In Re The Detention Of: Richard Rude

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IN THE COURT OF APPEALS OF THE STATE OF WASHINGTON
In the Matter of the Detention of
RICHARD A. RUDE,
Appellant,
No. 69061-2-1
DIVISION ONE
UNPUBLISHED OPINION
FILED: January 27, 2014
Appelwick, J. — Rude appeals his commitment as a sexually violent predator.
The State's expert diagnosed him as suffering from paraphilia not otherwise specified
(nonconsent) and antisocial personality disorder. 	Rude argues that these diagnoses
violated his due process rights, because they are invalid, insufficiently precise, and not
recognized by the psychiatric profession. 	Rude also argues that the State's expert
testified to details of his past acts based on prejudicial hearsay and not tied to any
professional opinion. 	Rude further asserts that the prosecutor, in effect, told the jury
that it could convict based on any condition that predisposed him to engage in acts of
predatory violence. 	He contends that this constituted prosecutorial misconduct and
violated his right to a unanimous jury verdict. We affirm.

No. 69061-2-1/2
FACTS
This appeal arises from Richard Rude's involuntary commitment as a sexually
violent predator (SVP), pursuant to chapter 71.09 RCW.
Rude has three convictions for sexually violent offenses. 	At 18, he forcibly raped
a 16 year old girl with another man while intoxicated. 	Rude and his friend took turns
holding the girl down while the other raped her. 	Rude pleaded guilty to rape in the
second 	degree 	in 1981. 	His 	10 	year prison 	sentence was 	suspended 	in lieu of
treatment as a sexual psychopath at Western State Hospital (WSH).
While out of custody and awaiting admittance at WSH, Rude sexually assaulted
a woman he drove home in a taxi cab. 	He pleaded guilty to attempted rape in the
second degree. The court sentenced to Rude to five years in prison, concurrent with his
prior 	10-year sentence. 	Both 	sentences were suspended on 	the condition that he
participate in the sexual psychopath treatment program at WSH.
After about a year at WSH, Rude was accused of trying to force another patient
to perform oral sex on him. 	Rude admitted to punching the man, though all but once
denied the sexual advances.1 	As a result, Rude's suspended sentence was revoked
and he was sent to prison to serve his 10 year sentence.
In June 1994, after Rude's release from prison, he committed another rape. 	The
victim was in the Skagit Speedway parking lot and had lost track of her friend. 	Rude
offered to drive her around to look for her friend, but once she got in his truck, he sped
1Several other participants in the WSH treatment program grilled Rude about the
allegation for three days. 	Following this questioning, 	Rude admitted to the sexual
assault. 	However, at all other times Rude maintained that the complainant came on to
him.

No. 69061-2-1/3
away to a remote gravel pit. 	Rude made the victim take off her shirt and told her to
perform oral sex. 	When she refused, Rude punched her in the face. 	Rude then raped
her orally, vaginally, and anally.2 	Rude pleaded guilty to rape in the first degree. 	The
court sentenced him to 	194 	months in prison followed 	by two years of community
placement.
In August 	2008, 	Rude's 	cellmate, 	John 	Frost, 	reported 	that 	Rude 	sexually
assaulted him. 	Frost claimed that they had an altercation that led to Rude "shadow
boxing" him. Frost tried to push Rude away, but Rude grabbed Frost, pulled Frost down
on his bed, and "shoved his fingers in [Frost's] ass." 	Frost struggled and eventually
kicked over Rude's television, breaking it. Rude then became angry and hit Frost in the
face. 	Rude was charged with an infraction for assaulting Frost.
On August 13, 2010, the State petitioned to have Rude involuntarily committed
as a sexually violent predator, pursuant to chapter 71.09 RCW. 	The trial court found
probable cause to support the petition and detained Rude at the Special Commitment
Center pending trial.
Dr. Kathleen Longwell, a clinical psychologist, evaluated Rude and testified as
the State's expert at trial. 	Dr. Longwell has extensive experience in the evaluation,
diagnosis, and treatment of sex offenders. 	To determine whether Rude met the SVP
criteria, she reviewed approximately 3,000 pages of records, including criminal records,
police reports, legal documents, medical and treatment records, previous psychological
evaluations, and prison records. 	Longwell explained that these records are the kind
2 Rude's account of the offense differed from the victim's account.

