STATE of Arizona, Appellee, v. Gary Martin McKEON, Appellant.
No. 1 CA-CR 00-0297.
Court of Appeals of Arizona, Division 1, Department D.
Jan. 24, 2002.
38 P.3d 1236
Conclusion
¶ 21 We thus affirm the trial court‘s granting of summary judgment against Sherman, although we do so on different grounds. See Chandler Med. Bldg. Partners v. Chandler Dental Group, 175 Ariz. 273, 273, 855 P.2d 787, 787 (App.1993) (appellate court may affirm trial court if it reaches right result). And, in our discretion, we grant the title companies’ request for attorney‘s fees on appeal, made pursuant to
FLÓREZ and PELANDER, JJ., concurring.
James Haas, Maricopa County Public Defender, By James H. Kemper, Deputy Public Defender, Phoenix, Attorneys for Appellant.
OPINION
FIDEL, Judge.
¶ 1 Appellant Gary Martin McKeon, convicted of two counts of first-degree murder and one count of first-degree burglary, claims on appeal that the trial court erred in instructing the jury that his asserted intoxication from the use of prescribed medication was “not a defense for any criminal act or requisite state of mind.”
¶ 2 The trial court, in our opinion, improperly stated the law because involuntary intoxication, when it arises from the non-abusive use of prescribed medication, may be relevant to the question whether a person accused of a criminal act had the requisite state of mind. We affirm McKeon‘s conviction and sentence, however, after finding the error harmless in the context of the evidence.
BACKGROUND
¶ 3 In the fall of 1996, after McKeon‘s wife, Kerry, left him and their children, McKeon became acutely depressed. His depression subsided somewhat when his psychiatrist prescribed Zoloft, an anti-depressant, and Klonopin, an anti-anxiety medication. McKeon attempted a reconciliation, but Kerry divorced him and married George Hild in the summer of 1997.
¶ 4 On August 16, 1997, McKeon killed Kerry and George at the home of Kerry‘s sister and brother-in-law. The next day, he turned himself in to the police.
¶ 5 Tried before a jury, McKeon defended in part on the ground that a combination of prescribed medications had rendered him unaware of his actions. He testified that on the day of the shootings, he had taken Zoloft and Klonopin, drugs prescribed by his psychiatrist, and Roxicet, a pain medication prescribed for complications from a hernia operation. He also testified that, with the exception of “little snippets or Polaroids or whatever of my memory,” he could not remember where he was, what he did, or whom he was with that day. These “snippets,” which McKeon described as things that his memory “told,” “said,” or “would have said” to him, included little more than being in his former in-laws’ backyard, “seeing [George] pull a gun and shoot at me,” and shooting back. McKeon also testified that he decided to turn himself in when a television news broadcast caused him to realize what had occurred.
¶ 6 According to the testimony of three medical witnesses, including McKeon‘s psychiatrist, McKeon‘s medications in combination could cause delirium or severe cognitive impairment. The medical witnesses also testified that McKeon‘s medications should be taken regularly. McKeon admitted that he took the medications only intermittently but testified that he had not been advised that he must take them regularly.
Temporary intoxication resulting from the voluntary ingestion or consumption of Zoloft, Klonopin, or Roxicet, or any other drug is not a defense for any criminal act or requisite state of mind; nor is the abuse of any prescribed medication. Requisite state of mind includes intentionally, knowingly, premeditation, or with intent to.
You may not consider any evidence of defendant‘s drug use in determining whether he acted intentionally, knowingly, or with premeditation.
¶ 8 The jury returned guilty verdicts on two counts of first-degree murder, for which the trial court sentenced McKeon to consecutive terms of incarceration for his natural life. The jury also found him guilty of one count of first-degree burglary, for which the trial court sentenced him to prison for seven and one-half years, to be served concurrently with the first of his two natural life terms. McKeon timely appealed.
