Lead Opinion
Opinion by Judge Berzon; Concurrence by Judge Noonan
Penile plethysmograph testing is a procedure that “involves placing a pressure-sensitive device around a man’s penis, presenting him with an array of sexually stimulating images, and determining his level of sexual attraction by measuring minute changes in his erectile responses.” Jason R. Odeshoo, Of Penology and Perversity: The Use of Penile Plethysmography on Convicted Child Sex Offenders, 14 Temp. Pol. & Civ. Rts. L. Rev. 1, 2 (2004). Although one would expect to find a description of such a procedure gracing the pages of a George Orwell novel rather than the Federal Reporter, plethysmograph testing
I.
In May of 2001, an electronics store technician discovered several images of child pornography on the hard drive of a computer that the defendant, Matthew Henry Weber, had brought in for repairs. The manager of the store informed the Los Angeles Police Department of the images, which contacted the FBI. When Weber arrived to pick up his computer, he was interviewed by an FBI agent about the images. Weber claimed to be unaware of the child pornography images on his computer. The FBI seized
On January 17, 2003, a grand jury in the Central District of California returned a one-count indictment charging Weber with possession of child pornography in violation of 18 U.S.C. § 2252A(a)(5)(B).
In preparing the presentence report (PSR), the Probation Office proposed that twenty special conditions be imposed as specific terms of Weber’s supervised release. Among them was Condition Nine, the requirement that Weber
participate in a psychological/psychiatric counseling and/or a sex offender treatment program, which may include inpatient treatment, as approved and directed by the Probation Officer. The defendant shall abide by all rules, requirements, and conditions, of such program, including submission to risk assessment evaluation(s), and physiological testing, such as polygraph, plethys-mograph, and Abel testing,[3 ] and shall take all prescribed medication.
As justification for the proposed conditions of supervised release, the PSR stated:
During the period of supervised release, it is imperative that the defendant, who has mental health issue [sic], continue to receive mental health treatment and counseling. Further, it is recommended that the defendant continue sex offender treatment, and to be subject to intensive supervision to monitor the defendant’s progress. Meanwhile, these special conditions are necessary to protect the public as the defendant undergoes treatment. ... Conditions Nos. 3 to 5, and 8 to 19 have been recommended as a result of the instant offense involving the possession of child pornography, which was collected and stored using his computer, and the history and characteristics of the defendant.
In his written objections to the PSR and orally at the sentencing hearing, Weber objected to only one aspect of his supervised release — the requirement that he submit to plethysmograph testing.
Now, in terms of [Condition] number nine, the particular testing, what I — if you felt for whatever reason and could support those reasons that whatever test was requested was medically not necessary, you could certainly ask — express that to the probation officer and ask for a hearing, but I intend to keep the condition; but you certainly, as in any condition, probation — or for supervised release, you would have the ability to request a modification.
II.
Before turning to the merits of Weber’s appeal, we consider whether Weber’s claim is ripe for review. Although neither party raises the issue of ripeness, because “[t]he constitutional component of ripeness is a jurisdictional prerequisite,” United States v. Antelope,
Condition Nine requires Weber to participate in a sexual offender treatment program and submit to various tests, including plethysmograph testing, as a part of that program. There is nothing in the record indicating that Weber has yet been ordered to undergo plethysmograph testing and it is not certain that he will ever be ordered to do so.
A defendant need not refuse to abide by a condition of supervised release to challenge its legality on direct appeal from the imposition of sentence. In United States v. Williams,
Relying on Williams, we recently rejected a similar argument by the government that a challenge to a supervised release condition that depended on several contingencies was unripe for appellate review. See United States v. Rodriguez-Rodriguez,
The same is true here. The silence in the record as to whether Weber has previ
III.
We begin our merits analysis with a discussion of several governing principles.
