People v. Johnson , 235 Cal. App. 4th 80 ( 2015 )


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  • Filed 3/13/15
    CERTIFIED FOR PARTIAL PUBLICATION*
    IN THE COURT OF APPEAL OF THE STATE OF CALIFORNIA
    FIRST APPELLATE DISTRICT
    DIVISION ONE
    PEOPLE OF THE STATE OF
    CALIFORNIA,
    Plaintiff and Respondent,                A136573
    v.                                               (San Mateo County
    LAMAR JOHNSON,                                   Super. Ct. No. CIV-506664)
    Defendant and Appellant.
    In re LAMAR JOHNSON,                             A140310, A143775
    on Habeas Corpus.
    Lamar Johnson was involuntarily committed to a state mental hospital after a jury
    found him to be a sexually violent predator (SVP). He appealed, and he later filed two
    petitions for a writ of habeas corpus. We consolidated the actions after issuing orders to
    show cause. In his appeal, Johnson argues (1) insufficient evidence supports the jury’s
    determination that he is an SVP; (2) the jury was improperly instructed on the burden of
    proof; and (3) the Sexually Violent Predator Act (the SVPA or Act)1 is unconstitutional.
    In both habeas petitions, he argues that his commitment must be vacated because the
    *
    Pursuant to California Rules of Court, rules 8.1105(b) and 8.1110, this opinion is
    certified for publication with the exception of part II.A.
    1
    Welfare and Institutions Code, section 6600 et sequitur. All statutory references
    are to the Welfare and Institutions Code unless otherwise specified.
    1
    newest edition of the Diagnostic and Statistical Manual of Mental Disorders2 (DSM), a
    manual published by the American Psychiatric Association to identify criteria for the
    classification of mental disorders, does not allude to the psychiatric diagnosis upon which
    his commitment was based: “paraphilia[,] not otherwise specified, . . . with non-
    consenting persons.” We reject these arguments, affirm the judgment, and in the
    published portion of our decision deny the habeas petitions.
    I.
    BACKGROUND
    A.     The Statutory Background.
    Under the SVPA, a person who is found to be an SVP beyond a reasonable doubt
    by a unanimous jury may be involuntarily committed to a state mental hospital for an
    indefinite term. (§§ 6603, subd. (d), 6604.) The statute defines an SVP as “a person who
    has been convicted of a sexually violent offense against one or more victim and who has
    a diagnosed mental disorder that makes the person a danger to the health and safety of
    others in that it is likely that he or she will engage in sexually violent criminal behavior.”3
    (§ 6600, subd. (a)(1).)
    SVPs are entitled to have their mental condition examined once per year
    (§ 6604.9, subd. (a)), and they can obtain release in two ways. First, if the Department of
    State Hospitals (DSH) determines that the SVP’s diagnosed mental disorder “has so
    changed that the person is not likely to commit acts of predatory sexual violence while
    under supervision and treatment in the community,” the DSH must forward a report and
    2
    American Psychiatric Association, Diagnostic and Statistical Manual of Mental
    Disorders (5th ed. 2013) (sometimes referred to as the DSM-5).
    3
    As originally enacted (Stats. 1995, ch. 763, § 3), the SVPA set a two-year term
    of involuntary confinement that could be extended. (Former §§ 6600, subd. (a), 6604.)
    In 2006, California voters passed Proposition 83, which changed the term to be an
    indefinite period of commitment. (People v. McKee (2010) 
    47 Cal. 4th 1172
    , 1183-1184
    (McKee I).) In addition, although it originally required an SVP to have committed
    sexually violent offenses against two or more victims, the Act now requires only one
    victim. (§ 6600, subd. (a)(1).)
    2
    recommendation for conditional release, and the trial court must set a hearing to consider
    conditional release. (§ 6607.) Second, the SVP may petition the court for a conditional
    release with or without the concurrence of the DSH. (§ 6608, subd. (a).) Upon receiving
    a petition filed without the DSH’s concurrence, the court “shall endeavor whenever
    possible to review the petition and determine if it is based upon frivolous grounds and, if
    so, shall deny the petition without a hearing.” (Ibid.) If the court determines the petition
    is not frivolous, it must set a hearing. (§ 6608, subds. (b)(1) & (4), (c)(1).) If the SVP’s
    petition is denied, the SVP may not file a new application until one year has elapsed from
    the date of the denial. (§ 6608, subd. (j).)
    At a hearing to consider an SVP’s conditional release, the trial court must
    determine whether “it is likely that [the committed person] will engage in sexually
    violent criminal behavior due to his or her diagnosed mental disorder if under supervision
    and treatment in the community.” (§ 6608, subd. (g).) Ordinarily, the burden is on the
    SVP to prove by a preponderance of the evidence that conditional release is appropriate.
    (§ 6608, subd. (k).) But when the DSH issues a report stating that “conditional release to
    a less restrictive alternative is in the best interest of the person and that conditions can be
    imposed that would adequately protect the community,” the burden is on the state to
    prove by a preponderance of the evidence that conditional release is not appropriate.
    (Ibid.)
    Not surprisingly, the constitutionality of the SVPA and other states’ civil-
    commitment schemes has been challenged. Our state Supreme Court has upheld the
    SVPA against due process and equal protection challenges, and it did so by adopting the
    same analysis that applies under the United States Constitution. (Hubbart v. Superior
    Court (1999) 
    19 Cal. 4th 1138
    , 1152, fn. 19.) Under both the federal and state
    Constitutions, a finding of dangerousness alone is insufficient to justify an involuntary
    commitment. (Kansas v. Hendricks (1997) 
    521 U.S. 346
    , 356-357 (Hendricks); see
    Hubbart, at p. 1152, fn. 19.) Rather, a state can only involuntarily commit someone who
    has a “serious mental illness, abnormality, or disorder” that separates the person “from
    the dangerous but typical recidivist convicted in an ordinary criminal case.” (Kansas v.
    3
    Crane (2002) 
    534 U.S. 407
    , 413 (Crane).) “If . . . civil confinement were to become a
    mechanism for retribution or general deterrence, or if it were shown that mental
    abnormality is too imprecise a category to offer a solid basis for concluding that civil
    detention is justified, our precedents would not suffice to validate it.” (Hendricks, at
    p. 373 (conc. opn. of Kennedy, J.); see also Crane, at p. 412.)
    B.     The Factual Background.
    Between 1983 and 1992, Johnson committed sexually violent offenses against
    three victims. In 1984, he pleaded guilty to one count of assault with intent to commit
    rape (Pen. Code, §§ 220, 261) of a 24-year-old female. While he was awaiting
    sentencing for that crime, he raped a 15-year-old girl who lived in his apartment complex,
    and he later pleaded to unlawful sexual intercourse with a minor (Pen. Code, § 261.5).
