Steven Wallace Hopkins v. State ( 2020 )


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  • Opinion issued November 24, 2020
    In The
    Court of Appeals
    For The
    First District of Texas
    ————————————
    NO. 01-19-00221-CR
    ———————————
    STEVEN WALLACE HOPKINS, Appellant
    V.
    THE STATE OF TEXAS, Appellee
    On Appeal from the 174th District Court
    Harris County, Texas
    Trial Court Case No. 1518270
    O P I N I O N
    Steven Wallace Hopkins appeals from his judgment of conviction for the
    offense of aggravated sexual assault. On appeal, Hopkins contends that:
    (1) the evidence is legally insufficient to support the jury’s guilty verdict;
    (2) the charge did not require the jury to find the aggravating circumstance
    necessary to find him guilty of aggravated sexual assault; and
    (3) the charge created an unconstitutional presumption of non-consent.
    We affirm.
    BACKGROUND
    A grand jury indicted Hopkins for aggravated sexual assault. The indictment
    alleged that Hopkins intentionally and knowingly caused his mouth to contact the
    sexual organ of J.S., a disabled individual, without consent. The indictment further
    alleged that consent was lacking because Hopkins knew that, as a result of mental
    disease or defect, J.S. was incapable of appraising the nature of the act or of resisting
    it. Hopkins pleaded not guilty and was tried by a jury.
    At trial, the defense admitted Hopkins performed oral sex on J.S. It disputed
    that J.S. was incapable of consenting due to mental disease or defect.
    The State called five witnesses: J.S., his mother, his cousin, the investigating
    detective, and a clinical psychologist. The defense called no witnesses of its own.
    J.S.’s mother testified that her son, who was 23 at the time of trial, has lived
    with her his entire life. When he was a baby and child, he was developmentally
    delayed. He has always been behind his peers emotionally and developmentally. In
    high school, J.S. was enrolled in special education classes and classes modified for
    his abilities. He played trumpet in the school band.
    She testified that her son presently works at a tire shop owned by a friend of
    the family. At work, J.S. performs manual labor, such as taking off tires and putting
    2
    them back on. His mother and boss provide transportation to and from work. J.S.
    does not have a driver’s license, and his mother does not think he has the ability to
    drive at present.
    Since his father’s death in April 2017, J.S. has received survivor’s income as
    an adult disabled person. J.S. and his mother discuss how to make use of this income
    as well his earnings from his job at the tire shop.
    His mother testified that J.S. dresses himself. He may be able to cook simple
    things, like bacon and eggs. But usually someone will oversee his cooking. J.S. plays
    the guitar and video games. He attends church. He also has friends with whom he
    spends time.
    Asked whether someone would immediately know that J.S. is disabled upon
    meeting him, his mother testified it was difficult to say. A person who has experience
    with a disabled family member might be able to do so. But she testified that J.S.’s
    disability would be apparent from a brief conversation because his speech is not as
    clear and he struggles to enunciate and pronounce words. J.S. “can hold a
    conversation for the most part.” But he tends to think about and understand things
    in a “very literal” fashion.
    J.S.’s mother testified that her son’s maturity level is six or seven years behind
    his age. He gets along well with his 15-year-old brother because at present “most of
    the time he’s more like the 15-year-old in development and playing games and things
    3
    like that.” J.S.’s mother described him as “very trusting, especially of older people.”
    She stated that before the assault J.S. did not understand that there were “bad people”
    out there who might hurt him.
    In 2016, when J.S. was 20 years old, his parents let him stay with his cousin
    Daryl to help level a house, which is how Daryl earned a living. At the time, J.S. had
    the maturity of a 12- or 13-year old or at most of a 16-year-old. When someone told
    him to do something, he usually did it. During his stay with Daryl, J.S. called his
    mother crying, which was unusual. J.S. told her that someone had touched him
    inappropriately. He did not tell her all the details, however, due to embarrassment.
    His mother stated that she did not think her son had the wherewithal to resist
    sexual advances at the time. While J.S. had the physical strength to defend himself,
    she testified he lacked the cognitive ability to understand that someone might try to
    manipulate him to participate in acts of a sexual nature.
    During her testimony, the State introduced a 2016 medical record from Texas
    Children’s Hospital corroborating her assessment of her son. The record states the
    conclusion of a medical doctor, Monica Thint, that J.S. “is incapable of protecting
    himself from inappropriate sexual advances.” But this record was made after J.S.’s
    contact with Hopkins.
    4
    Detective D. Wright of the Pasadena Police Department investigated J.S.’s
    allegations. As part of her investigation, she spoke with J.S. and his parents. She also
    interviewed Hopkins.
    When Wright interviewed J.S., he “appeared more childlike” than his age after
    speaking with him “for just a few minutes.” His answers to her questions were “a
    little bit more simplistic” than an adult’s. J.S. said he told Hopkins “that he did not
    want to do anything with him and he told him that a couple of nights prior as well
    and that he was sexually assaulted anyways.” A couple of days beforehand, Hopkins
    had shown J.S. some pornography on his phone and made sexual advances, but J.S.
    told Hopkins “he didn’t want that.” J.S. was consistent that he never wanted
    Hopkins’s mouth on his penis. But J.S. told Wright that Hopkins did not use force
    or threats of force to obtain sex. In a statement that J.S. gave to the officer who
    initially responded, J.S. said he thinks homosexual sex is immoral.
    When Wright interviewed Hopkins, Hopkins told her that J.S. consented to
    their sexual activities. When officers went to Hopkins’s residence to arrest him about
    a month after the interview, they found that he had moved out of state. Wright
    testified that Hopkins’s move could be a sign of guilt.
    Wright also reviewed some of J.S.’s medical records. One record made after
    the assault indicated that J.S. “mentally is on a fourth to sixth-grade level.” Wright
    testified that, under Texas law, J.S. would be unable to consent if his mind is at such
    5
    a childlike degree of development and that this would remain true if he had the mind
    of a young teen or even a 16-year-old.
    J.S.’s cousin, Daryl, testified that J.S. came to stay with him for a short while
    in 2016 to help level a house and do some other work. J.S. wanted to move out of
    his parents’ home and live independently. But Daryl stated that J.S. lacked the ability
    to do so because he “didn’t have the capacity to pay his own bills, to make decisions
    for himself, to drive down the road.” Staying with Daryl represented a kind of
    compromise, allowing J.S. to experience some independence from his parents while
    being under another’s care.
    Daryl characterized Hopkins as “a creepy neighbor.” According to Daryl,
    Hopkins often raised the topic of gay sex in a way that made Daryl uncomfortable.
    These sexual conversations were unwanted.
    When J.S. came to stay with Daryl, Daryl told Hopkins that J.S. was “kind of
    mentally slow so he’s sexually just off limits.” Daryl thought it was necessary to tell
    Hopkins this because of the “unwanted sexual advances” Hopkins had directed
    toward him. Hopkins responded, “okay.”
    A couple of days before the assault, Daryl and J.S. decided to go to a bar to
    shoot pool. Daryl invited Hopkins “to be polite,” as Daryl and J.S. had discussed
    their plans in front of Hopkins. But Daryl testified that he was “a little bit concerned”
    about having Hopkins accompany them. During this outing, Daryl played pool with
    6
    a woman while J.S. and Hopkins played pool at an adjacent table. At one point, J.S.
    told Daryl that he felt very uncomfortable because Hopkins was making sexual
    advances on him. So the three of them left the bar together, as Hopkins had ridden
    there with Daryl and J.S. The ride home was awkward, but Daryl did not broach the
    subject of Hopkins’s advances on J.S. Afterward, Daryl and J.S., on the one hand,
    and Hopkins, on the other, went their separate ways.
