Patterson v. Cockrell ( 2003 )


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  •                                                       United States Court of Appeals
    Fifth Circuit
    F I L E D
    IN THE UNITED STATES COURT OF APPEALS           May 23, 2003
    Charles R. Fulbruge III
    FOR THE FIFTH CIRCUIT                     Clerk
    _____________________
    No. 01-40447
    _____________________
    KELSEY PATTERSON,                             Petitioner-Appellant,
    versus
    JANIE COCKRELL, DIRECTOR, TEXAS
    DEPARTMENT OF CRIMINAL JUSTICE,
    INSTITUTIONAL DIVISION,                       Respondent-Appellee.
    _________________________________________________________________
    Appeal from the United States District Court
    for the Eastern District of Texas
    (4:98-CV-156)
    _________________________________________________________________
    Before JOLLY, JONES, and BENAVIDES, Circuit Judges.
    E. GRADY JOLLY, Circuit Judge:*
    Kelsey Patterson was convicted in the Texas courts of capital
    murder and sentenced to death, notwithstanding his claims of mental
    illness and incompetence. The district court denied federal habeas
    relief, but granted a certificate of appealability (“COA”) for
    Patterson’s claims that he was incompetent to stand trial and that
    he received ineffective assistance of counsel at trial.    Patterson
    appeals the denial of habeas relief as to those two claims and, in
    addition, he seeks a COA from our court for his claims that he
    received ineffective assistance of counsel at the competency trial,
    that he is presently incompetent to be executed, and that the state
    *
    Pursuant to 5TH CIR. R. 47.5, the Court has determined that
    this opinion should not be published and is not precedent except
    under the limited circumstances set forth in 5TH CIR. R. 47.5.4.
    trial court should have conducted a mid-trial competency hearing.
    We AFFIRM the denial of habeas relief on Patterson’s claims that he
    was incompetent to stand trial and that he received ineffective
    assistance of counsel at the guilt-innocence and punishment phases
    of trial; DENY a COA for Patterson’s claims that counsel rendered
    ineffective assistance at the competency trial and that the trial
    court denied him due process by failing to conduct a mid-trial
    competency hearing; and GRANT a COA for Patterson’s claim that he
    is presently incompetent to be executed, but DISMISS that claim,
    without prejudice to his raising it again when his execution is
    imminent and the claim thus becomes ripe.
    I
    Patterson has a long history of mental illness (paranoid
    schizophrenia).    The murders for which Patterson was convicted and
    sentenced to death were preceded by earlier, non-fatal shootings.
    With no apparent rational motive, Patterson shot a co-worker in
    1980 and was found incompetent to stand trial.          Although his
    competency   was   restored   after   hospitalization   and   forcible
    medication, the charges were dismissed because he was insane at the
    time of the offense.    In 1983, Patterson shot another co-worker,
    again with no apparent rational motive.        Again, he was found
    incompetent to stand trial; his competency was restored after
    hospitalization and forcible medication; and the charges were
    dismissed because he was insane at the time of the offense.     He was
    2
    admitted to a state mental hospital again in 1988 after threatening
    his family, but was released after being forcibly medicated.
    In September 1992, Patterson shot and killed Louis Oates and
    Dorothy Harris.   Consistent with his prior assaultive behavior,
    there was no apparent rational motive for the murders.         After
    shooting the victims, Patterson walked back to his roommate’s
    house, put the gun on the porch, told his roommate that he had just
    shot two people, and then removed all of his clothing and walked up
    and down the street in front of the house until he was arrested.
    He was charged with capital murder.
    The trial court authorized funds for a defense psychiatric
    expert to examine Patterson for competency to stand trial and
    sanity at the time of the murders.    After examining Patterson, Dr.
    McNeel, the defense expert, concluded that he was competent to
    stand trial and that he was sane when he committed the murders.
    At the jury trial on competency in early May 1993, the State
    had the burden of proving competency because Patterson previously
    had been adjudged incompetent to stand trial.     Against counsel’s
    advice, Patterson testified, complaining about his court-appointed
    attorneys, implanted devices, the criminal justice system, and his
    treatment in jail.   He refused to submit to cross-examination,
    invoking his Fifth Amendment privilege against self-incrimination.
    The trial court granted the State’s motion to strike Patterson’s
    testimony and instructed the competency jury to disregard it.   The
    jury found Patterson competent to stand trial.
    3
    Voir dire for the trial on the merits commenced approximately
    six weeks later.      Throughout voir dire and the guilt-innocence
    phase of trial, the trial court frequently had Patterson removed
    from the courtroom because of his disruptive outbursts.            During
    voir   dire,   Patterson   continually   complained   that   his   court-
    appointed counsel did not represent him.      At one point, he stated
    that they specialized in being “set-up” lawyers and that he had
    heard them make a deal where they had a remote control device “put
    in” him. Against the advice of counsel, Patterson testified at the
    guilt-innocence phase.     After answering questions about his name
    and address, Patterson began ranting about his lawyers and the
    police and complaining about implanted electronic remote control
    devices, frequently telling his lawyer to “be quiet.”        He referred
    to “these charges on me that was did with some electrical devices.”
    When the prosecutor attempted to cross-examine him, he continued to
    talk about implanted devices that controlled his actions and again
    pleaded the Fifth Amendment.     On July 1, 1993, the jury convicted
    him of capital murder, rejecting his insanity defense.
    Patterson was present at the start of the punishment phase,
    but was removed from the courtroom because of his disruptive
    behavior and was not present for any of the testimony.         The jury
    answered the future dangerousness special issue affirmatively and
    answered the mitigation special issue negatively.        Patterson was
    sentenced to death.
    4
    Patterson filed an application for state habeas relief in May
    1997.     The state trial court conducted an evidentiary hearing on
    Patterson’s incompetency to stand trial and ineffective assistance
    of counsel claims.          In March 1998, the state habeas trial court
    entered findings of fact and conclusions of law, recommending that
    relief be denied.         The Texas Court of Criminal Appeals denied
    relief in May 1998, based on the trial court’s findings.
    Patterson filed a federal habeas petition in August 1998. The
    district    court   stayed     Patterson’s        execution,    which          had   been
    scheduled for August 31, 1998, during the pendency of the federal
    habeas proceedings.         After conducting evidentiary hearings in May
    and   August    1999   on    Patterson’s        claim   that   he     is       presently
    incompetent to be executed, the magistrate judge recommended that
    relief be denied.           The district court adopted the magistrate
    judge’s recommendation and denied federal habeas relief on January
    30, 2001.
    The district court granted a COA for Patterson’s claims that
    (1) he was incompetent to stand trial; and (2) counsel rendered
    ineffective     assistance     at   the       guilt-innocence       and    punishment
    phases.    Patterson seeks a COA from our court for his claims that:
    (1) he is presently incompetent to be executed; and (2) the trial
    court denied him due process by failing to conduct a mid-trial
    competency     hearing.       Patterson       also   argues    that       he    received
    ineffective assistance of counsel at the competency trial.                           The
    district court’s COA, however, is limited to Patterson’s claims of
    5
    ineffective    assistance      of    counsel   at    the    guilt-innocence     and
    punishment phases of trial.            We therefore construe Patterson’s
    argument that his counsel rendered ineffective assistance at the
    competency trial as a request for a COA.              See Hill v. Johnson, 
    114 F.3d 78
    , 81 (5th Cir. 1997) (construing notice of appeal and
    request for certificate of probable cause as a request for COA);
    FED. R. APP. P. 22(b) (“If no express request for a [COA] is filed,
    the notice of appeal constitutes a request addressed to the judges
    of the court of appeals.”).
    II
    We address first the claims for which the district court
    granted a COA.        We then turn to the claims for which Patterson
    requests a COA from our court.