No. 69061-2-1/4
typically relied on by experts in SVP evaluations. 	She also conducted an 	in-person
interview with Rude.
Dr. Longwell testified that these records formed the basis of her opinion that, to a
reasonable 	degree 	of 	psychological 	certainty, 	Rude 	suffers 	from 	paraphilia 	not
otherwise specified 	(NOS) 	(nonconsent), 	frotteurism, 	antisocial 	personality disorder
(ASPD), as well as alcohol and cocaine dependence in institutional remission. 	She
believed that Rude experiences an
underlying 	internal 	drive 	towards 	forcing 	himself 	on 	nonconsenting
persons, the paraphilia NOS. 	And that part of the fuel that goes towards
acting on that drive is both subst[ance] use, dependency, alcohol-cocaine
dependence, and the Antisocial Personality Disorder. 	So 	it is not the
Antisocial 	Personality 	Disorder 	or 	the 	substance 	abuse 	in itself that
predisposes him to future sexually violent offenses.
She testified that these diagnoses 	constitute mental abnormalities, which 	together
cause "significant difficulties for [Rude] in controlling sexually violent behavior." 	Using
actuarial instruments, Dr. Longwell predicted that Rude's risk of sexual recidivism is
very high.
In reaching this opinion, Dr. Longwell reviewed criminal records showing that, as
a juvenile, Rude pleaded guilty to making sexually obscene phone calls to women.
Rude admitted to making these harassing phone calls. 	Dr. Longwell also considered
Rude's juvenile conviction of indecent liberties. 	He pleaded guilty after reports of 20 to
30 incidents where he approached women in a parking lot and grabbed their breasts or
slapped their buttocks. 	Rude also admitted to approaching women in parking lots and
touching them on the posterior.

No. 69061-2-1/5
Dr. Longwell also reviewed records indicating that Rude was detained by police
after he allegedly cornered a woman in a laundromat and she started screaming. 	Rude
confirmed that he was involved in an altercation in a laundromat, but explained that he
thought the woman was afraid someone was coming after her and started screaming.
In addition, 	Dr. 	Longwell examined 	records from WSH indicating that Rude 	began
having fantasies involving rape when he was an adolescent. 	Rude admitted in these
records that the notion of controlling a woman and seeing fear in her eyes was sexually
arousing to him. 	Dr. Longwell also considered Rude's convictions for sexual violence,
along with the alleged sexual assault that led to his expulsion from WSH.
Dr. 	Longwell 	explained 	that 	the 	standard 	manual used 	by mental 	health
professionals for diagnosis is the Diagnostic and Statistical Manual of Mental Disorders,
currently in its fourth text revision (DSM or DSM-IV-TR). 	The current version of the
DSM was published 	in 	2000 by the American 	Psychiatric Association 	(APA). 	Dr.
Longwell acknowledged that there is disagreement among mental health professionals
regarding the diagnosis of paraphilia NOS (nonconsent).
Dr. Christopher Fisher testified as Rude's expert psychologist. 	Dr. Fisher also
reviewed thousands of pages of records in evaluating Rude. He interviewed Rude and
spoke with Rude's father, wife, and daughter. 	He diagnosed Rude with ASPD, as well
as alcohol and substance abuse, based on his past behaviors. 	However, Dr. Fisher
believed that Rude's ASPD went into remission as he aged.
Dr. Fisher also diagnosed Rude with sexual abuse of an adult. 	He believed that
this 	is 	not 	a 	mental 	illness, 	but 	rather 	a 	reason 	why 	a 	person 	might 	go 	see 	a
psychologist. 	Dr. 	Fisher disagreed with Dr. Longwell's diagnosis of paraphilia NOS

No. 69061-2-1/6
(nonconsent). 	He 	described 	the 	NOS 	category 	as 	a 	"wastebasket 	diagnosis,"
generated primarily for purposes of insurance billing. 	He testified that when the third
revision 	of DSM was 	published, there was controversy as to whether rape was a
paraphilia. 	However, Dr. Fisher acknowledged that paraphilia NOS (nonconsent) is a
valid diagnosis that he would make in certain circumstances, specifically when there is
evidence of sexual fantasies or urges.
Dr. Fisher also took issue with Dr. Longwell's actuarial predictions. 	Contrary to
Dr. Longwell, he did not believe that Rude would commitfuture acts of sexual violence.
The jury found Rude to be a sexually violent predator beyond a reasonable
doubt. 	The trial court entered an order committing Rude as a sexually violent predator
under RCW 71.09.060. 	Rude appeals.
DISCUSSION
I. 	Paraphilia NOS (nonconsent) and Antisocial Personality Disorder Diagnoses
Rude argues that 	his 	involuntary 	commitment 	based on the diagnoses of
paraphilia NOS (nonconsent) and ASPD violates his Fourteenth Amendment right to
due process of law. 	He contends that these two diagnoses are overbroad, insufficiently
precise, and not accepted in the psychiatric profession. We review alleged due process
violations de novo. 	Post v. City of Tacoma, 167 Wn.2d 300, 308, 217 P.3d 1179 (2009).
Civil 	commitment 	of an 	SVP 	must 	satisfy 	both 	statutory 	and 	constitutional
requirements. 	Washington defines an SVP as "any person who has been convicted of
or charged with a crime of sexual violence and who suffers from a mental abnormality or
personality disorder which makes the person likely to engage in predatory acts ofsexual