    A couple of days later, Daryl left J.S. on his own while Daryl went to work.
    Daryl was at work for about an hour when he got a call from J.S.’s mother. She told
    him that something was “terribly wrong” with J.S. and that Daryl “needed to go
    check it out.” When Daryl returned home, he found J.S. “sitting there with a knife
    in his hand shaking, red, red in the face, and tears rolling down his eyes.” J.S. said
    that Hopkins “tried to rape him.” Afterward, Daryl telephoned the police.
    J.S. testified that growing up “was rough because it was hard to fit in.” He
    “was always different” because he had difficulty understanding things and
    communicating with others. He doesn’t drive because it is hard for him to know
    when to do things, like stop, and he has poor reflexes.
    J.S. was excited to stay with Daryl because Daryl said he would help J.S. learn
    to cook and take care of himself so that J.S. could be more independent. J.S. was
    frustrated living at home because most of his siblings had become more independent
    than him and it was hard to watch them pass him by.
    7
    While staying with Daryl, J.S. met Hopkins. J.S. recalled the three of them
    going to the bar. J.S. described Hopkins as “being like way too nice.” When Hopkins
    reached for his beer, he placed his hand on J.S.’s hand, which J.S. did not like. J.S.
    said that Hopkins looked at him the way “a woman looks at a guy.” According to
    J.S., he told Daryl that he wanted to leave the bar, but J.S. did not explain that he
    wanted to leave because of Hopkins until later.
    A couple of days later, Daryl left J.S. alone at home. J.S. had sometimes been
    left alone at his own house for short periods of time. J.S. went outside and
    encountered Hopkins, who asked him to go inside his apartment to retrieve
    Hopkins’s cigarettes. J.S. agreed to do so because he thought of Hopkins, who was
    53 years old, as a “nice elderly man.” J.S. stated that he “kind of trusted” Hopkins
    to be “nice.”
    When J.S. entered Hopkins’s apartment to get the cigarettes, Hopkins
    followed him in and then locked the door, which made J.S. suspicious. But J.S.
    dismissed the suspicion because he recalled Daryl telling him that the apartment
    complex was “a ghetto place” and “kind of dangerous.” Hopkins then asked J.S. if
    he had “ever been with a guy.” J.S. told him that he had not. In fact, J.S. had not had
    sex with anyone before. Hopkins then asked J.S. if he wanted to try being with a
    guy, and J.S. said “no.” J.S. testified that he did not want to have sex with Hopkins
    because “it’s unchristian-like and that’s not how God made us.”
    8
    At this point, Hopkins asked J.S. if he “wanted a drink of Jack Daniels.” J.S.
    accepted because he “wanted to try it.” He testified, “Part of me wanted to do
    something stupid.” J.S. does not recall how much he drank, but afterward Hopkins
    again asked him if he wanted to try being with a guy. J.S. responded that he did not
    know but then said “no.”
    Hopkins persisted, asking if he could pull down J.S.’s pants. J.S. testified he
    was “scared and confused.” When asked what he was confused about, J.S. replied,
    “What to do, because I’ve never got taught how to get out of that situation before
    and I really didn’t know how to defend myself.”
    Hopkins suggested J.S. watch pornography, which J.S. did. Hopkins then
    asked J.S. to pull down his own pants. J.S. did so and Hopkins touched J.S. over his
    underwear. Hopkins later removed J.S.’s underwear and touched J.S.’s penis with
    his hands. When asked what was going through his mind at this point, J.S. testified,
    “That I probably should do whatever he says so I don’t get hurt.” J.S. had difficulty
    explaining why he thought he might get hurt, but testified, “I figured after whatever
    happened to me, if I was okay, then I could tell my mom or my dad.”
    Hopkins eventually performed oral sex on J.S. Asked how this made him feel,
    J.S. testified, “A part of me—I don’t know if it’s my body or whatever, part of me
    felt good, but a part of me felt like I was violated.” He explained that he felt violated
    because he had been “saving” his “virginity for a Christian woman.” But J.S.
    9
    testified he was “too scared and confused” to fight off Hopkins. Afterward, Hopkins
    asked J.S. to touch him. J.S. said “no” but did what Hopkins asked.
    J.S. agreed that he understood what was going on in Hopkins’s apartment but
    said he did not leave because he was afraid. J.S. conceded that Hopkins did not
    threaten him. When asked if anything prevented him from resisting Hopkins’s
    advances, J.S. said he “was just afraid of him and scared” and “didn’t know what to
    do or know how to react.”
    Afterward, J.S. went back to Daryl’s apartment and took a shower. Then he
    went and borrowed someone’s phone to call his mother. He told his mother what had
    happened and later told a detective.
    Daniela Costa, a clinical psychologist who evaluated J.S. after the assault, was
    the final witness. Costa testified that she administered an IQ test and the Wide Range
    Achievement Test to J.S. Costa explained that “an IQ test looks at a person’s
    cognitive functioning, and it’s broken down into various subtests,” including ones
    that assess “verbal reasoning skills, nonverbal reasoning skills, short-term memory,
    and processing speed and mental quickness.” The Wide Range Achievement Test
    differs in that it is an academic achievement test that “looks at reading, spelling, and
    math skills.”
    J.S.’s IQ test showed that he has a Full Scale IQ of 70, with a 95 percent
    probability that his IQ falls in the range between 67 and 75. The Full Scale IQ “is
    10
    the aggregate of the Verbal and Performance scores and is usually considered to be
    the most representative measure of global intellectual functioning.” J.S.’s score of
    70 is “low” and shows that he “is functioning within the borderline range relative to
    peers of comparable age.” Costa characterized a score of 70 as “mild intellectual
    impairment, equivalent to a mild” intellectual disability or as being “right on the
    cusp” of intellectual disability, whereas a score lower than 70 indicates “definite”
    intellectual disability.1 The range from 67 to 75 spans a continuum from “extremely
    low to borderline.”
    Among her diagnoses, Costa concluded J.S. has a mild neurocognitive
    disorder, borderline intellectual functioning, and mild intellectual impairment. A
    mild neurocognitive disorder is a “cognitive impairment,” which, in layman’s terms,
    means “IQ problems, attention problems, problems with decision-making processes,
    problems with memory.” Borderline intellectual functioning, in turn, means “there’s
    problems with overall comprehension and reasoning” but “not low enough to be
    considered” intellectually disabled. Costa opined that a person of such limited
    intellectual functioning would not be able to live well independently. Due to
    1
    In her testimony, Costa used the term “mental retardation.” In our opinion, we
    instead use the term “intellectual disability.” There is no difference in meaning,
    but the latter term reflects current clinical and legal usage. See Ex parte Cathey,
    
    451 S.W.3d 1
    , 11 n.23 (Tex. Crim. App. 2014) (noting change in clinical
    terminology); TEX. GOV’T CODE § 325.0123(a) (directing review of statutes to
    revise them to replace “mental retardation” with “intellectual disability”).
    11
    “problems with judgment and reasoning,” such a person requires “support, some
    assistance.” As to J.S.’s mild intellectual impairment, Costa concluded further
    investigation was necessary to ascertain the extent of the impairment, given that his
    IQ was 70 or possibly lower.
    J.S.’s scores on the Wide Range Achievement Test were “in the low range”
    and indicate he functions “at a 4th to 6th grade school level.” Costa opined that a
    person functioning at this level “would know right from wrong” but “wouldn’t
    necessarily be able to consent” to sex due to “impaired judgment reasoning, poor
    decision-making skills.” Costa concluded that J.S. is like a minor. She agreed with
    Dr. Thint’s assessment that J.S. cannot make mature, adult decisions in response to
    sexual advances.