    A
    Merits Issues
    As   we   have    said,   the    district      court   granted   a   COA   for
    Patterson’s claims that he was incompetent to stand trial and that
    he received ineffective assistance of counsel at the guilt and
    punishment phases of trial.           Because Patterson filed his federal
    habeas petition after the effective date of the Anti-terrorism and
    Effective Death Penalty Act (AEDPA), he is not entitled to federal
    habeas relief on these claims unless the state court’s adjudication
    of the claims
    (1) resulted in a decision that was
    contrary to, or involved an unreasonable
    application of, clearly established Federal
    6
    law, as determined by the Supreme Court of the
    United States; or
    (2) resulted in a decision that was based
    on an unreasonable determination of the facts
    in light of the evidence presented in the
    State court proceeding.
    
    28 U.S.C. § 2254
    (d).          A decision is “contrary to ... clearly
    established Federal law, as determined by the Supreme Court of the
    United States ... if the state court arrives at a conclusion
    opposite to that reached by th[e] Court on a question of law or if
    the state court decides a case differently than th[e] Court has on
    a set of materially indistinguishable facts.”      Williams v. Taylor,
    
    529 U.S. 362
    ,   412-13    (2000).   A   decision   “involve[s]   an
    unreasonable application of [] clearly established Federal law, as
    determined by the Supreme Court of the United States ... if the
    state court identifies the correct governing legal principle from
    th[e] Court’s decisions but unreasonably applies that principle to
    the facts of the prisoner’s case.”       
    Id. at 413
    .    A state court’s
    findings of fact are presumed to be correct unless the petitioner
    rebuts the presumption by “clear and convincing evidence.”            
    28 U.S.C. § 2254
    (e)(1).
    1
    Competency to Stand Trial
    We address first Patterson’s claim that he was incompetent to
    stand trial.     Patterson argues that the district court erred by
    limiting its review to the reasonableness of the determination of
    the jury at the competency hearing for two reasons:      first, because
    7
    the issue was subsequently presented de novo in the state habeas
    court, with additional evidence relevant to the determination; and,
    second, it is unclear whether the state habeas court resolved the
    issue, because it drew no conclusion other than that “Petitioner is
    competent.”       Alternatively, assuming that the state habeas court’s
    determination that he “is competent” was a conclusion that he was
    competent    to    stand    trial      in    1993,    Patterson      argues       that     the
    district court erred by treating competency as a question of fact.
    Patterson maintains that, although the threshold question whether
    the defendant suffers from a mental illness is a fact issue, the
    ultimate question          of    incompetency        to   stand     trial    is     a    mixed
    question of law and fact.              He therefore argues that the district
    court should have determined whether the state court’s conclusion
    that he “is competent” was an unreasonable application of the law
    to the facts.       In the further alternative, Patterson argues that,
    if   competency     is     an    issue      of    fact,   he   presented      clear        and
    convincing    evidence          of   his    incompetency       at   the     state       habeas
    hearing.    Therefore, any factual finding of the state habeas court
    that he was competent to stand trial in 1993 is an unreasonable
    determination of the facts.
    It is well-settled that the criminal trial of an accused who
    is legally incompetent violates due process.                         Bishop v. United
    States, 
    350 U.S. 901
     (1956); Pate v. Robinson, 
    383 U.S. 375
    , 378
    (1966); Cooper v. Oklahoma, 
    517 U.S. 348
    , 353 (1996).                         An accused
    is competent to stand trial if he “has sufficient present ability
    8
    to consult with his lawyer with a reasonable degree of rational
    understanding[;] and . . . has a rational as well as factual
    understanding of the proceedings.”        Dusky v. United States, 
    362 U.S. 402
    , 403 (1960).
    Our precedent is conflicting as to whether competency to stand
    trial is a question of fact or a mixed question of law and fact.
    Compare Bouchillon v. Collins, 
    907 F.2d 589
    , 593 n.11 (5th Cir.
    1990) (mixed question) and Washington v. Johnson, 
    90 F.3d 945
    , 951
    (5th Cir. 1996) (same) with Profitt v. Waldron, 
    831 F.2d 1245
    , 1250
    (5th Cir. 1987) (jury finding of competency to stand trial is
    factual finding entitled to presumption of correctness); Carter v.
    Johnson, 
    131 F.3d 452
    , 460 (5th Cir. 1997) (same); see also Miller-
    El v. Johnson, 
    261 F.3d 445
    , 454 (5th Cir. 2001) (applying AEDPA’s
    “unreasonable   application”   standard   to   state   court   competency
    determination, but also stating that “[a] state court’s competency
    determination is a finding of fact entitled to a presumption of
    correctness”), rev’d on other grounds, 
    123 S.Ct. 1029
     (2003).        The
    Supreme Court, however, has treated competency to stand trial as a
    question of fact.   See Maggio v. Fulford, 
    462 U.S. 111
    , 117 (1983).
    We need not resolve this conflict in our caselaw.          Based on our
    review of the evidence presented at the competency trial and the
    state habeas hearing, described below, we conclude that the state
    court’s adjudication of this claim did not result in a decision
    that was contrary to, or involved an unreasonable application of,
    9
    clearly established federal law, and did not result in a decision
    that was based on an unreasonable determination of the facts.
    Prior to the competency trial, the defense psychiatric expert,
    Dr. McNeel, examined Patterson and found him competent to stand
    trial. Dr. Cox, a psychologist who consulted with defense counsel,
    agreed with Dr. McNeel that Patterson was competent to stand trial.
    Neither doctor testified at the competency trial.
    Patterson     refused   to   cooperate     in    an   evaluation    by   Dr.
    Quijano, the State’s expert psychologist. Dr. Quijano testified at
    the competency trial that, based on his review of Patterson’s
    records, Patterson suffered from paranoid schizophrenia, but he was
    competent to stand trial.
    Several jailers had come into contact with Patterson during
    the seven months that he was in jail awaiting                   trial.        They
    testified that Patterson was able to keep his cell clean, take care
    of his personal hygiene, and communicate his needs.                  One jailer
    testified   that   Patterson      was   able   to    follow   jail   rules    and
    regulations and that he believed that Patterson could talk sensibly
    to his attorneys.       The chief jailer testified that, although
    Patterson had indicated that he was unhappy with his attorneys,
    Patterson had the ability to communicate with his attorneys if he
    chose to do so.      He further testified, however, that Patterson
    believed that his food was being drugged and that the jailers had
    come into his cell at night and injected something into his body.
    10
    The    State’s    expert    psychiatrist,     Dr.   Grigson,    had   found
    Patterson incompetent to stand trial in 1980. He acknowledged that
    he had not interviewed Patterson since 1981 but, based on his
    review of Patterson’s records and observation of Patterson in the
    courtroom, he testified that Patterson was competent to stand
    trial.     According     to    Dr.    Grigson,   Patterson   had    learned   to
    manipulate the criminal justice system and was faking psychosis.
    As    we   have   noted    earlier,     Patterson    testified    at     the
    competency trial, against the advice of his counsel.                 On direct
    examination, he complained about his attorneys, conditions in the
    jail, and a device that had been implanted in his body to control
    his behavior.     He refused to submit to cross-examination by the
    State,    asserting    his    Fifth   Amendment   privilege   against      self-
    incrimination.        The trial court granted the State’s motion to
    strike Patterson’s testimony and instructed the competency jury to
    disregard it.
    Although one of Patterson’s attorneys had testified at a
    pretrial hearing that Patterson was not capable of consulting with
    counsel with a reasonable degree of rational understanding, neither
    of Patterson’s attorneys testified at the competency trial.
    At the state habeas evidentiary hearing, some of the testimony
    was slanted differently.        Dr. Quijano admitted that when he found
    Patterson competent to stand trial, he had been operating under the
    faulty assumption that he should presume Patterson competent until
    it could be positively demonstrated that he was not, and that he
    11
    had not then found any such positive demonstration.            Now, however,
    his review of the transcript of Patterson’s outbursts during jury
    selection and trial raised sufficient doubt in his mind about the
    correctness of his earlier conclusion that, in hindsight, he would
    have recommended that the competency issue be revisited.                   Dr.