No. 69061-2-1/7
violence if not confined in a secure facility." 	RCW 71.09.020(18). 	"Personality disorder"
means:
an 	enduring 	pattern 	of 	inner 	experience 	and 	behavior 	that 	deviates
markedly from the expectations of the individual's culture, is pervasive and
inflexible, has onset in adolescence or early adulthood, is stable over time
and leads to distress or impairment. 	Purported evidence of a personality
disorder 	must 	be 	supported 	by 	testimony 	of 	a 	licensed 	forensic
psychologist or psychiatrist.
RCW 71.09.020(9). 	By contrast, "mental abnormality" is defined as "a congenital or
acquired condition affecting the emotional or volitional capacity which predisposes the
person to the commission of criminal sexual acts in a degree constituting such person a
menace to the health and safety of others." 	RCW 71.09.020(8).
Due process 	requires that an 	individual 	be both mentally 	ill 	and 	presently
dangerous before being committed indefinitely. 	In re Pet, of Marshall, 156 Wn.2d 150,
157, 125 P.3d 111 	(2005). 	Under 	Kansas v. 	Crane, evidence is constitutionally
sufficient to commit an SVP only if it is "sufficient to distinguish the dangerous sexual
offender whose serious mental illness, abnormality, or disorder subjects him to civil
commitment from the dangerous but typical recidivist convicted in an ordinary criminal
case." 	534 U.S. 407, 413, 122 S. Ct. 867, 151 L. Ed. 2d 856 (2002). The Washington
Supreme Court likewise recognizes that "the jury's finding that an SVP suffers from a
mental illness, 	defined under our statute 	as 	a 	'mental abnormality' or 'personality
disorder,' coupled with the person's history of sexually predatory acts, must support the
conclusion that the person has serious difficulty controlling behavior." 	In re Pet, of
Thorell, 149 Wn.2d 724, 742, 72 P.3d 708 (2003).

No. 69061-2-1/8
However, due process safeguards in the area of involuntary commitment "are not
always best enforced through precise bright-line rules." 	Crane, 534 U.S. at 413. 	States
have considerable leeway in defining the personality disorders and mental abnormalities
that make an individual eligible for commitment, 	jd. 	And, "the science of psychiatry,
which informs but does not control ultimate legal determinations, is an ever-advancing
science, whose distinctions do not seek precisely to mirror those of the law." Id.
A. 	Paraphilia NOS (nonconsent)
Rude 	argues 	that 	paraphilia 	NOS 	(nonconsent) 	is 	not 	recognized 	by 	the
psychiatric profession or the DSM-IV-TR. 	He contends that it is an unreliable, invalid
diagnosis 	that 	does 	not 	distinguish 	him from the 	dangerous 	but 	typical recidivist
convicted 	of sexually 	violent 	offenses. 	He 	specifically 	objects 	to 	the 	NOS 	and
nonconsent diagnosis.
Despite Rude's argument, Washington courts have recognized paraphilia NOS
(nonconsent) as a valid, diagnosable disorder and upheld involuntary commitments on
that basis. 	In Young, the Washington Supreme Court rejected the argument that a
diagnosis of paraphilia NOS (nonconsent) was invalid, because it did not appear in the
then-current edition of the DSM:
"In using the 	concept of 'mental abnormality' the legislature has
invoked a 	more generalized terminology that can 	cover a much larger
variety of disorders. 	Some, such as the paraphilias, are covered in the
DSM-III-R; others are not. 	The fact that pathologically driven 	rape, for
example, 	is not yet listed in the DSM-III-R does not invalidate such a
diagnosis. 	The DSM is, after all, an evolving and imperfect document.
Nor is it sacrosanct. 	Furthermore, it is in some areas a political document
whose diagnoses are 	based, 	in some cases, 	on what 	[APA] 	leaders
consider to be practical realities. 	What is critical for our purposes is that
psychiatric and 	psychological clinicians who testify in good faith as to
8

