delivered the opinion of the court:
A jury found defendant guilty of two counts of aggravated criminal sexual assault, one count of criminal sexual assault charges, and one count of distribution of harmful material. The alleged victim was defendant’s minor daughter, "AF.” Defendant was sentenced to concurrent terms of imprisonment of 15 years for each of the aggravated criminal sexual assault charges, five years on the conviction of criminal sexual assault, and 364 days on the conviction of unlawful distribution of harmful material.
Defendant raises four arguments: (1) the trial court denied defendant his right to a public trial by excluding members of the public during AF’s testimony; (2) the trial court prejudiced defendant by admitting hearsay testimony of a nurse who interviewed AF; (3) the trial court erred by asking the State’s rebuttal expert a question; and (4) the trial court erred by not instructing the jury that the judge’s questioning of the State’s expert was not a reflection of the judge’s opinion of the credibility of the expert or her testimony. We affirm.
The first issue on appeal is whether defendant’s right to a public trial was denied when the trial court partially closed the courtroom during AF’s testimony. The objective of a criminal proceeding is to try the accused in a fair manner. (People v. Holveck (1990),
In this case, the court’s closure order was based on section 115 — 11 of the Illinois Code of Criminal Procedure of 1963 (Code), which states:
"In a prosecution for a criminal offense *** where the alleged victim of the offense is a minor under 18 years of age, the court may exclude from the proceedings while the victim is testifying, all persons, who, in the opinion of the court, do not have a direct interest in the case, except the media.” (725 ILCS 5/115 — 11 (West 1992).)
Defendant contends that he was denied his constitutional right to a public trial because the trial judge ordered two of defendant’s nephews, and the grandfather of one of those nephews, to leave the courtroom while AF testified. The State argues that this issue was waived by defendant’s failure to raise it in his post-trial motion. Defendant argues that the public trial issue is not waived because it is constitutional in nature and could have been raised later in a post-conviction petition.
Generally, an issue which is not included in a post-trial motion is waived. (People v. Friesland (1985),
Since this issue was not waived, we must address whether the court erred in partially closing the courtroom during AF’s testimony. The State filed a motion to exclude persons from the trial during 13-year-old AF’s testimony. During a motion hearing, defense counsel stated that the defendant had no objection to excluding the public at large during AF’s testimony. However, defense counsel asked the court to allow defendant’s immediate family, namely, defendant’s mother, his brother, and his two sisters, to remain in the courtroom.
The court cited two recent cases on the issue (725 ILCS 5/115 — 11 (West 1992)) (People v. Leggans (1993),
By stating that there were three limitations on its authority, the trial court obviously adopted the analysis of the fourth district in Benson, which held:
"We hold that because section 115 — 11 of the Code permits only limited closure of trial court proceedings, that section does not violate (or even implicate) any State or Federal constitutional provisions. We further hold that the criteria discussed by the United States Supreme Court, in Press-Enterprise [Co. v. Superior Court (1984),464 U.S. 501 ,78 L. Ed. 2d 629 ,104 S. Ct. 819 ,] and Waller [v. Georgia (1984),467 U.S. 39 ,81 L. Ed. 2d 31 ,104 S. Ct. 2210 ,] do not apply to closures ordered pursuant to section 115 — 11 of the Code.” (Emphasis added.) People v. Benson (1993),251 Ill. App. 3d 144 . 149.621 N.E.2d 981 . 984.
It is not clear that the fifth district has adopted the Benson rationale. In People v. Leggans (1993),
"Under Press-Enterprise, [1] the party seeking to close the hearing must advance an overriding interest that is likely to be prejudiced, [2] the closure must be no broader than necessary to protect that interest, [3] the trial court must consider reasonable alternatives to closing the proceeding, and [4] it must make findings adequate to support the closure.” Waller,467 U.S. at 48 ,81 L. Ed. 2d at 39 ,104 S. Ct. at 2216 .
Although the fourth district has rejected the application of Waller to section 115 — 11 and cites the Illinois Supreme Court’s opinion in People v. Holveck (1990),
The supreme court may ultimately resolve the clear split in authority between the fourth and the second districts, a resolution that is beyond our authority. We conclude that under either analysis, the trial court did not commit reversible error in its decision to exclude defendant’s family. If we apply the three-point Benson analysis, it is clear that the trial court did not exclude the media and that the witness involved was under 18. The only remaining issue under that analysis is whether the excluded persons had a direct interest in the case. We hold that the trial court’s ruling that the two nephews, and one of their grandfathers, did not have a direct interest was not an abuse of discretion.
Turning to the four-point Waller analysis, we again conclude that the trial court did not err. The first point, "an overriding interest that is likely to be prejudiced,” is clearly present when a young victim of sexual abuse is required to relate the acts perpetrated upon her. We note that the fourth point, making "findings adequate to support the closure,” was not specifically done, but it seems to us that such a finding is superfluous in this type of case; it is apparent from the circumstances.
The second and third Waller points were complied with; the court considered alternative proposals, and its order excluded only three relatively distantly related individuals. We conclude that their exclusion was not an abuse of discretion.