    Quijano conceded that Dr. McNeel, who had examined Patterson, would
    have been in a better position to make a competency determination.
    Further, at the state habeas hearing, Patterson’s expert, Dr.
    Childs, testified that Patterson was incompetent to stand trial and
    that he was not faking mental illness.         Dr. Childs, however, was
    unable to examine Patterson because Patterson refused to cooperate.
    Dr.   Childs’s   conclusion    was    based   on     his   review    of   trial
    transcripts, medical records, and interviews. He deduced from this
    information the basis to describe a fixed delusional system in
    which Patterson believed that he was tried for capital murder
    because of a hell pledge placed on him by an unknown person; that
    the trial judge, prosecutors, and his counsel are all hell workers
    conspiring against him to effectuate the hell pledge; and that the
    only way to invalidate his conviction and sentence is to “put hell”
    on the conspirators by telling them, in a ritualistic way, to “go
    to hell.” Dr. Childs testified that Patterson’s delusional beliefs
    rendered him incapable of rationally understanding the proceedings
    against him or consulting with his attorneys.
    Dr.   McNeel,   the   only   mental   health    expert   who   examined
    Patterson for competency to stand trial, testified at the state
    12
    habeas evidentiary hearing that Patterson was competent to stand
    trial.    He acknowledged that, hypothetically, a person suffering
    the “hell pledge delusion” could be incompetent to stand trial; but
    he testified that, even if Patterson currently suffered such a
    delusion, he could not assume that Patterson suffered that delusion
    at the time of his trial in 1993.           Dr. McNeel’s evaluation of
    Patterson in 1993 revealed that, although Patterson suffered some
    delusions regarding implanted remote control devices, Patterson did
    not connect those devices with the judicial process, but discussed
    them only in the context of something that had happened in the
    past.
    Considering all of the evidence, the state habeas trial court
    found    that   Patterson   “is   capable   of   communicating   with   his
    attorneys,” that Patterson did not meet his burden of establishing
    that he cannot do so with a rational degree of understanding, and
    that Patterson “demonstrated during his trial ... the capability of
    refraining from disruptive behavior when he chose to.”             In its
    conclusions of law, it simply stated:        “Petitioner is competent.”
    The magistrate judge and the district court stated, however, that,
    if they were reviewing the issue de novo, they would have concluded
    that Patterson was incompetent to stand trial.        Nevertheless, they
    held that Patterson had failed to rebut, with clear and convincing
    evidence, the state competency jury’s factual determination that
    Patterson was competent.
    13
    Based on our review of the record of the competency trial and
    the state habeas hearing, we conclude that the competency jury and
    the    state   habeas    court     did    not    unreasonably    determine      that
    Patterson was competent to stand trial in 1993.                Every psychiatric
    expert who had contact with Patterson immediately prior to his
    trial, including the two experts consulted by defense counsel,
    concluded at that time that he was competent to stand trial.
    Although Dr. Quijano’s testimony at the state habeas hearing
    indicated retrospective doubts about Patterson’s competency to
    stand trial, Dr. Quijano nevertheless testified that he believed
    Patterson was competent to stand trial in 1993.                 Dr. Childs never
    examined Patterson and did not observe Patterson’s demeanor in the
    courtroom in 1993.             His opinion was based on speculation --
    speculation that Patterson suffered the hell pledges delusion in
    1993.    Dr. McNeel, the defense expert who examined Patterson in
    1993, testified that Patterson gave no indication that he suffered
    such a hell pledges delusion at that time.                    Our review of the
    record   supports       that    conclusion.        Patterson’s      outbursts   and
    testimony at the competency trial and the trial on the merits in
    1993 do not contain any references to the hell pledges delusion
    that    had    become    apparent    by    the    time   of   the   state   habeas
    evidentiary hearing.           Although Dr. McNeel did not testify at the
    competency hearing, his opinion, it is fair to say, is the most
    credible evidence on the question whether Patterson was competent
    to stand trial in 1993.           We reach this conclusion in substantial
    14
    part because he was the only mental health expert who was able to
    examine Patterson.
    In sum, we conclude that Patterson has not demonstrated that
    the state courts’ adjudication of his claim that he was incompetent
    to stand trial resulted in a decision that was based on an
    unreasonable   determination      of   the    facts    in   the   light   of   the
    evidence presented in the state court proceedings or a decision
    that was contrary to, or involved an unreasonable application of,
    clearly established federal law.             We thus affirm the district
    court’s denial of habeas relief for this claim.
    2
    Ineffective Assistance of Counsel
    Patterson    argues   that   trial      counsel    rendered    ineffective
    assistance at all stages of his criminal trial:              at the competency
    hearing, at the guilt-innocence phase of his trial, and at the
    punishment phase of his trial.         The district court granted a COA
    only with respect to the guilt-innocence phase and the punishment
    phase.   Accordingly, we cannot consider the competency hearing
    claim unless we first grant a COA for that particular claim.                   See
    
    28 U.S.C. § 2253
    (c)(1); Dowthitt v. Johnson, 
    230 F.3d 733
    , 739 (5th
    Cir. 2000) (under AEDPA, petitioner must first obtain a COA in
    order for appellate court to review district court’s denial of
    habeas relief).    We will address that claim later in this opinion,
    along with Patterson’s other COA requests.              We will now turn to
    consider the claims related to the guilt and punishment phases of
    15
    his trial on which the district court granted a COA.                 We begin by
    reviewing the applicable law.
    To establish an ineffective assistance of counsel claim,
    Patterson must show that his counsel’s performance was deficient
    and that he was actually prejudiced by the deficient performance.
    Strickland v. Washington, 
    466 U.S. 668
    , 687 (1984).                        Whether
    counsel’s performance was deficient is determined by examining
    whether the challenged representation fell below an objective
    standard of reasonableness. Kitchens v. Johnson, 
    190 F.3d 698
    , 701
    (5th Cir. 1999).          We are mindful that our “scrutiny of counsel’s
    performance must be highly deferential.”                Strickland, 
    466 U.S. at 689
    .     “[C]ounsel is strongly presumed to have rendered adequate
    assistance and to have made all significant decisions in the
    exercise      of    reasonable    professional       judgment.”     
    Id. at 690
    .
    Strickland makes clear that “strategic choices made after thorough
    investigation of law and facts relevant to plausible options are
    virtually unchallengeable.”             
    Id. at 690-91
    ; see also United States
    v.   Jones,     
    287 F.3d 325
    ,      331   (5th   Cir.)   (“Informed    strategic
    decisions of counsel are given a heavy measure of deference and
    should not be second guessed.”), cert. denied, 
    123 S.Ct. 549
    (2002); Lockett v. Anderson, 
    230 F.3d 695
    , 714 (5th Cir. 2000)
    (Strickland requires deference to counsel’s “informed strategic
    choices”). “So long as counsel made an adequate investigation, any
    strategic decisions made as a result of that investigation fall
    within    the      wide   range   of    objectively    reasonable   professional
    16
    assistance.”   Smith v. Cockrell, 
    311 F.3d 661
    , 668 (5th Cir. 2002)
    (internal quotation marks and citation omitted).
    “A conscious and informed decision on trial tactics and
    strategy cannot be the basis for constitutionally ineffective
    assistance of counsel unless it is so ill chosen that it permeates
    the entire trial with obvious unfairness.” Jones, 
    287 F.3d at 331
    .