    He served time in prison for those two convictions but was released on parole in May
    1985. In March 1992, Johnson sexually assaulted yet another woman, and he was
    subsequently convicted of two counts of rape (Pen. Code, § 261, subd. (a)) and one count
    each of assault with intent to commit sodomy (Pen. Code, §§ 220, 286), forcible oral
    copulation (Pen. Code, § 288a), and assault with intent to commit rape (Pen. Code,
    §§ 220, 261). He was sentenced to state prison for 36 years and remained incarcerated
    for over 17 years, but he was scheduled to be released on parole on June 28, 2011.
    The day before Johnson’s scheduled release date, the San Mateo County District
    Attorney petitioned to have Johnson committed to a state hospital as an SVP. A jury trial
    ensued, and four psychologists testified as experts: Deirdre D’Orazio, Ph.D., and Jesus
    Padilla, Ph.D., testified for the state, and Brian Abbott, Ph.D., and Christopher Heard,
    Ph.D., testified for Johnson.
    The state’s experts, Drs. D’Orazio and Padilla, diagnosed Johnson with
    “paraphilia[,] not otherwise specified, . . . with non-consenting persons.” We shall follow
    the lead of at least one of the experts who testified below and will refer to this diagnosis
    as “paraphilic coercive disorder.” The state’s experts relied on several factors in forming
    the diagnosis, and they generally described it as marked by sexual arousal or gratification
    involving nonconsenting persons persisting over a six-month period. Johnson did not
    4
    object to the introduction of this testimony, and his counsel cross-examined both
    doctors.4
    Johnson’s experts disagreed with the state’s experts about Johnson’s diagnosis.
    Dr. Abbott testified that, although it can be a valid diagnosis, paraphilic coercive disorder
    is very rare, was not listed in the then-current edition of the DSM, and is controversial
    within the scientific community. He opined that Johnson does not have the disorder, and
    he questioned the factors relied upon by the state’s experts in diagnosing Johnson with it.
    Dr. Heard testified that paraphilic coercive disorder does not exist and that an
    overwhelming majority of psychologists and psychiatrists has rejected it as a valid
    diagnosis. He further testified that, even if the disorder does exist, there is no consensus
    on its definition or diagnosis, and none of the factors on which the state’s experts relied
    to diagnose Johnson with the disorder had been validated by research. Dr. Heard opined
    that Johnson was motivated not by paraphilia but by anger toward women, which he
    expressed in a violent, antisocial manner.
    The edition of the DSM current at the time of Johnson’s trial was the text revision
    of the fourth edition, published in 2000.5 It states that “[t]he essential features of a
    Paraphilia are recurrent, intense sexually arousing fantasies, sexual urges, or behaviors
    generally involving 1) nonhuman objects, 2) the suffering or humiliation of oneself or
    one’s partner, or 3) children or other nonconsenting persons that occur over a period of at
    least 6 months.” This edition of the DSM identifies eight classifications of paraphilia and
    also references a residual category, “Paraphilia Not Otherwise Specified,” which includes
    paraphilias that are less frequently encountered. The state’s experts asserted that
    4
    The state’s experts also diagnosed Johnson with substance dependence and a
    personality disorder marked by narcissistic and antisocial traits. The Attorney General
    does not argue that these diagnoses provide an independent basis for Johnson’s
    commitment.
    5
    American Psychiatric Association, Diagnostic and Statistical Manual of Mental
    Disorders (4th ed., text rev. 2000) (sometimes referred to as the DSM-IV-TR).
    Throughout this opinion, references to the fourth edition of the DSM are to the text
    revision of the fourth edition unless otherwise indicated.
    5
    paraphilic coercive disorder falls within this residual category. After the trial, the
    American Psychiatric Association published a fifth edition of the DSM. The fifth
    edition’s description of paraphilia does not reference “nonconsenting persons” as did the
    fourth edition’s, and the fifth edition does not otherwise allude to paraphilic coercive
    disorder.6
    The experts also disagreed about Johnson’s risk of engaging in sexual violence if
    released. To assess Johnson’s risk of reoffense, Dr. D’Orazio used the Static-99R, an
    actuarial instrument based on studies of known sex offenders that identifies factors
    related to reoffense. Dr. D’Orazio also used another instrument, the Structured Risk
    Assessment, Forensic Version, to select a reference group for Johnson and place his
    Static-99R score in context. Based on these two instruments, Dr. D’Orazio concluded
    that he falls into a high-risk group and has characteristics in common with men who have
    reoffended at a rate of 21 to 28 percent over a 10-year period. Dr. Padilla also used the
    Static-99R, as well as factors listed in another guided clinical assessment instrument, the
    Stable-2007, to estimate that Johnson had a 15.8 percent risk of recidivism over the next
    five years and a 24.3 percent chance of recidivism over the next ten years.
    Johnson’s experts testified that his risk of reoffense was lower. Although, as did
    the state’s experts, Dr. Abbott used the Static-99R, he concluded that Johnson fell into
    the “routine corrections offender group,” which has a six percent chance of reoffense
    over a five-year period, with the chance declining about two to four percent per year.
    Unlike Dr. D’Orazio, Dr. Abbott did not use the Structured Risk Assessment, Forensic
    Version to select a reference group, stating the instrument was experimental, and its
    reliability has never been tested. Dr. Heard testified that the current rate of sexual
    6
    Prior to trial, the state moved to exclude any reference to the fifth edition of the
    DSM, which was in draft form at that time. The trial court granted the motion over an
    objection by Johnson that the exclusion would prevent him from adequately cross-
    examining the state’s experts regarding the validity of the diagnosis of paraphilic
    coercive disorder. The court reasoned that the draft DSM had not yet been adopted and
    was subject to change. On appeal, Johnson does not argue that this ruling provides an
    independent basis for reversal.
    6
    reoffense in the United States is seven percent and that Johnson’s risk was lower than that
    due to his age and declining sex drive. Dr. Heard did not use any sort of instrument or
    actuarial tool because he does not believe they provide accurate results.
    The jury unanimously found Johnson to be an SVP, and the trial court imposed an
    indeterminate commitment. Johnson then filed a motion to strike the indeterminate
    commitment and to be given a two-year commitment instead, asserting that being held
    indefinitely would violate his constitutional rights. The court denied the motion.
    II.
    DISCUSSION
    A.     Johnson’s Appeal.
    Johnson appeals his commitment on five grounds: (1) insufficient evidence was
    presented to find that he is an SVP; (2) the trial court erred in instructing on the state’s
    burden of proof; (3) the court erred by refusing to instruct that he should be presumed not
    to be an SVP; (4) the SVPA violates his equal protection rights; and (5) the SVPA
    violates the ex post facto and double jeopardy clauses of the United States Constitution.
    We discuss each of these arguments in turn.
    1.      The jury’s determination that Johnson is an SVP is supported by
    substantial evidence.