    Costa also treats victims of sexual assault in her practice. She testified that
    some “freeze in the situation” due to “shock, disbelief.” They “just kind of become
    overwhelmed and don’t know how to react.” That’s a reaction that a person of
    normal intelligence might have. A person with J.S.’s reduced level of intellectual
    functioning would “have difficulties making a quick decision,” and “his judgment is
    going to be impaired.”
    The jury found Hopkins guilty as charged. It assessed his punishment at 18
    years’ confinement. Hopkins appeals.
    12
    DISCUSSION
    I.    Legal Sufficiency of the Evidence
    Hopkins argues the evidence is insufficient to prove he committed sexual
    assault or aggravated sexual assault. As to sexual assault, he maintains that lack of
    consent is unproved because the evidence is insufficient to show that:
    •    J.S. has a mental defect that made him incapable either of appraising the
    nature of Hopkins’s sexual advances or of resisting them; or
    •    Hopkins understood that J.S. has a mental defect of this magnitude.
    As to aggravated sexual assault, Hopkins argues that J.S.’s disability is unproved
    because the evidence is insufficient to show that he is substantially unable to protect
    himself from harm or to provide food, shelter, or medical care for himself.
    A.     Standard of review
    In a legal-sufficiency review, we view all the evidence in the light most
    favorable to the prosecution and determine whether any rational jury could have
    found the essential elements of the crime beyond a reasonable doubt. Lang v. State,
    
    561 S.W.3d 174
    , 179 (Tex. Crim. App. 2018). The jury is the lone arbiter of the
    weight of the evidence and witness credibility. Balderas v. State, 
    517 S.W.3d 756
    ,
    766 (Tex. Crim. App. 2016). We defer to the jury’s resolution of evidentiary
    conflicts and the inferences drawn from the evidence as long as the inferences are
    reasonable ones supported by the evidence rather than mere speculation. Villa v.
    State, 
    514 S.W.3d 227
    , 232 (Tex. Crim. App. 2017). Direct and circumstantial
    13
    evidence are equally probative, and the latter alone can suffice to prove guilt.
    Johnson v. State, 
    560 S.W.3d 224
    , 226 (Tex. Crim. App. 2018).
    B.     Applicable law
    A person commits sexual assault if he intentionally or knowingly places his
    mouth on another’s sexual organ without consent. TEX. PENAL CODE
    § 22.011(a)(1)(C). Such an act is done without consent if “the actor knows that as a
    result of mental disease or defect the other person is at the time of the sexual assault
    incapable either of appraising the nature of the act or of resisting it.” Id.
    § 22.011(b)(4). The same conduct constitutes aggravated sexual assault if the victim
    is a “disabled individual,” which is “a person older than 13 years of age who by
    reason of age or physical or mental disease, defect, or injury is substantially unable
    to protect the person’s self from harm or to provide food, shelter, or medical care for
    the person’s self.” Id. § 22.021(a)(1)(A)(iii), (a)(2)(C), (b)(3).
    C.     Analysis
    1.     Consent
    Hopkins argues there is legally insufficient evidence that J.S. did not consent
    to oral sex. Hopkins maintains the evidence does not show that (1) J.S. was incapable
    of appraising the nature of oral sex or of resisting it; or (2) Hopkins knew J.S. was
    incapable of appraising the nature of oral sex or resisting it. See Harris v. State, 474
    
    14 S.W.2d 706
    , 708 (Tex. Crim. App. 1972) (construing prior version of statute as
    requiring proof of victim’s incapability and defendant’s awareness of it).
    In response, the State emphasizes that it only had to prove that J.S. was
    incapable of appraising the nature of oral sex or resisting it, not both, and that
    Hopkins knew of J.S.’s incapability. See PENAL § 22.011(b)(4); Wootton v. State,
    
    799 S.W.2d 499
    , 501–02 (Tex. App.—Corpus Christi 1990, pet. ref’d) (in addition
    to defendant’s knowledge of incapability, consent depends on victim’s “ability to
    appraise the nature of the sexual act or the ability to resist it”). But the State
    maintains that the evidence is legally sufficient to show all three circumstances in
    any event.
    a.     Incapability of appraising the nature of the sexual act
    Hopkins argues the evidence is legally insufficient to show that J.S. was
    incapable of appraising the nature of oral sex because J.S.:
    •    testified he knew what was going on in Hopkins’s apartment;
    •    understood the difference between gay and straight sex; and
    •    knew what flirting was and had girlfriends in the past.
    At the outset, we note that the Penal Code does not define the phrase “the
    nature of the act.” Our sister court has held that the mere fact that a person
    understands something about sex is not necessarily enough to show he is capable of
    appraising its nature. See Green v. State, No. 14-06-00535-CR, 
    2007 WL 2265787
    ,
    15
    at *2–3 (Tex. App.—Houston [14th Dist.] Aug. 9, 2007, no pet.) (mem. op., not
    designated for publication). The ability to appreciate an act’s potential ramifications
    and consequences in addition to its physical mechanics is relevant. See 
    id.
     Bearing
    this in mind, we consider the evidence and Hopkins’s evidentiary arguments.
    For support that J.S. knew what was going on, Hopkins relies on a single
    question and answer from defense counsel’s cross-examination:
    Q. [J.S.], what you described, you knew what was going on, right?
    A. Yes.
    But the jury was not obliged to accept J.S.’s answer to this vague question as proof
    that he could appraise the nature of oral sex. J.S. gave a detailed account of the
    encounter. Among other things, the jury heard J.S. repeatedly testify that he was
    afraid and confused and did not know how to resist Hopkins. J.S. also testified that
    he felt he should do as he was told and thought he could seek help from his mother
    or father afterward. As the arbiter of the weight of the evidence and conflicts in the
    evidence, the jury reasonably could have found that J.S.’s one-word affirmation that
    he “knew what was going on,” given in response to a leading question, was entitled
    to less weight than the remainder of his testimony or even no weight in light of his
    testimony as a whole. See Balderas, 
    517 S.W.3d at 766
     (jury weighs evidence);
    Villa, 514 S.W.3d at 232 (jury resolves evidentiary conflicts); see also Rodriguez v.
    State, No. 14-06-00108-CR, 
    2007 WL 1892302
    , at *4 (Tex. App.—Houston [14th
    16
    Dist.] July 3, 2007, no pet.) (mem. op., not designated for publication) (jury was free
    to credit victim’s testimony on direct in case in which victim who was prone to
    suggestion testified differently on cross-examination).
    Hopkins further argues that J.S.’s speech and demeanor on the stand
    demonstrated that he understood the nature of the sexual act. Hopkins urges that J.S.
    used appropriate adult words to describe the sexual encounter and “told his story in
    a manner that was consistent with someone of at least medium intellectual
    functioning and perhaps even higher intellectual ability.” But the evaluation of a
    witness’s demeanor is for the jury. See Temple v. State, 
    390 S.W.3d 341
    , 363 (Tex.
    Crim. App. 2013). The jury saw and heard J.S.’s testimony firsthand, which allowed
    it to assess his cognitive abilities in general and his ability to appraise the nature of
    the sexual act in particular. Meuret v. State, 
    500 S.W.3d 539
    , 550–51 (Tex. App.—
    San Antonio 2016, no pet.). J.S.’s testimony was not as uniformly mature as Hopkins
    suggests. For example, J.S. testified that he acceded to Hopkins’s advances in part
    because he could seek help from his mother or father afterward. The jury could have
    reasonably found that J.S.’s reliance on his parents for guidance and protection in
    sexual matters at the age of 20 indicated that he did not understand the act.