¶ 9 We independently review whether a trial court has properly instructed the jury on the law. State v. Orendain, 188 Ariz. 54, 56, 932 P.2d 1325, 1327 (1997). When a jury instruction has incorrectly stated the law, we consider whether the error was harmless. Error is harmless if we can conclude beyond a reasonable doubt that it did not influence the verdict. State v. Rodriguez, 192 Ariz. 58, 63, 127, 961 P.2d 1006, 1011 (1998).
INTOXICATION DUE TO PRESCRIBED MEDICATION
¶ 10 In 1993, the legislature changed the law regarding the defense of voluntary intoxication. See 1993 Ariz. Sess. Laws, ch. 256, § 3. Before this change, the law read:
No act committed by a person while in a state of voluntary intoxication is less criminal by reason of his having been in such condition, but when the actual existence of the culpable mental state of intentionally or with the intent to is a necessary element to constitute any particular species or degree of offense, the jury may take into consideration the fact that the accused was intoxicated at the time in determining the culpable mental state with which he committed the act.
¶ 11 Section 13-503 now reads:
Temporary intoxication resulting from the voluntary ingestion, consumption, inhalation or injection of alcohol, an illegal substance under chapter 34 of this title or other psychoactive substances or the abuse of prescribed medications does not constitute insanity and is not a defense for any criminal act or requisite state of mind.
¶ 12 Despite substantial differences, each version of the statute addresses intoxication resulting from the consumption of prescribed medications, and each, by different means, implicitly distinguishes between medically authorized consumption and misuse.
¶ 13 Before the 1993 amendment, the 1989 version of
¶ 14 The more recent version of
¶ 15 Before settling on this interpretation, we address an ambiguity that arises from the differential use of overlapping categories in
¶ 16 The question thus arises whether (1) the consumption of a prescription drug, if also a psychoactive drug, is statutorily precluded as a basis for a defense without regard to whether the prescription was properly taken or abused, or (2) whether the consumption of a psychoactive drug, if pursuant to medical prescription, is only precluded as a basis for a defense if the prescription drug was abused.
¶ 17 In our view, the second interpretation gives meaning and purpose to the statute. This is so because the statute applies only to substances that have a capacity to induce a state of temporary intoxication. Thus, any prescribed medication that could fall within the scope of the statute must necessarily have such a capacity, and any medication with the capacity to induce a state of temporary intoxication is by definition a psychoactive substance, one that can affect the mind or behavior. To hold that a defense may not arise from the consumption of a prescribed psychoactive medication, even one properly taken and not abused, would render superfluous the statutory provision regarding the abuse of prescription medication. Whenever possible, we construe statutes so as not to render any clause, sentence, or word superfluous. State v. Johnson, 171 Ariz. 39, 42, 827 P.2d 1134, 1137 (App.1992). The legislature plainly sought to distinguish abuse of prescribed medication from the proper, non-abusive consumption of such medication pursuant to medical advice. We can only give meaning to this distinction by concluding that the legislature intended by its reference to prescribed medications to encompass all forms of prescribed medications, including those with psychoactive properties, and that the legislature intended by its reference to “other psychoactive substances” to include those that are neither illegal substances nor prescribed medications.
¶ 18 Although we interpret our statute by reference to its terms, other jurisdictions have characterized intoxication resulting from the proper use of prescribed medication as involuntary intoxication and recognized it as a defense to criminal charges. See Phillip E. Hassman, Annotation, When Intoxication Deemed Involuntary so as to Constitute a Defense to Criminal Charge, 73 A.L.R.3d 195 (1976); State v. Gardner, 870 P.2d 900, 902 (Utah 1993) (murder defendant who presented evidence of intoxication resulting from use of prescription anti-depressant, Prozac, was entitled to instruction on involuntary intoxication); Brancaccio v. State, 698 So.2d 597, 600 (Fla.Dist.Ct.App.1997) (murder defendant who presented evidence of intoxication resulting from use of Zoloft entitled to involuntary intoxication instruction).1
¶ 20 In summary, we hold that
¶ 21 We thus conclude that the trial court‘s instruction misstated the law, and we turn to the question whether the error was consequential. Specifically, we consider whether the evidence permitted the conclusion that McKeon lacked the requisite state of mind as a consequence of temporary intoxication arising from the non-abusive consumption of prescribed medication. See State v. Averyt, 179 Ariz. 123, 130, 876 P.2d 1158, 1165 (App.1994) (“Preventing the jury from considering evidence which might negate the mens rea of the crime would seriously undermine the protections embodied within the sixth amendment‘s jury trial provision.“).
