State of New Jersey v. David Granskie, Jr. , 433 N.J. Super. 44 ( 2013 )


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  •                        RECORD IMPOUNDED
    NOT FOR PUBLICATION WITHOUT THE
    APPROVAL OF THE APPELLATE DIVISION
    SUPERIOR COURT OF NEW JERSEY
    APPELLATE DIVISION
    DOCKET NO. A-2990-12T3
    APPROVED FOR PUBLICATION
    STATE OF NEW JERSEY,
    October 16, 2013
    Plaintiff-Appellant,                   APPELLATE DIVISION
    v.
    DAVID GRANSKIE, JR.,
    Defendant-Respondent.
    ____________________________________
    Argued September 17, 2013 – Decided      October 16, 2013
    Before Judges Reisner, Alvarez and Ostrer.
    On appeal from the Superior Court of New
    Jersey,   Law  Division,   Somerset County,
    Indictment No. 09-08-0572.
    Nathan Howe, Assistant Prosecutor, argued
    the   cause   for  appellant   (Geoffrey   D.
    Soriano,    Somerset    County    Prosecutor,
    attorney; Joseph V. Rocchietti, Assistant
    Prosecutor, and Mr. Howe, on the briefs).
    Jacqueline   E.   Turner,   Assistant   Deputy
    Public   Defender,   argued   the  cause   for
    respondent   (Joseph    E.   Krakora,   Public
    Defender, attorney; Ms. Turner, of counsel
    and on the brief).
    The opinion of the court was delivered by
    REISNER, P.J.A.D.
    By leave granted, the State appeals from a January 16, 2013
    trial    court   order     permitting    the    defense     to    present      expert
    psychiatric      testimony     concerning       the    potential         impact    of
    defendant's      opiate    addiction     and   withdrawal        symptoms   on    the
    reliability of his confession.           We conclude that the defense may
    present expert psychiatric testimony, so long as it is limited
    pursuant to the principles stated in this opinion.
    Defendant was suspected of participating in a brutal sexual
    assault   and    murder.      Two   of   his   friends      confessed     to    their
    involvement,     but   did   not    implicate    defendant.         He    initially
    denied any involvement in the crime.             However, a few days later,
    while he was in jail on an unrelated warrant, he confessed.
    Prior to his trial, defendant claimed that the confession was
    not voluntary and was unreliable, because he was suffering from
    severe    heroin   withdrawal       symptoms    at    the   time    he    gave    the
    statement.
    Following a N.J.R.E. 104 hearing, the trial judge held that
    at an upcoming Miranda1 hearing and at trial defendant could
    present an expert psychiatrist to testify about the possible
    relationship between his heroin withdrawal and his confession.
    The expert would be permitted to testify that defendant was
    addicted to heroin and was suffering from withdrawal when he
    1
    Miranda v. Arizona, 
    384 U.S. 436
    , 
    86 S. Ct. 1602
    , 
    16 L. Ed. 2d 694
     (1966).
    2                                  A-2990-12T3
    gave his statement to the police, and that his claims about the
    effects of withdrawal were "consistent with his claim that he
    was     giving    an   unreliable        statement          at     the     time"      of    his
    confession,       "given      his      history         of        issues        with      heroin
    dependence."
    In a written opinion, dated January 15, 2012, the trial
    judge     explained     his      reasons       for     admitting          the     testimony.
    Relying on State v. King, 
    387 N.J. Super. 522
     (App. Div. 2006),
    he    concluded    that    the      testimony        was    admissible           to   explain
    defendant's      mental    disorder      to     the    jury       and     to    explain      why
    someone    suffering      from    heroin      withdrawal          might        confess     to   a
    crime as a result of the effect of the withdrawal symptoms,
    whether or not the confession was accurate.                         However, the judge
    ruled    that    the   expert    could     not       testify      as     to    whether     this
    defendant's       statement      was     reliable          or     unreliable.              After
    reviewing the record and the applicable law, we agree with the
    trial judge.
    In evaluating a proffer of expert testimony, the court must
    apply the provisions of N.J.R.E. 702.