    As to J.S.’s awareness of the difference between homosexual and heterosexual
    sex, the jury could have reasonably found that it did not show he understood the
    nature of oral sex. J.S. testified that he did not want to have sex with Hopkins because
    17
    he disapproves of homosexuality. But moral disapproval of homosexuality in
    general does not necessarily show an ability to appraise the nature of any particular
    sex act. Whether a category of sex is right or wrong is a distinct issue from whether
    one can appraise the nature of a sex act in which one participates. See Green, 
    2007 WL 2265787
    , at *3 (perceived rightness or wrongness of sex act is distinct question
    from ability to understand its nature). For example, a childlike or simpleminded
    person might believe that sex outside marriage is right or wrong because he has been
    told that this is so by others without understanding much about sex itself. Indeed, in
    this case, Dr. Costa testified that J.S.’s limited intellectual functioning meant he
    “would know right from wrong” but “wouldn’t necessarily be able to consent” to
    sex due to “impaired judgment reasoning, poor decision-making skills.”
    Nor does J.S.’s testimony about flirting or girlfriends show that he understood
    the nature of oral sex. The evidence as to flirting is limited. On the one hand, J.S.
    testified that his cousin Daryl probably talked to a lady at the bar so that he could
    flirt with her. But J.S. did not explain what he meant. Moreover, his testimony
    describing Hopkins’s apparent flirtation with him at the bar was childlike. J.S.
    described Hopkins as being “way too nice.” As to girlfriends, J.S. testified that he
    has had one girlfriend. He denied being physically intimate with her beyond hugging
    and handholding. The jury could have reasonably found that this evidence
    concerning behavior far more innocent in character than oral sex does not show an
    18
    ability to appraise the nature of that act. Cf. Rodriguez, 
    2007 WL 1892302
    , at *2–4
    (evidence sufficient to show victim was unable to appraise nature of act despite her
    testimony that she had sex with someone other than defendant, enjoyed sex with
    defendant, and liked looking at pornography).
    The evidence as to J.S.’s ability to understand the nature of oral sex is mixed.
    But viewing all the evidence in the light most favorable to the verdict, we hold it is
    legally sufficient to prove J.S. could not appraise the nature of the sex act.
    b.     Incapability of resisting the sexual act
    Hopkins argues the evidence is legally insufficient to show that J.S. was
    incapable of resisting oral sex. Among other things, Hopkins maintains that the
    evidence shows J.S. was strong and physically capable of defending himself.
    Hopkins further notes that J.S. initially refused his advances, thus demonstrating that
    J.S. had the ability to resist receiving oral sex had he not desired it.
    In considering whether a person is incapable of resisting a sexual act due to
    mental disease or defect, we focus on whether he has the presence of mind or force
    of will to resist. See Wootton, 799 S.W.2d at 501–02 (evidence showed that victims
    were non compos mentis and unable to resist defendant’s sexual advances). Though
    a person may have the physical capability to resist, the question is whether he has
    the mental wherewithal to harness that capability. See Green, 
    2007 WL 2265787
    , at
    *4 (evidence that victim did not know how to respond to sexual advance from
    19
    someone he perceived as more powerful sufficient to show inability to resist
    defendant he believed was stronger even though victim had fought others in past).
    The evidence as to J.S.’s ability to defend himself physically is more mixed
    than Hopkins acknowledges. J.S.’s mother testified that she believed her son “has
    the physical capacity” to resist unwanted advances. But she also testified that J.S.
    suffers from serious medical problems, including congenital heart disease and other
    heart problems, iatrogenic hypoparathyroidism, and growth hormone deficiency.
    J.S. is short in stature, standing at about five feet five inches in height. His
    hypoparathyroidism affects his ability to control his muscles. J.S. testified that he
    has poor reflexes. Having heard this evidence and had the opportunity to view both
    J.S. and Hopkins in the courtroom, the jury could have reasonably found that J.S.’s
    ability to physically resist was more limited than Hopkins suggests.
    At any rate, J.S.’s physical ability to resist, standing alone, is not dispositive.
    Texas’s sexual-assault statute enumerates multiple circumstances under which
    consent is lacking. PENAL § 22.011(b). One of these circumstances is when the
    victim is “physically unable to resist.” Id. § 22.011(b)(3). The State, however, did
    not charge Hopkins under this provision. The State instead charged Hopkins under
    another provision alleging that consent was lacking because Hopkins knew that by
    reason of mental disease or defect J.S. was “incapable either of appraising the nature
    20
    of the act or of resisting it.” Id. § 22.011(b)(4). Under this provision, the issue is
    whether J.S. had the cognitive ability to resist Hopkins’s advances. See id.
    Though J.S.’s mother said she believed her son has the physical ability to
    resist, she elaborated that she doubted “he has the cognitive ability to understand
    that someone was trying to—someone would be trying to hurt him or manipulate
    him into doing something like that.” Her assessment was echoed by the medical
    doctor and the psychologist who evaluated J.S. Dr. Thint concluded that J.S. “is
    incapable of protecting himself from inappropriate sexual advances.” Dr. Costa
    agreed that J.S. cannot respond to sexual advances as an adult would.
    The jury could have reasonably found that J.S.’s own testimony corroborated
    the other evidence that he lacked the cognitive ability to resist Hopkins’s sexual
    advances. He testified that he did not consider fighting off Hopkins’s advances
    because he “was too scared and confused” to do so. He further testified, “I really
    didn’t know how to defend myself.” When asked on cross-examination whether he
    would have prevailed in a fight with Hopkins, J.S. said, “I don’t know.” J.S.
    described Hopkins as “old” or “elderly,” but said that he nonetheless was imposing
    or overbearing in appearance when J.S. was in his apartment. Whether Hopkins
    actually was imposing or overbearing is debatable, but J.S.’s perception, rather than
    the reality, is what matters. See Green, 
    2007 WL 2265787
    , at *4.
    21
    As to whether J.S. initially refused but eventually acquiesced to Hopkins’s
    sexual advances, the record is susceptible to more than one reasonable interpretation.
    But Hopkins’s argument in this regard is premised on the notion that J.S. withheld
    but then gave actual consent, which is legally irrelevant. In a prosecution alleging
    lack of consent due to mental disease or defect, “the victim’s testimony concerning
    actual consent or lack of actual consent is immaterial.” Rider v. State, 
    735 S.W.2d 291
    , 293 (Tex. App.—Dallas 1987, no pet.). “The issue is the victim’s capacity to
    consent.” 
    Id.
     Section 22.011(b)(4)’s purpose “is to protect those whom the law
    deems incapable of consent.” Id.; accord Samayoa v. State, Nos. 01-13-00537-CR
    & 01-13-00538-CR , 
    2014 WL 3608216
    , at *2 (Tex. App.—Houston [1st Dist.] July
    22, 2014, pet. ref’d) (mem. op., not designated for publication). A person who is
    incapable of giving consent under this provision is likewise incapable of withholding
    it. Rider, 735 S.W.2d at 293. Thus, J.S.’s initial reticence or refusal to engage in
    sexual activity with Hopkins is not evidence of capability to resist.
    Moreover, even if J.S.’s ostensible reticence or refusal followed by
    acquiescence had some evidentiary value as to his capability to resist, the jury also
    heard evidence that J.S. was obedient. His mother testified that J.S. usually did as
    told and was especially trusting of older people. Based on this testimony, a
    reasonable jury could find that J.S.’s capitulation to Hopkins’s sexual advances
    reflected an inability to resist them rather than the ability to do so.