No. 69061-2-1/9
mental abnormality are able to identify sexual pathologies that are as real
and meaningful as other pathologies already listed in the DSM."
In re Pers. Restraint of Young, 122 Wn.2d 1, 28, 857 P.2d 989 (1993) (emphasis in
original) (quoting Alexander D. 	Brooks, The 	Constitutionality and 	Morality of Civilly
Committing Violent Sexual Predators, 15 U. Puget Sound L. Rev. 	709, 733 (1992)).
Thus, inclusion in the DSM is not definitive for diagnosing a mental illness.
As 	recently as 	2011, 	we 	also 	rejected 	the 	argument 	that 	paraphilia NOS
(nonconsent) is not a valid diagnosis. 	In re Pet, of Berry, 160 Wn. App. 374, 380-81,
248 P.3d 592, 	review denied, 172 Wn.2d 1005, 257 P.3d 665 (2011). 	In Berry, we
noted that paraphilia NOS appears in the PSM-IV-TR. 	jd, at 381. 	The PSM-IV-TR
defines paraphilia as "recurrent, intense sexually arousing fantasies, sexual urges, or
behaviors generally involving 1) nonhuman 	objects, 2) the suffering or humiliation of
oneself or one's partner, or 3) children or other nonconsenting persons that occur over a
period of at least 6 months." 	PSM-IV-TR at 566 (emphasis added). 	Based on the
emphasized language, 	PSM-IV-TR 	plainly recognizes 	paraphilia 	nonconsent. 	And,
paraphilia NOS is a "residual category in the DSM-III-R which encompasses both less
commonly encountered paraphilias and those not yet sufficiently described to merit
formal inclusion in the DSM-III-R." 	Young, 122 Wn.2d at 29. 	The PSM-IV-TR provides
a number of examples of paraphilia NOS,3 but clearly states that the category is not
limited to that list. 	PSM-IV-TR at 576. 	Therefore, we held in Berry that "[t]he omission
3 "Examples include, but are not limited to, telephone scatologia (obscene phone
calls), 	necrophilia 	(corpses), 	partialism (exclusive focus 	on 	part of body), 	zoophilia
(animals), coprophilia (feces), klismaphilia (enemas), and urophilia (urine)." 	PSM-IV-TR
at 576.

No. 69061-2-1/10
of 'nonconsent' or 'rape' from these examples does not prove it is an invalid diagnosis."
160Wn. App. at 381-82.
The 	Seventh 	Circuit 	also 	recently 	held 	that a 	paraphilia 	NOS 	(nonconsent)
diagnosis did not violate an SVP's due process rights. 	McGee v. Bartow, 593 F.3d 556,
580-81 (7th Cir. 2010). 	The McGee court held that, based on United States Supreme
Court precedent, paraphilia NOS (nonconsent) "is not so unsupported by science that it
should be excluded absolutely from consideration by the trier of fact." 	]cL at 580. 	The
court 	reached 	this 	conclusion 	primarily 	because of the 	Supreme Court's 	repeated
recognition that states must have appropriate room to make practical, common-sense
judgments 	about 	the 	evidence 	presented 	in commitment 	proceedings, 	jd. 	The
existence of professional debate over paraphilia NOS (nonconsent) does not mean that
the diagnosis is "'too imprecise a category'" such that it runs afoul of due process. 	Id. at
581 (quoting Kansas v. Hendricks, 521 U.S. 346, 373, 117 S. Ct. 2072, 138 L. Ed. 2d
501 (1997) (Kennedy, J., concurring)).
Dr. Longwell testified that Rude suffers from paraphilia NOS (nonconsent), based
on her professional opinion and her review of Rude's records. 	She believed that Rude's
paraphilia, combined with his ASPD and substance addiction, greatly impair his ability to
control 	his 	sexually 	violent 	behavior. 	Dr. 	Fisher 	disagreed 	with 	Dr. 	Longwell's
diagnosis, but acknowledged that he considered paraphilia NOS (nonconsent) a valid
diagnosis 	in some 	circumstances. 	Rude 	cross-examined 	Dr. 	Longwell 	about the
diagnosis and 	Dr. Fisher testified to its shortcomings. 	The controversy surrounding
paraphilia NOS (nonconsent) went to the weight of the diagnosis, not its admissibility.
10