    [T]he   rule    sets   forth   three   basic
    requirements for the admission of expert
    testimony:    "'(1) the intended testimony
    must concern a subject matter that is beyond
    the ken of the average juror; (2) the field
    testified to must be at a state of the art
    that   an   expert's  testimony   could   be
    sufficiently reliable; and (3) the witness
    3                                          A-2990-12T3
    must have sufficient expertise to offer the
    intended testimony.'"
    [State v. Torres, 
    183 N.J. 554
    ,   567-68
    (2005) (citation omitted).]
    Those   requirements    are   construed       "liberally"      in   favor   of
    admitting expert testimony.       State v. Jenewicz, 
    193 N.J. 440
    ,
    454 (2008).    We review a trial judge's evidentiary rulings --
    including a decision to permit an expert to testify pursuant to
    N.J.R.E. 702 -- for abuse of discretion.           
    Id. at 455
    .
    On this appeal, the State characterizes the trial judge's
    decision as a departure from established case law.              We disagree.
    His ruling was consistent with settled precedent upholding a
    defendant's   right    to   present       expert   testimony    designed    to
    explain to the jury why a particular defendant's psychological
    condition would make that defendant vulnerable to giving a false
    confession.   By contrast, courts have routinely rejected efforts
    to present expert testimony concerning the phenomenon of false
    confessions in general or the impact of police interrogation
    methods in producing false confessions.2
    2
    Much of the State's brief is devoted to arguing that
    defendant's expert should not be permitted to testify because
    there is no scientific basis for the theory that drug addiction
    causes false confessions. That is a "straw man" argument, based
    on an inaccurate characterization of the expert's proposed
    testimony.    On cross-examination, the expert explained that
    "there is a body of literature that discusses the symptoms and
    how certain psychiatric disorders can cause a person to be
    vulnerable to giving . . . false confessions but not necessarily
    (continued)
    4                              A-2990-12T3
    In this State, the leading cases are State v. Free, 
    351 N.J. Super. 203
     (App. Div. 2002), State v. King, 
    supra,
     and
    State v. Rosales, 
    202 N.J. 549
     (2010).              In Free, the defense
    sought    to   introduce       expert       testimony    addressing       false
    confessions as a phenomenon and applying the expert's views on
    that topic to the details of the defendant's interrogation in
    that   case.     We   held    that   the    testimony    was     inadmissible,
    distinguishing    cases      permitting     testimony    about    a    specific
    defendant's psychological diagnosis:
    However,   in   each   of   those cases   the
    psychological        testimony      concerned
    scientifically recognized mental disorders
    relevant to each defendant's confession,
    rather than, as here, testimony about the
    effects, in general, of police interrogation
    techniques.   We also acknowledge that a few
    decisions from other jurisdictions have
    permitted psychological testimony on the
    effects of police interrogation.     For now,
    we merely note that none of them went as far
    as the trial judge did here, and that, in
    any case, as shall appear, we do not find
    them persuasive.
    [Free, 
    supra,
     
    351 N.J. Super. at 213
    (citation omitted).]
    (continued)
    saying that this . . . psychiatric disorder causes false
    confessions." The expert then gave a lengthy explanation of the
    physical and mental effects of heroin withdrawal and how it
    could affect an addict's responses to questions.     However, he
    also testified that he could not opine whether this defendant's
    confession was true or false.      The State's argument on this
    point warrants no further discussion here. R. 2:11-3(e)(2).
    5                              A-2990-12T3
    By      contrast,       in     King,   the    defendant     had   a     long     and
    documented     history        of    mental       illnesses     of   various        types
    recognized in the Diagnostic and Statistical Manual of Mental
    Disorders (DSM).          See King, 
    supra,
     
    387 N.J. Super. at 532
    .                    We
    held that the defendant could present expert opinions concerning
    his mental illness and testimony explaining to the jury why
    someone   with      those    types    of   mental    illnesses      would    be     more
    vulnerable to giving false confessions.                   