    22
    Viewing all the evidence in the light most favorable to the jury’s verdict, we
    hold that legally sufficient evidence proves J.S. could not resist the sex act.
    c.     Knowledge of the victim’s incapability
    Hopkins argues that even if J.S. was incapable of appraising the nature of oral
    sex or resisting it, Hopkins did not know of J.S.’s mental disease or defect. He argues
    that any mental disease or defect J.S. might have had was “latent and unobtrusive to
    persons who did not have a close and personal relationship with him.” Having met
    J.S. on just two occasions, Hopkins argues he lacked the kind of close personal
    relationship necessary to recognize J.S.’s cognitive limitations. Hopkins
    acknowledges that Daryl told him that J.S. was “kind of mentally slow,” but
    maintains that this conclusory statement was insufficiently informative.
    Proof of a defendant’s state of mind, including his knowledge of another’s
    mental disease or defect, almost always depends on circumstantial evidence. Meuret,
    500 S.W.3d at 551. In general, circumstances like familiarity with the victim or
    readily perceptible intellectual shortcomings support a finding of knowledge. See,
    e.g., Sanchez v. State, 
    479 S.W.2d 933
    , 941 (Tex. Crim. App. 1972) (evidence
    defendant had known victim for some time combined with testimony of other
    witnesses that victim’s deficiency was obvious held sufficient to show defendant
    knew of victim’s mental defect). But a defendant’s knowledge must be assessed
    based on the particular circumstances of each situation on a case-by-case basis.
    23
    The evidence shows that Hopkins did not know J.S. for long. But he did visit
    a bar with Daryl and J.S. days before the assault. At the bar, J.S. sang karaoke at
    Hopkins’s urging, and Hopkins flirted with J.S. J.S. stated that he did not drink any
    alcoholic beverages at the bar. Hopkins thus personally interacted with J.S. and had
    an opportunity to observe J.S.’s ordinary behavior for a period of time in a social
    setting. This is significant because Detective Wright testified that J.S.’s more
    childlike nature became apparent after talking with him for “a few minutes.”
    Hopkins argues that J.S.’s own mother testified that it would be hard “for
    someone to notice that J.S. was impaired simply by looking at him.” As discussed,
    however, Hopkins’s interaction with J.S. was not limited to simply looking at him.
    Moreover, J.S.’s mother’s testimony on this topic undermines Hopkins’s position:
    Q. When you first meet [J.S.]—when other people meet him, are they
    able to tell immediately just by looking at him that he has a
    disability?
    A. That’s difficult to answer. If you’ve had experience with someone
    in your family who’s disabled, then maybe. But upon just visual
    recognition, unless you see him speak—he has some movements
    with his mouth, he’ll kind of do this type of thing sometimes
    (indicating) and other facial movements that you will notice are
    different and not normal, per se.
    Q. Just having a conversation with [J.S.] for a couple of minutes, do
    you think someone might be able to notice a difference?
    A. I believe so. His speech is not as clear, and he has difficulty
    enunciating and pronouncing different words.
    24
    J.S.’s mother additionally testified that he is six or seven years behind his peers
    emotionally and developmentally. She stated that “one minute he’s exhibiting adult
    behaviors, but most of the time he’ll kind of revert back into the six or seven years
    behind where he is.”
    Hopkins urges that other evidence shows J.S. does not seem impaired. For
    example, J.S. can read and write, works at a tire shop, and plays musical instruments.
    But the record does not show that Hopkins saw J.S. engaged in these activities. Thus,
    Hopkins cannot claim that these activities informed his impression of J.S. Instead,
    Hopkins suggests that anyone who can perform these activities cannot be impaired
    to an extent that would be obvious. We disagree.
    Evidence of an ability to perform these activities, standing alone, says nothing
    about the quality of their performance or the impression that J.S. makes on others
    while performing them. The results of J.S.’s Wide Range Achievement Test shows
    that he functions academically “at a 4th to 6th grade school level.” J.S.’s work at the
    tire shop consists of manual labor. That business is run by a family friend who allows
    J.S. to work there because, in J.S.’s words, “it’s hard to get a real job” because he
    finds it “hard to function with other people and understand stuff.”
    In addition, Daryl told Hopkins that J.S. is “kind of mentally slow.” Hopkins
    argues this statement did not inform him of J.S.’s condition. For support, he relies
    on Garcia v. State, in which the Court of Criminal Appeals held that a mother’s
    25
    statement to the defendant that her daughter was intellectually disabled was not
    enough to show the defendant knew the daughter was incapable of consenting to
    sexual relations because the mother did not convey any details as to why her
    daughter was intellectually disabled or how she was affected by her intellectual
    disability. 
    661 S.W.2d 96
    , 98 (Tex. Crim. App. 1983). In this case, however, Daryl
    not only told Hopkins that J.S. was “kind of mentally slow,” Daryl elaborated that
    this circumstance placed J.S. “sexually just off limits.” In other words, Daryl
    explicitly told Hopkins that J.S.’s cognitive limitations made him an inappropriate
    choice as a sexual partner. Hopkins reportedly responded “okay.”
    Viewing all the evidence in the light most favorable to the verdict, we hold
    the evidence is legally sufficient to prove Hopkins knew J.S. had a mental disease
    or defect that made him incapable of appraising the nature of oral sex or resisting it.
    2.     Disability
    Hopkins argues the evidence is legally insufficient to prove that J.S. is a
    “disabled individual” as required by the aggravated-sexual-assault statute. He
    maintains that to satisfy this statutory requirement, “the State must show that the
    victim was completely disabled within the meaning of the law.” The State did not
    make this showing, Hopkins argues, because the evidence shows that J.S. was not
    intellectually disabled as that term is clinically understood. Hopkins maintains that
    26
    J.S. falls well outside the range of intellectual disability that Texas courts have
    recognized as qualifying a person as a “disabled individual.”
    For purposes of aggravated sexual assault, a person qualifies as a “disabled
    individual” if due to age or physical or mental disease, defect, or injury he is
    substantially unable to protect himself from harm or to provide food, shelter, or
    medical care for himself. PENAL § 22.021(b)(3). The statute uses the term
    “substantially,” which means “to a great or significant extent” or “for the most part;
    essentially.” NEW OXFORD AMERICAN DICTIONARY 1736 (3d ed. 2010). Thus, the
    disability need not be absolute or complete. See id.; see, e.g., Graves v. State, 
    307 S.W.3d 483
    , 496–97 (Tex. App.—Texarkana 2010, pet. ref’d) (evidence of disabled-
    individual status sufficient despite proof that intellectually disabled victim was
    married, had children, and had been convicted of organized criminal activity).
    Whether J.S. is intellectually disabled as a clinical matter is unclear. Dr. Costa
    testified that J.S.’s IQ test showed that he has a Full Scale IQ of 70. She characterized
    this score as “equivalent to a mild” intellectual disability or as being on its cusp. But
    Costa also indicated that J.S.’s test result was not definitive because it showed there
    was a 95 percent probability that his IQ falls somewhere in the range between 67
    and 75. A score below 70 definitely reflects intellectual disability. Because of his
    “score of 70 and it possibly being lower than a 70,” Costa concluded that J.S. had a
    mild intellectual impairment and that additional testing would be necessary to
    27
    determine the extent of the impairment. Thus, the record does not support Hopkins’s
    assertion that J.S. is not intellectually disabled as a clinical matter.