    To overcome the deference given to informed strategic decisions,
    Patterson must show that his counsel “blundered through trial,
    attempted to put on an unsupported defense, abandoned a trial
    tactic, failed to pursue a reasonable alternative course, or
    surrendered his client.”   Id.; see also Moore v. Johnson, 
    194 F.3d 586
    , 615 (5th Cir. 1999) (“Strickland does not require deference to
    those decisions of counsel that, viewed in light of the facts known
    at the time of the purported decision, do not serve any conceivable
    strategic purpose.”).
    Even if Patterson establishes that his counsel’s performance
    was deficient, he must also establish that “prejudice caused by the
    deficiency is such that there is a reasonable probability that the
    result of the proceedings would have been different.”    Ransom v.
    Johnson, 
    126 F.3d 716
    , 721 (5th Cir. 1997).    Patterson must show
    that the prejudice rendered the outcome “fundamentally unfair or
    unreliable.”    
    Id.
     (quoting Lockhart v. Fretwell, 
    506 U.S. 364
    (1993)).
    Under AEDPA, we must give proper deference to the state
    court’s determination that trial counsel did not render ineffective
    17
    assistance.     See Ladd v. Cockrell, 
    311 F.3d 349
    , 351 (5th Cir.
    2002).    Because the state court properly identified Strickland as
    the governing legal principle, the “unreasonable application” prong
    of section 2254(d)(1) provides the standard which governs our
    review    of   the   state   court’s        decision   regarding    Patterson’s
    ineffective counsel claims.         Bell v. Cone, 
    122 S.Ct. 1843
    , 1850
    (2002).   In making the “unreasonable application” inquiry, we must
    determine whether the state court’s application of Strickland was
    objectively unreasonable.        Id.; Neal v. Puckett, 
    286 F.3d 230
    , 236
    (5th Cir. 2002) (en banc), cert. denied, 
    123 S.Ct. 963
     (2003).
    Under section 2254(d)(1), “[w]e have no authority to grant habeas
    corpus relief simply because we conclude, in our independent
    judgment, that a state supreme court’s application of Strickland is
    erroneous or incorrect.”         Catalan v. Cockrell, 
    315 F.3d 491
    , 493
    (5th Cir. 2002) (quoting Neal, 
    286 F.3d at 236
    ).                  “The federal-
    habeas scheme leaves primary responsibility with the state courts
    for these judgments, and authorizes federal-court intervention only
    when a state court decision is objectively unreasonable.” Woodford
    v. Visciotti, 
    123 S.Ct. 357
    , 361 (2002).
    a
    Failure to Fully Utilize Experts
    Patterson argues that, at both phases of the trial, counsel
    failed    to   utilize   fully    the   services       of   a   defense   expert.
    According to Patterson, such an expert was needed to assist with
    cross-examination of Dr. Grigson at the guilt-innocence phase
    18
    regarding his testimony that Patterson was faking psychosis at the
    time of the offense; to monitor Patterson’s mental state and to
    alert counsel and the court if Patterson became incompetent during
    the proceedings; to persuade the trial court to revisit the issue
    of     Patterson’s     competence     to    stand   trial;   to   facilitate
    presentation of evidence at the punishment phase; and to urge the
    jury    to   regard    Patterson’s    diminished    mental   capacity   as   a
    mitigating circumstance.
    The state habeas trial court found that trial counsel were
    furnished adequate financial resources to consult experts regarding
    Patterson’s mental competency; that the experts consulted by trial
    counsel were qualified in their field; and that Dr. Cox, one of the
    experts consulted by Patterson’s trial counsel, was available and
    assisted during the trial.           It concluded that Patterson had not
    demonstrated that counsel made mistakes or omissions that fell
    below an objective standard of reasonableness and that Patterson
    was not denied the effective assistance of counsel.
    Considering the respective arguments presented, we conclude
    that Patterson has not rebutted the state habeas trial court’s
    factual finding that Dr. Cox was available and assisted his counsel
    during trial.         In the light of that finding, the state court’s
    conclusion that trial counsel did not render ineffective assistance
    by failing to fully utilize the services of a defense expert is
    neither contrary to, nor an unreasonable application of, federal
    19
    law.   Accordingly, we affirm the district court’s denial of habeas
    relief for this claim.
    b
    Guilt-Innocence Phase
    Patterson argues that counsel rendered ineffective assistance
    at the guilt-innocence phase of trial by failing to offer his
    medical records in support of the insanity defense and by failing
    to object to the prosecutor’s closing argument. We address each of
    these claims separately.
    (1)
    Failure to Present Evidence in Support of Insanity Defense
    Patterson relied on an insanity defense at the guilt-innocence
    phase of trial.     Patterson’s counsel presented the testimony of
    Patterson’s brother and roommate regarding Patterson’s history of
    mental   illness,   prior   hospitalizations,     and   bizarre   behavior
    immediately prior to the murders.            They also presented expert
    testimony that Patterson suffered from paranoid schizophrenia, a
    mental illness which can render a person unable to distinguish
    between right and wrong.      But Patterson says that counsel should
    have done more:     They should have offered his medical records in
    support of the insanity defense. Those records showed a history of
    violent acts, followed by determinations of incompetency to stand
    trial,   hospitalization    and   restored    competency   following   the
    administration of medication, and determinations that he was insane
    at the time the offenses were committed.
    20
    At the state habeas evidentiary hearing, both of Patterson’s
    trial counsel testified that there was a strategic reason for not
    introducing the medical records: Those records would have revealed
    to the jury that Patterson had escaped conviction for two prior
    shootings.         Counsel    feared       that   the   jury’s        indignation      at
    Patterson’s previous, unpunished violent acts would overwhelm the
    jury’s ability to consider the evidence of insanity objectively.
    The state habeas court found that the strategic reasons proffered
    by trial counsel were valid.
    The   district     court       acknowledged     that     Patterson’s       medical
    records    would    have     been    “highly      relevant”      on    the    issue    of
    Patterson’s sanity at the time of the murders.                         It concluded,
    however, that trial counsel’s decision to try to meet their burden
    through testimony about Patterson’s generally bizarre behavior,
    without introducing          prejudicial        evidence    of   Patterson’s         prior
    criminal conduct or hospitalizations, did not fall outside the wide
    range of constitutionally acceptable assistance.
    Patterson      contends        that   the    medical    records         would   have
    supported his insanity defense.                 He argues that trial counsel’s
    proffered strategic reason for not introducing the records is
    evidence of ineffective assistance of counsel, because an attorney
    should not assume that a jury will ignore the law because it is
    prejudiced by the facts.
    We conclude that the state court’s decision that counsel did
    not render ineffective assistance at the guilt-innocence phase by
    21
    failing to present Patterson’s medical records is neither contrary
    to, nor an unreasonable application of, federal law. Trial counsel
    had valid strategic reasons for not presenting the medical records
    -- counsel did not want to portray Patterson to the jury as a
    dangerous person who had twice escaped conviction for violent
    assaults.   We therefore affirm the district court’s denial of
    habeas relief for this claim.
    (2)
    Failure to Object to Prosecutor’s Closing Argument
    Patterson argues that trial counsel also rendered ineffective
    assistance at the guilt-innocence phase by failing to object to the
    prosecutor’s   closing   argument.     Patterson   characterizes   the
    prosecutor’s argument as an invitation to the jury to nullify the
    law of insanity, to set its own standard, and to hold Patterson
    accountable for refusing to take his medication.     The state habeas
    court found that Patterson failed to meet his burden of showing
    that trial counsel made omissions which fell below an objective
    standard of reasonableness.
    The district court construed the prosecutor’s argument as
    urging the jury not to believe Patterson’s claim that he did not
    know right from wrong because he did not take his medication.      The
    district court stated that, in any event, it was unclear whether
    voluntarily failing to take anti-psychotic medication provides a
    valid legal ground for a jury’s rejecting an insanity defense.      It
    therefore held that, considering the unsettled state of the law and
    22
    the context in which the remarks were made, the prosecutor’s
    argument was not improper and counsel did not render deficient
    performance by failing to object.