    Id. at 538
    .        However,
    we held that the expert could not testify that this defendant's
    confession was false or was a product of his mental disease.
    
    Id. at 540
    .
    Our decision in King derived from the United States Supreme
    Court's opinion in Crane v. Kentucky, 
    476 U.S. 683
    , 
    106 S. Ct. 2142
    , 
    90 L. Ed. 2d 636
     (1986).                   There, the Court held that a
    defendant     had     a     constitutional        right   to    present      evidence
    concerning "the physical and psychological environment in which
    the confession was obtained."              
    Id. at 684
    , 
    106 S. Ct. at 2143
    ,
    
    90 L. Ed. 2d at 641
    .             The Court reasoned that such evidence was
    relevant and admissible on the issue of the truthfulness, as
    well as the voluntariness, of a confession:
    [T]he circumstances surrounding the taking
    of a confession can be highly relevant to
    two separate inquiries, one legal and one
    factual.   The manner in which a statement
    was extracted is, of course, relevant to the
    purely legal question of its voluntariness,
    a question most, but not all, States assign
    6                                  A-2990-12T3
    to the trial judge alone to resolve.       But
    the physical and psychological environment
    that yielded the confession can also be of
    substantial    relevance   to  the    ultimate
    factual issue of the defendant's guilt or
    innocence.     Confessions, even those that
    have been found to be voluntary, are not
    conclusive of guilt. And, as with any other
    part of the prosecutor's case, a confession
    may   be    shown    to   be  "insufficiently
    corroborated or otherwise . . . unworthy of
    belief."   Indeed, stripped of the power to
    describe to the jury the circumstances that
    prompted his confession, the defendant is
    effectively disabled from answering the one
    question    every    rational   juror    needs
    answered: If the defendant is innocent, why
    did he previously admit his guilt?
    [Id. at 688-89, 
    106 S. Ct. at 2145-46
    , 
    90 L. Ed. 2d at 644
     (citations omitted).]
    The Court noted that the issue of whether a confession was
    voluntary might overlap with whether it was reliable.     However,
    a defendant has the right to present the jury with evidence on
    the confession's unreliability, even if the judge earlier held
    that the confession was voluntary:
    [R]egardless   of  whether   the   defendant
    marshaled the same evidence earlier in
    support   of   an unsuccessful   motion   to
    suppress, and entirely independent of any
    question of voluntariness, a defendant's
    case may stand or fall on his ability to
    convince the jury that the manner in which
    the confession was obtained casts doubt on
    its credibility.
    [Id. at 689, 
    106 S. Ct. at 2146
    , 
    90 L. Ed. 2d at 644
     (citations omitted).]
    7                          A-2990-12T3
    In   King,     we   recognized   that   courts   from    many    other
    jurisdictions had relied on Crane in permitting expert testimony
    concerning   "a   defendant's   psychological   makeup      and   internal
    psychological characteristics impacting on the reliability                of
    the confession."    King, 
    supra,
     
    387 N.J. Super. at 538
    .
    In People v. Hamilton, 
    163 Mich. App. 661
    ,
    
    415 N.W.2d 653
     (1987), the Michigan Court of
    Appeals reversed a murder conviction because
    of the trial court's exclusion of testimony
    by a clinical psychologist as to how the
    defendant's psychological makeup might have
    affected his statements to the police.          The
    Court   stated,     "Crane    did    not    concern
    evidence of the defendant's psychological
    makeup, but focused instead on the physical
    and     psychological        aspects      of     an
    interrogation.     Nonetheless, we believe the
    United States Supreme Court's reasoning is
    equally applicable to otherwise admissible
    expert testimony."      