No. 69061-2-1/11
Berry, 160 Wn. App. at 382. 	The State's reliance on the paraphilia NOS (nonconsent)
diagnosis did not violate Rude's due process rights.
B. 	Antisocial Personality Disorder
Rude argues that commitment based on his ASPD diagnosis violates his due
process rights, because the diagnosis is too imprecise to differentiate him from the
dangerous but typical recidivist in a criminal conviction. 	Specifically, he refers to Dr.
Longwell's testimony that as much as 60 percent of the male prison population may
suffer from ASPD.
Washington courts have rejected this argument. 	In Young, the appellants argued
that it is impermissible to civilly commit someone who has an "antisocial personality,"
because that condition 	is 	not a 	mental disorder. 	122 Wn.2d 	at 37 	n.12. 	Unlike
"antisocial behavior," the Young court explained, ASPD is a recognized mental disorder,
id 	ASPD is defined in the PSM-IV-TR as "a pervasive pattern of disregard for, and
violation of, the rights of others that begins in childhood or early adolescence and
continues into adulthood." 	PSM-IV-TR at 701.
Moreover, we need not decide whether Rude's diagnosis of ASPD alone suffices
for due process purposes. 	Brown v. Watters, 599 F.3d 602, 615 (7th Cir. 2010). 	Dr.
Longwell 	also 	diagnosed 	Rude with 	paraphilia, 	as 	well 	as 	alcohol 	and 	cocaine
dependence. 	She testified that the combination of these three mental illnesses resulted
in Rude's impaired ability to control his sexually violent behavior. 	Dr. Fisher likewise
diagnosed Rude with 	substance 	abuse 	and sexual abuse 	of adults. 	Numerous
Washington and federal courts have upheld involuntary commitments based on the
combination of ASPD and paraphilia. 	See, e.g., id at 615; McGee, 593 F.3d at 559,
11

No. 69061-2-1/12
581; In re Pet, of Stout, 159 Wn.2d 357, 363, 380-81, 150 P.3d 86 (2007); Berry. 160
Wn. App. at 376-77. 	We therefore find no due process violation based on Rude's ASPD
diagnosis.
II. 	Expert Testimony Based on Hearsay
Rude argues that, in violation of ER 703 and ER 705, Pr. Longwell recounted
prejudicial hearsay, violating his right to a fair trial. 	Rude specifically objects to Pr.
Longwell's testimony about his cornering the woman in a Texas laundromat, his 1981
rape of a 16 year old girl, his conviction for second degree attempted rape, and the
reasons behind his expulsion from WSH. 	He argues that Pr. Longwell's recounting of
these incidents was not tied to any specific professional opinion and should not have
been admitted.
Though Rude attempts to characterize this issue as a constitutional one, we
review a trial court's decision to admit evidence for abuse of discretion. 	In re Pet, of
Coe, 	175 Wn.2d 482, 492, 515, 	286 P.3d 29 	(2012). 	Piscretion is abused 	if it is
exercised on untenable grounds or for untenable reasons, 	id at 492.
ER 703 permits an expert to base an opinion on facts or data not otherwise
admissible if they are "of a type reasonably relied upon by experts in the particular field
in forming opinions or inferences upon the subject." A trial court may allow an expert to
reveal the underlying basis an opinion if doing so will help the jury understand the
expert's opinion. 	ER 705; Coe, 175 Wn.2d at 513. 	Such disclosure is permissible even
if the information would be inadmissible as substantive evidence. 	Coe. 175 Wn.2d at
513. 	For instance, an expert may offer an opinion based on hearsay data that would
otherwise be inadmissible. 	Marshall, 156 Wn.2d at 162. 	The trial court need only give
12

No. 69061-2-1/13
an appropriate limiting instruction explaining that the jury is not to consider this revealed
information as substantive evidence. 	Coe, 175 Wn.2d at 513-14. 	However, the expert
may not simply summarize and reiterate all manner of inadmissible evidence. 	Marshall,
156Wn.2dat162.
In Marshall, 	the 	State's 	psychologist, 	Pr. 	Amy 	Phenix, 	reviewed 	Marshall's
criminal and psychiatric history, including police reports, legal documents, treatment and
medical records, juvenile records, as well as psychiatric evaluations, 	jd at 154-55. 	At
the commitment trial, 	Pr. 	Phenix testified that these are the types of records that
professionals in her field rely on when evaluating potential SVPs. 	id at 155. 	She
explained that her review of these records led her to conclude that Marshall suffered
from pedophilia, sexual sadism, and paraphilia NOS (nonconsent). 	jd. 	On appeal,
Marshall argued that Pr. Phenix's testimony should have been excluded, because she
related 	inadmissible 	hearsay as factual 	assertions. 	jd 	at 	162. 	The 	Washington
Supreme Court disagreed and held that Pr. Phenix's testimony was consistent with ER
705, because she discussed otherwise inadmissible testimony only to explain the basis
for her expert opinion, id at 163.
Similarly, in Coe, 	Pr. Phenix disclosed 20 unadjudicated rapes to the jury in
explaining her conclusion that Coe suffered from 	exhibitionism and paraphilia NOS
(nonconsent, urophilia, and coprophilia).4 	175 Wn.2d at 488-89, 512-13. 	Pr. Phenix
testified that she relied on the unadjudicated rapes in diagnosing Coe and explained
4Such testimony is undoubtedly prejudicial. 	However, "[i]n assessing whether an
individual is a sexually violent predator, prior sexual history is highly probative of his or
her propensity for future violence." Young, 122 Wn.2d at 53.
13