    At any rate, the aggravated-sexual-assault statute does not require a showing
    of intellectual disability as that term is clinically understood. See PENAL
    § 22.021(b)(3); see also Young v. State, No. 14-17-00902-CR, 
    2019 WL 1120125
    ,
    at *4 (Tex. App.—Houston [14th Dist.] Mar. 12, 2019, no pet.) (mem. op., not
    designated for publication) (noting that Penal Code’s term “disabled individual” is
    not synonymous with clinical diagnosis of intellectual disability). Evidence of the
    victim’s IQ is not required. See, e.g., Rogers v. State, No. 12-16-00228-CR, 
    2017 WL 1250837
    , at *2–3 (Tex. App.—Tyler Apr. 5, 2017, pet. ref’d) (mem. op., not
    designated for publication) (holding evidence of disabled-individual status sufficient
    in aggravated sexual assault prosecution in which jury heard evidence that autistic
    victim was functional and no evidence of her IQ was referenced); Denstitt v. State,
    No. 02-14-00172-CR, 
    2015 WL 4043285
    , at *1–2 (Tex. App.—Fort Worth July 2,
    2015, no pet.) (mem. op., not designated for publication) (holding evidence of
    disabled-individual status sufficient based on forensic interviewer’s testimony as to
    victim’s behavior, victim’s testimony, and victim’s uncle’s testimony); Allen v.
    State, No. 12-08-00349-CR, 
    2009 WL 1153401
    , at *4–5 (Tex. App.—Tyler Apr. 30,
    2009, no pet.) (mem. op., not designated for publication) (holding evidence of
    disabled-person status sufficient despite “State’s failure to present any IQ test score
    28
    or other objective evidence” of victim’s “mental incapacity”). Nor is expert
    testimony of a psychologist or psychiatrist required to prove that a victim is a
    “disabled individual” within the meaning of the aggravated-sexual-assault statute.
    Edwards v. State, No. 03-12-00093-CR, 
    2014 WL 2521451
    , at *3 (Tex. App.—
    Austin May 29, 2014, pet. ref’d) (mem. op., not designated for publication).
    Whether or not J.S. is intellectually disabled in the clinical sense, the record
    does contain evidence that J.S. is substantially unable to provide food and shelter for
    himself. Costa testified that people like J.S., who have borderline intellectual
    functioning, cannot live well independently because they require assistance due to
    their limited reasoning ability. Consistent with Costa’s opinion, J.S. has never lived
    alone. Aside from the short time J.S. stayed with Daryl, J.S. has lived at home with
    his family his entire life. J.S.’s mother testified that he may be able to cook an egg
    or a piece of bacon but that someone usually oversees such cooking. J.S. does not
    prepare dinner. J.S. earns money from his job at the tire shop and receives some
    additional funds based on his status as an adult disabled person. But J.S. does not
    personally manage this income. His mother testified that J.S. instead allows her to
    use this money, and they “talk about what’s going on” in terms of how it is spent.
    By J.S.’s own account, he would not have a job due to his cognitive limitations but
    for a family friend’s willingness to hire him. Both J.S.’s mother and Daryl testified
    that J.S. lacks the ability to drive. Daryl likewise testified that J.S. lacks the capacity
    29
    to pay his own bills. Based on this evidence, the jury could have reasonably found
    J.S. was a “disabled individual” within the meaning of the aggravated-sexual-assault
    statute. See Benton v. State, 
    237 S.W.3d 400
    , 401–03 (Tex. App.—Waco 2007, pet.
    ref’d) (holding evidence, including parents’ testimony that teenage victim could not
    care or provide for himself, sufficient to prove victim was disabled individual).
    The record also contains evidence that J.S. is substantially unable to protect
    himself. J.S.’s mother stated that his job at the tire shop has made him stronger, and
    that she thought he had the physical strength to fend off unwanted advances. But the
    jury also heard evidence that J.S.’s cognitive limitations make him relatively
    defenseless. Notwithstanding J.S.’s physical strength, his mother stated that her son
    lacked the ability to understand someone might try to hurt or manipulate him
    sexually. Indeed, J.S. said he did not know how to defend himself from Hopkins’s
    advances. Nor is J.S.’s defenselessness necessarily limited to sexual situations. Dr.
    Costa testified that J.S.’s cognitive limitations impair his judgment and inhibit quick
    decision-making:
    Q. When someone with [J.S.’s] diagnosis and intellectual impairment
    is in a moment where they’re having to make a quick decision, how
    are they impacted by their intellectual functioning?
    A. He’s going to have difficulties making a quick decision. He’s going
    to need extra time to kind of make those sorts of decisions and his
    judgment is going to be impaired.
    Q. Is that why someone with [J.S.’s] intellectual functioning needs
    supervision?
    30
    A. Correct.
    The jury could have reasonably inferred from Costa’s testimony that J.S. is generally
    incapable of the kind of rapid, decisive action that protecting oneself often requires.
    See Fongang v. State, No. 07-11-00358-CR, 
    2013 WL 5460002
    , at *4 (Tex. App.—
    Amarillo Sept. 30, 2013, pet. ref’d) (mem. op., not designated for publication) (jury
    could have reasonably found that mildly intellectually disabled victim was
    substantially unable to protect herself based on psychologist’s testimony that victim
    required extra protection due to her cognitive limitations).
    Hopkins argues that J.S. nonetheless does not qualify as a “disabled
    individual” because J.S.’s cognitive limitations are less severe than victims found to
    be disabled individuals in other cases. Hopkins is correct that many other cases
    feature victims with more severe limitations. See, e.g., Sanchez, 
    479 S.W.2d at 935, 941
     (evidence showed that intellectually disabled teenage victim had almost no
    schooling, was not allowed outside home unsupervised, rarely spoke, and testified
    almost exclusively by nodding in affirmative or negative); Bradford v. State, 
    477 S.W.2d 544
    , 544–45 (Tex. Crim. App. 1972) (evidence showed teenage victim with
    intellectual capacity of infant could not walk, wore diapers, slobbered on herself, ate
    like infant, and could not talk). But the statutory definition of “disabled individual”
    does not require the severe cognitive limitations present in these other cases. See
    PENAL § 22.021(b)(3); see also Fongang, 
    2013 WL 5460002
    , at *4–5 (evidence
    31
    sufficient to prove victim was disabled individual despite defendant’s contention that
    victim was more capable than victims in other cases who had lower IQs and less
    ability to care for themselves). A victim may be much more functional in some
    respects and still qualify as a “disabled individual.” See, e.g., Forkert v. State, No.
    11-16-00279-CR, 
    2018 WL 4840704
    , at *1, *8 (Tex. App.—Eastland Oct. 4, 2018,
    no pet.) (mem. op., not designated for publication) (evidence sufficient to prove
    victim in twenties with borderline intellectual functioning was disabled individual
    despite evidence that she graduated from high school in special education program
    and had held job as dishwasher); Morgan v. State, 
    365 S.W.3d 706
    , 708–09 (Tex.
    App.—Texarkana 2012, no pet.) (evidence sufficient to prove intellectually disabled
    victim in his twenties was disabled individual despite proof that he was able to ride
    bicycle and once had job at fast food restaurant).
    Hopkins further argues that a conviction for aggravated sexual assault requires
    evidence of a more severe degree of mental disease or defect than is required to
    support a conviction for sexual assault and that the evidence is insufficient to show
    J.S. met this elevated standard. In support, Hopkins cites several Penal Code
    provisions, specifically sections 22.011(b)(4), 22.021(b)(3), and 22.021(c).
    But the Penal Code refutes Hopkins’s argument. Under the sexual-assault
    statute, an act is deemed nonconsensual if the defendant knew that the other person
    could not appraise the nature of the act or resist it due to mental disease or defect.
    32
    PENAL § 22.011(b)(4). These same circumstances make an act nonconsensual under
    the aggravated-sexual-assault statute. Id. § 22.021(c). In other words, both sexual
    assault and aggravated sexual assault apply the same understanding of mental
    disease or defect for purposes of consent. To qualify as an aggravated sexual assault,
    however, the State must prove one of several aggravating circumstances. Id.
    § 22.021(a)(2). One of these aggravating circumstances is that the victim is a
    disabled individual, which includes persons older than 13 years of age who are
    substantially unable to protect themselves from harm or to provide food, shelter, or
    medical care for themselves due to mental disease or defect. Id. § 22.021(a)(2)(C).