    Id. at 655
    ; see also,
    State v. Oliver, 
    280 Kan. 681
    , 
    124 P.3d 493
    ,
    505-09    (2005)      (holding     psychologist's
    testimony of the defendant's post-traumatic
    stress disorder and dependent personality
    disorder    admissible      as    part    of    the
    psychological environment under Crane as
    bearing on defendant's ability to respond
    reliably    to    interrogation,     but    finding
    preclusion of testimony harmless error),
    cert. denied, ___ U.S. ___, 
    126 S. Ct. 2361
    ,
    
    165 L. Ed. 2d 286
     (2006); State v. Buechler,
    
    253 Neb. 727
    , 
    572 N.W.2d 65
    , 71-74 (1998)
    (reversing a murder conviction, holding that
    under Crane a clinical psychologist should
    have been allowed to testify that the
    defendant's        drug       withdrawal        and
    psychological disorders may have resulted in
    a   false   confession,     as   such    testimony
    pertained to the psychological circumstances
    under which the defendant confessed and had
    a   bearing    on   the    reliability     of   the
    confession); Pritchett v. Commonwealth, 263
    8                            A-2990-12T3
    Va. 182, 
    557 S.E.2d 205
    , 208 (2002) (same as
    to   testimony  of   clinical   and  forensic
    psychologists about the defendant's mental
    retardation     and      vulnerability     to
    interrogative suggestibility).
    [Id. at 538-39.]
    Notably,   that   precedent    included   Buechler,   
    supra,
        which
    addressed the admissibility of expert testimony concerning the
    defendant's drug withdrawal.3         There, the Nebraska Supreme Court
    held    that   the   testimony       was   admissible   to   explain    the
    defendant's mental state and how it might have affected the
    reliability of his confession:
    Thus, we reach the question as to whether
    the   district   court   here   abused   its
    discretion in rejecting the psychologist's
    proffered testimony, which undertook not to
    tell the jury how to decide the case or what
    result should be reached on any issue to be
    resolved by it, but, rather, to explain
    Buechler's mental state at the time of the
    recorded confession. While ordinary citizens
    might understand that drug withdrawal is
    uncomfortable,   without   expert   evidence
    3
    In McIntosh v. State, 
    532 So.2d 1129
    , 1130 (Fla. App. 1988),
    the court held that the defendant should have been permitted to
    present testimony that "she was, during the confession,
    'jonesing' or coming down from a high which impaired her ability
    to withstand pressure."   The court did not specify whether the
    proposed testimony was from a lay or expert witness, but stated
    that excluding the evidence deprived the defendant of a
    "meaningful   opportunity"   to   challenge   the   confession's
    reliability and hence "to present a complete defense."     
    Ibid.
    See also State v. Burns, 
    691 P.2d 297
    , 301-02 (Ariz. 1984)
    (defendant, who claimed he was under the influence of LSD when
    he   confessed,  was   entitled  to   attack   the  confession's
    reliability by presenting expert testimony concerning the drug's
    effects).
    9                          A-2990-12T3
    ordinary citizens would not be expected
    to understand that in Buechler's case,
    withdrawal, combined with his disorders, may
    have made him suggestible, may have caused
    him to process information haphazardly, and
    may   have  caused   him  to   reach  faulty
    conclusions. Under that state of the record,
    we must conclude that the district court
    abused its discretion in excluding the
    proffered testimony.
    [Buechler, 
    supra,
     
    572 N.W.2d at 73
    .]
    The admissibility issue, however, long predated Buechler.
    In   1879,   the    Iowa     Supreme   Court   held    that    a   defendant   was
    entitled     to    present    expert   testimony      that    he   suffered    from
    alcohol addiction and withdrawal symptoms at the time of his
    confession:
    The defendant, for the purpose of showing
    his mental condition at the time of the
    alleged confession testified to by Mrs.
    Squires, introduced witnesses who showed
    that prior to that time he had been
    exceedingly intemperate. The defendant then
    called one Dr. Hay as an expert in nervous
    diseases, including delirium tremens and
    other forms of insanity.      He was asked in
    substance    what    mental    condition   was
    indicated in the defendant at the time he
    was seen by Mrs. Squires, supposing his
    conduct, language and appearance to be such
    as described by her, and supposing his
    habits to be such as shown in regard to
    drink.   The counsel for the State objected
    to   the    question    as   incompetent   and
    immaterial to the main issue in the case.