The second issue to be addressed is whether the hearsay testimony of the nurse who interviewed AF should have been admitted. Defendant argues that he was prejudiced when the State elicited from the nurse statements that AF made to her about the sexual abuse.
The State asked Nurse Mary Williams what AF had told her while she was taking AF’s medical history. Defense counsel objected generally on the grounds of hearsay, and the objection was overruled. The State argues that defendant waived his objection to the hearsay testimony of Nurse Williams by cross-examining her and by failing to specifically argue that section 115 — 13 of the Code was inapplicable.
We find that defendant did not waive his right to appeal this issue. To preserve error, a defendant need only object during the course of the trial and raise the issue in a written post-trial motion. (People v. Enoch (1988),
The State further argues that this issue was waived because defendant failed to specifically argue that section 115 — 13 of the Code was inapplicable. This argument also fails.
Section 115 — 13 of the Code provides a hearsay exception for statements made by victims of sex offenses to medical personnel:
"In a prosecution for violation of *** the 'Criminal Code of 1961,’ statements made by the victim to medical personnel for purposes of medical diagnosis or treatment including descriptions of the cause of symptom, pain or sensations, or the inception or general character of the cause or external source thereof insofar as reasonably pertinent to diagnosis or treatment shall be admitted as an exception to the hearsay rule.” 725 ILCS 5/115 — 13 (West 1992).
Section 115 — 13 is by definition an exception to the hearsay rule. (725 ILCS 5/115 — 13 (West 1992).) Defense counsel objected to Nurse Williams’ testimony on the general grounds of hearsay. The State could argue that the statement came under the statutory exception of section 115 — 13, but it would be the State, not the defendant, that would raise the exception. The defendant is not required to initially argue that the hearsay objection did not fall under the hearsay exception found in section 115 — 13.
Since we conclude that this issue is properly before this court, we examine the substance of the issue. The issue of whether defendant was prejudiced by Nurse Williams’ testimony focuses on what constitutes statements made for the "purposes of medical diagnosis or treatment.” (725 ILCS 5/115 — 13 (West 1992).) Defendant argues that AF did not go to the doctor’s office, where Nurse Williams worked, for "medical diagnosis or treatment,” but rather to bolster the State’s case at trial. Therefore, defendant argues, Nurse Williams’ testimony did not fall under the section 115 — 13 hearsay exception and should have been excluded. The State argues that section 115 — 13’s reference to "medical diagnosis or treatment” establishes the legislature’s intent to apply the provision broadly, rather than to limit it to treating physicians only. The State’s interpretation would include medical personnel attempting to diagnose whether, and in what manner, sexual abuse occurred.
We examined this issue in People v. Mitchell (1990),
We find that the facts in Mitchell differ from the facts here. The hearsay testimony at issue in Mitchell involved statements made by the defendant before and after the attack and were not related to the attack. In contrast, while her history was being taken by Nurse Williams, AF relayed specific information about the acts of sexual abuse suffered by her. Specifically, AF relayed that both oral and sexual abuse occurred, that there was never any bleeding, that the abuse occurred whenever there was an opportunity, and that she could not put a number on how often the sexual abuse occurred. AF’s statements were made to Nurse Williams to assist in the doctor’s ultimate diagnosis as to whether sexual abuse occurred and how AF’s trauma should be treated. Consequently, such testimony was admissible under section 115 — 13. People v. Morgan (1994),
Applying the "reasonably pertinent” standard in Mitchell to the facts of this case, we hold that the information Nurse Williams gathered while taking AF’s history about the nature of the sexual abuse differed from the extraneous information about the attacker found in Mitchell and was reasonably pertinent to the doctor’s diagnosis or treatment. People v. Morgan (1994),
We also note that in People v. Rushing (1989),
"The reference to diagnosis or treatment evinces a legislative intent to apply this provision broadly and not to limit the testimony only to treating physicians.” Rushing.192 Ill. App. 3d at 453 ,548 N.E.2d at 793 .
Defendant argues that even if AF’s statements describing the "how, when, and where’s” of the sexual abuse were properly admitted, it was improper to allow testimony relating AF’s statements identifying defendant as the perpetrator. During her history, AF told Nurse Williams that her father, the defendant, was the person who had been sexually abusing her since she was eight years old.
We have never specifically addressed the issue of whether the hearsay identification of the perpetrator, conveyed by a victim during a history, fits within the section 115 — 13 hearsay exception. Other districts of the Illinois Appellate Court have addressed this issue, with mixed conclusions.
Some cases have held that the hearsay identification of the defendant falls within the section 115 — 13 exception. (See People v. March (4th Dist. 1993),
United States v. Renville (8th Cir. 1985),
"The following are not excluded by the hearsay rule ***:
* * *
*** Statements made for purposes of medical diagnosis or treatment and describing medical history, or past or present symptoms, pain, or sensations, or the inception or general character of the cause or external source thereof insofar as reasonably pertinent to diagnosis or treatment.” Fed. R. Evid. 803(4).
