Lead Opinion
The federal government sought to commit Todd Carta under the Adam Walsh Child Protection and Safety Act, Pub L. No. 109-248, 120 Stat. 587 (2006) (“Adam Walsh Act”). That statute authorizes civil commitment of a person already in federal custody, including one finishing a sentence after a criminal conviction, if the government shows that he is a “sexually dangerous person.” 18 U.S.C. § 4248 (2006).
After pleading guilty to child pornography charges in October 2002, Carta was sentenced to five years in federal prison and three years of supervised release. Three years into his term, Carta requested and was granted a transfer to a federal prison in North Carolina offering a sex offender treatment program. Carta participated in the program for approximately seven months, but then withdrew without completing the program.
Carta’s treating psychologist noted that even within the program, he exhibited problematic behavior: reinforcing the deviant beliefs of others in the program, denying that his behavior was inappropriate and acting impulsively. Further, Carta dropped out of the program partly because of his inability to curb his sexual interest in the program’s younger participants, which resulted in restrictions being imposed on his contact with them.
In the course of the program, Carta disclosed details of his sexual and criminal history that prompted the government’s invocation of the Adam Walsh Act’s commitment procedures (in shorthand, “section 4248”). Carta described his primary sexual interest as children age 12 to 17 and his secondary interest as children age 7 to 11, and admitted to having a large child pornography collection; he usually stored between 10,000 and 20,000 images on his computer and spent 12 to 14 hours daily looking at child pornography prior to his arrest.
Carta further admitted to sexually abusing minors on many occasions, with his youngest victim being a child in diapers. Carta’s long history of sexuаlly abusing minors is detailed in the district court opinion, United States v. Carta,
• Between the ages of 11 and 13, Car-ta performed oral sex on a child in diapers who was no more than three or four years old one time and on the diapered-child’s seven-year-old cousin about 10 times; the seven-year-old also performed oral sex on Carta.
• When he was 15 or 16, Carta shot with a BB gun a similar-aged male when the peer refused tо engage in oral sex; later, Carta talked him into oral sex and they engaged in it approximately 10 times over a five year period.
• At age 21, on multiple occasions Carta engaged in oral sex with his 16-year-old nephew.
• Between ages 28 and 34, Carta committed multiple sexual offenses while following a rock band; among these were offering a 13-year-old boy concert tickets in exchange for oral sex and fondling and masturbating a 17 or 18-year-old male who was passed out from drug use in Carta’s van.
• When Carta was 30 or 31, he began sexually abusing a 13-year-old boy, whom he had sexual contact with 30 to 40 times over a four year period and referred to as his “boyfriend.”
• At age 33, he engaged in sexual contact on separate occasions with two 16-year-old males and one 16-year-old female, all of whom he met on the Internet.
• When Carta was 39, he met a 17-year-old male who started living with him; on at least one occasion, Carta orally copulated the 17-year-old’s younger brother, who was 15 at the time. Carta also sexually abused a 13-year-old boy he met on the Internet, perform*38 ing oral sex on him on multiple occasions; one time, Carta convinced the 13-year-old to have “three-way sex” with Carta and the 17-year-old.
On March 7, 2007 — two days prior to Carta’s scheduled good-time release date — the Bureau of Prisons certified that Carta, who was being held in a federal facility in Massachusetts, was a “sexually dangerous person” and began civil commitment proceedings under section 4248. Carta moved to dismiss, arguing the statute was facially unconstitutional on multiple grounds, but after a hearing the district court denied the motion. United States v. Carta,
In February 2009, the district court held a three-day bench trial on whether Carta met the requirements for civil commitment under section 4248. Experts testified on both sides. The government expert, Dr. Amy Phenix, testified that, based on risk factors such as age, frequency of misconduct and lack of suсcess in treatment, Car-ta would have serious difficulty in refraining from child molestation if released.
Paraphilia is characterized by the Diagnostic and Statistical Manual of Mental Disorders (“DSM”), a commonly used reference book in the fields of psychiatry and psychology, as follows:
The essential features of a Paraphilia are recurrent, intensе 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 ... [and that] cause clinically significant distress or impairment in social, occupational, or other important areas of functioning....
Am. Psychiatric Ass’n, DSM 522-23 (4th ed. 2000). Carta’s condition was described by Dr. Phenix as paraphilia not otherwise specified because hebephilia — loosely, sexual attraction to adolescents, Carta,
Dr. Bard, an expert designated at Car-ta’s request, see 18 U.S.C. § 4247(b), conceded that Carta suffered from “numerous problems” but — based in part on Dr. Bard’s own test results — concluded that Carta would not have serious difficulty in refraining from child molestation if released. Dr. Bard also asserted that hebephilia was not a generally accepted diagnosis in the mental health community, did not fit within the DSM definition of paraphilia, lacked diagnostic criteria and could not be consistently defined; that normal adults may find adolescents arousing; and that articles offered by the government to support a hebephilia diagnosis were not legitimate peer-reviewed research.