    The counsel for the defendant then stated
    that they proposed to show by the witness
    that the defendant, at the time of the
    alleged   confession,    was   laboring  under
    delirium tremens. The counsel for the State
    repeated their objection, and the objection
    10                               A-2990-12T3
    was sustained.    In this we think that the
    court erred.    Where a confession is shown,
    and there is evidence tending to show that
    the   defendant,    at  the   time   of   the
    confession, was laboring under delirium
    tremens, or was otherwise insane, we think
    that the opinion of an expert may properly
    be   taken   upon   the  defendant's   mental
    condition as indicated by the proven facts.
    We see no reason why his insanity may not be
    established by any kind of evidence which is
    employed in any case to establish such a
    fact.
    [State v.      Feltes,   
    1 N.W. 755
    ,    760   (Iowa
    1879).]
    Hence, it is well established that a defendant has the right to
    present     expert    psychological        testimony       bearing      on    the
    reliability of his confession.
    Nonetheless, that right has limits.                 While a defendant may
    present expert testimony bearing on psychological diagnoses that
    require knowledge outside the understanding of lay jurors, an
    expert may not testify to factors within the ken of the average
    juror.     See Rosales, supra, 202 N.J. at 563.                  Thus, expert
    testimony is unnecessary to explain to jurors why a defendant
    might     have   falsely    confessed      after   the      police     allegedly
    threatened to electrocute him.            Id. at 566.      Nor may an expert
    invade the jury's role by testifying that a defendant "confessed
    to a crime he did not commit."           Id. at 552.
    While Rosales upheld the trial court's exclusion of expert
    testimony about false confessions, we find the State's heavy
    11                                 A-2990-12T3
    reliance on Rosales to be misplaced.          In Rosales, the Court
    cited King and Free with approval.         It found that, as in Free
    and   unlike   in   King,   the   expert   evidence   Rosales   offered
    consisted of generalities about false confessions, untethered to
    any recognized psychological disorder.
    In the present case, we agree with the
    Appellate Division's conclusion that the
    proposed expert opinion of Dr. Latimer was
    more akin to the expert testimony disallowed
    in Free, 
    supra,
     and unlike the expert
    testimony allowed in King, 
    supra.
     Here,
    defendant    had   no   longstanding   prior
    diagnosis of a mental disorder. Instead, in
    support of defendant's motion to allow
    expert testimony on false confessions, Dr.
    Latimer   simply   alluded   to  defendant's
    generalized notions of anxiety and fear in
    the interrogation setting, as well as his
    education and national origin.
    Simply stated, we find nothing exceptional
    about this case to require an expert to
    opine   that    defendant    gave   a  false
    confession.    The   average    juror  would
    understand defendant's argument that because
    he was threatened with immediate death by
    electrocution he gave a false confession to
    save his life.
    [Id. at 566.]
    The Court also found that, on the record presented, the
    proposed testimony "was not about a field that is at a 'state of
    the art' to be considered sufficiently reliable."         
    Id. at 565
    .4
    4
    The Court left "to another day on a different record," the
    question of whether, "even without a DSM diagnosis, there might
    (continued)
    12                           A-2990-12T3
    For future guidance, the Court provided a general principle for
    evaluating expert witness testimony concerning confessions:
    We recognize that in some other case the
    evidence presented may satisfy the New
    Jersey Rules of Evidence to permit expert
    testimony     regarding    a     defendant's
    confession.   We are in general accord with
    the Attorney General's suggestion that New
    Jersey    should   follow    the   following
    principle:
    [E]xpert witnesses may testify to
    a witness's or defendant's mental
    disorder   and     the    hypothetical
    effect of that disorder.        Expert
    witnesses may not, however, render
    an opinion on the defendant's
    veracity   or    reliability     of  a
    confession    because      whether   a
    confession is reliable is a matter
    in the jury's exclusive province;
    it is essential that the testimony
    actually   tell    jurors    something
    they would not otherwise know from
    their usual human experience and
    that it remain hypothetical or
    theoretical, and it must stop
    short of expressing the expert's
    judgment    on     the     defendant's
    reliability     in     the    specific
    instance    of      the     confession
    submitted      for      the     jury's
    consideration.