No. 69061-2-1/14
that it is common for experts in SVP proceedings to do so. 	id. at 514. 	The Washington
Supreme Court held that the trial court did not err in allowing such testimony. ]d
The trial court in Coe also gave an appropriate limiting instruction:
"Pr. Phenix is about to testify regarding the factual bases of her opinion.
You 	may consider this testimony only 	in deciding what credibility and
weight should 	be given to the opinions of Pr. 	Phenix. 	You 	may not
consider it as evidence that the information relied upon by the witness is
true or that the evidence described actually occurred."
Id 	Citing Bruton v. United States, 391 	U.S. 123, 88 S. Ct. 1620, 20 L. Ed. 2d 476
(1968), Coe challenged the idea that a limiting instruction could ever prevent the jury
from considering the disclosed facts as evidence, 	jd 	The Bruton Court held that a jury
cannot 	be 	expected 	to 	ignore 	the 	confession 	of a 	nontestifying 	codefendant that
expressly implicates the defendant, 	jd at 514. 	The Coe court distinguished Bruton,
reasoning that Bruton "involves a narrow exception to the general rule that juries follow
instructions." 	jd at 514-15. That exception did not exist in Coe. 	Id at 515.
Rude argues that the Coe court's reading of Bruton is incorrect. 	He contends
that Bruton does not in fact outline a narrow exception to the general presumption that
juries follow instructions, but is rather a broader recognition that a limiting instruction is a
type of placebo or "'judicial lie.'" 	(quoting Burton, 391 U.S. 132 n.8.) 	Whether or not
Rude is correct, Coe is binding precedent and controls here.
At trial, Pr. Longwell testified that she reviewed approximately 3,000 pages of
documents, including Rude's criminal records, 	police reports, treatment reports, and
medical records. 	She acknowledged that such documents are typically relied on by
professionals in her field when evaluating potential SVPs. 	Indeed, Pr. Fisher relied on
the same documents in evaluating 	Rude. 	Pr. Longwell testified that these records
14

No. 69061-2-1/15
formed the bases of her opinion that Rude suffers from paraphilia NOS, frotteurism,
ASPD, and substance dependence.
Dr. Longwell further testified that there was minimal specific evidence of Rude's
sexual fantasies or urges, so she had to evaluate his behavior. 	Pattern of behavior, she
explained, is instructive in determining whether an individual has a mental disorder.
Often, 	SVPs 	deny 	sexual 	fantasies 	and 	urges, 	so 	experts 	"have 	to 	look 	at
circumstances of the offenses 	and 	the 	pattern 	of the offenses 	[to see] what 	was
propelling those offenses." Dr. Longwell opined that Rude's pattern of sexual offenses,
beginning with the juvenile convictions and escalating to first degree rape decades later,
"indicates that he took tremendous risks in committing these sex offenses. 	There must
have been a strong internal 	drive to take this kind 	of risk and do it 	repeatedly."
Furthermore, Dr. Longwell testified that all the incidents she accounted at trial showed a
pattern 	of nonconsensual 	sexual 	conduct. 	This 	in 	turn 	informed 	her professional
opinion that Rude suffered from uncontrollable, violent sexual urges. 	Thus, the hearsay
evidence that Dr. Longwell recounted was clearly tied to her professional opinion of
Rude's mental illnesses. 	Rude's argument fails.
Furthermore, the trial court gave an appropriate limiting instruction to the jury:
Generally witnesses testify to only things they observe. 	However some
witnesses 	are 	permitted 	to 	give 	their opinions 	in 	addition 	to 	their
observations.
In order to assist you in evaluating an opinion a witness may be
allowed 	to 	give 	the 	basis 	for the 	opinion. 	In 	some 	circumstances
testimony about basis for an opinion is not appropriate for you to consider
for other purposes. 	In that instance I will call to your attention the limited
purpose for which evidence may properly be considered. 	Dr. Kathleen
Longwell is about to testify regarding information she relied on for the
basis for her opinion. 	You may consider this testimony only in deciding
15