In June 2009, the district court ruled that the government had not proved by clear and convincing evidencе that Carta was a “sexually dangerous person” within
Chapter 313 of the Criminal Code, 18 U.S.C. §§ 4241-4248, addresses competency to stand trial, disposition of those found not guilty by reason of insanity and treatment of those in custody who are found to be suffering from a mental disease or defect. One provision authorizes, and provides procedures for, id. §§ 4246(a)-(g), continued commitment of individuals in federal custody — otherwise due for release — where release would “crеate a substantial risk of bodily injury to another person or serious damage to property of another” by reason of a “mental disease or defect,” id. § 4246(a).
Appended, with cross-references to the basic scheme, is a section added by the Adam Walsh Act that addresses civil commitment of “a sexually dangerous person” who is in the custody of the Attorney General or Bureau of Prisons; commitment may continue until that person is transferred to state care or “is no longer sexually dangerous to оthers” or until that danger can be controlled by outpatient care and treatment. 18 U.S.C. §§ 4248(a), (d). “Sexually dangerous person” and “sexually dangerous to others” are defined, and the former includes the requirements of the latter. Id. §§ 4247(a)(5),(6). The combination requires three elements:
a prior act (or attempted act) of “violent sexual conduct or child molestation”;
“a serious mental illness, abnormality, or disorder”; and
a resulting “serious difficulty in refraining from sexually violent conduct or child molestation if released.”
Carta does not deny that he has engaged in child molestation in the past, and the district judge so fоund. Carta,
On review, we distinguish between what the statute means, questions of raw fact and the intermediate step of characterizing the raw facts in the tеrms of the statute thus defined. The first issue, statutory interpretation, we review de novo, United States v. Frechette,
The district court may have assumed that the statutory concept is delimited by the consensus of the medical community, but this is not so.
Believing this to be the position of other federal courts,
The problem with the district court’s approach is that paraphilia is ex-pressly a DSM-listed disorder and Carta appears to fall within this category. The “essential features” of paraphilia are “reсurrent, intense sexually arousing fantasies, sexual urges, or behaviors” fixated on a specific “stimuli,” which “occur over a period of at least 6 months” and “cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.” DSM, supra, at 522-23. The DSM states that frequent objects of fixation are “nonhuman objects,” “the suffering or humiliation of oneself or one’s partner,” and “children or other non-consenting persons.” Id. At first blush, one might think that a number of those abused by Carta fall easily within the category of “children or other nonconsenting persons.”
But in any case the DSM includes a catch-all category called “paraphilia not otherwise specified” that lists, simply as examples, types of paraphilia, such as fixation on obscene phone calls, specific body parts, feces or urine. DSM, supra, at 532. Based on Dr. Phenix’s report, Carta’s past history of sexually abusing minors, his in-prison behavior and his expressed attitudes seemingly justify classifying him as suffering from a paraphilia: he has а decades-long sexual fixation on minors that plainly has “caused significant distress or impairment” in his life.
With one exception, nothing in Dr. Bard’s report appears directly to contra-
Dr. Bard reasoned that in describing pedophilia, the DSM specifically refers to “prepubescent” children; but, if anything, the explicit qualifier “prepubescent” used in defining pedophilia would make one think that its omission in the phrase “children and nonconsenting persons” does not exclude young but pubescent adolescents. The idea that the reference to “children” in the opening examples of common fixations automatically and definitively excludes molestation of young teenagers is far from compelling and, in any case, the “not otherwise specified” category remains.
So on this record it would be clear error to say that the DSM definition of paraphilia excluded an intense sexual fixation on young teenagers accompanied by a pattern of conduct such as Carta’s. Nor did the district court squarely take this position; instead, its main concern was one of indefiniteness and over-inclusion: the district judge said that paraphilia not otherwise specified should not be stretched to include hebephilia because it would thereby encompass anyone sexually aroused by post-pubescent minors, which given the vagueness of the term hebephilia “could pathologize normal men.” Carta,
Given that some teenagers are sexually mature, it is hardly surprising that the DSM (and the courts) would hesitate to classify any and all sexual attraction to them as abnormal. But Dr. Phenix did not claim that Carta’s mental disorder was hebephilia; she said it was paraphilia not otherwise specified, and the reference to hebephilia merely pointed to adolescents as the target of his fixation. This does not mean that everyone sexually attracted to adolescents is mentally disordered; rather, it means that one whose urges are so strong as to produce the symptoms and consequences identified in the DSM and exhibited by Carta could bе so classified in an appropriate case.
The cases cited by the district judge are not helpful to his ruling. In Shields, the trial court rejected hebephilia standing alone as “a serious mental illness, abnormality, or disorder,” but did not categorically reject the diagnosis of paraphilia not otherwise specified characterized by hebephilia; instead, the district court said it lacked an adequate record to assess the latter diagnosis.