    [Id. at 566-67 (quoting 23 C.J.S. Criminal
    Law § 1444 (2006) (footnotes omitted)).]
    The Court analogized that principle to the rule allowing
    expert opinion on Child Sexual Abuse Accommodation Syndrome "'to
    (continued)
    be some other scientifically reliable evidence to warrant expert
    testimony regarding false confessions." Id. at 567.
    13                        A-2990-12T3
    describe traits found in victims of such abuse'" but not to
    assess witness credibility or other "'ultimate issues that are
    for jury resolution.'"       Id. at 567 (quoting State v. J.Q., 
    130 N.J. 554
    , 556 (1993)).        The Court drew the same analogy to
    expert testimony on battered woman's syndrome.                
    Ibid.
     (citing
    State v. Townsend, 
    186 N.J. 473
    , 492-93 (2006)).
    This holding was consistent with the Court's prior ruling
    in State v. Vandeweaghe, 
    177 N.J. 229
     (2003).              In Vandeweaghe, a
    defense   expert    testified,     based      on   defendant's   history      of
    alcohol addiction and his physical symptoms at the time of the
    crime, that defendant was so intoxicated that he could not form
    the mens rea to commit purposeful or knowing murder.                    
    Id. at 234
    .    In rebuttal, the State produced an expert who testified
    that   because   defendant   was   a    longstanding      alcoholic,   he    was
    actually less likely to be affected by ingesting large amounts
    of alcohol.      
    Id. at 234-35
    .    The Court expressed no disapproval
    of either expert's testimony about the effects of defendant's
    alcohol addiction.      However, the Court held it was prejudicial
    error for the State's expert to also testify that the defendant
    suffered from an antisocial personality disorder that made him
    more likely to lie and lie successfully.              
    Id. at 239-40
    .        That
    testimony "impermissibly usurped the jury's exclusive role in
    assessing witness' credibility."            
    Id. at 239
    .
    14                              A-2990-12T3
    In State v. Townsend, 
    supra,
     
    186 N.J. at 479
    , the State
    sought to present expert testimony on the issue of battered
    woman's syndrome, to explain why the victim's dying declaration,
    which exculpated the defendant, might not be credible.                        As in
    this case, the expert's testimony was intended to explain to the
    jury   why    a    statement     normally      considered     reliable    (there,    a
    dying declaration; here, a confession) might be unreliable.                       The
    Court held that the expert testimony was admissible.                         
    Id. at 499
    ; see People v. Kowalski, 
    821 N.W. 2d 14
    , 36 (Mich. 2012)
    (noting that "circumstances of a false confession are beyond the
    average person's understanding" and expert testimony "can help
    jurors understand . . . counterintuitive behavior.").
    In State v. Burr, 
    195 N.J. 119
     (2008), the Court held that
    the defendant could present expert testimony about Asberger's
    syndrome in order to explain to the jury defendant's seemingly
    odd or suspicious behavior. Citing King with approval, the Court
    reviewed     the     myriad     situations      in   which    expert     psychiatric
    testimony was appropriate.             
    Id. at 128
    .       "[E]vidence of mental
    defect, illness, or condition has been admitted . . . to assess
    credibility or otherwise evaluate the subjective perceptions of
    an   actor."         
    Ibid.
          The   Court    noted   that    those     permissible
    purposes     included        evaluating   a    "defendant's     false    confession
    claim."      
    Ibid.
    15                                A-2990-12T3
    Applying the above cited cases to the record before us, we
    agree with the trial judge that this case is similar to King and
    dissimilar to Rosales and Free.                      Drug addiction and withdrawal
    are     recognized      physical          and    psychological        conditions          that
    defendant's expert was well qualified to explain to the jury.