HARMLESS ERROR
¶ 22 The State contends that even if the trial court‘s instruction misstated the law of temporary intoxication, the misstatement was inconsequential because the trial court found that McKeon‘s intermittent use of his medications was abusive. The record, however, contains no such finding.3 Moreover, because the question of abuse of medications turned on the resolution of disputed facts and inferences, the question was one within the province of the jury, not the trial court, to resolve. See, e.g., State v. Neal, 143 Ariz. 93, 97, 692 P.2d 272, 276 (1984) (holding that defendant‘s truthfulness and the credibility of and weight to be given expert medical testimony are issues of fact for jury).
¶ 24 We answer that question in the negative. If not precluded by the court‘s instruction from considering the subject, the jury might have concluded from McKeon‘s testimony and from that of Drs. Parker, Best, and Miller, that at the time of the shootings McKeon was experiencing some cognitive impairment, but the jury could not have reasonably concluded that McKeon was sufficiently deprived of his reason that he did not intend the natural results of his actions.
¶ 25 Dr. Parker testified that the combination of Roxicet and Klonopin could cause delirium, a state of mind that “changes rapidly” and is defined as “brain failure.” Dr. Best confirmed that the combination of Zoloft, Klonopin, and Roxicet might induce delirium. Dr. Best testified that a possible side effect of both Zoloft and Klonopin is “cognitive impairment,” the altering of a person‘s ability to know “person, place, [and] time.” Indeed, Klonopin alone, she testified, may cause “severe” cognitive impairment. Dr. Miller testified that delirious persons “generally [are] not competent and tend not to know what they‘re doing.” Dr. Miller further testified regarding delirious persons that:
[I]f they have a gun, they might shoot themselves in the head. They couldn‘t carry out a carefully calculated plan to enter this building with a gun and do all kinds of things and get somebody.... But a simple thing, they could do, like shoot themselves in the head, and they might not know what they‘re doing.
¶ 26 McKeon‘s testimony, if accepted by the jury, might establish an altered ability to know person, place, and time. See supra ¶ 5. Overall, however, the evidence is contrary to Dr. Miller‘s description of delirium, for McKeon did not engage at the time of the murders in a “simple” act. Instead, as he hunted down, cornered, and killed his ex-wife and her husband, he carefully executed a complex series of acts, some of which he had forecast in multiple prior threats.
¶ 27 McKeon telephoned his ex-in-laws’ house and warned them that he intended to kill George and Kerry. He collected weapons and ammunition, which he had stored and hidden in various locations throughout his house. He drove nine miles from his house to the scene of the shootings. He reached over and opened a six-foot tall gate that was latched with a pin. He walked along a side yard and approached George and Kerry, who were on her sister‘s back patio. He repeatedly shot George, who had retreated with Kerry to the far corner of the backyard. At some point during the melee, he shot Kerry. And before departing, he climbed over or around a three-foot tall wrought iron fence and, at close range, fatally shot George in the face. He then ran back to his car and drove away, “burning rubber” as he left.
¶ 28 When McKeon shot George in the face, he accomplished precisely what he had long been threatening to do. One of George‘s former co-workers testified that sometime around the end of 1996, McKeon had threatened to “blow George‘s head off.” Kerry‘s sister testified that at about the time the divorce was final, McKeon told her that “[h]e was going to shoot [George] between the eyes.” Kerry‘s brother-in-law testified that eight days before the shootings, McKeon had told him that he would “right in front of Kerry ... blow George‘s brains away.” McKeon also telephoned his ex-in-laws several times shortly before the shootings. During one of these conversations he again threatened to “put a bullet through George‘s head.”