    Johnson contends there was insufficient evidence to support the jury’s finding that
    he is an SVP because the state’s experts failed to base their diagnoses on current
    psychological symptoms or behaviors and relied upon factors that were contradicted by
    undisputed facts.7 He also argues that the state failed to show that he is likely to commit
    sexually violent offenses in the future. We are not persuaded.
    In considering Johnson’s challenge to the sufficiency of the evidence, we apply
    the familiar substantial-evidence standard. (In re Ryan D. (2002) 
    100 Cal. App. 4th 854
    ,
    7
    Johnson does not contend that the state’s experts were unqualified or that their
    testimony on the existence of paraphilic coercive disorder was improperly introduced.
    Nor could he, since he did not object below to these experts’ qualifications or testimony.
    (See People v. Dowl (2013) 
    57 Cal. 4th 1079
    , 1089 [substantial-evidence challenge based
    on expert’s alleged inadequate qualifications is forfeited on appeal when defendant does
    not object to qualifications below].)
    7
    859.) In doing so, we must consider the entire record in the light most favorable to the
    judgment to determine whether it contains reasonable, credible, and solid evidence
    supporting the decision. “When the circumstances reasonably justify the jury’s findings,
    a reviewing court’s opinion that the circumstances might also be reasonably reconciled
    with contrary findings does not warrant reversal of the judgment.” (People v. Mendoza
    (2011) 
    52 Cal. 4th 1056
    , 1069.)
    As previously discussed, to establish that a person is an SVP, the state must prove
    that the person was convicted of a sexually violent offense against one or more victim
    and suffers from a currently diagnosed mental disorder that makes him or her a danger to
    the health and safety of others because it makes him or her likely to engage in sexually
    violent criminal behavior. (See § 6600, subd. (a).) To show that a person is a danger, the
    state need not offer “proof of a recent overt act while the offender is in custody.”
    (§ 6600, subd. (d).) But it does need to show “ ‘recent objective indicia of the
    defendant’s condition’ and ‘a recent objective basis for a finding that an inmate is likely
    to reoffend.’ ” (People v. Buffington (1999) 
    74 Cal. App. 4th 1149
    , 1161.)
    Johnson argues that insufficient evidence was presented to establish that he
    currently suffers from a diagnosed mental disorder making him a danger to others.
    Although he recognizes that the state’s experts testified that he has paraphilic coercive
    disorder, he argues that their opinions were unsupported because they were based on his
    decades-old convictions. He contends that no evidence postdating his last offense in
    1992 was presented to show he has a mental disorder. He points out that he has never
    been found with pornography depicting coercive sex and has made no statements
    reflecting an urge to engage in it. He also points out that his wife testified that the
    couple’s sex life was normal.
    But the state was not required to prove a recent overt act to establish that Johnson
    suffers from paraphilic coercive disorder. (§ 6600, subd. (d).) And the state’s experts
    testified that Johnson has the disorder, not simply that he had it years ago. Dr. D’Orazio
    testified it is unlikely that people who suffer from paraphilic coercive disorder will act
    out in a prison environment, and the disorder can manifest again after a latent period.
    8
    Dr. Padilla testified that paraphilic coercive disorder is typically a chronic disorder that
    can be managed but not cured. He also testified that Johnson denied committing rape,
    and denial impedes effective management of the disorder.8
    Furthermore, Drs. D’Orazio’s and Padilla’s diagnoses were based on factors other
    than Johnson’s convictions. The experts considered (1) the collective number of
    Johnson’s coercive sex acts; (2) the long pattern of his sexual violence, as evidenced by
    the length of time between the 1983 and 1992 offenses; (3) the rapidity with which
    Johnson reoffended after the first conviction; (4) his ability to sustain sexual arousal
    despite the distress and resistance of his victims; (5) his use of a higher level of force than
    necessary to gain compliance; (6) the availability of consensual sexual partners,
    indicating his preference for forcible sex; and (7) his advance planning of the assaults.
    The jury could have reasonably accepted the state’s experts’ testimony that these factors
    support a conclusion that Johnson suffers from a chronic disorder that renders him a
    continuing danger to others. (See People v. McCloud (2013) 
    213 Cal. App. 4th 1076
    , 1090
    [even though defendant did not exhibit difficulty controlling behavior in custody, state’s
    experts’ explanation that paraphilic coercive disorder is chronic and generally does not
    abate without intervention was substantial evidence of defendant’s inability to control
    behavior].)
    Johnson argues that some of the factors relied upon by the state’s experts were
    improperly applied to him.9 According to him, the third factor—rapidity of reoffense—
    8
    Johnson claims that he has now accepted full responsibility for his actions. The
    jury, however, had reason to be doubtful. Johnson testified that he said the following to
    Dr. D’Orazio about raping his third victim: “I didn’t know how to have remorse for a
    crime I felt like I may have not committed.” When asked if he still felt that way, Johnson
    testified that he had since decided that, even though he did not remember the incident, his
    third victim’s account of the rape was correct. This testimony hardly reflects a rousing
    acceptance of responsibility. In any event, as a reviewing court we cannot second-guess
    the jury’s credibility determinations. (People v. Verdugo (2010) 
    50 Cal. 4th 263
    , 308.)
    9
    Johnson briefly argues that the factors relied upon by the state’s experts have not
    “been validated by peer-reviewed studies.” But Drs. D’Orazio and Padilla testified that
    the factors were based on their understanding of the disorder and were supported by
    9
    was not shown because, although his first two offenses occurred in close proximity, his
    third offense did not occur until eight years after the second offense. But he was
    incarcerated for several years during this period, and he presumably had limited
    opportunity to reoffend during it. He also argues that the fourth factor—an ability to
    sustain sexual arousal despite a victim’s distress—was countered with evidence that he is
    able to sustain arousal with consenting sexual partners. Dr. Padilla, however, testified
    that people who have paraphilic coercive disorder can and do have consensual sex. In
    any event, the state’s experts never testified that each and every identified factor must be
    present to diagnose paraphilic coercive disorder. Accordingly, even if we decided that a
    particular factor lacked evidentiary support, we would not necessarily be able to conclude
    that the jury’s determination was unsupported.
    Johnson also maintains that insufficient evidence was presented that he is likely to
    reoffend. According to him, the Static-99R, the actuarial instrument administered by the
    state’s experts, shows that he has a low-to-moderate risk of recidivism. He asserts that
    the state’s experts should have stopped there, but instead proceeded improperly to
    interpret his Static-99R results using additional, unvalidated instruments, including the
    Structured Risk Assessment, Forensic Version and Stable 2007, which he argues showed
    an inappropriately high risk of reoffense. He also argues that he committed the offenses
    due to unresolved anger issues and that there is no evidence that these same motivations
    drive him today.