    See N.J.R.E. 702; King, 
    supra,
     
    387 N.J. Super. at 544
    .                             Further,
    lay jurors might not perceive all of the ways in which a person
    experiencing heroin withdrawal could be vulnerable to giving a
    false    confession.5          See   N.J.R.E.         702.    At     the       N.J.R.E.    104
    hearing,    the       expert   cogently         explained     the    myriad       agonizing
    symptoms of withdrawal and why lay persons might not understand
    the extent of withdrawal's effects on an addict.
    From Crane, we derive the bedrock principle that, to have a
    meaningful     opportunity           to     attack      the   credibility           of    his
    confession,       a    defendant      must       be    able   to     present       relevant
    testimony that will assist the jury in its evaluation of the
    confession's      reliability.             If    a    defendant     has    a    recognized,
    diagnosed mental condition, of a type that could make him or her
    more vulnerable to giving a false confession, the defense has
    the right to present an expert to explain the mental condition
    5
    Needless to say, this information may also be highly relevant
    to the voluntariness of defendant's confession, an issue not
    before us on this appeal.
    16                                  A-2990-12T3
    and to explain how and why it could affect the confession's
    reliability.
    This    case    illustrates          the     importance      of   such    testimony.
    The    State's        case     rests     heavily,       if     not       exclusively,        on
    defendant's confession.                The prosecutor stated at the N.J.R.E.
    104 hearing that the forensic evidence was inconclusive.                                    The
    co-defendants         have     not     implicated       defendant         in    the    crime,
    although one co-defendant pled guilty and received a forty-five
    year sentence.         The trial judge noted, during the hearing, that
    many aspects of defendant's confession may present fodder for
    cross-examination of the police who conducted the interrogation.
    Those include contradictions between what defendant admitted he
    did to the victim and the forensic evidence found on her body,
    as    well    as   the       manner    in     which     the    police      conducted        the
    questioning.          However, as defense counsel noted, without the
    expert's      testimony       about     the    physical       and    mental     effects      of
    heroin withdrawal, the defense would be hamstrung in explaining
    to the jury why defendant would admit to a crime he did not
    commit.       See Crane, 
    supra,
     
    476 U.S. at 689
    , 
    106 S. Ct. at 2146
    ,
    
    90 L. Ed. 2d at 644
    .
    As in King, we agree that an expert may testify that the
    defendant's        diagnosed          mental      problems       made     the     defendant
    vulnerable to giving a false confession and had the capacity to
    affect the reliability of the defendant's confession.                                    King,
    17                                     A-2990-12T3
    supra,     
    387 N.J. Super. at 537-39
    .        In     other    words,     the
    defendant's mental condition may provide an explanation, other
    than    the    truth,      for   the    defendant's         confession.        In     that
    connection, the expert may explain the nature and symptoms of
    the defendant's mental condition (in this case, heroin addiction
    and withdrawal) and may explain how those symptoms could have
    affected defendant's responses during the interrogation.                              From
    our reading of Rosales, we conclude that the expert may not
    opine that the confession was unreliable, was not credible, or
    was false.       Those issues are for the jury to decide.                     Moreover,
    the trial court should provide the jurors with an appropriate
    limiting      instruction        to    guide        their     consideration     of    the
    expert's testimony.
    Finally, we comment on an additional, foundational issue.
    While    an    expert      can   testify       to    hearsay      in   explaining     his
    opinion,      see    N.J.R.E.     703(3),      the     jury      cannot    consider   the
    included hearsay for its truth.                  Thus, a defendant may not place
    before the jury the facts critical to his defense by relying on
    included hearsay in his expert's opinion.                        In this case, there
    must be some legally competent evidence that defendant was, in
    fact, suffering from heroin withdrawal while the police were
    interrogating him.           Otherwise, his expert's testimony would be
    irrelevant and a net opinion.
    18                                  A-2990-12T3
    King addressed the issue of included hearsay within a
    psychological   expert's   testimony,      and     our    discussion       there
    provides helpful guidance.        We explained that an expert may
    testify to statements made to him by the defendant, in order to
    explain the expert's diagnosis.         King, supra, 
    387 N.J. Super. at 548
    .   However, the jury must be cautioned not to consider the
    defendant's   statements   for   their    truth.         
