency of their testimony. If, on the other hand, they disagree primarily about the character of the patient’s observable symptoms, then the court may find it especially helpful to consider the experts’ opportunity to observe the patient.
In this ease the conflict was primarily of the latter type.
On the basis of the record before him, the fact-finder could reasonably conclude that while the independent psychiatrist had an adequate opportunity to observe the patient, the Hospital psychiatrists observed him especially closely, and were consequently especially well-equipped to determine whether his symptoms were genuine. Accordingly, we find no error in the fact that the court resolved the conflict between the experts by relying on the greater opportunity of the Hospital psychiatrists to observe the patient, and we affirm the judgment below.
So ordered.
WILBUR K. MILLER, Senior Circuit Judge, concurs in the result only: