State of Tennessee v. Lesergio Duran Wilson ( 2015 )


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  •         IN THE COURT OF CRIMINAL APPEALS OF TENNESSEE
    AT NASHVILLE
    June 9, 2015 Session
    STATE OF TENNESSEE v. LESERGIO DURAN WILSON
    Appeal from the Criminal Court for Davidson County
    No. 2010-B-1227   Cheryl A. Blackburn, Judge
    No. M2014-01487-CCA-R9-CD – Filed September 2, 2015
    The Defendant-Appellant, Lesergio Duran Wilson, was charged with first degree
    premeditated murder, and the State filed its notice of intent to seek the death penalty.
    Wilson then filed a notice of intent to introduce expert testimony regarding his mental
    diseases, defects, and other mental conditions bearing on his guilt for the charged offense,
    and the State filed a motion to exclude this expert testimony. Following an evidentiary
    hearing, the trial court granted the State‘s motion. In this interlocutory appeal, Wilson
    argues that the trial court erred in ruling that he could not present expert testimony during
    the guilt/innocence phase of trial regarding his incapacity to form the requisite culpable
    mental states for the offense. Upon review, we affirm the judgment of the trial court and
    remand this matter for further proceedings consistent with this opinion.
    Tenn. R. App. P. 9 Interlocutory Appeal; Judgment of the Criminal Court Affirmed
    and Remanded
    CAMILLE R. MCMULLEN, J., delivered the opinion of the court, in which THOMAS T.
    WOODALL, P.J., and JOHN EVERETT WILLIAMS, J., joined.
    Paul Bruno, Brentwood, Tennessee, and Luke A. Evans, Murfreesboro, Tennessee, for
    the Defendant-Appellant, Lesergio Duran Wilson.
    Robert E. Cooper, Jr., Attorney General and Reporter; Andrew C. Coulam, Assistant
    Attorney General; Victor S. Johnson, III, District Attorney General; and Thomas B.
    Thurman, Assistant District Attorney General, for the Appellee, State of Tennessee.
    OPINION
    On October 14, 2009, David Hurst was fatally shot inside a trailer he shared with
    his girlfriend, Doris Williams. Following his apprehension, Wilson admitted to police
    that he fired the shots after Williams1 offered to pay him $1,000 to kill Hurst, who she
    claimed had been abusing her. Less than twenty-four hours prior to the shooting, Wilson
    stole a vehicle that he and his girlfriend later drove to Williams‘s trailer. He brought a
    gun and rubber gloves with him to the scene of the shooting. When Wilson arrived at
    Williams‘s home, he sat in the stolen vehicle for a short time before entering the
    unlocked front door of the trailer. He walked into the bedroom, placed a pillow over
    Hurst, and shot Hurst multiple times through the pillow, ostensibly for the purpose of
    reducing the sound of the gunshots. Before Wilson arrived, Williams staged the trailer to
    look as if a robbery had occurred. After the shooting, Williams gave Wilson more than
    $500 dollars but less than the $1000 they had agreed upon, and she asked Wilson to spray
    her in the face with a can of mace to make the staged robbery look more believable,
    which he did. He then fled the trailer and abandoned the stolen vehicle near the Percy
    Priest Dam. Wilson was subsequently charged with first degree premeditated murder.
    Following his indictment, Wilson filed written notice pursuant to Tennessee Rule
    of Criminal Procedure 12.2(b) of his intent to introduce expert testimony from Dr.
    Jonathan Lipman and Dr. Susan Rich ―relating to mental diseases, defects and other
    mental conditions of Mr. Wilson bearing on the issue of his guilt of the offense of first
    degree premeditated murder charged in this indictment.‖ The State then filed a motion to
    exclude this testimony on the basis that it was irrelevant, that it was mere speculation
    regarding Wilson‘s state of mind at the time of the offense, and that it was inadmissible
    pursuant to Hall and its progeny. On May 30, 2014, the trial court conducted an
    evidentiary hearing on the State‘s motion, during which both Dr. Rich and Dr. Lipman
    testified.
    Dr. Joseph Lipman, a Ph.D in neuropharmacology, was tendered as an expert in
    the field of neuropharmacology without objection from the State. Dr. Lipman stated that
    neuropharmacology deals with the effects of drugs and alcohol on nerve brain behavior.
    He explained that ―an individual‘s chronic drug use is very, very important in
    understanding how a drug will affect [a person] at some later time‖ because the person
    carries with them the injuries caused by the drug use. He noted that Wilson began
    smoking marijuana cigarettes rolled with either crack or powder cocaine at age eight or
    nine, began drinking alcohol at age ten, began regularly smoking marijuana and drinking
    alcohol without limitation at age thirteen and fourteen, used cocaine as frequently as he
    could obtain it at age sixteen, and later abused Xanax and ecstasy. Dr. Lipman stated that
    in addition to the impairments Wilson received while in utero from his mother‘s drug and
    1
    We acknowledge that we do not use titles when referring to every witness. We intend no
    disrespect in doing so. Judge John Everett Williams believes that referring to witnesses without proper
    titles is disrespectful even though none is intended. He would prefer that every adult witness be referred
    to as Mr. or Mrs. or by his or her proper title.
    -2-
    alcohol abuse, Wilson‘s own drug use during his developmental years altered his brain
    development.
    Dr. Lipman determined, based on accounts from Alicia Williams and Yvonne
    Holt, that Wilson was in a constant state of intoxication and was openly using ecstasy and
    Xanax in 2009, the year of the offense. He said that ecstasy users often took Xanax, a
    tranquilizer, because they believed that it would mitigate the adverse effects of their
    ecstasy use; however, in reality, Xanax caused individuals to have anxiety, paranoia, and
    psychosis and led to further addiction of ecstasy when chronically used. Dr. Lipman
    admitted he did not have any ―qualitative numbers‖ regarding Wilson‘s level of
    intoxication or any specific information about Wilson‘s drug use during the day or night
    of the offense; however, he said witnesses had disclosed that Wilson was ―popping pills
    back to back‖ and was ―drinking continuously morning to night and through the night on
    those nights that he didn‘t go to sleep.‖ Moreover, during Dr. Lipman‘s examination of
    him, Wilson admitted that he was a daily user of ecstasy and alcohol. Dr. Lipman said
    there was no indication that Wilson did not ingest alcohol or ecstasy on the day of the
    victim‘s death.
    When Dr. Lipman asked Alicia Williams, Wilson‘s girlfriend, about the effects of
    Wilson‘s alcohol and drug abuse in 2009, Williams stated that Wilson ―couldn‘t sit still‖
    and was ―paranoid.‖ Alicia Williams described an incident when a SWAT team came to
    Wilson‘s neighborhood to extract a neighbor who had barricaded himself in his house.
    When the SWAT team arrived, Wilson began cursing and behaving in a disorderly
    manner. When Wilson‘s family was unable to get Wilson under control because of his
    intoxication, officers took Wilson into custody for his own safety and the safety of all
    persons in the area.
    Dr. Lipman‘s report, which was entered as an exhibit during the hearing, stated
    that during the period preceding the victim‘s murder, Wilson was abusing alcohol and
    ecstasy and that his intoxication from these substances ―would have compounded the
    underlying neuropsychological impairments (inherited, traumatic, developmental or
    organic in nature) from which [Wilson] also suffered at the time.‖ He stated that
    Wilson‘s alcohol abuse caused ―disinhibition, and render[ed] the individual more
    impulsive, less capable of self[-]control, and more perserverative,‖ which meant that the
    person was unable ―to stop an act once initiated, despite a change in circumstance that
    render[ed] the act unadvisable.‖ He also said that Wilson‘s abuse of ecstasy was
    ―associated with sleep disorders, depressed mood, persistent elevation of anxiety,
    impulsiveness and hostility and selective impairment of episodic memory, working
    memory and attention, with cognitive deficits persisting for at least 6 months after
    abstinence and anxiety and hostility remitting after a year of abstinence.‖
    -3-
    When asked at the hearing if he had an opinion as to Wilson‘s capacity to
    formulate the requisite culpable mental state for first degree murder based on his
    intoxication, Dr. Lipman replied:
    It would have to have been impaired. I‘m not a lawyer so that I
    think you probably have to be completely unconscious to have no culpable
    mental state. I don‘t think that‘s what the law is really asking. Somewhere
    between total unconsciousness and normality there is a region of
    impairment, and he was certainly in that region of impairment.
    Dr. Lipman stated that if premeditation meant something that involved ―the
    application of intelligence, cognitive abilities, the ability to think, [and] judge,‖ then
    Wilson‘s ability to do these things ―would have been quite dramatically impaired.‖ He
    added that if Wilson was as intoxicated and as under the influence of ecstasy as
    witnesses described, he would be ―extremely confused,‖ his ―perceptions would be
    distorted,‖ and his ―ability to think clearly would be very, very degraded.‖ Moreover, the
    ill effects from his alcohol and ecstasy use would be worsened by his substance abuse
    history and his genetic predilection for addiction. In addition, regarding Wilson‘s
    capacity to act intentionally in causing the victim‘s death, he stated that Wilson‘s ―ability
    to formulate plans . . . and fully understand consequences is even now impaired‖ based
    on recent neuropsychological and other tests and that ―when you add alcohol to that, you
    further degrade his ability on those domains.‖
    On cross-examination, Dr. Lipman stated that as a neuropharmacologist, he could
    provide an opinion as to ―[Wilson‘s] intoxication and the effect on his thinking.‖
    However, because he was not a psychologist or a psychiatrist, he could not give an
    opinion as to whether Wilson had any mental diseases or defects at the time of the
    offense. He acknowledged that he could not state within a reasonable degree of medical
    certainty what Wilson‘s level of intoxication was on the night of the murder because he
    did not have any blood or breath testing. He conceded that, even after interviewing
    Wilson, he had no specific information about what alcohol or drugs Wilson ingested on
    the day of the murder.
    Dr. Lipman admitted that Wilson never told the police he was intoxicated the night
    of the victim‘s murder. He also admitted that Alicia Williams informed the police that
    she and Wilson had not ingested any drugs the night of the offense, and that although
    they had been drinking, Wilson was fine, normal, and not nervous the night of the
    murder, even though she told police that she and Wilson had gotten drunk and high on
    drugs at other times. Dr. Lipman acknowledged that Alicia Williams told him there were
    times when Wilson was not under the influence of alcohol or drugs because he did not
    have money to purchase these substances. He also acknowledged that Wilson had been
    -4-
    employed for nearly two years around the time of the victim‘s death but asserted that
    Wilson‘s employment was ―erratic.‖
    Although Dr. Lipman asserted that the impairment from alcohol and drugs could
    ―outlast the presence of the natural chemical in the blood,‖ he acknowledged that Wilson
    was able to function at a certain level despite his brain injuries from drinking and drugs.
    Moreover, he conceded that although Wilson was stopped by police several times, he was
    never charged with driving under the influence; however, he stated that ―more than fifty
    percent of chronic alcoholics can escape casual detection by trained people.‖
    Furthermore, Dr. Lipman recognized that although Wilson had received medical
    treatment four times near the date of the murder, the medical records associated with this
    treatment never indicated that Wilson was under the influence of alcohol or drugs during
    these visits. Dr. Lipman admitted that there were times when Wilson was more
    competent than others.
    Dr. Lipman acknowledged that Wilson stole a vehicle and drove it to the scene of
    the murder, obtained a gun, wore gloves so that he would not leave fingerprints, used a
    pillow to attempt to muffle the sound of the gunshots, fired five shots into the victim,
    collected money for killing the victim, and sprayed mace on Williams to make the
    murder appear as though it were a home invasion. Despite these acknowledgements, he
    asserted that it would have required very little cognitive effort for Wilson to steal a car
    and that Wilson was merely carrying out Doris Williams‘s scheme the night of the
    Hurst‘s death. Although Dr. Lipman recognized that Wilson was unable to drink on the
    days he did not have money, he asserted that a person who chronically drinks is
    ―massively impaired‖ even on the days they are not drinking because certain
    neuropsychological functions take at least three months of abstinence before they are
    recovered.
    When the trial court asked him whether Wilson was incapable of premeditating the
    victim‘s death or intentionally killing the victim, Dr. Lipman replied, ―As [to] that
    question . . . , I think the individual would have to be unconscious to be incapable [of
    premeditating or acting with intent to kill the victim].‖ He said he was unable to opine
    that Wilson was incapable of forming the requisite culpable mental states at the time of
    the offense and could only state that Wilson‘s capacity to do so was impaired from the
    chronicity of his substance abuse. When asked by the court if he was precluded from
    asserting that Wilson was suffering from a mental disease or defect because he was a
    neuropharmacologist, Dr. Lipman replied, ―That‘s a statutory matter, and in Tennessee I
    can‘t. . . . In other places I can.‖2
    2
    Dr. Lipman, a PhD in neuropharmacology, was likely precluded from testifying that Wilson
    suffered from a mental disease or defect because he was not qualified by ―knowledge, skill, experience,
    training, or education‖ to render such an opinion. See Tenn. R. Evid. 702.
    -5-
    Dr. Susan Rich, a psychiatrist, was tendered as an expert in the field of child,
    adolescent, and adult psychiatry without objection from the State. She stated that she
    obtained a Tennessee medical license so that she could conduct a neuropsychiatric
    examination of Wilson.          Dr. Rich testified that Wilson suffered from a
    neurodevelopmental disorder associated with prenatal alcohol exposure (ND-PAE) called
    fetal alcohol spectrum disorder (FASD), a psychotic disorder, a panic disorder, a post-
    traumatic-stress disorder, an alcohol use disorder, a cannabis use disorder, and a
    stimulant use disorder, each of which she deemed to be a severe mental disease or defect
    that ―impaired his functioning.‖ She stated that Wilson‘s brain injuries, along with his
    substance abuse from a young age, caused him to have adaptive functioning deficits
    qualifying him for intellectual disability at a mild level. These adaptive functioning
    deficits affected the way Wilson ―perceives the world, the way that he interacts with
    other people, the way that he picks up on social cues, misinterprets social cues, the way
    that he communicates with other people, the way that he understands their
    communication, the way that he reacts in certain situations.‖
    Dr. Rich asserted that the ND-PAE, which caused damage to Wilson‘s brain, had
    psychotic features including delusions and hallucinations that were often confused with
    schizophrenia. She noted that Wilson believed he was sending out messages from each
    of the tattoos on his body. She said Wilson often counted the number of objects in a
    room, and if the number was an even number, he believed the day would be a good one.
    She also said Wilson insisted on leaving the volume of the television on an even-
    numbered level. Dr. Rich asserted that Wilson had a bizarre appearance and affect and
    would often smile inappropriately during a conversation based on the issues being
    discussed. In addition, she stated that Wilson believed that he was invincible based on
    his four failed attempts at suicide.
    Dr. Rich‘s report, which was also entered as an exhibit during the hearing, stated
    that ―[b]ased on Mr. Wilson‘s underlying brain damage, neuropsychiatric conditions, and
    impaired functioning, it is my clinical opinion that Mr. Wilson suffers from severe mental
    diseases and defects that could have impaired his ability to act with premeditation in the
    murder of David Hurst.‖ Her report explained how she reached this opinion:
    [B]ecause of [Wilson‘s] mental defects, he was unable to fully appreciate
    his own feelings (i.e., alexithymia) and was further dissociated from the
    events associated with this crime. As a result, his capacity to appreciate the
    criminality of his conduct was substantially impaired. It is also my opinion
    that his mental defects caused him to be highly suggestible to the influence
    of others, and substantially impaired his ability to control his impulses.
    Finally, his mental defects substantially impaired his ability to appreciate
    -6-
    the consequences of his actions, and to make decisions using reflection and
    judgment.
    In her report, Dr. Rich also asserted, ―It is also my opinion that if Mr. Wilson was
    intoxicated during the commission of that offense, it is even more likely that his ability to
    act with premeditation in the commission of that offense was impaired.‖ She provided
    the following explanation for this opinion in her report:
    Undoubtedly, Mr. Wilson suffers from significant baseline deficits in his
    mental functioning—particularly in his consequential thinking, lack of
    impulse control, suggestibility, disinhibition, and socialization skills—as a
    result of his brain damage and neuropsychiatric deficits (ND-PAE;
    Psychotic Disorder; PTSD; Panic Disorder). These baseline conditions
    exist when he is completely sober and free of any intoxicants. When Mr.
    Wilson uses intoxicants (including alcohol and ecstasy pills), the negative
    impacts of his mental deficits are greatly exacerbated (made worse), and
    intoxication further deteriorates his ability to act with reflection and
    judgment.
    At the hearing, when asked what effect Wilson‘s mental diseases and defects had
    on his ability to premeditate the victim‘s murder, Dr. Rich stated:
    Well, in my belief for this particular crime he would have had
    difficulty to the extent of all of the arrangements that were made in
    formulating such an elaborate plan. And based on his intellectual capacity,
    based on his incapacitation due to intoxication I believe he would have a
    very difficult time and that it would have been impossible.
    She added, ―[M]y clinical opinion is that a person with his degree of brain damage and
    his degree of intoxication from alcohol and ecstasy at the time of the event [based on Dr.
    Lipman‘s report] . . . is that it would be very difficult for him to have such an elaborate
    plan himself, create that himself, and implement it.‖ Defense counsel and Dr. Rich then
    had the following exchange regarding Wilson‘s capacity to premeditate the victim‘s
    murder:
    Q.     . . . Do you think that he lacked the capacity to form the requisite
    culpable mental state to commit the offense charged in this case?
    A.     I do.
    -7-
    Dr. Rich stated that Wilson‘s false belief that he was invincible, along with his
    impaired functioning from his brain damage, ―impaired his ability to really even
    understand what he was doing . . . at the time this offense was committed.‖ Instead, she
    believed that any acts done by Wilson on the day of the victim‘s death would have been
    ―involuntary‖ and would have been done as if Wilson were ―on auto pilot.‖ She also said
    that Wilson‘s ―degree of incapacity based on [his] baseline brain functioning
    superimposed with the intoxication on the day of the event I believe impaired his ability
    to form an intent.‖ She added, ―I believe that it did impact his ability to form an intent
    and his ability to premeditate, to create such an elaborate plan.‖
    On cross-examination, the State asked Dr. Rich about Wilson‘s capacity to
    premeditate the victim‘s murder:
    Q.     Now, let me—just looking at your report you‘re not saying that he‘s
    absolutely incapable of premeditation because of mental disease or defect,
    are you?
    A.     At any given time on a day that he‘s not also intoxicated and using
    ecstasy and everything else, but on the day of this event I do believe he was
    [incapable of premeditation].
    She stated that she heavily relied on Dr. Lipman‘s report as to the degree of Wilson‘s
    intoxication on the day of the offense when she made her determination regarding
    Wilson‘s incapacity to premeditate. However, she acknowledged there was no scientific
    proof of Wilson‘s intoxication on the night of the offense. As cross-examination
    continued, Dr. Rich retreated from her prior opinion that Wilson lacked the capacity to
    premeditate and to act intentionally at the time of the offense:
    Q.     So is he able to form the intent to rob people out there to get money?
    He knew if you go over and hold a gun on somebody they give their
    money and you go back?
    A.     I think on any given day—you know, again, on the day of the
    offense, as I stated in my report, these issues [including Wilson‘s
    mental diseases and defects, intoxication, and drug use] could have .
    . . impaired his ability to . . . premeditate these actions. I didn‘t say
    it did because I would have had to be there and evaluate him on that
    particular day.
    Q.     Okay.
    -8-
    A.     And I wasn‘t there.
    ....
    Q.     But basically it would have to be for one of three people that saw
    him that particular night at the time of the murder or himself that
    would actually know his real condition; is that correct? There‘s no
    test medically that you can go back several years and determine if a
    person was intoxicated?
    A.     I mean, I guess what you‘re saying is—and that‘s what I had just
    said. I wasn‘t there on the day of [the offense to observe whether
    Wilson was intoxicated].
    Q.     I understand.
    A.     And that‘s why I said it could have impacted his ability to
    premeditate, you know, that his mental defects and his mental status
    as well as his intoxication could have impacted his ability to
    premeditate.
    The trial court also questioned Dr. Rich about whether she believed Wilson lacked
    the capacity to premeditate and to act intentionally at the time he killed the victim:
    Q.     [R]eading your report it says if he was intoxicated. Now, let‘s do
    that one first. If he was intoxicated, it could have impacted or
    affected his ability to premeditate or to form the intent; is that right?
    It could have?
    A.     (Witness moves head up and down [in the affirmative].)
    Q.     Are you saying that it did or that it completely eroded his ability to
    do that?
    A.     If he was [intoxicated].
    Q.     Okay. But if he was [intoxicated]. But would it have completely
    made him incapable of [forming premeditation or intent]?
    A.     In my clinical opinion I believe so.
    -9-
    Q.   But that‘s not what your report says.
    A.   Well, my report—
    Q.   The report says it could have [impaired his ability to act with
    premeditation in the murder]—and you just testified it could have
    impacted [his ability to premeditate or to form intent]. If he was
    intoxicated, it could have. That‘s different than the question just
    asked you. Would it have made him incapable of [premeditating the
    murder]?
    A.   So this is why I wrote ―could have‖ because I was not there.
    Q.   Okay. I know. But the question I‘m asking you is would you testify
    that he was—if he was intoxicated, was he incapable of forming . . .
    premeditation or an intent to commit this crime?
    A.   Again, I don‘t mean to—
    Q.   It‘s an important question. I mean, I don‘t know what your answer
    is. I‘m just trying to find out. Would he be totally incapable of
    [premeditating] in your opinion if he was intoxicated?
    A.   If a person with this degree of brain damage was intoxicated to the
    point that Dr. Lipman says that he lived in a constant state of, you
    know, in his report—but, again, I am—I am basing my answer on
    something that isn‘t–.
    Q.   No, no.
    A.   –my knowledge.
    Q.   I guess the thing is presuming that he was intoxicated and given the
    background of all these other things that you‘ve found would he be
    incapable of forming an intent? . . . Not that it affected him but
    would he be incapable of forming the intent or to premeditate? You
    said it diminished his ability. You said it could have impaired his
    ability. All that is fine. I‘m just trying to see if you have an opinion.
    You may not, I don‘t know.
    A.   I mean, as I stated, you know, earlier, if I had evidence—if I had
    -10-
    strong evidence, you know, so the if is if—
    Q.     Not looking at the if.
    A.     Right.
    Q.     I‘m looking at the incapability.
    A.     Right. I understand that. The only reason that I say ―could‖ is that I
    wasn‘t there and I don‘t have the data.
    ....
    Q.     So if he wasn‘t, though, intoxicated and all you have is all the other
    things [regarding his mental diseases and defects], would he be
    incapable of [premeditating]? Incapable is the term I‘m looking at.
    A.     You know, I think it would be easier for him to make a better
    judgment and to be able to, you know—I mean, a little bit reason
    through what he was going to do on a day that he was not inebriated.
    Following the hearing, the trial court entered an order on June 16, 2014, granting
    the State‘s motion to exclude the testimony of Dr. Rich and Dr. Lipman regarding
    Wilson‘s mental diseases, defects, or other mental conditions bearing on the issue of his
    guilty for first degree premeditated murder. The trial court found that Dr. Lipman was
    unable to testify that Wilson suffered from a mental disease or defect. It noted Dr.
    Lipman‘s opinion that only a person who was unconscious would be unable to act
    intentionally and with premeditation and that Wilson did not meet this standard. The
    court also found that neither Dr. Lipman nor Dr. Rich ―stat[ed] conclusively that a mental
    disease or defect rendered [Wilson] incapable of acting intentionally and with
    premeditation in this case.‖ The trial court cited the following three instances where Dr.
    Rich testified that Wilson‘s mental diseases or defects made him incapable of forming the
    requisite mental state for the offense:
    During direct examination:
    Q.     . . . Do you think that he lacked the capacity to form the requisite
    culpable mental state to commit the offense charged in this case?
    A.     I do.
    -11-
    During cross-examination:
    Q.     Now, let me—just looking at your report you‘re not saying that he‘s
    absolutely incapable of premeditation because of mental disease or
    defect, are you?
    A.     At any given time on a day that he‘s not also intoxicated and using
    ecstasy and everything else, but on the day of this event I do believe
    he was [incapable of premeditation].
    On questioning by the trial court:
    Q.     [R]eading your report it says if he was intoxicated. Now, let‘s do
    that one first. If he was intoxicated, it could have impacted or
    affected his ability to premeditate or to form the intent; is that right?
    It could have?
    A.     (Witness moves head up and down [in the affirmative].)
    Q.     Are you saying that it did or that it completely eroded his ability to
    do that?
    A.     If he was [intoxicated].
    Q.     Okay. But if he was [intoxicated]. But would it have completely
    made him incapable of [forming premeditation or intent]?
    A.     In my clinical opinion I believe so.
    Q.     But that‘s not what your report says.
    A.     Well, my report—
    Q.     The report says it could have [impaired his ability to act with
    premeditation in the murder]—and you just testified it could have
    impacted [his ability to premeditate or to form intent]. If he was
    intoxicated, it could have. That‘s different than the question just
    asked you. Would it have made him incapable of [premeditating the
    murder]?
    A.     So this is why I wrote ―could have‖ because I was not there.
    -12-
    The trial court noted that ―while in the three isolated instances outlined above Dr.
    Rich did state that the defendant‘s fetal alcohol syndrome-related disorders did constitute
    a mental disease or defect that rendered the defendant wholly unable to form the requisite
    mental state, the overwhelming majority of her testimony reflected the conclusions she
    reached in her report; the defendant‘s mental deficits, combined with intoxication (if the
    defendant was in fact intoxicated) may well have substantially impaired the defendant‘s
    ability to premeditate, act intentionally, and understand the consequences of his actions.‖
    The court found that the expert testimony in this case was similar to the expert testimony
    in State v. Faulkner, 
    154 S.W.3d 48
    , 56-57 (Tenn. 2005), State v. Antonio D. Idellfonso-
    Diaz, No. M2006-00203-CCA-R9-CD, 
    2006 WL 3093207
     (Tenn. Crim. App. Nov. 1,
    2006), and State v. Tray Dontacc Chaney, No. W2013-00914-CCA-R9-CD, 
    2014 WL 2016655
     (Tenn. Crim. App. May 14, 2014), perm. app. denied (Tenn. Sept. 18, 2014), in
    that Dr. Lipman‘s and Dr. Rich‘s testimony fell short of stating that Wilson was
    ―completely unable to form the requisite mental state‖ because of a mental disease or
    defect as required by State v. Hall, 
    958 S.W.2d 679
     (Tenn. 1997).
    On July 16, 2014, Wilson filed a motion for an appeal pursuant to Tennessee Rule
    of Appellate Procedure 9, which the trial court granted on July 24, 2014. After obtaining
    a thirty-day extension of time to file an application for an interlocutory appeal, Wilson
    timely filed his application on September 3, 2014, and this court granted the application
    for a Rule 9 interlocutory appeal.
    ANALYSIS
    In this interlocutory appeal, Wilson argues that his expert testimony is admissible
    during the guilt/innocence phase of trial because it meets the standard for admissibility in
    State v. Hall, State v. Ferrell, and State v. Tray Dontacc Chaney. The pretrial hearing
    that resulted in the court‘s interlocutory order, Wilson‘s Rule 9 application, and Wilson‘s
    appellate brief contain no arguments regarding his competency to stand trial or whether
    he will pursue an insanity or intoxication defense. Although Wilson contends that his
    mental diseases and defects, along with his intoxication at the time of the offense,
    negated his capacity to form the requisite mental states for the offense, he has limited his
    argument to Hall and its progeny from the pretrial hearing forward and has failed to
    reference any authority or make any arguments regarding a voluntary intoxication
    defense. See Tenn. Ct. Crim. App. R. 10(b); see also Tenn. R. App. P. 27(a)(7). Much of
    the expert testimony in this case applies not only to Wilson‘s capacity to form the
    requisite mental state for the offense because of a mental disease or defect but also to
    potential issues regarding his competency to stand trial, his sanity, and his voluntary
    intoxication at the time of the offense. Nevertheless, because Wilson has failed to
    include any arguments or authority regarding his competency to stand trial or an insanity
    -13-
    or intoxication defense, these issues are not properly before this court. See State v.
    Schaller, 
    975 S.W.2d 313
    , 318 (Tenn. Crim. App. 1997) (citing State v. Hammons, 
    737 S.W.2d 549
    , 552 (Tenn. Crim. App. 1987)).
    Herein, Wilson contends that the trial court abused its discretion in excluding Dr.
    Lipman‘s and Dr. Rich‘s testimony because this testimony meets the standard for
    admissibility outlined in State v. Hall, State v. Ferrell, 
    277 S.W.3d 372
     (Tenn. 2009), and
    State v. Tray Dontacc Chaney. Referencing Dr. Rich‘s testimony on direct and cross-
    examination, he asks this court to consider whether Hall stands for the proposition that an
    expert‘s testimony is wholly inadmissible at trial ―if upon cross-examination, the mental
    health expert provides any arguably conflicting testimony on the question of the absolute
    inability of the defendant to form the requisite mental state.‖ Alternatively, he asks this
    court to consider ―whether due process, in the context of a capital case, warrants that the
    defense be allowed to introduce proof negating intent and premeditation, regardless of
    whether the proof is an absolute inability to form the requisite mental state, or a matter of
    degree of that inability.‖ As support, Wilson asserts that ―[i]t appears . . . absent a person
    being unconscious on one end of the spectrum or legally insane at the other end of the
    spectrum (resulting in an outright not guilty verdict at either end), that a defendant is not
    able to present proof negating intent and premeditation.‖
    Because Wilson‘s issue regarding his due process right to present a defense was
    not presented to the trial court or considered in the trial court‘s order, which is the basis
    for this appeal, it is not properly before this court. See Tray Dontacc Chaney, 
    2014 WL 2016655
    , at *9 (concluding that the defendant‘s new arguments regarding pattern jury
    instructions and due process rights associated with the admissibility of expert testimony
    could not be raised on appeal because they were not ―not made by the defendant in the
    proceedings before the trial court or ruled upon by that court‖). Therefore, the only issue
    on appeal is whether the expert testimony in this case meets the standard of admissibility
    set out in Hall, Ferrell, and Tray Dontacc Chaney.
    As we will explain, we are constrained to conclude that the trial court did not
    abuse its discretion in granting the State‘s motion to exclude Dr. Lipman‘s and Dr. Rich‘s
    testimony from the guilt/innocence phase of trial. However, we express our concern
    regarding the controlling authority that requires us to reach this decision. First, Hall and
    its progeny create an almost impossible standard of admissibility for such expert
    testimony. Because almost no experts testifying in good faith can meet this standard, we
    fully acknowledge that many defendants are deprived of presenting the only meaningful
    defense they have to the crime. But see State v. Brown, 
    29 S.W.3d 427
    , 432 (Tenn.
    2000) (asserting that while the right to present witnesses in defense is of great
    importance, it is not absolute and must yield to other legitimate interests in the criminal
    trial process, including compliance with established rules of procedure and evidence that
    -14-
    assure fairness and reliability in the determination of guilt and innocence); State v.
    Anthony Poole, No. W2007-00447-CCA-R3-CD, 
    2009 WL 1025868
    , at *10 (Tenn.
    Crim. App. Apr. 14, 2009) (―Even considering the accused‘s right to present a defense,
    the testimony offered by the witness [regarding the defendant‘s capacity to form the
    requisite mental state because of a mental disease or defect] must be relevant, reliable,
    and material‖ (citing Brown, 
    29 S.W.3d at 434
    )). We further acknowledge that this
    standard essentially requires defendants to prove that they are insane, or as Wilson
    argues, unconscious, before being allowed to present expert testimony during the
    guilt/innocence phase regarding their capacity to form the requisite mental state. See
    Tray Dontacc Chaney, 
    2014 WL 2016655
    , at *3 (psychologist testified that it would be
    very difficult for any expert to testify that a defendant completely lacked the capacity to
    premeditate unless the defendant had a severe level of psychosis resulting in a disconnect
    with reality, which would make him borderline insane). It is our belief that evidence
    affecting the defendant‘s capacity to form the requisite mental state is relevant and should
    be considered and weighed by the jury during the guilt/innocence phase of trial.
    Nevertheless, as in all cases before this court, we are bound to follow existing precedent.
    Expert evidence negating the requisite culpable mental state for an offense is
    subject to the relevancy standards in Rules 401 through 403 and the standards for expert
    testimony in Rules 702 and 703 of the Tennessee Rules of Evidence. See Hall, 
    958 S.W.2d at 689
    . In Hall, the Tennessee Supreme Court held that assuming that the
    aforementioned general relevancy standards and standards governing expert testimony
    are satisfied, ―psychiatric evidence that the defendant lacks the capacity, because of
    mental disease or defect, to form the requisite culpable mental state to commit the offense
    charged is admissible under Tennessee law.‖ Id.; see Ferrell, 
    277 S.W.3d at 379
    . This
    standard is predicated on the fundamental right of due process that ―[n]o person may be
    convicted of an offense unless . . . [t]he culpable mental state required is proven beyond
    a reasonable doubt.‖ Hall, 
    958 S.W.2d at 689
     (quoting T.C.A. § 39-11-201(a)(2)). The
    court stressed that the defendant‘s inability to form the requisite culpable mental state had
    to be the product of a mental disease or defect, rather than an emotional state or mental
    condition:
    [W]e emphasize that the psychiatric testimony must demonstrate that the
    defendant‘s inability to form the requisite culpable mental state was the
    product of a mental disease or defect, not just a particular emotional state or
    mental condition. It is the showing of lack of capacity to form the requisite
    culpable mental intent that is central to evaluating the admissibility of
    expert psychiatric testimony on the issue.
    -15-
    Hall, 
    958 S.W.2d at
    690 (citing State v. Shelton, 
    854 S.W.2d 116
    , 122 (Tenn. Crim. App.
    1992); see Faulkner, 
    154 S.W.3d at 56-57
    . While the use of such evidence is not a
    defense to a crime, it is a rule of evidence that allows proof of the defendant‘s mental
    disease or defect to negate the requisite culpable mental state:
    The rule of diminished capacity originated in Scotland more than a century
    ago and was designed ―to reduce the punishment of the ‗partially insane‘
    from murder to culpable homicide, a non-capital offense.‖ State v. Wilcox,
    
    70 Ohio St.2d 182
    , 
    436 N.E.2d 523
    , 525 (1982). The doctrine was widely
    accepted in other countries before it gained acceptance in American
    jurisdictions. 
    Id.
     In modern application, diminished capacity is not
    considered a justification or excuse for a crime, but rather an attempt to
    prove that the defendant, incapable of the requisite intent of the crime
    charged, is innocent of that crime but most likely guilty of a lesser included
    offense. United States v. Cameron, 
    907 F.2d 1051
    , 1067 (11th Cir. 1990).
    Thus, a defendant claiming diminished capacity contemplates full
    responsibility, but only for the crime actually committed. State v. Padilla,
    
    347 P.2d 312
     (N.M. 1959). In other words, ―diminished capacity‖ is
    actually a defendant‘s presentation of expert, psychiatric evidence aimed at
    negating the requisite culpable mental state. ―Properly understood, it is . . .
    not a defense at all but merely a rule of evidence.‖ United States v. Pohlot,
    
    827 F.2d 889
    , 897 (3rd Cir. 1987).
    Hall, 
    958 S.W.2d at 688-89
    . The court asserted that such evidence should not be offered
    as proof of diminished capacity; instead, it should be presented as evidence relevant to
    negate the existence of the culpable mental state required for the offense. 
    Id. at 690
    .
    Although proof that a defendant lacked the capacity to form the requisite mental
    state because of a mental disease or defect is admissible, expert testimony regarding a
    personality type is not relevant to the defendant‘s capacity to form the mental state of the
    offense and is, therefore, inadmissible:
    ―Society is comprised of myriad individuals with diverse personalities and
    temperaments who are jointly and severally bound by society‘s common
    codes of conduct and responsibility. The mere fact that one is more apt, by
    personality type, to become emotional in response to a particular stimulus
    does not provide a means for that person to be absolved from the same
    responsibility to which the law holds another who might be less apt to
    respond as passionately to the same stimulus. If it did, then each person
    would be the law unto him or herself based solely upon his or her particular
    personality makeup.‖
    -16-
    
    Id. at 691-92
     (quoting State v. Leroy Hall, Jr., No. 03C01-9303-CR-00065, 
    1996 WL 740822
    , at *18 (Tenn. Crim. App., at Knoxville, Dec. 30, 1996)). Therefore, an expert
    offering evidence to negate a requisite culpable mental state must show: (1) the
    defendant had a mental disease or defect, and (2) the defendant‘s inability to form the
    requisite culpable mental state was because of the defendant‘s mental disease or defect,
    rather than the defendant‘s emotional state or mental condition. See Hall, 
    958 S.W.2d at 689-90
    ; Faulkner, 
    154 S.W.3d at 56-57
    .
    An expert‘s testimony in the form of an opinion is not objectionable merely
    because it concerns an ultimate issue to be determined by the trier of fact. See State v.
    Shuck, 
    953 S.W.2d 662
    , 668-69 (Tenn. 1997) (citing City of Columbia v. C.F.W. Const.
    Co., 
    557 S.W.2d 734
    , 742 (Tenn. 1977)); see also Tenn. R. Evid. 704. ―In Tennessee the
    only ultimate issue about which an expert explicitly cannot offer an opinion is whether
    the defendant was or was not sane at the time of commission of the criminal offense.‖
    Shuck, 
    953 S.W.2d at
    663 n.3 (citing T.C.A. § 39-11-501(c)). Therefore, it is appropriate
    for experts to testify regarding the ultimate issue in a case in which the defendant‘s
    mental disease or defect prevented him from acting intentionally, knowingly, recklessly
    or with premeditation. See State v. Robert Austin, No. W2005-01963-CCA-R3-CD,
    
    2007 WL 2624399
    , at *5 (Tenn. Crim. App. Sept. 10, 2007).
    In State v. Ferrell, 
    277 S.W.3d at 377
    , the court considered whether the trial court
    abused its discretion in excluding the testimony of Dr. Adams, a family medicine
    physician, regarding the defendant‘s capacity to form the mental state required for
    escape—intentional, knowing, or reckless. At a pre-trial hearing, Dr. Adams testified
    that the defendant, who suffered from a condition of organic brain syndrome, was not
    ―competent to intentionally commit a crime that requires [any degree of] planning . . .‖
    and was unaware of ―the full consequences of [his] action.‖ 
    Id. at 380-81
    . The trial court
    excluded this expert testimony from trial based on its mistaken belief that a jury could not
    consider testimony regarding a defendant‘s capacity to form the requisite mental state in
    a ―non-specific intent crime.‖ 
    Id. at 376
    . In considering this case, the supreme court
    reiterated that the admissibility of expert testimony largely rests within the discretion of
    the trial court, and a trial court‘s ruling on appeal will not be overturned absent a finding
    that it had abused its discretion. 
    Id.
     at 378 (citing State v. Copeland, 
    226 S.W.3d 287
    ,
    301 (Tenn. 2007); State v. Ballard, 
    855 S.W.2d 557
    , 562 (Tenn. 1993)). However, it
    asserted that ―[n]othing in Hall limited its application to psychiatric testimony or
    specifically precluded other forms of expert testimony regarding a defendant‘s capacity
    to form a requisite mental state.‖ Id. at 379. Moreover, it concluded that it was improper
    ―to distinguish between specific and general intent offenses or otherwise limit a
    defendant‘s ability to negate an element of the offense.‖ Id. at 380. Consequently, it held
    that the trial court abused its discretion by excluding Dr. Adam‘s testimony:
    -17-
    This testimony from a long-term medical provider directly addressed
    whether the Defendant acted intentionally, knowingly, or recklessly as
    required to commit escape, an essential element of the crime. . . . Unlike the
    Court of Criminal Appeals, we view Dr. Adams‘ testimony as probative on
    each of the alternative mental states required to support the offense of
    escape. The evidence should have been considered by the jury. Moreover,
    the exclusion of the testimony divested the Defendant of any real
    opportunity to present his only meaningful defense to the crime. Because
    the error more likely than not affected the result, a new trial is the
    appropriate remedy. See Rodriguez, 254 S.W.3d at 378.
    Id. at 380.
    It is well established that a mental disease or defect that impairs or reduces a
    defendant‘s capacity to form the requisite culpable mental state for the offense does not
    satisfy the two-prong test under Hall. See Tray Dontacc Chaney, 
    2014 WL 2016655
    , at
    *9 (concluding that the testimony from a psychologist, who opined that the defendant‘s
    psychological problems ―eroded his capacity to premeditate‖ but who could not state that
    that the defendant‘s capacity to do so ―was completely eroded,‖ was inadmissible under
    Hall); State v. Herbert Michael Merritt, No. E2011-01348-CCA-R3-CD, 
    2013 WL 1189092
    , at *27 (Tenn. Crim. App. Mar. 22, 2013) (holding that a clinical psychologist‘s
    testimony that the defendant‘s mental disease or defect ―impaired or reduced his capacity
    to form the requisite mental state . . . did not satisfy the two-prong requirement of Hall
    and Faulkner‖); Anthony Poole, 
    2009 WL 1025868
    , at *11 (concluding that the
    testimony from a clinical psychologist, who stated that the defendant‘s mental defects
    impacted his capacity to form the requisite mental state for the offense, was irrelevant
    and inadmissible pursuant to Hall); Antonio D. Idellfonso-Diaz, 
    2006 WL 3093207
    , at *4
    (holding that a psychiatrist‘s testimony that the defendant‘s serious psychiatric disorders
    ―impaired to some extent‖ his capacity to premeditate or act intentionally did not meet
    the two-prong requirement in Hall and Faulkner).