    The    state   court’s      decision          that    counsel      did     not    render
    ineffective assistance by failing to object to the prosecutor’s
    closing argument is neither contrary to, nor an unreasonable
    application of, federal law.              Even assuming that the failure to
    object     constitutes     deficient          performance,          Patterson         has    not
    demonstrated     prejudice     --    he       has    not        shown   that    there       is   a
    reasonable probability that the trial court would have sustained
    such an objection had it been made or that, had it been sustained,
    that there is a reasonable probability that the jury would have
    found him not guilty by reason of insanity.                         We therefore affirm
    the district court’s denial of habeas relief for this claim.
    c
    Punishment Phase
    Patterson argues that counsel rendered ineffective assistance
    at   the    punishment    phase     by    failing          to    introduce      his    medical
    records, bolstered by expert testimony.                     This evidence, he argues,
    would have supported the argument that he would not constitute a
    future     danger    to   society        if       institutionalized            and    forcibly
    medicated.     Such evidence also would have supported the argument
    for diminished capacity as a mitigating circumstance.                            In order to
    give some context to our consideration of this claim, we will first
    describe the evidence presented at the punishment phase.
    23
    The State presented the testimony of the victims Patterson
    shot in 1980 and 1983.            Both of them testified that they did
    nothing to provoke the attacks.               Both of them were aware that
    Patterson was not convicted for the shootings, and one of them
    testified that he was aware that Patterson had been found mentally
    incompetent.       Three    law    enforcement      officers    testified     that
    Patterson’s reputation in the community for being peaceful and law-
    abiding was bad.
    Patterson’s counsel presented the testimony of Patterson’s
    brother and sister regarding Patterson’s history of mental illness.
    Both testified that they believed Patterson would benefit from
    psychiatric care because he had benefitted from such care in the
    past.     Patterson’s brother, a correctional officer for the Texas
    Department of Criminal Justice (“TDCJ”), also testified that TDCJ
    had programs and facilities for mentally ill inmates with staff
    psychiatrists and psychologists who could administer medication and
    treatment.
    The    jury   was    instructed     that   a   prisoner   serving    a   life
    sentence for a capital felony is not eligible for parole until the
    prisoner has served 35 years.            In closing argument, Patterson’s
    counsel    observed      that,    if   Patterson    were    sentenced    to   life
    imprisonment, he would be 74 years old before he could even be
    considered for parole.           Counsel continued:        “We’re talking about
    him going to die or spend basically the rest of his life in the
    penitentiary where he can be forced to take medication, where he
    24
    can be watched 24 hours a day, where he will be behind bars for the
    rest of his life.”            Patterson argues that his medical records
    establish that he is not violent when forcibly medicated in an
    institutionalized setting, and that expert testimony was available
    to show that the Texas prison system has procedures for forcibly
    medicating dangerous, mentally ill inmates.              Although the medical
    records show some additional instances of violent behavior by
    Patterson while institutionalized, Patterson argues that, because
    those incidents occurred relatively early in the hospitalizations,
    the medical records would have supported an argument by counsel
    that   he   is    not   violent   once   he   is    placed   on   anti-psychotic
    medication and that medication has had time to take effect.
    With respect to diminished capacity, Patterson argues that the
    medical records show that, even after his medication took effect
    and he was no longer violent, he never gained any insight into the
    need to continue taking the medication in order to avoid future
    psychosis.       He thus contends that, had his trial counsel admitted
    the records, they could have argued convincingly that his conduct
    was a result of his diminished capacity because of his illness.
    Furthermore, Dr. Quijano would have been willing to testify that
    Patterson would have had substantial difficulty conforming his
    conduct     to    the   law   because    of   his    paranoid     schizophrenia.
    Patterson argues that such evidence of diminished capacity would
    have provided a basis for the jury to assess a sentence less than
    death.
    25
    The State counters that counsel had valid strategic reasons
    for not presenting the medical records, because they contained
    accounts of additional instances of violent conduct by Patterson
    during his prior hospitalizations.             According to the State, these
    additional     instances       of   violent   conduct   could    seriously     have
    undermined counsel’s argument that the State had failed to prove
    that   Patterson     would     present    a   future    danger   to   society   if
    incarcerated.
    We    begin   our      analysis   of   these     particular    claims    of
    ineffective counsel by observing that Patterson’s trial counsel
    were faced with a formidable task in defending Patterson:                  He did
    not want them to represent him; the evidence of his guilt was
    overwhelming; he refused to heed their advice; and he refused to
    cooperate with mental health experts who tried to evaluate him.
    The testimony of Patterson’s trial counsel at the state habeas
    evidentiary hearing reflects that they made an informed strategic
    decision to forego the use of Patterson’s medical records and
    expert      testimony    in   support    of   an   argument   that    Patterson’s
    diminished capacity was a mitigating circumstance.                    Patterson’s
    counsel testified that they explored the possibility of presenting
    the testimony of Dr. McNeel or Dr. Cox at the punishment phase of
    trial, but decided that it would be more harmful than beneficial.
    According to counsel, Dr. McNeel believed that Patterson was just
    mean-spirited and that his behavior was not attributable to his
    mental illness.         It is true that Dr. Cox believed there was some
    26
    level of impairment due to Patterson’s mental illness; but counsel
    believed that Dr. Cox’s less than fully supportive testimony would
    have minimized the impact of the stronger evidence of Patterson’s
    mental illness presented through family members and acquaintances.
    Counsel testified that they were concerned that introduction of the
    medical records   for   mitigation      would   inform   the   jury   of   the
    ineffectiveness of Patterson’s treatment after the prior shooting
    episodes and would present to the jury a harmful pattern of
    Patterson’s committing violent acts, being hospitalized, and then
    committing other violent acts after he was released.
    Furthermore, with respect to the future dangerousness issue,
    counsel’s decision not to use the penitentiary medical records, and
    evidence   regarding    forcible     medication      procedures       at   the
    penitentiary, was also an informed strategic decision requiring
    deference under Strickland.    The testimony of both of Patterson’s
    defense lawyers at the state habeas evidentiary hearing indicates
    that they were familiar with the contents of Patterson’s medical
    records and, based upon their review of the medical records, they
    consciously decided not to use the medical records during the
    punishment phase. Counsel testified that the defense theory at the
    punishment phase was to portray Patterson as a mentally ill person
    who did not need to be put to death, but should instead be put in
    prison where he could get some help.            Counsel acknowledged that
    they were aware that Patterson’s medical records showed that his
    condition improved when he was on medication.            Counsel believed,
    27
    however,   that   the     medical    records    contained     some    damaging
    information that would have emphasized that treatment had been
    ineffective for Patterson in the past. Counsel testified further
    that they were aware that Patterson could be forcibly medicated in
    prison, and that they could have called Dr. Quijano or other people
    from the penitentiary to testify on that issue.                 When asked,
    however, whether they attempted to convince the jury that Patterson
    would not be dangerous to others in the penitentiary if confined on
    a life sentence, one of Patterson’s lawyers responded that he was
    not sure how he could have done that.         Counsel acknowledged that he
    did not present any direct evidence that Patterson’s violent and
    aggressive behavior could be controlled through the administration
    of antipsychotic medication, or that such medication could be
    administered forcibly if Patterson were serving a life sentence in
    the penitentiary. Nevertheless, counsel presented the testimony of
    Patterson’s brother, a state correctional officer, that within the
    prison system there are programs for mentally ill inmates with
    psychiatrists     and     psychologists       available.        Furthermore,
    Patterson’s brother and sister both testified that his condition
    improved when he was on medication.