No. 69061-2-1/16
what credibility and weight should be given to the opinions of Dr. Longwell.
You may not consider it as evidence that the information relied upon by
the witness is true or that events described actually occurred.
The latter portion of this instruction is almost identical to the one given in Coe and
deemed to be proper by the Washington Supreme Court.
We hold that the trial court did not abuse its discretion in allowing disclosure of
otherwise inadmissible hearsay evidence, because Dr. Longwell used the incidents to
explain the basis for her expert opinion and the court gave an appropriate limiting
instruction.
III. 	Prosecutor's Rebuttal Argument
Rude argues that it constituted prosecutorial misconduct and violated his right to
jury unanimity when the State told the jury in rebuttal that they could commit him if they
found beyond a reasonable doubt that he suffered from any "condition" that caused him
serious difficulty in controlling his sexually violent behavior.
A. 	Prosecutorial Misconduct
Rude argues that the State's argument "amounted to an exhortation to the jury to
commit Mr. Rude if [it] simply [was] afraid of him and believed he might reoffend," which
violated his right to due process. 	Rude contends that this urged the jury to ignore the
evidence and created an impermissible risk that his commitment order was not based
on mental illness, but some amorphous, undefined condition.
Prosecutorial misconduct is grounds for reversal if the prosecutor's conduct was
both improper and prejudicial. 	State v. Monday, 171 Wn.2d 667, 675, 257 P.3d 551
(2011). 	In closing argument, the prosecutor has wide latitude in making arguments and
drawing reasonable inferences from the evidence. 	State v. Fisher. 165 Wn.2d 727, 747,
16

No. 69061-2-1/17
202 P.3d 937 (2009). 	A prosecutor is also entitled to make a fair response to the
arguments of defense counsel. 	State v. Russell, 125 Wn.2d 24, 87, 882 P.2d 747
(1994). 	A defendant suffers prejudice only when there is a substantial likelihood that
the prosecutor's conduct affected the jury's verdict. Monday, 171 Wn.2d at 675.
We 	evaluate 	a 	prosecutor's 	conduct 	in 	the 	full 	trial 	context, 	including 	the
evidence presented, the total argument, the issues in the case, and the jury instructions.
]d 	Here, context is key. 	In closing, defense counsel argued that the State was required
to prove beyond a reasonable doubt that Rude suffered from paraphilia NOS:
So even though the instructions say that a person can be a sexually
violent predator if he suffers from 	a mental abnormality or personality
disorder, in this case the evidence has shown that there's only one crime
- 	one diagnosis that would really make or predispose or set anyone in
motion to committing a sex act, and that's Paraphilia NOS.
And that's why in this case the state needs to prove that definition --
or not that definition -- that diagnosis beyond a reasonable doubt.
In rebuttal, the State responded to this argument:
I just want to get to a couple of major points, 	and the first 	being 	a
misstatement of the law that Mr. Mooney gave you.
Mr. Mooney told you that what you had to find beyond a reasonable
doubt was that Dr. Longwell had diagnosed Mr. Rude with Paraphilia Not
Otherwise 	Specified, 	that that diagnosis 	had to be found 	beyond 	a
reasonable doubt. 	That's not what the law says.
Defense counsel objected, 	stating, "I 	argued 	the facts." 	The trial 	court overruled,
explaining, "This is a fair comment on the evidence." The State continued,
What you have to find is that Mr. Rude has a condition, a condition that
predisposes him. 	And 	you 	remember, 	we 	put the slide up with [the]
definition of mental abnormality. 	The DSM, the testimony of the experts,
the diagnoses, they're all just a guide.
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No. 69061-2-1/18
Defense 	counsel 	objected 	again 	and 	the 	court 	excused 	the 	jury to 	consider the
objection.
During recess, defense counsel argued that the State was essentially telling the
jury to make up its own mental abnormality, violating United States Supreme Court
precedent. The State explained that its argument was that the jury is
required to find by statute a mental abnormality, it is defined, and they can
use the evidence that was presented by anybody to determine if it's met
that definition. 	They can give the DSM, you know, the credibility as a
learned treatise, they can follow what Mr. 	Mooney is telling them and
disregard it.
After argument, the court noted the objection and ordered the State to proceed with
rebuttal.
The State resumed its rebuttal argument:
But what you're asked to find in this case is, does Mr. Rude have a
mental abnormality as defined by the statute? 	You heard a lot of debate
over what are the criteria for the diagnosis that Dr. Longwell made, but
what you didn't hear any debate over is that there are individuals out
there, there are individuals out there who have a paraphilic interest in
rape.
Is there controversy over this issue? 	Sure. 	But you weigh the
evidence credibility of the experts. 	You weigh the testimony, and you
determine what decision you make in this case.
The State's rebuttal argument was a correct statement of the law, as set forth in
the jury instructions. 	The jury instructions required the State to prove that "Richard
Rude suffers from a mental abnormality or a personality disorder, which causes serious
difficulty in controlling his sexually violent behavior." 	The instructions further mandated
that the State prove that "this mental abnormality or personality disorder makes Richard
Rude likely to engage in predatory acts of sexual violence if not confined to a secure
18