    These arguments are unconvincing. To begin with, Johnson had, and exercised,
    the opportunity to introduce contrary testimony from his own experts explaining the
    weaknesses in the state’s theories. The jury heard evidence from Drs. Abbott and Heard
    that the Structured Risk Assessment, Forensic Version and the Stable 2007 were
    unreliable, but it apparently found that testimony unpersuasive. Johnson also exercised
    the opportunity to cross-examine the state’s experts about the Static-99R and the other
    bases of their opinions. (See Evid. Code, § 721, subd. (a).)
    literature in the field and, as we previously mentioned, Johnson did not contest their
    expert qualifications.
    10
    We recognize that all of the experts calculated Johnson’s risk of reoffending to be
    less than 50 percent. But whether a person is likely to reoffend is not a strictly
    mathematical determination. (People v. Superior Court (Ghilotti ) (2002) 
    27 Cal. 4th 888
    ,
    921.) Even though the SVPA’s phrase “ ‘likely to engage in acts of sexual violence’ . . .
    connotes much more than the mere possibility that the person will reoffend . . . [,] the
    statute does not require a precise determination that the chance of reoffense is better than
    even. Instead, an evaluator applying this standard must conclude that the person is
    ‘likely’ to reoffend if, because of a current mental disorder which makes it difficult or
    impossible to restrain violent sexual behavior, the person presents a substantial danger,
    that is, a serious and well-founded risk, that he or she will commit such crimes if free in
    the community.” (Id. at p. 922, italics omitted.)
    The question for us is whether there was substantial evidence upon which the jury
    could have found that Johnson was likely to reoffend. We conclude there was. First,
    Johnson’s history of sexual violence is, in and of itself, meaningful evidence of a
    potential likelihood of reoffending. (See 
    Hendricks, supra
    , 521 U.S. at pp. 357-358
    [“ ‘[p]revious instances of violent behavior are an important indicator of future violent
    tendencies’ ”].) Second, the state’s experts found that Johnson shares characteristics with
    a group of others who have a high risk of reoffense. Third, the record shows that the
    experts relied upon scientific assessment tools in making their diagnoses and in
    evaluating the risk of reoffense, and they explained the factors they considered to be
    relevant. It was up to the jury to decide what weight to give the expert opinions. (See In
    re Scott (2003) 
    29 Cal. 4th 783
    , 823-824.)
    Ultimately, Johnson merely asks us to reweigh the evidence, something that we as
    an appellate court cannot do. (See People v. Lindberg (2008) 
    45 Cal. 4th 1
    , 27.) The
    state’s experts here testified at length about the bases of their diagnoses and relied on
    DSM diagnostic criteria and other actuarial tools designed to predict the risk of reoffense.
    And Johnson was able to cross-examine the state’s witnesses and present his own expert
    testimony on these issues. “Any professional debate over the viability and reliability of
    [paraphilic coercive disorder] is subject to the adversarial process which, by vigorous
    11
    cross-examination, would ‘expose the strengths and weaknesses of the professional
    medical opinions offered’ in reaching a considered legal determination as to whether a
    respondent suffers a mental abnormality . . . .” (State v. Shannon S. (N.Y. 2012)
    
    980 N.E.2d 510
    , 514; but see generally State v. Donald DD. (N.Y. 2014) 
    21 N.E.3d 239
    .)
    Although an expert’s opinion cannot be based on guess, surmise, or conjecture, we
    cannot conclude on this record that the state’s experts’ opinions were so based.
    (Lockheed Martin Corp. v. Superior Court (2003) 
    29 Cal. 4th 1096
    , 1110; see also
    People v. Stoll (1989) 
    49 Cal. 3d 1136
    , 1154 [“No precise legal rules dictate the proper
    basis for an expert’s journey into a patient’s mind to make judgments about his
    behavior”].) We conclude that substantial evidence supports the jury’s finding that
    Johnson is an SVP.
    2.    The jury was properly instructed on the state’s burden of proof.
    Johnson argues that the trial court’s instruction on the burden of proof violated his
    due process rights. Specifically, he challenges the use of CALCRIM No. 3454, which, as
    given, provided in relevant part: “The petition alleges that Lamar Johnson is an SVP. To
    prove this allegation, the People must prove beyond a reasonable doubt that [1] he has
    been convicted of committing sexually violent offenses against one or more
    victims[; 2] [h]e has a diagnosed mental disorder[;] and [3] as a result of that diagnosed
    mental disorder, he is a danger to the health and safety of others because it is likely that
    he will engage in sexually violent predatory criminal behavior. [¶] . . . [¶] The likelihood
    that the person will engage in such conduct does not have to be greater than 50 percent.”
    Johnson argues that the instruction’s statement on the likelihood of reoffense
    confused the jury about the state’s burden of proof. According to him, the statement
    suggested that the state’s burden was less than a preponderance of the evidence when it
    was actually proof beyond a reasonable doubt. The Attorney General responds that
    Johnson forfeited the issue by failing to raise it below and that the instruction was proper
    in any event.
    We begin by rejecting the Attorney General’s forfeiture argument. We recognize
    that a party’s failure to request a clarifying instruction generally forfeits that claim on
    12
    appeal. (People v. Young (2005) 
    34 Cal. 4th 1149
    , 1202-1203.) But, “[e]ven in the
    absence of a request, a trial court must instruct on general principles of law that are
    commonly or closely and openly connected to the facts before the court and that are
    necessary for the jury’s understanding of the case.” (People v. Mayfield (1997)
    
    14 Cal. 4th 668
    , 773.) Moreover, a failure to object to an instruction does not result in a
    forfeiture when the alleged error affects the defendant’s “substantial rights.” (People v.
    Anderson (2007) 
    152 Cal. App. 4th 919
    , 927.) We conclude that there was no forfeiture
    here because a clear statement of the state’s burden of proof was necessary for the jury’s
    understanding of the case and because an instruction improperly reducing the state’s
    burden of proof would impact Johnson’s substantial rights.
    Turning to the merits of the argument, we observe that the Sixth District Court of
    Appeal rejected an identical challenge to a similar instruction in People v. Hubbart
    (2001) 
    88 Cal. App. 4th 1202
    . The court reasoned that the instruction “d[id] not state or
    imply that the phrase ‘likely that he will engage in sexually violent criminal behavior’ is
    the standard of proof for the ultimate SVPA determination.” (Id. at p. 1233.) It also
    observed that the instructions “provide[d] a detailed definition of the phrase ‘reasonable
    doubt,’ thereby further emphasizing that reasonable doubt is the standard the jury must
    apply.” (Ibid.) The court concluded that “any reasonable jury would be entirely capable
    of separating the criteria of finding it ‘likely’ that the person will engage in sexually
    violent criminal behavior from the standard of proof of ‘beyond a reasonable doubt.’ ”
    (Ibid.)
    Johnson contends that People v. 