    Counsel explained that they feared that the introduction of
    Patterson’s medical records would have opened the door for the
    prosecutor to argue that the treatment Patterson had received in
    the past had not prevented subsequent acts of violence and thus
    would   have   lessened   their     ability    successfully   to     argue   for
    28
    institutionalization rather than the death penalty.                      Counsel
    testified that they decided instead to rely on the State’s failure
    to   present    evidence     that   Patterson   did   not    do   well    in    an
    institutionalized environment.
    As we have earlier noted, counsel’s decision not to introduce
    Patterson’s medical records at the guilt-innocence phase was a
    reasonable strategic decision, because those records would have
    informed the jury of Patterson’s prior violent assaults that were
    the basis for two of his previous hospitalizations.                  Patterson
    argues that the same does not hold true for the punishment phase,
    because,   by   the   time    the   defense   presented     its   case   at    the
    punishment phase, the State had already presented the testimony of
    the victims of those prior assaults. Both of the victims testified
    that Patterson was not convicted for shooting them, and one of them
    testified that he was aware that Patterson had been found mentally
    incompetent.      Patterson thus contends that, because the jury
    already was aware that he had escaped punishment for the two prior
    shootings, the jury reasonably could have inferred that any prior
    treatment he had received for his mental illness had not prevented
    the murders for which they were to assess punishment.
    Applying AEDPA’s deferential standard, we conclude that the
    state court did not apply Strickland unreasonably when it found
    that trial counsel justifiably believed that introduction of the
    medical records at the punishment phase would have negated the
    effectiveness of their argument that confinement rather than the
    29
    death penalty could have served the public interest in avoiding
    further violence by Patterson. A trial counsel’s reasoned decision
    not to introduce evidence, containing both helpful and damaging
    information,    cannot   be    deficient           performance.        Duff-Smith    v.
    Collins, 
    973 F.2d 1175
    , 1183 (5th Cir. 1992); see also Johnson v.
    Cockrell, 
    306 F.3d 249
    , 253 (5th Cir. 2002) (failure to introduce
    double-edged    evidence,     so   long       as    part    of   an   informed    trial
    strategy,   cannot   constitute      deficient         performance);       Foster    v.
    Johnson, 
    293 F.3d 766
    , 778-79 (5th Cir.), cert. denied, 
    123 S.Ct. 625
     (2002).     We therefore affirm the district court’s denial of
    habeas relief on Patterson’s claim that he received ineffective
    assistance of counsel at the punishment phase.
    B
    COA Issues
    Patterson seeks a COA on three claims:                  first, that the state
    trial court denied him due process by failing to conduct a mid-
    trial competency hearing; second, that he is presently incompetent
    to be executed; and finally, because the district court’s grant of
    COA on the ineffective assistance of counsel claims was limited to
    the guilt-innocence and punishment phases of trial, we construe his
    argument that he received ineffective assistance of counsel at the
    competency trial as a request for a COA.
    “[U]ntil a COA has been issued federal courts of appeals lack
    jurisdiction    to   rule     on   the    merits       of    appeals    from     habeas
    petitioners.”    Miller-El v. Cockrell, 
    123 S.Ct. 1029
    , 1039 (2003).
    30
    To obtain a COA, Patterson must make “a substantial showing of the
    denial of a constitutional right.” 
    28 U.S.C. § 2253
    (c)(2); Miller-
    El, 
    123 S.Ct. at 1039
    ; Slack v. McDaniel, 
    529 U.S. 473
    , 483 (2000).
    To make such a showing, he must demonstrate that “reasonable
    jurists could debate whether (or, for that matter, agree that) the
    petition should have been resolved in a different manner or that
    the issues presented were adequate to deserve encouragement to
    proceed further.” Miller-El, 
    123 S.Ct. at 1039
     (quoting Slack, 
    529 U.S. at 484
    ).          Because the district court denied relief on the
    merits of the claims for which Patterson seeks a COA, he “must
    demonstrate that reasonable jurists would find the district court’s
    assessment      of   the   constitutional       claims   debatable    or   wrong.”
    Slack, 
    529 U.S. at 484
    .
    In    Miller-El,    the    Supreme      Court   instructed,    as    it    had
    previously held in Slack, that we should “limit [our] examination
    to    a    threshold    inquiry    into     the    underlying    merit     of    [the
    petitioner’s] claims.”           Miller-El, 
    123 S.Ct. at 1034
    .           The Court
    observed that “a COA ruling is not the occasion for a ruling on the
    merit of petitioner’s claim....”                  
    Id. at 1036
    .       Instead, our
    determination must be based on “an overview of the claims in the
    habeas petition and a general assessment of their merits.”                      
    Id. at 1039
    .      “This threshold inquiry does not require full consideration
    of the factual or legal bases adduced in support of the claims.”
    
    Id.
           We do not have jurisdiction to justify our denial of a COA
    based on an adjudication of the actual merits of the claims.                      
    Id.
    31
    Accordingly, we cannot deny an “application for a COA merely
    because   [we    believe]       the   applicant      will   not    demonstrate     an
    entitlement to relief.”           
    Id.
         “[A] claim can be debatable even
    though every jurist of reason might agree, after the COA has been
    granted   and    the     case   has     received     full   consideration,        that
    petitioner will not prevail.”            
    Id.
    Thus, we reiterate that our task is to determine whether
    Patterson has demonstrated “that reasonable jurists would find the
    district court’s assessment of the constitutional claims debatable
    or wrong.”      Slack, 
    529 U.S. at 484
    .
    1
    Ineffective Assistance of Counsel at Competency Hearing
    Patterson requests a COA for his claim that at the competency
    hearing counsel rendered deficient performance by:                     first, failing
    adequately to prepare the defense expert, Dr. McNeel; second,
    failing personally to testify as to Patterson’s incompetency;
    third, failing to present evidence of his prior hospitalizations;
    fourth, failing to present the testimony of an attorney who had
    previously represented him; and, finally, failing to discover that
    Dr. Quijano’s competency determination was based on his erroneous
    assumption      that    Patterson       bore   the    burden      of    proving   his
    incompetency.
    a
    Inadequate Preparation of Expert
    32
    Patterson argues that counsel did not adequately prepare Dr.
    McNeel to give a fully informed opinion on his competency to stand
    trial, because they:       (1) failed to provide Dr. McNeel with
    Patterson’s   Terrell   Hospital   records,     in   which   it   was   first
    documented that Patterson’s denials of auditory hallucinations were
    false; (2) did not supply to Dr. McNeel any information from
    Patterson’s family and friends regarding his past patterns of
    psychosis, his hallucinatory behavior in the days before the
    murders, and the fact that Patterson was hallucinatory while
    awaiting trial; and (3) did not educate Dr. McNeel about the extent
    and nature of Patterson’s fixed delusional system.                To support
    these claims, Patterson relies on Dr. McNeel’s testimony at the
    state habeas evidentiary hearing.        In response to a hypothetical
    question, Dr. McNeel testified that, if Patterson’s delusional
    system included a belief that the judge, lawyers, and jury were all
    part of the hell pledges against him, he would have had to question
    Patterson’s ability to assist his counsel and thus would have felt
    Patterson was most likely not competent to stand trial.              Patterson
    argues that this response at the habeas hearing shows that, had Dr.
    McNeel been properly prepared at the competency hearing, he likely
    would have concluded that Patterson was incompetent to stand trial.
    Patterson has not made a substantial showing of the denial of
    a constitutional right and thus is not entitled to a COA for this
    claim.   Even   assuming   that    reasonable   jurists      would    find   it
    debatable whether counsel inadequately prepared Dr. McNeel, they
    33
    would not find it debatable whether Patterson was prejudiced.         Dr.
    McNeel testified at the state habeas hearing that nothing that had
    been revealed during the state habeas proceedings undermined his
    determination that Patterson was competent to stand trial in 1993.