    In this case, the trial court noted that Dr. Lipman was unable to testify that Wilson
    suffered from a mental disease or defect. In granting the State‘s motion to exclude this
    testimony, it found that neither Dr. Lipman nor Dr. Rich ―stat[ed] conclusively that a
    mental disease or defect rendered [Wilson] incapable of acting intentionally and with
    premeditation in this case.‖ Specifically, the trial court held that because the experts in
    this case did not testify that Wilson was ―completely unable to form the requisite mental
    state,‖ their testimony was inadmissible under Hall. Interestingly, the court noted that the
    proposed testimony of Dr. Lipman and Dr. Rich could potentially relate to an intoxication
    defense. See T.C.A. § 39-11-503(a); Wiley v. State, 
    183 S.W.3d 317
    , 333 (Tenn. 2006);
    -18-
    Compare T.P.I.—Crim. § 40.02 Defense: Intoxication (2014), with T.P.I.—Crim. §
    42.22 Evidence of mental state (2014). However, because Wilson‘s Rule 12.2 notice and
    the State‘s motion that were the subject of the court‘s order did not specifically address
    the issue of an intoxication defense and whether the expert testimony was relevant and
    admissible regarding such a defense, the court declined to address that issue in its order.
    Wilson contends that the trial court abused its discretion in excluding Dr.
    Lipman‘s and Dr. Rich‘s testimony because this testimony met the standard for
    admissibility established in Hall, Ferrell, and Tray Dontacc Chaney. Focusing on Dr.
    Rich‘s testimony, he questions whether Hall stands for the proposition that an expert‘s
    testimony is wholly inadmissible at trial ―if upon cross-examination, the mental health
    expert provides any arguably conflicting testimony on the question of the absolute
    inability of the defendant to form the requisite mental state.‖
    Wilson is charged with first degree premeditated murder, which is defined as ―[a]
    premeditated and intentional killing of another.‖ T.C.A. § 39-13-202(a)(1). See id. § 39-
    13-202(a)(1). Premeditation is defined as ―an act done after the exercise of reflection and
    judgment.‖ Id. § 39-13-202(d). ―‗Intentional‘ refers to a person who acts intentionally
    with respect to the nature of the conduct or to a result of the conduct when it is the
    person‘s conscious objective or desire to engage in the conduct or cause the result.‖ Id. §
    39-11-302(a). In order for their testimony to be admissible at trial, Dr. Lipman and Dr.
    Rich had to testify that Wilson suffered from a mental disease or defect that rendered him
    incapable of premeditating the victim‘s death or acting intentionally in killing the victim.
    We conclude that Dr. Lipman‘s testimony did not satisfy the test in Hall. He
    stated that he was precluded from testifying that Wilson suffered from a mental disease or
    defect because he was not a psychiatrist or psychologist. Dr. Lipman asserted his belief
    that an individual would have to be unconscious to be incapable of having a culpable
    mental state and that Wilson was not unconscious at the time of the offense.
    Consequently, he never testified that Wilson was incapable of premeditating the victim‘s
    death or acting intentionally in killing the victim. Instead, Dr. Lipman opined that
    Wilson‘s ability to premeditate the victim‘s killing was ―dramatically impaired‖ and that
    his ability to think clearly, formulate plans, and understand consequences was
    ―degrade[d].‖ Because Dr. Lipman‘s testimony did not establish that Wilson lacked the
    capacity to form the requisite mental states because of a mental disease or defect, his
    testimony did not satisfy the Hall test. Therefore, the trial court did not abuse its
    discretion in excluding it from the guilt/innocence phase of trial.
    We also conclude that Dr. Rich‘s testimony did not satisfy the test in Hall. While
    Dr. Rich did testify that Wilson suffered a mental disease or defect, she failed to
    conclusively testify that Wilson lacked the capacity to premeditate or act intentionally at
    -19-
    the time of the killing. As noted by the trial court, Dr. Rich testified in three isolated
    instances that Wilson lacked the capacity to form the requisite mental states; however, at
    all other times during her testimony, Dr. Rich opined that Wilson‘s mental diseases or
    defects ―could have impaired‖ or ―impaired‖ his capacity to form the requisite mental
    states for the offense. In her report, Dr. Rich opined that Wilson‘s mental diseases or
    defects ―could have impaired his ability to act with premeditation‖ in the victim‘s murder
    and that if Wilson was intoxicated, it was ―even more likely that his ability to act with
    premeditation in the commission of that offense was impaired.‖ When the trial court
    specifically and repeatedly questioned Dr. Rich about the disparity between her three
    isolated instances of testimony and the opinions in her report, Dr. Rich testified that she
    could only opine that Wilson‘s mental diseases or defects could have impaired his ability
    to premeditate because she did not observe Wilson at the time of the offense. We note
    that the standard in Hall ―was designed to ensure that the testimony regarding a
    defendant‘s mental state is relevant to negate the existence of the requisite mental state.‖
    Anthony Poole, 
    2009 WL 1025868
    , at *11. Accordingly, any equivocation in an expert‘s
    testimony falls short of negating the existence of the requisite culpable mental state. The
    fact that Wilson‘s mental diseases or defects could have impaired or did, in fact, impair
    his capacity to form the requisite culpable mental states for the offense does not meet the
    two-prong test in Hall, and the trial court did not abuse its discretion in granting the
    State‘s motion to exclude Dr. Rich‘s testimony. Because the testimony from both Dr.
    Lipman and Dr. Rich failed to establish that Wilson lacked the capacity to form the
    requisite culpable mental states because of a mental disease or defect, we must conclude,
    based on established precedent, that the trial court did not abuse its discretion in
    excluding it from the guilt/innocence phase of trial.
    CONCLUSION
    Based upon the above authorities and reasoning, we affirm the June 16, 2014 order
    of the trial court and remand this matter for further proceedings consistent with this
    opinion.
    _________________________________
    CAMILLE R. McMULLEN, JUDGE
    -20-