No. 69061-2-1/19
facility." 	Defense counsel's closing argument advocated a different standard and urged
the jury to ignore these instructions. 	The State's rebuttal was a fair response to that
argument and 	properly stated the 	law. 	Moreover, 	Dr. Longwell testified that both
paraphilia and ASDP independently constitute mental abnormalities, which combine to
impair Rude's control of his sexually violent behavior. 	The State drew reasonable
inferences from this testimony to rebut defense counsel's argument.
The State also did not encourage the jury to find that Rude had some amorphous
condition. 	Rather, the State correctly reminded the jurors that they must apply the
statutory 	definition 	of 	mental 	abnormality. 	The 	jury 	instructions 	defined 	mental
abnormality 	in the 	language 	of the 	statute 	as 	"a congenital 	or acquired 	condition
affecting the emotional or volitional capacity which predisposes the person to commit
criminal sexual acts to a degree that makes the person a menace to the health and
safety of others." 	RCW 71.09.020(8). 	The State continually tied the word "condition"
back to this definition.5 	The State did not encourage the jurors to ignore the evidence,
but rather weigh it and decide for themselves whether Rude suffered from a mental
abnormality based on the evidence presented. 	The State's rebuttal argument was not
improper, and therefore does not constitute prosecutorial misconduct.
5 Moreover, 	these 	instructions 	comport with 	United 	States 	Supreme 	Court
precedent, which holds:
It is enough 	to 	say that there 	must 	be 	proof 	of serious 	difficulty 	in
controlling behavior. 	And this, when viewed in light of such features of the
case as the nature of the psychiatric diagnosis, and the severity of the
mental abnormality itself, must be sufficient to distinguish the dangerous
sexual offender whose serious mental 	illness, 	abnormality, 	or disorder
subjects him to civil commitment from the dangerous but typical recidivist
convicted in an ordinary criminal case.
Crane, 534 U.S. at 413.
19

No. 69061-2-1/20
B. 	Jury Unanimity
Rude 	argues that although 	the 	State 	presented 	substantial 	evidence of his
paraphilia NOS, ASPD, and substance abuse, the State did not prove that ASPD or
substance abuse alone predisposed him to have difficulty controlling his sexually violent
behavior. 	He contends that, because the State failed to prove these alternative means,
his right to a unanimous jury verdict was violated.
However, 	Rude 	misconstrues the 	nature of these alternative 	means. 	He 	is
correct that jury unanimity is required in SVP commitment proceedings. 	In re Pet, of
Halgren, 156 Wn.2d 795, 807-08, 132 P.3d 714 (2006). 	And, an SVP determination
may 	be 	accomplished 	by alternative 	means: 	"mental abnormality" 	and 	"personality
disorder" are two distinct means of establishing the mental illness element in SVP
cases, 	jd. at 810. 	Contrary to Rude's argument, however, these two means "may
operate 	independently or may work in conjunction ... the 	mental 	illnesses are 	not
repugnant of each other and 	may inhere in the 	same transaction." 	]d 	(emphasis
added). 	The combined effect of these two mental illnesses 	may then satisfy the
requirement that the "person is likely to engage in predatory acts of sexual violence if
not confined in a secure facility." 	RCW 71.09.020(18); see Halgren. 156 Wn.2d at 810.
In other words, when the State alleges both alternative means, it does not need
to establish that a personality disorder and a mental abnormality each independently
predispose the individual to sexual violence. 	Rather, the State needs to prove that the
individual suffers both a personality disorder and a mental abnormality. 	The State may
then show that the combined effect of these two 	mental 	illnesses predisposes the
individual to sexual violence. 	This is precisely what the State did here. 	Dr. Longwell
20

No. 69061-2-1/21
testified 	that 	she 	believed 	that 	Rude's 	paraphilia, 	ASPD, 	and 	substance 	abuse
combined to impair his ability to control his sexually violent behavior.
Thus, we need only consider whether the State presented sufficient evidence for
a reasonable jury to conclude beyond a reasonable doubt that Rude had both a mental
abnormality and a personality disorder. 	See Halgren, 156 Wn.2d at 811-12. 	Rude
concedes, 	and 	we 	agree, 	that 	the 	State 	presented 	substantial 	evidence 	of 	his
paraphilia, ASPD, and substance abuse. 	Br. of Appellant, 41. Therefore, our inquiry is
at an end.
We affirm.
WE CONCUR:
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21