    Hubbart, supra
    , 
    88 Cal. App. 4th 1202
    was
    wrongly decided, arguing that a typical juror would not understand that the reasonable
    doubt standard is higher than a preponderance of the evidence. We disagree. “We
    must . . . assume that the jurors are intelligent persons and capable of understanding and
    correlating all jury instructions which are given.” (People v. Yoder (1979)
    
    100 Cal. App. 3d 333
    , 338.) As the trial court instructed the jury on the meaning of proof
    beyond a reasonable doubt, we must assume that the jurors understood the difference
    between that standard and the standard applicable to the likelihood that Johnson would
    13
    reoffend. Considering the jury instructions as a whole and reading the challenged
    instruction in context, we conclude there is no “reasonable likelihood the jury applied the
    challenged instruction in an impermissible manner.” (People v. Wilson (2008) 
    44 Cal. 4th 758
    , 803.)
    3.     A jury instruction on the presumption of innocence was not required.
    Johnson argues that the trial court improperly excluded references to the
    presumption of innocence and erred in refusing to instruct the jury that he was presumed
    not to be an SVP. Again, we disagree.
    At trial, the state moved to exclude any reference to a presumption that Johnson is
    not an SVP. The trial court granted the motion, rejecting Johnson’s argument that the
    SVPA and the California Constitution required an instruction that he is presumed not to
    be an SVP until proven otherwise.
    The trial court’s ruling was predicated on People v. Beeson (2002) 
    99 Cal. App. 4th 1393
    (Beeson), in which the defendant challenged his continued involuntary commitment
    as a mentally disordered offender (MDO) under the MDO Act, Penal Code section 2960
    et sequitur. In Beeson, the court held that the federal and state Constitutions do not
    “require a presumption-of-innocence-like instruction” in MDO proceedings. (Id. at
    pp. 1409-1411.) The court reasoned that civil commitment proceedings do not implicate
    the constitutional rights afforded to criminal defendants and that “the risk of error is
    qualitatively different in the context of a civil commitment hearing” (id. at p. 1407)
    because the “ ‘layers of professional review and observation of the patient’s condition . . .
    provide continuous opportunities for an erroneous commitment to be corrected.’ ” (Id. at
    p. 1410, quoting Addington v. Texas (1979) 
    441 U.S. 418
    , 428-429.) The court
    concluded that the Fourteenth Amendment merely requires the application of the clear-
    and-convincing standard at civil commitment hearings, and the state’s decision to impose
    the higher, reasonable-doubt standard did not trigger a right to a presumption-of-
    innocence instruction. (Beeson, at p. 1409.)
    Johnson argues that 
    Beeson, supra
    , 
    99 Cal. App. 4th 1393
    is flawed and
    inapplicable in the SVPA context. He first contends that the SVPA’s beyond-a-
    14
    reasonable-doubt standard is inextricably intertwined with the principle that a person is
    presumed not to be an SVP. We are not convinced. Even in criminal trials, the failure to
    give a requested instruction on the presumption of innocence does not necessarily violate
    the federal Constitution. (Kentucky v. Whorton (1979) 
    441 U.S. 786
    , 789.) Moreover,
    civil commitment proceedings are not criminal or punitive, and the constitutional
    principles applicable to criminal defendants do not necessarily apply. (See Addington v.
    
    Texas, supra
    , 441 U.S. at pp. 427-431 [beyond-a-reasonable-doubt standard not
    constitutionally required in civil commitment cases].)
    Second, Johnson argues that the legislature intended the presumption-of-innocence
    instruction to apply in the SVPA context. He reasons that statutes should be interpreted
    by assuming that the legislature is aware of judicial determinations and points out that,
    prior to the SVPA’s enactment, California courts held that former section 5352, an
    analogous provision of the Lanterman-Petris-Short Act, required an instruction that a
    proposed conservatee is presumed to not be gravely disabled until the state carries its
    burden of proof. (See Conservatorship of Law (1988) 
    202 Cal. App. 3d 1336
    , 1340;
    Conservatorship of Walker (1987) 
    196 Cal. App. 3d 1082
    , 1099.) We agree with the
    Attorney General that this is not an issue of statutory interpretation since the SVPA does
    not require any kind of jury instruction regarding presumptions about SVP status. Even
    if we considered it to be a matter of statutory interpretation, courts have reevaluated the
    application of criminal procedural safeguards to civil commitment proceedings since
    Walker and Law were decided over 25 years ago. (See 
    Beeson, supra
    , 99 Cal.App.4th at
    pp. 1404-1405.) Moreover, the SVPA has been amended several times since Beeson was
    decided in 2002, and none of those amendments requires an instruction on presumption.
    (See, e.g., Stats. 2006, ch. 337, § 55; Stats. 2012, ch. 24, § 143.)
    Third, Johnson contends that, unlike the MDO statute at issue in 
    Beeson, supra
    ,
    
    99 Cal. App. 4th 1393
    , the SVPA does not provide adequate opportunities to correct
    erroneous commitments. We disagree. Although an SVP’s options for seeking release
    are restricted, they are sufficient to differentiate involuntary commitment under the
    SVPA from criminal incarceration. As discussed above, committed SVPs are entitled to
    15
    an examination of their current mental condition once per year. (§ 6604.9, subd. (a).)
    The DSH may forward a report and recommendation for conditional relief if it
    determines that the committed person is no longer likely to commit acts of sexual
    violence (§ 6607), and the committed person may petition for conditional release once
    per year. (§ 6608, subd. (j).) And at any hearing on conditional release, the committed
    person has the right to the assistance of counsel and the appointment of experts. (§ 6608,
    subds. (a) & (g).)
    Accordingly, we hold that the trial court did not err by failing to instruct the jury
    that Johnson was presumed not to be an SVP until the state proved otherwise beyond a
    reasonable doubt.
    4.     Johnson’s equal protection challenge is unavailing.
    Johnson argues that the SVPA violates the equal protection clauses of the federal
    and state Constitutions because it treats SVPs less favorably than persons civilly
    committed under the MDO Act and persons civilly committed under Penal Code section
    1026 after pleading not guilty by reason of insanity and being acquitted of criminal
    charges (NGIs). He focuses on two differences between the treatment of SVPs on the
    one hand and MDOs and NGIs on the other. We conclude that neither difference
    supports a facial equal protection challenge.
    First, Johnson focuses on section 6608, subdivision (a), which allows committed
    SVPs to petition a trial court for discharge without the recommendation or concurrence of
    the DSH. Upon receipt of such a petition, the court must “endeavor whenever possible to
    review the petition and determine if it is based upon frivolous grounds and, if so, shall
    deny the petition without a hearing.” (§ 6608, subd. (a).) Johnson argues that the
    provision violates his equal protection rights because courts cannot summarily deny the
    petitions of similarly situated MDOs and NGIs without a hearing.
    The Attorney General argues that Johnson’s challenge to section 6608 is not ripe
    because the record does not show that he has petitioned for release under the statute.