    While the definition of disabled individual concerns the effects of mental disease or
    defect just like the definition of consent, each definition requires different kinds of
    proof than the other one. Consent turns on the ability to understand the nature of the
    sex act and oppose it if it is undesired; disabled-individual status turns on an inability
    to protect oneself from harm or to provide for oneself to a significant extent. Thus,
    the distinction between aggravated sexual assault and sexual assault is not
    necessarily the severity of the mental disease or defect. See Esparza v. State, No. 04-
    10-00668-CR, 
    2011 WL 4828431
    , at *7–10 (Tex. App.—San Antonio Oct. 12, 2011,
    no pet.) (mem. op., not designated for publication) (defendant conceded victim was
    disabled individual but disputed she was incapable of consent).
    33
    Viewing all the evidence in the light most favorable to the verdict, we hold
    the evidence is legally sufficient to prove J.S. is a disabled individual.
    II.   Error in the Jury Charge
    We review an alleged jury charge error regardless of preservation. Kirsch v.
    State, 
    357 S.W.3d 645
    , 649 (Tex. Crim. App. 2012). Our review of jury charge error
    consists of a two-step process. 
    Id.
     We first determine whether the challenged
    instruction is erroneous. 
    Id.
     When we review a charge for error, we consider the
    charge as a whole rather than as a series of isolated and unrelated statements.
    Vasquez v. State, 
    389 S.W.3d 361
    , 366 (Tex. Crim. App. 2012). If the charge is
    erroneous, we then analyze the error for harm. Kirsch, 357 S.W.3d at 649.
    A.     Assumption of disability
    Hopkins argues the trial court erred in overruling his objection that the
    charge’s application paragraph assumed J.S. is a disabled individual rather than
    requiring the jury to find that he is disabled. By failing to require this finding,
    Hopkins argues, the charge allowed the jury to convict him of aggravated sexual
    assault based on facts that at most could support a conviction for sexual assault.
    The charge informed the jury that Hopkins stood “charged by indictment with
    the offense of aggravated sexual assault of a disabled person.” It explained that
    consent is lacking if the “defendant knows that as a result of mental disease or defect
    the other person is at the time of the sexual assault incapable either of appraising the
    34
    nature of the act or of resisting it.” It defined a “disabled person” as one “older than
    13 years of age, who by reason of age or physical or mental disease, defect, or injury
    is substantially unable to protect the person’s self from harm or to provide food,
    shelter or medical care for the person’s self.”
    The application paragraph of the charge read as follows:
    Now, if you find from the evidence beyond a reasonable doubt
    that on or about the 15th day of May, 2016, in Harris County, Texas,
    the defendant, Steven Wallace Hopkins, did then and there unlawfully,
    intentionally or knowingly cause the sexual organ of [J.S.], a disabled
    person, to contact the mouth of the defendant, without the consent of
    [J.S.], namely the defendant knew that as a result of mental disease or
    defect that [J.S.] was, at the time of the sexual assault, incapable of
    appraising the nature of the act or resisting the act, then you must find
    the defendant guilty of aggravated sexual assault of a disabled person,
    as charged in the indictment.
    The charge then instructed that if the jury did not so find beyond a reasonable doubt
    or had reasonable doubt, it had to acquit Hopkins.
    We disagree that the charge assumed J.S. is a disabled individual. The charge
    defined the phrase “disabled person,” and the application paragraph stated that the
    jury must find Hopkins guilty of aggravated sexual assault if it found beyond a
    reasonable doubt that he performed oral sex on J.S., a disabled person, without
    consent. Thus, the charge required the jury to find that J.S. is a disabled person, or a
    disabled individual, to find Hopkins guilty.
    The application paragraph of the charge in this case is comparable to the
    charge given in Woodard v. State, 
    294 S.W.3d 605
     (Tex. App.—Houston [1st Dist.]
    35
    2009, pet. ref’d). In Woodard, the defendant was indicted for aggravated robbery.
    
    Id. at 606
    . The indictment alleged several aggravating circumstances, one of which
    was that the defendant caused bodily injury to a victim who was 65 years of age or
    older. 
    Id.
     at 606–07. The jury charge’s application paragraph read as follows:
    Now . . . if you believe beyond a reasonable doubt that in
    Brazoria County, Texas[,] on or about the 25th of July, 2007, the
    defendant Vincent Goree Woodward, did then and there, acting alone
    or as a party as that term has been previously defined, while in the
    course of committing theft of property owned by T.B., and with intent
    to obtain or maintain control of said property, intentionally or
    knowingly or recklessly cause bodily injury to T.B., a person 65 years
    of age or older, by hitting T.B. with the defendant's hand[,] then you
    will find the defendant guilty of the offense of Aggravated Robbery as
    charged in the indictment.
    
    Id.
     at 607–08 (emphasis added).
    Structurally, the present charge mirrors the one given in Woodard. Both
    charges insert the alleged aggravating circumstance after the victim’s name. In
    Woodard, the aggravating circumstance was the victim’s age; in this case, the
    aggravating circumstance is the victim’s status as a disabled individual. The charge
    in both cases required the jury to find these aggravating circumstances to reach a
    guilty verdict. See also Acreman v. State, No. 09-92-00189-CR, 
    1993 WL 338626
    ,
    at *2 (Tex. App.—Beaumont Aug. 25, 1993, pet. ref’d) (not designated for
    publication) (similarly phrased aggravated robbery jury charge in which aggravating
    circumstance was victim’s disabled-individual status given when defendant disputed
    that victim was disabled individual).
    36
    Admittedly, Woodward and Acreman are not directly on point, as the
    defendants in those cases did not assert the charge error that Hopkins does. But
    another court of appeals recently rejected the very argument Hopkins raises here. In
    Romero v. State, the defendant was charged with aggravated robbery. No. 04-17-
    00325-CR, 
    2018 WL 2323573
    , at *1 (Tex. App.—San Antonio May 23, 2018, no
    pet.) (mem. op., not designated for publication). The alleged aggravating
    circumstance was that his victim was a disabled individual. 
    Id.
     The jury found the
    defendant guilty. 
    Id.
     On appeal, he argued the charge erroneously instructed the jury
    that the victim was a disabled person. 
    Id.
     He maintained that the charge “simply and
    explicitly labeled” his victim disabled. Id. at *2 (brackets omitted).
    The abstract portion of the jury charge in Romero defined “disabled person”
    as “an individual with a mental, physical, or developmental disability who is
    substantially unable to protect himself from harm.” Id. (based on definition in PENAL
    § 29.03(c)). The application paragraph then read:
    Now, if you find from the evidence beyond a reasonable doubt
    that on or about the 8th day of July, 2016, in Bexar County, Texas, the
    defendant, Gene Phillip Romero Jr., while in the course of committing
    theft of property and with intent to obtain or maintain control of said
    property, did intentionally, knowingly, or recklessly cause bodily injury
    to Kaitong Johnson, a disabled person, by striking Kaitong Johnson
    with the hand of Gene Phillip Romero Jr., then you will find the
    defendant guilty of aggravated robbery as charged in the indictment.
    Id. (emphasis added; brackets omitted).
    37
    Based on the charge’s language, the court of appeals rejected the defendant’s
    claim that the charge assumed his victim was a disabled individual. Id. The court of
    appeals reasoned that the charge did not do so because in its application paragraph
    the word if preceded all the elements of the offense, and it instructed that the jury
    had to find beyond a reasonable doubt everything following that if to find the
    defendant guilty. Id. Thus, the court held that the application paragraph was
    consistent with the abstract portion of the charge requiring the jury to find the victim
    was a disabled individual. See id. (citing Woodard, 
    294 S.W.3d at
    607–08; Acreman,
    
    1993 WL 338626
    , at *2).