    Id. at 549
    .     The
    analysis in King is worth quoting at length:
    Defendant's statements to the forensic
    psychiatrist made during the interviews
    present a different situation.   Our courts
    have consistently held that a psychiatrist
    in a criminal case may testify as to what a
    defendant told him or her if the expert
    relied on the statements in formulating an
    opinion about the defendant's mental or
    psychiatric condition, and such hearsay
    declarations    "constituted   a   necessary
    element   in   the   formulation  of   [the]
    opinion."
    Of course, these hearsay statements are
    not admitted for their truth, and the
    expert's testimony must be circumscribed by
    an    appropriate     limiting    instruction.
    Moreover, if the psychiatrist's opinion
    hinges   upon   the   truth    of  defendant's
    statement,   the   jury   should  be   further
    instructed that the probative value of the
    psychiatrist's opinion will depend upon
    whether there is independent proof of the
    hearsay statement.
    We are mindful of the trial court's
    concern about the potential for defendant to
    allow Dr. Harris to parrot and place before
    the   jury  defendant's   version   of   what
    occurred during the interrogation, without
    the   State's   ability   to    cross-examine
    19                                  A-2990-12T3
    defendant.   The trial court, however, erred
    in imposing a blanket prohibition that
    appears to bar testimony by Dr. Harris as to
    any statements made by defendant to him
    during the clinical interviews pertaining to
    the interrogation. With this limitation, we
    cannot perceive how Dr. Harris will be able
    to provide a factual basis for his opinions
    and present anything other than a net
    opinion, unworthy of any consideration.
    We believe a general rule of guidance
    is the wiser course in the posture of this
    case. . . . [W]ithin the guidelines of
    N.J.R.E. 703 and the case law, Dr. Harris
    shall be permitted to testify as to those
    statements made to him by defendant during
    the clinical interviews pertaining to the
    interrogation that he relied on and were
    essential to his diagnosis of defendant's
    personality disorders and formulation of his
    medical opinion that these disorders are
    consistent with defendant's claim of false
    confession. Moreover, the information should
    be of a type typically relied upon in the
    psychiatric   community    in  making   such
    assessments and diagnoses.
    [Id. at 549-50 (citations omitted).]
    In this case, the expert opined that aspects of defendant's
    physical   conduct   and    appearance      during     the    videotaped
    interrogation were consistent with heroin withdrawal.          The jury
    could observe that conduct for themselves by watching the video,
    and could accept or reject the expert's evaluation.           The expert
    also relied on defendant's medical records from earlier years,
    which   documented   his   long   history    of      heroin   addiction.
    Additionally, the expert considered the county jail's medical
    records, which included notations that, shortly before defendant
    20                            A-2990-12T3
    confessed, he was treated with Librium, a drug used to blunt the
    effects of alcohol addiction.                   However, the expert also based
    his opinions on interviews with defendant and his family.                          The
    jury     must     be     instructed      that    they    cannot   consider      those
    interview statements for their truth.
    As in King, we leave to the trial judge the task of ruling
    on     specific    evidentiary          issues    that   may   arise   during      the
    expert's trial testimony or during in limine motions.                        In that
    regard,    we     note    that    the    expert's    testimony    at   the   Miranda
    hearing may serve as a sort of "dress rehearsal" for the trial,
    without presenting the risk of jury confusion or prejudice.                        The
    judge     can     readily        distinguish       inadmissible    hearsay       from
    admissible evidence presented at that hearing, and the hearing
    may provide a more complete picture of how the defense intends
    to use this expert's testimony at the trial and what, if any,
    additional factual foundation the defense may present.                       Nothing
    in our opinion precludes the State from filing an in limine
    motion prior to the trial to address specific evidentiary issues
    relating to the expert's proposed trial testimony.6
    Affirmed.
    6
    Of course, if the court determines after the Miranda hearing
    that defendant's confession was not voluntary, an issue as to
    which we intimate no view, issues relating to the expert's trial
    testimony will become moot.
    21                               A-2990-12T3