¶ 29 McKeon made good on his threat to shoot George between the eyes. Dr. Philip Keen, the Maricopa County medical examiner, testified that George received non-fatal gunshot wounds to the left hand, arms, back,
¶ 30 In short, the evidence establishes that McKeon‘s actions were systematic and deliberate before the shootings, during the shootings, and during his flight. Given the deliberateness of McKeon‘s conduct, we are satisfied beyond a reasonable doubt that the trial court did not affect the verdict by erroneously instructing the jury regarding prescription drug-related intoxication. Had the jury been properly instructed on the subject, it could not have reasonably found that, at the time of the shootings, McKeon was so cognitively impaired that he did not know what he was doing or did not intend the natural consequences of his acts. Thus, the jury could not have found that, due to intoxication, McKeon lacked the requisite intent required for a first-degree burglary or first-degree murder conviction. See
CONCLUSION
¶ 31 The trial court‘s jury instruction on temporary intoxication misstated the statutory standard. An erroneous instruction is harmless, however, if we can conclude beyond a reasonable doubt that it did not affect the verdicts. See Rodriguez, 192 Ariz. at 63, 127, 961 P.2d at 1011. Because we draw that conclusion in this case, McKeon‘s convictions and sentences are affirmed.
CONCURRING: WILLIAM F. GARBARINO, Judge.
HALL, Judge concurring:
¶ 32 The trial court‘s instruction regarding intoxication prevented McKeon from asserting involuntary intoxication as a defense for any requisite state of mind. Because the instruction correctly states the law in Arizona, the giving of it was not error.
¶ 33 The majority construes
¶ 34 Although I agree with the majority that the effect of the 1993 change to
¶ 35 At common law, voluntary intoxication was never a defense to a criminal charge. City of Minneapolis v. Altimus, 306 Minn. 462, 238 N.W.2d 851, 855 (1976) (quoting Pearson‘s Case, 168 Eng. Rep. 1108, 2 Lew. Cr.Cas. 144, 145 (1835) (“Voluntary drunken-
¶ 36 The common-law rule that involuntary intoxication is a defense only when it renders the defendant temporarily insane is still followed by many states today. See, e.g., City of Minneapolis, 238 N.W.2d at 857 (“The numerous cases ... in which the common-law defense of involuntary intoxication has been recognized are virtually unanimous in holding that this defense is available only when the defendant is legally insane.“); Saldiveri v. State, 217 Md. 412, 143 A.2d 70, 77 (1958) (court assumes that involuntary intoxication is a defense only if the degree of intoxication amounts to insanity); State v. Gardner, 870 P.2d 900, 902 (Utah 1993) (“[T]he standard for involuntary intoxication is the same as that for insanity.“); People v. Wilkins, 184 Mich.App. 443, 459 N.W.2d 57, 60 (1990) (“[I]nvoluntary intoxication is a defense included within the ambit of the insanity defense.“). The rationale for limiting involuntary intoxication as a defense coextensive with that of insanity is that it merely “establishes only that [the] derangement is without culpability and hence is to be dealt with the same as if it were the result of mental disease or defect.” Rollin M. Perkins & Ronald N. Boyce, Criminal Law 1005 (3d ed.1982).
¶ 37 By the end of the nineteenth century, the severe common-law rule precluding a jury from considering voluntary intoxication as a defense to crime was ameliorated in most jurisdictions by judicial development—and eventually, statutory adoption—of an exception that allowed a defendant to introduce evidence of voluntary intoxication to show that he lacked the specific intent necessary to commit a particular offense or degree of offense. Montana v. Egelhoff, 518 U.S. 37, 47 (1996). As a parallel development in some of these jurisdictions, defendants were permitted to assert involuntary intoxication not only as an excuse under the insanity defense but also to negate specific intent. See, e.g., State v. Mriglot, 88 Wash.2d 573, 564 P.2d 784, 786 (1977) (“If a defendant is so intoxicated (voluntarily or involuntarily) as to be unable to form the requisite intent, he cannot be guilty of a specific intent crime. He need not prove temporary insanity simply because the intoxication happened to be involuntary.“).