    We agree with the Romero court and hold that the charge before us did not
    assume J.S. is a disabled individual rather than requiring the jury to find he is so as
    a prerequisite to a guilty verdict. Thus, the charge was not erroneous in this respect.
    B.     Presumption of non-consent
    Hopkins argues that the jury charge’s application paragraph created an
    unconstitutional mandatory presumption that J.S. did not consent, thereby
    eliminating the State’s burden to prove this element. He argues that this is so because
    the charge required the jury to find J.S. “could not legally consent to sexual
    relations” if it found that he had a “mental disability.” Hopkins further argues that
    such a presumption that mentally disabled people cannot consent is unconstitutional.
    38
    A jury charge creates a mandatory presumption if it requires a jury to find an
    elemental fact based on proof of a predicate fact or requires the defendant to disprove
    the elemental fact once the predicate fact has been established. Willis v. State, 
    790 S.W.2d 307
    , 309 (Tex. Crim. App. 1990). Doing so is unconstitutional because it
    relieves the State of the burden of proving guilt beyond a reasonable doubt. 
    Id.
     To
    avoid this constitutional infirmity, any such presumption included in a jury charge
    must be accompanied by the following additional instructions:
    (A) that the facts giving rise to the presumption must be proven beyond
    a reasonable doubt;
    (B) that if such facts are proven beyond a reasonable doubt the jury may
    find that the element of the offense sought to be presumed exists,
    but it is not bound to so find;
    (C) that even though the jury may find the existence of such element,
    the state must prove beyond a reasonable doubt each of the other
    elements of the offense charged; and
    (D) if the jury has a reasonable doubt as to the existence of a fact or
    facts giving rise to the presumption, the presumption fails and the
    jury shall not consider the presumption for any purpose.
    PENAL § 2.05(a)(2). Without these additional instructions, which make the
    presumption non-mandatory, submission of the presumption is error. Jimenez v.
    State, 
    419 S.W.3d 706
    , 709 (Tex. App.—Houston [1st Dist.] 2013, pet. ref’d).
    Hopkins did not object to the charge on the basis that it created or included a
    mandatory presumption at trial. His argument on appeal is less than clear.
    39
    To the extent Hopkins contends proof that J.S. is a “disabled individual”
    created a mandatory presumption of non-consent, we disagree. Disabled-individual
    status is an aggravating circumstance that elevated the offense from sexual assault
    to aggravated sexual assault. PENAL § 22.021(a)(2)(C). Whether J.S. is a “disabled
    individual” played no role in the jury’s finding of non-consent. Instead, consistent
    with the sexual-assault and aggravated-sexual-assault statutes, the jury was
    instructed that consent was lacking if Hopkins knew that J.S. could not appraise the
    nature of oral sex or resist it as a result of mental disease or defect. Id.
    §§ 22.011(b)(4), 22.021(c). J.S.’s status as a “disabled individual” thus did not create
    any sort of presumption, mandatory or otherwise, with respect to consent.
    To the extent Hopkins contends proof of any mental disease or defect created
    a mandatory presumption of non-consent, we again disagree. The charge did not
    instruct the jury that J.S. did not or could not consent if he has a mental disease or
    defect. Instead, consistent with the Penal Code, the charge instructed that the sex act
    was nonconsensual only if Hopkins knew that J.S. could not appraise the nature of
    the act or resist it as a result of mental disease or defect. Id. § 22.011(b)(4). Evidence
    of mental disease or defect, standing alone, could not result in conviction. Id. Mere
    proof of mental disease or defect thus did not create any presumption.
    To the extent Hopkins contends that proof he knew J.S.’s mental defect
    deprived J.S. of the ability to appraise or resist sex created a mandatory presumption
    40
    of non-consent, his contention presents a more colorable question. In Jimenez, our
    court held that another sexual-assault provision, one providing that consent is
    lacking when the defendant is employed by the facility where a person to whom he
    is not wed resides, creates an unconstitutional mandatory presumption unless the
    jury charge includes the additional instructions set forth in section 2.05(a)(2). 419
    S.W.3d at 716–18 (construing PENAL § 22.011(b)(11)). The same arguably could be
    said of the consent provision before us.
    But the provision before us also significantly differs from the provision at
    issue in Jimenez. The provision at issue in Jimenez provides that consent is lacking
    based on facts about employment, residency, and matrimonial status that ordinarily
    do not bear a definitive relationship to or bar the possibility of actual consent. PENAL
    § 22.011(b)(11). In contrast, the provision before us deems sex nonconsensual based
    on the victim’s inability to understand the nature of the act or decline participation
    and the defendant’s awareness of the victim’s inability to do so. PENAL
    § 22.011(b)(4). In other words, consent is lacking because the victim is incapable of
    either giving or withholding actual consent. See Rider, 735 S.W.2d at 293. It is not
    so much that the law presumes non-consent under these circumstances as it is that
    these circumstances render actual consent an irrelevancy. See id.
    Indeed, in Jimenez, our court indicated that the consent provision before us
    materially differed from the one at issue in that case. Though in Jimenez we held
    41
    that the trial court erred in instructing the jury that consent was lacking upon proof
    in conformity with section 22.011(b)(11) in the absence of the instructions required
    by section 2.05(a)(2), we ruled that the error was harmless. 419 S.W.3d at 718–19.
    We did so in part based on the fact that multiple theories of non-consent were
    submitted to the jury. Id. at 718. One of these other theories of non-consent was that
    the defendant knew the victim was incapable of appraising the nature of the act or
    resisting it due to mental disease or defect. Id. Because we were convinced that the
    jury in Jimenez could have convicted under this theory, rather than relying on section
    22.011(b)(11)’s presumption, we held that the trial court’s failure to instruct the jury
    under section 2.05(a)(2) did not constitute reversible error. Id. at 718–19. We could
    not have held so in Jimenez if section 22.011(b)(4) also created a mandatory
    presumption requiring a section 2.05(a)(2) instruction.
    We thus hold that section 22.011(b)(4) is not a mandatory presumption. Ergo,
    the trial court did not err in not instructing the jury under section 2.05(a)(2).
    We also reject Hopkins’s contention that his conviction rests on an
    unconstitutional rule of law that the intellectually disabled categorically cannot
    consent to sexual relations. To the extent he relies on Lawrence v. Texas, we note
    that the consensual nature of the sexual relations in that case was undisputed. 
    539 U.S. 558
    , 578 (2003). Lawrence therefore is inapposite. See Grabowski v. State, No.
    04-15-00699-CR, 
    2016 WL 6473066
    , at *3 (Tex. App.—San Antonio Nov. 2, 2016,
    42
    pet. ref’d) (mem. op., not designated for publication) (holding defendant’s reliance
    on Lawrence was misplaced in aggravated-sexual-assault prosecution premised on
    victim’s inability to consent due to mental disease or defect). We discern no
    unconstitutionality in section 22.011(b)(4), which renders sex nonconsensual only if
    the defendant knows that his victim cannot appraise the nature of the act or resist it
    due to mental disease or defect. See Painter v. State, No. 11-15-00318-CR, 
    2017 WL 6559653
    , at *3–5 (Tex. App.—Eastland Dec. 21, 2017, pet. ref’d) (mem. op., not
    designated for publication) (upholding statute against equal-protection and due-
    process challenges).
    CONCLUSION
    We affirm the trial court’s judgment.
    Gordon Goodman
    Justice
    Panel consists of Justices Kelly, Goodman, and Countiss.
    Publish. TEX. R. APP. P. 47.2(b).
    43