    “The ripeness requirement . . . prevents courts from issuing purely advisory opinions. It
    is rooted in the fundamental concept that the proper role of the judiciary does not extend
    16
    to the resolution of abstract differences of legal opinion . . . [and] is primarily bottomed
    on the recognition that judicial decision-making is best conducted in the context of an
    actual set of facts so that the issues will be framed with sufficient definiteness to enable
    the court to make a decree finally disposing of the controversy.” (Pacific Legal
    Foundation v. California Coastal Com. (1982) 
    33 Cal. 3d 158
    , 170.) The ripeness
    doctrine, however, should not prevent courts from adjudicating matters where: (1) the
    dispute is concrete and appropriate for immediate resolution and (2) delayed resolution
    would present a hardship to the parties. (Id. at pp. 170-173.) We agree that Johnson’s
    complaints are too abstract to warrant immediate resolution since Johnson has yet to
    petition for his release. If he files such a petition, the DSH may support it and the trial
    court would then be required to hold a hearing. But even if the DSH failed to support
    such a petition, the court could still set a hearing. In either case, the challenged provision
    would not be triggered.
    Rejecting Johnson’s equal protection challenge as unripe does not preclude review
    in the future. If Johnson petitions for release and the trial court summarily denies the
    petition as frivolous, he may appeal the dismissal on equal protection grounds. (See
    People v. Olsen (2014) 
    229 Cal. App. 4th 981
    , 994.) Accordingly, we decline to reach the
    merits of his equal protection challenge to section 6608, subdivision (a) as the issue is not
    ripe.10
    Johnson’s second equal protection challenge concerns SVPs’ indefinite terms of
    commitment and their burden of proof in seeking release. To obtain conditional release
    from indefinite commitment, an SVP must petition the trial court. (§ 6608, subd. (a).) If
    the DSH does not agree that conditional release is appropriate, the SVP bears the burden
    of proving by a preponderance of the evidence that it is. (§ 6608, subd. (k).) In contrast,
    10
    In People v. 
    McCloud, supra
    , 
    213 Cal. App. 4th 1076
    , our colleagues in Division
    Two concluded the same equal protection claim was not “wholly without merit” and
    remanded to the trial court for further factual findings. (Id. at p. 1088.) Whether the
    claim was ripe, however, was not addressed, and decisions are not authority for points
    they do not consider. (People v. Barragan (2004) 
    32 Cal. 4th 236
    , 243.)
    17
    the MDO statute only provides for a commitment of one year. (Pen. Code, § 2970,
    subd. (b).) If the state wishes to extend an MDO’s term, a hearing must be held and the
    state must prove beyond a reasonable doubt that the person still qualifies as an MDO.
    (Pen. Code, § 2972.) Similarly, the initial commitment term for an NGI is two years, and
    the term may be extended only if the state proves beyond a reasonable doubt that the NGI
    continues to meet the statutory criteria. (Pen. Code, § 1026.5, subd. (b)(8).) Johnson
    argues that the additional burdens imposed by the SVPA commitment scheme violate his
    equal protection rights.
    This is not the first time this issue has been raised. In McKee 
    I, supra
    , 47 Cal.4th
    at pp. 1203, 1207, our state Supreme Court determined that, for purposes of the equal
    protection clause, SVPs are similarly situated to MDOs and NGIs. The court then
    remanded the case to the trial court for an evidentiary hearing to determine whether there
    were legitimate reasons to subject SVPs, but not MDOs and NGIs, to indefinite
    commitments. (Id. at p. 1208.) On remand, and following a 21-day evidentiary hearing,
    the trial court concluded that the People had met their burden of justifying the disparate
    treatment. (People v. McKee (2012) 
    207 Cal. App. 4th 1325
    , 1330, 1332 (McKee II).)
    The Fourth District Court of Appeal affirmed (id. at pp. 1348, 1350), and the Supreme
    Court denied McKee’s petition for review on October 10, 2012, S204503.
    Johnson argues at length that McKee I
    I, supra
    , 
    207 Cal. App. 4th 1325
    was
    incorrectly decided. But as explained by our colleagues in Division Three in People v.
    McKnight (2012) 
    212 Cal. App. 4th 860
    , 863-864 (McKnight), the Supreme Court
    “transferred . . . multiple ‘grant and hold’ cases under McKee I . . . to the Courts of
    Appeal with directions to vacate their prior opinions and suspend further proceedings
    until the McKee I remand proceedings were final . . . . On remand, McKee [II] concluded
    that differences between SVP’s as a class and other offenders justify their different
    treatment under the Act. It is plain that McKee II is not to be restricted to [defendant]
    alone . . . , but rather its holding applies to the class of SVP’s as a whole.” (Ibid., italics
    omitted.) The Supreme Court denied review in McKnight on March 13, 2013, S208182,
    18
    and it has since denied review in other cases that also found McKee II dispositive on the
    equal protection issue.11
    We agree with the Fourth District’s equal protection analysis in McKee I
    I, supra
    ,
    207 Cal.App.4th at pp. 1339-1347, and we thus conclude that Johnson’s indeterminate
    commitment under the SVPA does not violate his rights to equal protection.
    5.     Johnson’s ex post facto and double jeopardy challenges are barred
    by our state Supreme Court precedent.
    Johnson asserts that the SVPA is punitive in intent and effect and thus runs afoul
    of the ex post facto and double jeopardy clauses of the United States Constitution.
    Johnson concedes that our state Supreme Court rejected this same argument in McKee 
    I, supra
    , 47 Cal.4th at pp. 1193-1195, but he states that he wishes to preserve the arguments
    in the event he seeks federal habeas relief. Given controlling Supreme Court precedent,
    his claim fails. (Auto Equity Sales, Inc. v. Superior Court (1962) 
    57 Cal. 2d 450
    , 455.)
    B.     Johnson’s Habeas Petitions.
    Having rejected the arguments Johnson raises in his appeal, we turn to his
    petitions for habeas corpus. In the first, he contends that the state’s case is completely
    undermined by two pieces of newly discovered evidence—specifically, the fifth edition
    of the DSM, which was published in May 2013, and the declaration of Allen
    Frances, M.D., which was submitted with the petition. In the second, he claims that the
    revisions to the DSM undermine the state’s experts’ testimony and render it “false
    evidence” under Penal Code section 1473 (section 1473). Essentially, both petitions ask
    us to conclude, in the context of a case in which competing expert testimony on the
    subject was presented without objection, that paraphilic coercive disorder can no longer
    be considered a valid mental disorder. We decline to do so.
    11
    People v. Gray (2014) 
    229 Cal. App. 4th 285
    , 291-292, petition for review denied
    November 12, 2014, S221708; People v. Kisling (2014) 
    223 Cal. App. 4th 544
    , 547-548,
    petition for review denied April 23, 2014, S216859; People v. McDonald (2013)
    
    214 Cal. App. 4th 1367
    , 1378, petition for review denied July 10, 2013, S210417;
    People v. Landau (2013) 
    214 Cal. App. 4th 1
    , 48, petition for review denied May 22,
    2013, S209450; People v. 