    Patterson’s reliance on Dr. McNeel’s response to the hypothetical
    question is unavailing, because there is no evidence -- only
    speculation -- that, at the time of his trial in 1993, Patterson
    suffered   from   the   hell   pledges   delusion,   or   that   he   had
    incorporated the jury, judge, and his lawyers into his delusional
    system.
    b
    Failure to Present Evidence
    Patterson next argues that counsel performed deficiently by:
    failing personally to testify at the competency hearing as to their
    difficulties in communicating with him; failing to present to the
    competency jury his medical records showing a long history of
    incompetence; failing to present the testimony of a lawyer who had
    represented him previously; and failing to interview Dr. Quijano to
    learn that his conclusion that Patterson was competent was based on
    the faulty legal assumption that Patterson was competent to stand
    trial until an examination could prove otherwise.          He contends
    further that counsel’s decision not to introduce the medical
    records was not an informed decision, because counsel had not
    talked to Patterson’s family and were thus unaware that Patterson
    was hallucinating while in jail awaiting trial.       Patterson argues
    34
    that the medical records, which show a pattern of incompetency and
    a restoration of competency only after forcible medication, could
    have been used to argue that, in the light of Patterson’s not
    taking medication prior to trial, his refusal to cooperate with his
    attorneys   was    the   product   of   his   mental   illness   rather   than
    obstinacy or malingering.
    Patterson has not made the showing required for a COA on this
    claim.   Jurists of reason would not find it debatable whether
    counsel’s performance was deficient, or whether Patterson was
    prejudiced.       The district court concluded that testimony from
    Patterson’s trial counsel at the competency hearing would have had
    only marginal value because counsel could not say for certain
    whether they thought Patterson was incompetent or simply obstinate.
    Trial counsel testified that they did not introduce Patterson’s
    medical records at the competency hearing because they feared the
    jury would have been too frightened by Patterson’s prior history of
    delusional violence to focus on the issue of his mental capacity;
    and they abandoned the idea of calling Patterson’s former attorney,
    Henderson, as a witness because he had described Patterson as “one
    mean S.O.B.” and because it could have opened the door to evidence
    regarding the underlying violent crime leading to Henderson’s
    representation of Patterson.        Counsel’s failure to interview Dr.
    Quijano is not surprising inasmuch as Dr. Quijano was an expert
    witness for the State.        In any event, Dr. Quijano testified at
    trial and at the state habeas evidentiary hearing that he believed
    35
    Patterson was competent to stand trial.             We also note that counsel
    elicited information about Patterson’s psychiatric history during
    cross-examination of the State’s experts, including the fact that
    Patterson had been found incompetent to stand trial on two previous
    occasions.
    In sum, the district court’s assessment of Patterson’s claim
    that    he    received     ineffective       assistance   of   counsel     at   the
    competency trial is neither debatable nor wrong. We therefore deny
    a COA for this claim.
    2
    Failure to Conduct Mid-Trial Competency Hearing
    Patterson also seeks a COA for his claim that the state trial
    court denied him due process by failing to halt the trial long
    enough to revisit the issue of his competency to stand trial.
    A   trial   judge    must   conduct     an   inquiry    into   a   criminal
    defendant’s competency to stand trial whenever the trial judge
    receives information which, objectively considered, “should have
    raised a doubt about the defendant’s competency and alerted him to
    the possibility that the defendant could neither understand the
    proceedings or appreciate their significance, nor rationally aid
    his attorney in his defense.”         Lokos v. Capps, 
    625 F.2d 1258
    , 1261
    (5th Cir. 1980).         “If the trial court receives evidence, viewed
    objectively, that should raise a reasonable doubt as to competency,
    yet fails to make further inquiry, this constitutes a denial of a
    36
    fair trial.”     Carter v. Johnson, 
    131 F.3d 452
    , 459 n.10 (5th Cir.
    1997).
    The state trial court conducted a jury trial on the issue of
    Patterson’s competency to stand trial on May 3 and 4, 1993, less
    than two months prior to his capital murder trial.        In order to
    show that the trial court abused its discretion in failing to
    conduct a second, mid-trial competency hearing, Patterson must
    identify facts known to the trial court at that time that would
    have suggested that Patterson’s mental status had deteriorated to
    the point that the jury’s prior finding of competency was no longer
    valid. See Drope v. Missouri, 
    420 U.S. 162
    , 181 (1975) (“Even when
    a defendant is competent at the commencement of his trial, a trial
    court must always be alert to circumstances suggesting a change
    that would render the accused unable to meet the standards of
    competence to stand trial.”); Reynolds v. Norris, 
    86 F.3d 796
    , 801
    (8th Cir. 1996) (“habeas petitioner has the burden to prove that
    objective facts known to the trial court raised a sufficient doubt
    to require a [mid-trial] competency hearing”).
    Patterson relies on the fact that he made frequent outbursts
    during the course of the trial that resulted in his removal from
    the courtroom.    He also points out that the state trial court was
    aware of additional evidence of his incompetency that was not
    available to the competency jury:      his testimony at the competency
    trial, which the competency jury was instructed to disregard, and
    his refusal to accept the State’s offer of a life sentence in
    37
    exchange for a plea of guilty.        Patterson argues that his inability
    to refrain from verbal outbursts during voir dire, his delusional
    insistence that his court-appointed counsel did not represent him,
    and his refusal to plead guilty should have alerted the trial court
    to the substantial possibility that Patterson was not competent to
    stand trial.
    The state habeas trial court found that Patterson’s behavior
    during the trial was not different from his behavior at the
    competency hearing less than two months earlier.                      The record
    supports that finding.          The district court held that the state
    court’s   decision     was    neither       contrary    to,    nor   involved    an
    unreasonable application of, clearly established federal law.                    We
    conclude that the district court’s assessment of this claim is
    neither debatable nor wrong. Because Patterson’s behavior at trial
    was   consistent    with     his   behavior     at     the    competency   hearing
    conducted less than two months earlier, reasonable jurists would
    not   find   it     debatable      whether      Patterson’s       condition     had
    deteriorated to the point that a renewed inquiry into competency
    was required.      We therefore deny a COA for this claim.
    3
    Incompetency to be Executed
    Finally, Patterson requests a COA for his claim that he is
    presently incompetent to be executed.            The Supreme Court has held
    that “the Eighth Amendment prohibits a State from carrying out a
    sentence of death upon a prisoner who is insane.”                          Ford v.
    38
    Wainwright, 
    477 U.S. 399
    , 409-10 (1986).          To be competent to be
    executed, a death row inmate must “know the fact of [his] impending
    execution and the reason for it.”              
    Id. at 422
     (Powell, J.,
    concurring).    “If the defendant perceives the connection between
    his crime and his punishment, the retributive goal of the criminal
    law is satisfied, and only if the defendant is aware that his death
    is approaching can he prepare himself for his passing.”          
    Id.
    When Patterson filed his state habeas application in May 1997,
    that was the only mechanism available under Texas law to raise the
    issue of his competency to be executed.         Accordingly, although an
    execution date had not been set at that time, Patterson raised the
    issue in his state habeas application.             At the state habeas
    hearing, Patterson acknowledged that he had been convicted of
    killing Louis Oates and Dorothy Harris and that the State intends
    to execute him by lethal injection for that offense.           The state
    habeas trial court found that Patterson’s mental illness “does not
    prevent [him] from knowing and realizing that he is under a death
    sentence for actions he took in taking the lives of his victims,”
    and concluded that “Petitioner is competent.”
    Patterson’s federal habeas petition also claimed that he was
    presently incompetent to be executed.         At the time Patterson filed
    his federal habeas petition, an execution date had been set, but
    the district court entered a stay of execution for the duration of
    the federal habeas proceedings.     The magistrate judge appointed a
    psychiatric    expert,   Dr.   Gripon,   to    evaluate   Patterson,   and
    39
    authorized funds for Patterson’s counsel to retain an expert, Dr.