A. Statutory Framework
Although the consideration of plethysmograph testing as a term of supervised release is a question of first impression in this circuit, we are guided in our analysis by the statutory requirements governing the imposition of conditions of supervised release and by our prior case law interpreting those requirements. We have repeatedly held that a district court enjoys significant discretion in crafting terms of supervised release for criminal defendants, including the authority to impose restrictions that infringe on fundamental rights. See United States v. T.M.,
A district court’s discretion in this regard is not, however, boundless. The principal statute governing a district court’s ability to impose conditions of supervised release is § 3583. Section 3583(c) states:
The court, in determining whether to include a term of supervised release, and, if a term of supervised release is to be included, in determining the length of the term and the conditions of supervised release, shall consider the factors set forth in section 3553(a)(1), (a)(2)(B), (a)(2)(C), (a)(2)(D), (a)(4), (a)(5), (a)(6), and (a)(7).
The cross-referenced § 3553(a) factors that are of particular relevance here direct a court to consider:
(1) the nature and circumstances of the offense and the history and characteristics of the defendant;
(2) the need for the sentence imposed—
(B) to afford adequate deterrence to criminal conduct;
(C) to protect the public from further crimes of the defendant; and
(D) to provide the defendant with needed educational or vocational training, medical care, or other correctional treatment in the most effective manner.
In addition to setting forth certain mandatory conditions of supervised release, § 3583(d) permits a district court to impose any condition it deems appropriate,
*558 (1) is reasonably related to the factors set forth in section 3553(a)(1), (a)(2)(B), (a)(2)(C), and (a)(2)(D);
(2) involves no greater deprivation of liberty than is reasonably necessary for the purposes set forth in section 3553(a)(2)(B), (a)(2)(C), and (a)(2)(D); and
(3) is consistent with any pertinent policy statements issued by the Sentencing Commission pursuant to 28 U.S.C. 994(a).[7 ]
Under this statutory scheme, then, conditions of supervised release
B. Burden of Justification
Although our case law has repeatedly explained the statutory framework governing the imposition of supervised release terms, we have not had occasion clearly to delineate which party bears the burden of demonstrating that a discretionary supervised release condition is appropriate in a given case. We think the answer to this question is fairly evident in light of the above statutory requirements and our case law discussing the burden of proof at sentencing generally.
As we have explained, supervised release conditions “are permissible only if they are reasonably related” to the goals of deterrence, public protection, and rehabilitation. T.M.,
The determination that the burden to justify a condition of supervised release should rest with the government is all the more apparent when viewed in light of our case law allocating the burden for other
We hold that the same rule applies with regard to a government-supported imposition of a discretionary condition of supervised release. We have long held that a term of supervised release is part of a defendant’s sentence, see United States v. Soto-Olivas,
C. Procedural Requirements
In applying the substantive statutory standards governing the imposition of supervised release conditions, we have had occasion to consider the procedural steps a district court must take before imposing certain conditions on a criminal defendant as a term of his supervised release. In United States v. Rearden,
We subsequently fashioned an exception to Rearden’s general rule that a district court need not articulate specific reasons for imposing a condition of supervised release. In Williams, we considered a term of supervised release that required a defendant to “take such psychotropic and other medications prescribed for him.”
Our conclusion in Williams was guided by the Supreme Court’s decisions in Washington v. Harper,
We were careful to note in Williams that our holding did not preclude a district court from ordering, as a term of supervised release, that a defendant take certain prescribed medications. Id. at 1055-56. Rather, our holding was that before mandating such a condition, a district court must make a specific “finding of overriding justification and a determination of medical appropriateness.” Id. at 1056 (internal quotation marks omitted) (quoting Riggins,
In light of Rearden and Williams, the procedural requirements governing a district court’s imposition of a condition of supervised release may be summarized as
IV.
In light of these governing principles, we turn our attention to the specifics of penile plethysmograph testing. Weber argues that the requirement that he submit to plethysmograph testing should be vacated because such testing (1) is not reasonably related to the purposes of deterrence, rehabilitation, or protection of the public, and (2) even if it does satisfy one of the above purposes, the testing requirement results in a greater deprivation of liberty than is reasonably necessary.