    McCloud, supra
    , 213 Cal.App.4th at p. 1079, petition for
    review denied May 22, 2013, S208845.
    19
    We begin by observing that, in general, a person involuntarily committed under
    the SVPA may challenge the confinement through a petition for writ of habeas corpus.
    (§ 7250; People v. Allen (2008) 
    44 Cal. 4th 843
    , 859; People v. Talhelm (2000)
    
    85 Cal. App. 4th 400
    , 405.) The restrictions on bringing the writ are typically discussed in
    the context of challenges to criminal imprisonment, but they apply equally to challenges
    to civil commitments. Important among these restrictions is that the writ does not lie “to
    retry issues of fact or the merits of a defense, . . . and the sufficiency of the evidence to
    warrant the [jury’s determination] is not a proper issue for consideration.” (Ex parte
    Lindley (1947) 
    29 Cal. 2d 709
    , 723.) And when a habeas petition is based on a claim of
    newly discovered evidence, “[i]t is not sufficient that the evidence might have weakened
    the prosecution’s case or presented a more difficult question for the judge or jury.” (In re
    Clark (1993) 
    5 Cal. 4th 750
    , 766.) Rather, newly discovered evidence justifies habeas
    relief only when it completely undermines the entire structure of the state’s case. (In re
    Hall (1981) 
    30 Cal. 3d 408
    , 421-423.)
    A habeas petition may also be based on a claim that “[f]alse evidence that is
    substantially material or probative on the issue of guilt or punishment was introduced
    against a person[.]” (Pen. Code, § 1473, subd. (b)(1).) The legislature recently amended
    section 1473 to expand the definition of false evidence to “include opinions of experts
    that have either been repudiated by the expert who originally provided the opinion at a
    hearing or trial or that have been undermined by later scientific research or technological
    advances.” (Pen. Code, § 1473, subd. (e)(1); Stats. 2104, ch. 623, § 1.) Thus, both of
    Johnson’s petitions ultimately turn on whether the new version of the DSM undermines
    the validity of a diagnosis of paraphilic coercive disorder.
    Being an extraordinary remedy, the writ is not available when an alternative
    remedy is. (In re 
    Clark, supra
    , 5 Cal.4th at p. 764, fn. 3.) Seizing on this principle, the
    Attorney General argues that Johnson’s petitions must be denied because Johnson could
    argue in a section 6608 proceeding that the fifth edition of the DSM requires his release.
    We are not persuaded. A section 6608 proceeding does not provide Johnson with an
    adequate remedy because of the nature of both his claims, which involve whether the
    20
    fifth edition renders invalid the diagnosis upon which his commitment under the SVPA is
    premised. If this were found to be true, the alternative remedy of a conditional release
    under section 6608 would be inadequate because it would require him to continue
    supervision under a “forensic conditional release program” for at least a year, and it
    would require him to petition for an unconditional release. (§ 6608, subds. (g) & (m).) If
    Johnson truly never had a mental disorder qualifying him as an SVP, he would not
    properly be subject to these restraints (even though he still would properly be required to
    fulfill any remaining parole obligations).12 Accordingly, section 6608 does not provide
    Johnson with an adequate alternative remedy.
    We now turn to the merits of Johnson’s petitions. According to Johnson, the
    drafters of the fifth edition of the DSM rejected a proposal from certain groups to clarify
    the fourth edition’s language by including a specific diagnosis for paraphilic coercive
    disorder. He points out that the drafters also removed the passage in the fourth edition
    concerning nonconsenting persons and did not mention paraphilic coercive disorder when
    discussing conditions needing further research before being identified as official
    diagnoses.13 Johnson contends that the upshot of these changes is that paraphilic coercive
    disorder can no longer be considered a valid mental disorder under the SVPA. Although
    we accept that the fifth edition may cast additional doubt on the validity of paraphilic
    coercive disorder, we cannot agree that it completely undermines the state’s case or
    renders the state’s experts’ testimony false evidence.
    The federal constitution does not require an SVP’s commitment to be based on a
    disorder that is uniformly recognized by the mental health community. In Hendricks,
    12
    Section 6608 might provide an adequate remedy in some situations, such as
    where newly discovered evidence establishes that the SVP is no longer likely to reoffend.
    If accepted, such evidence would only justify a conditional release, and the section 6608
    remedy therefore would be adequate.
    13
    The fifth edition of the DSM still references a residual category of paraphilias,
    noting that “[m]any dozens of distinct paraphilias have been identified and named, and
    almost any of them could, by virtue of its negative consequences for the individual and
    for others, rise to the level of a paraphilic 
    disorder.” 21 supra
    , 
    521 U.S. 346
    , the United States Supreme Court rejected the argument that
    Kansas’s SVP Act violated due process because it allowed commitment based on a
    “ ‘mental abnormality[,]’ . . . a term coined by the Kansas Legislature, rather than by the
    psychiatric community.” (Id. at pp. 357, 359.) The court observed, “[W]e have never
    required State legislatures to adopt any particular nomenclature in drafting civil
    commitment statutes. . . . As a consequence, the States have, over the years, developed
    numerous specialized terms to define mental health concepts. Often, those definitions do
    not fit precisely with the definitions employed by the medical community,” which the
    court concluded was permissible. (Id. at p. 359.)
    The Supreme Court later reaffirmed this principle in 
    Crane, supra
    , 
    534 U.S. 407
    ,
    another case involving Kansas’s SVP Act. The court rejected the argument that the
    statute required the state to prove an offender had a total or complete lack of control over
    his or her dangerous behavior. (Id. at pp. 412-413.) It also concluded that an offender
    could not be committed without any lack-of-control determination. (Id. at p. 413.)
    Although an alternative standard might be more precise, “the Constitution’s safeguards of
    human liberty in the area of mental illness and the law are not always best enforced
    through precise bright-line rules.” (Ibid.) The court reasoned that “the States retain
    considerable leeway in defining the mental abnormalities and personality disorders that
    make an individual eligible for commitment” and that “the science of psychiatry, which
    informs but does not control ultimate legal determinations, is an ever-advancing science,
    whose distinctions do not seek precisely to mirror those of the law.” (Ibid.)
    Following Hendricks and Crane, the Seventh Circuit Court of Appeals discussed
    the definitiveness of the DSM in particular in McGee v. Bartow (7th Cir. 2010) 
    593 F.3d 556
    . The petitioner in McGee challenged his involuntary civil commitment under an
    SVP statute, arguing that paraphilic coercive disorder was an invalid disorder because it
    was not specifically listed in the fourth edition of the DSM. (McGee, at p. 574.) The
    court ruled, “[W]e cannot adopt any rule that asks the DSM to do what the text itself
    professes that it was not intended to do: answer ultimate legal questions or create a
    perfect fit between law and medicine in the realm of involuntary civil commitment.” (Id.