    Rogers.    Patterson refused to submit to an evaluation by either
    expert. Both experts testified at the May 1999 federal evidentiary
    hearing that they could not determine definitively Patterson’s
    present competency to be executed, but that there was no indication
    that Patterson’s mental condition had changed since the state
    habeas evidentiary hearing.       Both experts agreed that Patterson’s
    refusal to cooperate in an evaluation was itself a product of his
    mental illness.
    The magistrate judge continued the hearing until August so
    that   Patterson   could   be   transferred   to   a   prison   psychiatric
    facility. Following his transfer, Patterson continued to refuse to
    cooperate with the experts.      When they attempted to interview him,
    he told them that he had received a permanent stay of execution,
    which they were endangering by attempting to interview him.
    At the August 1999 federal evidentiary hearing, Patterson
    stated that he had received a permanent stay of execution.              His
    counsel presented other evidence of his belief that he had received
    such a stay, including a letter in which Patterson stated that he
    had received a “full pardon.”        Dr. Rogers testified that, given
    Patterson’s elaborate delusional system, it is “certainly possible”
    that he believes he is going to be executed because of the
    implants, hell pledges and conspiracies against him, and not
    because he committed the murders.        Without being able to conduct a
    full evaluation, neither expert could say what Patterson meant by
    40
    his reference to a “permanent” stay of execution, or whether it was
    a manifestation of his delusional system.
    The district court rejected Patterson’s argument that his
    delusional understanding of how he came to be on death row prevents
    him   from   making   the   connection     between   his   conduct   and    his
    punishment.    The court concluded that Patterson’s belief that he
    has received a pardon or a “permanent” stay of execution is merely
    a mistake of fact about the duration of the stay granted by the
    district court and is insufficient to defeat the presumption that
    Patterson is competent to be executed. The district court rejected
    Patterson’s claim that, because his mental illness prevented the
    experts from evaluating his current competency, he cannot be
    executed so    long   as    there   are    additional   means   available    to
    ascertain his competency.      The district court feared that delaying
    execution for indefinite, long-term observation in cases where a
    petitioner refuses to cooperate with a competency examination would
    invite death row inmates to engage in such tactics in order to
    delay or prevent their execution.
    Patterson argues that he is incompetent to be executed because
    he cannot make a rational connection between his crime and his
    execution and, therefore, the retributive goal of criminal law will
    not be satisfied by executing him.         He asserts that his belief that
    he has been pardoned for innocence demonstrates that he lacks a
    factual understanding that he is to be executed, and that his
    belief cannot possibly be explained as a misapprehension of the
    41
    source and duration of the district court’s stay of execution.
    Patterson contends that the district court erred by denying his
    motion to require the State, as a condition of executing him, first
    to transfer him to a state mental health facility for a period of
    observation.          He also asserts that the district court ignored the
    fact that neither of the experts who tried to examine him believed
    that he was malingering, as well as the fact that both of the
    experts testified that his refusal to cooperate in an evaluation
    was itself a product of his mental illness.                  Patterson concludes
    that, under these circumstances, where there is a viable chance
    that he is incompetent to be executed, but the same delusional
    system that makes him incompetent also prevents his habeas counsel
    from proving it, it is intolerable under the Eighth Amendment to
    allow the State to execute him.
    On the other hand, the State counters that Patterson has
    failed     to        rebut,   by    clear     and   convincing    evidence,    the
    presumptively correct finding of the state courts that he is
    competent to be executed.               The State asserts that there is no
    evidence that Patterson’s mental status has changed, much less
    deteriorated to the point that the state courts’ assessment of his
    competency in 1998 is no longer valid.                    To the extent that new
    evidence    has       surfaced      regarding    Patterson’s   understanding    of
    whether he is going to be executed, the State asserts that a
    mechanism       in    Texas   law    exists   for   the   consideration   of   such
    evidence in the context of an impending execution, TEX. CODE CRIM.
    42
    PROC. ANN. art. 46.05 (effective September 1, 1999), and the federal
    courts should defer to that process, allowing the state courts to
    consider that      new    evidence       after   an   execution      date   has   been
    scheduled.    Finally, the State contends that, even assuming that
    Patterson’s refusal to submit to an evaluation is a product of his
    mental illness and that a definitive conclusion on his current
    competency cannot be reached without such an evaluation, a federal
    habeas court does not have the power to order that Patterson be
    transferred to a non-correctional mental health facility.
    Based    on   the    evidence       presented     at    the    federal    habeas
    evidentiary hearings, we conclude that reasonable jurists would
    find debatable Patterson’s competency to be executed. Accordingly,
    we grant his request for a COA for this claim.
    At the time of the state habeas evidentiary hearing, Patterson
    was competent to be executed:              He knew that he was going to be
    executed and the reason for it.             See Barnard v. Collins, 
    13 F.3d 871
    , 876-77    (5th      Cir.    1994)    (petitioner       was    competent   to    be
    executed   even    though       his   perception      of    the    reason   for     his
    conviction and pending execution was distorted by a delusional
    system in which he attributed anything negative that happened to
    him to a conspiracy of Asians, Jews, Blacks, homosexuals, and the
    Mafia); Garrett v. Collins, 
    951 F.2d 57
    , 59 (5th Cir. 1992)
    (petitioner who believed dead aunt would protect him from poisons
    and toxins in lethal injection was competent to be executed).
    43
    By   the    time   of   the   federal   habeas   evidentiary   hearing,
    Patterson’s delusions had evolved to the point that he apparently
    believed that he had received a “permanent” stay of execution and
    a “pardon for innocence.”            His letters indicate that he had, by
    that time, incorporated the district judge and his federal habeas
    counsel into his delusional system, believing them to be “hell
    workers.”         Because of Patterson’s refusal to cooperate in an
    evaluation, which refusal both experts testified was a product of
    his mental illness, neither expert could say what Patterson meant
    by a “permanent” stay of execution.            Patterson’s statement that he
    had been “pardoned for innocence” raises serious questions about
    his understanding, at that time, of the fact that he is going to be
    executed.
    The state courts have not had an opportunity to consider the
    evidence of Patterson’s competency that was presented at the
    federal habeas evidentiary hearings in 1999. Moreover, it has been
    more   than       three   years   since   those   hearings   were   conducted.
    Patterson’s execution was stayed by the district court, and no new
    execution date has been set.          Under these circumstances, the state
    courts should be given the opportunity to evaluate Patterson’s
    competency to be executed, in the light of the evidence presented
    at the federal evidentiary hearings, as well as any evidence of his
    condition in the intervening three years, when his execution is
    imminent. We therefore dismiss this claim, without prejudice. See
    Stewart v. Martinez-Villareal, 
    523 U.S. 637
    , 644-45 (1998) (Ford
    44
    claim raised for second time in subsequent federal habeas petition,
    when it is ripe because the execution is imminent, is not “second
    or successive” within the meaning of 
    28 U.S.C. § 2244
     when claim
    raised in first federal habeas petition was dismissed without
    prejudice as unripe); Swann v. Taylor, 
    173 F.3d 425
    , 
    1999 WL 92435
    ,
    at *17 (4th Cir. 1999) (dismissing without prejudice competency to
    be executed claim raised in first federal habeas petition because
    execution was not imminent).
    III
    For the foregoing reasons, we AFFIRM the denial of habeas
    relief on Patterson’s claims that he was incompetent to stand trial
    and that he received ineffective assistance of counsel at the
    guilt-innocence and punishment phases of trial; DENY a COA for
    Patterson’s claims that counsel rendered ineffective assistance of
    counsel at the competency trial and for his claim that he was
    denied due process when the trial court failed to conduct a mid-
    trial competency hearing; and GRANT a COA for Patterson’s claim
    that he is presently incompetent to be executed, but DISMISS that
    claim, without prejudice.
    AFFIRMED in part, and DISMISSED, in part; COA DENIED in part,
    and GRANTED in part.
    45