In sum, the government’s position depended not on showing that hebephilia is a mental disorder but on showing that Car-ta’s sexual attraction to teenagers fell within the DSM definition of paraphilia not otherwise specified; Dr. Phenix provided ample reason to conclude that Carta fell within the DSM definition, and nothing in Dr. Bard’s report shows why that conclusion is wrong. We add only that it would be unlikely to take Carta outsidе the statute even if we concluded improbably that he fell outside any DSM-recognized affliction; as already explained, the reach of
Dr. Bard’s report does show that the experts disagree as to Carta’s ability to control his sexual urges toward adolescents. The government must prove by clear and convincing evidence not only that Carta has the required mental condition, but also would have “serious difficulty in refraining from sexually violent conduct or child molestation if released.” 18 U.S.C. § 4247(a)(6). On the latter issue, Dr. Bard’s evaluation favorable to Carta is reasonably detailed and specific, but so is Dr. Phenix’s contrary position. Whose analysis is more persuasive remains to be determined on remand.
This brings us to Carta’s claims that section 4248 is facially unconstitutional because the statute is not a valid exercise of Congress’ authority under the Commerce Clause and because it violates the Due Process Clause of the 5th Amendment and its encompassed equal protection requirement. The Supreme Court has taken under review United. States v. Comstock,
Because Carta is being held in custody after his now-expired sentence, this court concluded that the appeal should be expedited because affirmance of the district court ruling would have expedited his release. Given our disagreement with the distriсt court’s ruling, we turn to the constitutional issues which, if disposed of in Carta’s favor, would provide an alternative ground for his release. In considering Carta’s constitutional claims a de novo standard of review applies. United States v. Rene E.,
In United States v. Volungus, No. 09-1596,
Carta’s due process arguments are that the Constitution demands that section 4248 commitment proceedings require a jury trial, proof beyond a reasonable doubt, and additional prior notice and prompt hearing requirements. But section 4248 imposes civil commitment — Carta does not argue otherwise — and Addington v. Texas,
On Carta’s jury trial claim, the Supreme Court declined to require a jury in juvenile delinquency proceedings, McKeiver v. Pennsylvania,
Three other due process claims are made. One is that the key components of section 4248 — “serious difficulty in refraining from sexually violent conduct” resulting from a “serious mental illness, abnormality, or disorder” — are too vague to comport with due process. But the criminal law itself is filled with equally imprecise terms (including fraud, insanity and defenses such as entrapment and duress). These terms are sufficiently explicit to give nоtice and prevent arbitrary enforcement, and the present statute also passes muster. See Peterson v. Gaughan,
The second claim is based on the failure of section 4248 to specify that a prompt hearing is required and perhaps— whether this is requisite is more debatable — to impose some prompt preliminary screening by a neutral magistrate before a substantial period of detention occurs after the sentence has expired. We cannot say that violations are so likely as to meet the high standard needed to facially invalidate the statute, McCullen v. Coakley,
This does not excuse what may be a pattern in which the government certifies prisoners as sexually dangerous mere days before their scheduled release, thereby guaranteeing that they will be held for an extended period beyond that date even if there is little basis for the charge. Any such practice is a result of improper administration, not statutory command. The government deserves fair warning and a modest additional period to frame the necessary regulations limiting the period of detention without a hearing; after that, it is likely to find courts imposing remedies.
Carta’s third claim is that section 4248 does not provide adequate notice of the proposed basis of commitment. Section 4248 requires a responsible govern
Carta’s equal рrotection argument is that section 4248 fails rational basis review because the class of individuals potentially affected by the statute— namely, all federal prisoners — does not bear a rational relationship to the government purpose of incapacitating “sexually dangerous” individuals. The equal protection argument builds on Baxstrom v. Herold,
But a state, unlike Congress, has a general police power, whereas the federal government’s interest and responsibility here stem from the fact that it already has custody of the prisoner. Volungus,
We uphold the district court’s determination that the statute is not facially unconstitutional, conclude that the district court erred in holding that the government failed to establish that Carta met the mental condition element and remand for it to consider whether the requisite dangerousness exists.
It is so ordered.
Notes
. Dr. Phenix’s report, like the report of Car-ta's expert Dr. Leonard Bard, is under seal; but we note that her diagnosis and evaluation of dangerousness did not rest simply on Car-ta's confessiоn of past incidents but also on his behavior in prison, his statements about his present feelings and a set of standardized evaluative measurements based primarily on correlating characteristics of the individual with statistical data about re-offense.
. See Kansas v. Crane,
. The district court asserted that "[t]he only federal courts to have addressed the diagnosis of hebephilia in sexually dangerous person cases have rejected it as a basis for commitment.” Carta,
. The Fourth Circuit in Comstock held that section 4248 exceeded Congress’ authority and so was unconstitutional.
Concurrence Opinion
concurring.
As explained in my recent dissent in United States v. Volungus, No. 09-1596,
Notwithstanding this preference, I concur fully in the majority opinion because I recognize that Volungus, which upheld the Walsh Act as a valid exercise of Congress’s authority, is now the established law of this circuit.