¶ 38 No previous case in Arizona addresses the precise question whether the use of an involuntary intoxication defense in Arizona is restricted to claims of temporary insanity or may also be raised to negate the requisite mental state in what formerly were called specific intent crimes. It is clear, however, that Arizona followed the common-law rule that permitted involuntary intoxication to be raised in the context of the insanity defense. In Territory v. Davis, 2 Ariz. 59, 10 P. 359 (1886), the defendant contended, and the Supreme Court of the Territory of Arizona agreed, that the jury should have been allowed to consider testimony that his mind had become weakened from a “continuous use of ardent spirits” and that, at the time he shot the deceased in the streets of Tombstone, he was suffering from an attack of delirium tremens resulting in a state of insanity. In Burrows v. State, 38 Ariz. 99, 297 P. 1029 (1931), overruled on other grounds, State v. Hernandez, 83 Ariz. 279, 320 P.2d 467 (1958), the defendant claimed that he had become intoxicated after drinking alcohol at the insistence of the victim and then shot him while in a “daze[ ].” Id. at 104, 297 P. at 1031. Paraphrasing the insanity formulation commonly referred to as M‘Naghten‘s Rule, for The Queen v. M‘Naghten, 4 St.Tr. (N.S.) 847 (1843), our supreme court articulated the “true rule” regarding the degree to which involuntary intoxication must incapacitate a person to be used as a defense in a criminal case:
[W]e are of the opinion that [involuntary] intoxication must be sufficient to affect the reason of a defendant to the extent that he does not understand and appreciate the nature and consequences of his act, or, as is commonly said, that he does not know right from wrong.
¶ 39 In its analysis, the majority focuses on what it characterizes as an “amendment” to
¶ 40 Nonetheless, in the ashes of a statute that completely abrogates temporary voluntary intoxication as a defense, the majority finds an uncharred remnant of an involuntary intoxication defense that exists separate and apart from the insanity defense. If the previous version of
¶ 41 Further, the majority fundamentally misapprehends the law when it implies that preventing a defendant from asserting that he lacked a requisite state of mind because of involuntary intoxication would somehow “abolish[ ] the State‘s burden of proving that a defendant possessed the requisite state of mind at the time of the offense.” Supra ¶ 20 n. 2. A state may preclude a defendant from offering psychological evidence to rebut
¶ 42 The majority‘s reliance on
¶ 43 The majority‘s analysis confuses
¶ 44 In summary, involuntary intoxication is a defense to a criminal act or requisite state of mind only if the person was insane at the time the act was committed. The defendant did not pursue an insanity defense at trial nor can he plausibly claim that his conduct fell outside the statutory definition of a “voluntary act.” Thus, the trial court properly instructed the jury not to consider any evidence of defendant‘s claimed intoxication in arriving at its verdicts.
Notes
A person may be found guilty except insane if at the time of the commission of the criminal act the person was afflicted with a mental disease or defect of such severity that the person did not know the criminal act was wrong.
with § 22 of the 1913 Penal Code:No act committed by a person while in a state of voluntary intoxication is less criminal by reason of his having been in such condition, but when the actual existence of the culpable mental state of intentionally or with the intent to is a necessary element to constitute any particular species or degree of offense, the jury may take into consideration the fact that the accused was intoxicated at the time in determining the culpable mental state with which he committed the act.
No act committed by a person while in a state of voluntary intoxication is less criminal by reason of his having been in such condition. But whenever the actual existence of any particular purpose, motive, or intent is a necessary element to constitute any particular species or degree of crime, the jury may take into consideration the fact that the accused was intoxicated at the time, in determining the purpose, motive, or intent with which he committed the act.