The victim in Renville, an 11-year-old child, told her treating physician that the defendant, her stepfather, had sexually abused her. The defendant in Renville argued that Rule 803(4) of the Federal Rules of Evidence does not allow' statements of identity made to medical personnel. The advisory committee notes to Rule 803(4) conclude that statements of fault generally are not admissible under the rule. An example given in the notes includes, "a patient’s statement that he was struck by an automobile would qualify but not his statement that the car was driven through a red light.” (Fed. R. Evid. 803(4), Advisory Committee’s Note, at clxiv.) Renville concluded, however, that when a minor victim tells medical personnel that his or her sexual abuser is a member of the victim’s immediate household, a different standard must apply:
"We believe that a statement by a child abuse victim that the abuser is a member of the victim’s immediate household presents a sufficiently different case from that envisaged by the drafters of rule 803(4) that it should not fall under the general rule. Statements by a child abuse victim to a physician during an examination that the abuser is a member of the victim’s immediate household are reasonably pertinent to treatment *** [and] are reasonably relied on by a physician in treatment or diagnosis.” (Emphasis omitted.) United States v. Renville (1985),779 F.2d 430 , 436-37.
We hold that the trial court correctly allowed Nurse Williams to testify about AF’s out-of-court statement identifying defendant as the person who sexually abused her. Because of " 'special problems associated with intrafamily sexual abuse[,] *** the identity of the abuser is often an important element in diagnosing or treating the victim.’ ” (People v. Morgan (1994),
One final note on this point. This is not a case like People v. March (1993),
The third issue is whether the trial judge’s questioning of the State’s rebuttal witness prejudiced defendant by bolstering the witness’s credibility. Generally, a judge has discretion to question witnesses in order to elicit truth or clarify issues. (People v. Nevitt (1990),
In this case, the judge questioned two witnesses during the trial. Defendant does not object to the question posed to Nurse Williams about the purpose of taking a patient’s history. Defendant focuses instead on the judge’s question posed to the State’s rebuttal witness, Dr. Virginia Hoffman, the last witness of the case.
Dr. Hoffman, a clinical psychologist with special training and extensive experience in working with child sexual abuse victims, was questioned by the State about child sexual abuse accommodation syndrome. Dr. Hoffman explained that the syndrome entails a description of coping behaviors that children use to withstand, to endure, and to cope with sexual abuse. After Dr. Hoffman’s direct examination, cross-examination, and redirect examination, the court asked the expert witness a question about her testimony:
"THE COURT: I have a question, Doctor. Let’s talk about disclosure. Would you expect in a situation such as a 13-year-old who is allegedly the victim of sex abuse to be more inaccurate in her initial disclosure as opposed to later disclosures?
THE WITNESS: Yes, very much. It is like the car accident example I gave.
THE COURT: Well, that’s the reason I asked the question. Thank you.”
Defendant argues that the court’s questioning of Dr. Hoffman prejudiced defendant by supporting the State’s argument that AF’s testimony was credible and rejecting defendant’s argument that AF was falsifying her claims that her father sexually abused her.
A judge must exercise a high degree of care to avoid influencing the jury, because juries are easily influenced by a judge’s opinion. (People v. Brown (1990),
Since the testimony elicited by the court’s question had already been presented to the jury through the State’s questions, the defendant was not harmed by its repetition. Nevertheless, the questioning would have been better left undone. The question was obviously unnecessary; the information had already been elicited. Therefore, at a minimum, it was a waste of time. At a maximum, such questions can rise to the level of reversible error. (People v. Peeples (1993),
Under other judicial systems, such as the inquisitorial systems employed in many European countries, judges take an active role in the questioning of witnesses. Under our adversarial system, counsel perform that function, and courts are generally well advised to refrain from interfering. It is the responsibility of counsel, not the court, to bring the relevant information to the jury in an appropriate manner, and any time a judge intervenes in that process it is likely to be viewed by the parties as an unwarranted interference, and it may be viewed as reversible error by an appellate court.
The latter conclusion is not warranted in this case. Although the question was unnecessary, we do not think that the judge’s question rose to the level of giving an opinion about determinations of fact, the credibility of witnesses, and the weight of their testimony. (People v. Mays (1989),
Defendant’s final argument is that the trial court erred by not immediately admonishing the jury that the court’s questioning of Dr. Hoffman was not a reflection of the court’s opinion of the credibility of the expert or her testimony. The record reveals that defendant did not request an immediate admonition at the time the question was posed to Dr. Hoffman. The court instructed the jury with Illinois Pattern Jury Instructions, Criminal, No. 1.01 (3d ed. 1992), which includes the admonishment, "Neither by these instructions nor by any ruling or remark which I have made do I mean to indicate any opinion as to the facts or as to what your verdict should be.” Through this instruction, the court informed the jury that its question of Dr. Hoffman was not to be viewed as support for her testimony.
For the foregoing reasons, we affirm.
Affirmed.
MAAG, P.J., and LEWIS, J., concur.