    22
    at p. 576.) The court observed that regardless whether a diagnosis is accepted by the
    DSM, “the factfinder has the ultimate responsibility to assess how probative a particular
    diagnosis is on the legal question of the existence of a ‘mental disorder’; the status of the
    diagnosis among mental health professionals is only a step on the way to that ultimate
    legal determination.” (Id. at p. 577, italics in original.) The existence of a professional
    debate over paraphilic coercive disorder does not mean that the diagnosis is “ ‘too
    imprecise a category’ ” such that it runs afoul of due process. (Id. at p. 570, quoting
    
    Hendricks, supra
    , 521 U.S. at p. 373 (conc. opn. of Kennedy, J.).) McGee concluded that
    “a finding of a ‘mental disorder’ does not violate due process even though the predicate
    diagnosis is not found within the four corners of the DSM.” (McGee, at p. 576.)
    We agree with these observations and conclusions and consider them to be equally
    applicable to the DSM’s fifth edition. Even if the fifth edition reflects a growing
    skepticism in the psychiatric community about paraphilic coercive disorder, we cannot
    conclude that a commitment based on that disorder violates due process, thereby
    completely undermining the state’s case against Johnson. Similarly, we also cannot
    conclude that the fifth edition reflects scientific research that undermines expert
    testimony diagnosing that disorder and renders that testimony false evidence.14
    Our holding might be different if the SVPA required an SVP’s mental disorder to
    be specifically mentioned in the DSM. But it does not. The SVPA does not refer to the
    DSM, much less require an SVP’s mental disorder be listed in it. (See § 6600,
    subd. (a)(1) [an SVP is someone with a “diagnosed mental disorder that makes the person
    a danger to the health and safety of others”].) Even the Court of Appeals of New York,
    one of the courts most wary of basing an involuntary civil commitment on a diagnosis of
    paraphilic coercive disorder, accepts that under its state’s civil-commitment statute “a
    mental abnormality ‘need not necessarily be one so identified in the DSM’ ” since the
    14
    Courts in other states have continued to recognize paraphilic coercive disorder
    as a valid diagnosis despite the publication of the fifth edition of the DSM. (See, e.g., In
    re Detention of Melcher (Ill.Ct.App. 2013) 
    2 N.E.3d 1181
    , 1193-1195; In re Cozart
    (Mo.Ct.App. 2014) 
    433 S.W.3d 483
    , 490.)
    23
    statute “does not reference or require that a diagnosis be limited to mental disorders
    enumerated within the DSM.” (State v. Shannon 
    S., supra
    , 980 N.E.2d at pp. 513-514.)
    As for Dr. Frances’s declaration, it cannot even be considered newly discovered
    evidence or “later scientific research.” (Pen. Code, § 1473, subd. (e)(1).) Dr. Frances is
    a professor emeritus of psychiatry at Duke University and was the chair of the Task Force
    that formulated the original fourth edition of the DSM. In his declaration, he states that
    the American Psychiatric Association has, over the past 24 years, consistently rejected
    the notions that the compulsion to rape could be conceived of as a mental illness and that
    the diagnosis of paraphilic coercive disorder should be used in forensic proceedings. He
    also opines, “It is obvious that Mr. Johnson is no more than a common criminal whose
    sexual violence was not due to a mental disorder and that he does not qualify for any
    diagnosis of Paraphilia.” But other than its passing references to the fifth edition of the
    DSM, the declaration simply elaborates upon the testimony of Johnson’s experts below,
    who also questioned the legitimacy of a diagnosis of paraphilic coercive disorder. The
    declaration does not support Johnson’s claims based on newly discovered evidence and
    false evidence.
    We think it worth reiterating that the validity of paraphilic coercive disorder was
    fully litigated at Johnson’s trial. Johnson did not object to the introduction of the state’s
    experts’ testimony on the subject, and he was able to cross-examine those experts and
    24
    present the testimony of his own experts.15 (See Brown v. Watters (7th Cir. 2010)
    
    599 F.3d 602
    , 612 [conclusion that diagnosis of paraphilic coercive disorder is acceptable
    is “strengthened where, as here, able assistance of counsel actually did expose the
    professional debate to the jury and substantial contrary professional opinions were
    offered”], italics in original.) Although the fifth edition of the DSM and Dr. Frances’s
    testimony might have bolstered Johnson’s arguments if introduced at trial, they do not
    completely undermine the state’s case or render the state’s experts’ testimony false
    evidence. Regardless of the publication of the DSM’s fifth edition, the record before us
    includes substantial evidence that paraphilic coercive disorder is a legitimate diagnosis
    and that Johnson suffers from it.
    III.
    DISPOSITION
    The judgment is affirmed, and the petitions for a writ of habeas corpus are denied.
    15
    Because the testimony about paraphilic coercive disorder was introduced
    without objection, we need not decide how questions about the admissibility of expert
    testimony on that disorder should be handled by a trial court. Suffice it to say that the
    admissibility of expert testimony in California is typically evaluated under Evidence
    Code section 801, which requires the testimony to be related “to a subject that is
    sufficiently beyond common experience that the opinion of an expert would assist the
    trier of fact” and to be “of a type that reasonably may be relied upon by an expert in
    forming an opinion upon the subject.” In California, the admissibility of expert
    testimony about the diagnosis of mental conditions, including those not referenced in the
    DSM, is not governed by the Kelly/Frye test, which arose from Frye v. United States
    (D.C. Cir. 1923) 
    293 F. 1013
    and was adopted for use in California courts in People v.
    Kelly (1976) 
    17 Cal. 3d 24
    . (People v. McDonald (1984) 
    37 Cal. 3d 351
    , 373; People v.
    Ward (1999) 
    71 Cal. App. 4th 368
    , 373.) The Kelly/Frye test requires a party seeking to
    introduce expert testimony relying on “a new scientific technique” to show “general
    acceptance of the new technique in the relevant scientific community” and the witness’s
    qualification as an expert and use of “the correct scientific procedures” in employing the
    technique. (Kelly, at p. 30.)
    25
    _________________________
    Humes, P.J.
    We concur:
    _________________________
    Margulies, J.
    _________________________
    Dondero, J.
    People v. Johnson (A136573, A140310, A143775)
    26
    Trial Court:              San Mateo County Superior Court
    Trial Judge:              Honorable Robert Atack
    Counsel for Appellant:    Michele Kemmerling, under appointment by the First
    District Appellate Project
    Counsel for Respondent:   Kamala D. Harris, Attorney General, Dane R. Gillette,
    Chief Assistant Attorney General, Gerald A. Engler,
    Senior Assistant Attorney General, Lawrence K.
    Sullivan, Supervising Deputy Attorney General,
    Bridget Billeter, Deputy Attorney General
    27