A. The Nature of Plethysmograph Testing
As noted at the outset, penile plethys-mograph is a test designed to measure a
Prior to beginning the test, the subject is typically given instructions about what the procedure entails. He is then asked to place the device on his penis and is instructed to become fully aroused, either via self-stimulation or by the presentation of so-called “warm-up stimuli,” in order to derive a baseline against which to compare later erectile measurements. After the individual returns to a state of detumescence, he is presented with various erotic and non-erotic stimuli. He is instructed to let himself become aroused in response to any of the materials that he finds sexually exciting. These stimuli come in one of three modalities — slides, film/video clips, and auditory vignettes — though in some cases different types of stimuli are presented simultaneously. The materials depict individuals of different ages and genders — in some cases even possessing different anatomical features— and portray sexual scenarios involving varying degrees of coercion. The stimuli may be presented for periods of varying length — from mere seconds to four minutes or longer.
Changes in penile dimension are recorded after the presentation of each stimulus....
Odeshoo, supra, at 8-9 (footnotes omitted).
Initially developed by Czech psychiatrist Kurt Freund as a means to study sexual deviance, plethysmograph testing was also at one time used by the Czechoslovakian government to identify and “cure” homosexuals. David M. Friedman, A Mind of Its Own: A Cultural History of the Penis 232 (2001). Today, plethysmograph testing has become rather routine in adult sexual offender treatment programs, with one survey noting that approximately one-quarter of adult sex offender programs employ the procedure. Odeshoo, supra, at 8. Another survey has placed the relative incidence of the test among adult sexual offender programs at fifteen percent, a somewhat lower, yet still considerable, level. See D. Richard Laws, Penile Plethysmography: Will We Ever Get It Right?, in Sexual Deviance: Issues and Controversies 82, 97 (Tony Ward et al. eds., 2003).
B. The Significance of the Liberty Interest
Courts have previously recognized that plethysmograph testing “can [be] help[ful] in the treatment and monitoring of sex offenders.” Glanzer,
Moreover, plethysmograph testing is exceptionally intrusive in nature and duration. As one commentator has noted:
It is true that cavity searches and strip searches are deeply invasive, but [pleth-ysmograph testing] is substantially more invasive. Cavity searches do not involve the minute monitoring of changes in the size and shape of a person’s genitalia. Nor do such searches last anywhere near the two or three hours required for penile plethysmography exams. Nor do cavity or strip searches require a person to become sexually aroused, or to engage in sexual self-stimulation.
Id. (footnote omitted). We note also that “[t]he degree of privacy afforded to subjects during the procedure varies considerably.” Id. at 8. Sometimes the test is conducted by placing the patient in a private room away from the clinician, other times the two are separated by a curtain or one-way mirror. Id.
As these descriptions of plethysmograph testing indicate, the procedure implicates a particularly significant liberty interest. In reaching this conclusion, we follow the reasoning of the First Circuit in Harrington v. Almy,
Harrington considered the strength of the plaintiffs liberty interest claim in refusing to submit to plethysmograph testing in light of Rochin v. California,
A reasonable finder of fact could conclude that requiring the plethysmograph involves a substantive due process violation. The procedure, from all that appears, is hardly routine. One does not have to cultivate particularly delicate sensibilities to believe degrading the process of having a strain gauge strapped to an individual’s genitals while sexually explicit pictures are displayed in an effort to determine his sexual arousal patterns. The procedure involves bodily manipulation of the most intimate sort. There has been no showing regarding the procedure’s reliability and, in light of other psychological evaluative tools available, there has been no demonstration that other less intrusive means of obtaining the relevant information are not sufficient.
Id.
Although, given the supervised release context, we are not considering the same substantive due process question at issue in Harrington, Harrington rests on the premise that the strong liberty interest in one’s own bodily integrity is impaired by the plethysmograph procedure.
Similarly, Coleman v. Dretke,
C. Reactions to Plethysmograph Testing
Our concerns with plethysmograph testing do not rest solely on the invasive nature of the test itself. In addition, the accuracy and reliability of penile plethys-mograph testing have been severely questioned. The American Psychiatric Association has expressed reservations about the procedure, observing: “The reliability and validity of this procedure in clinical assessment have not been well established, and clinical experience suggests that subjects can stimulate response by manipulating mental images.” am. psychiatric ass’n, diAGNOSTIC AND STATISTICAL MANUAL OF MENTAL Disorders: DSM-IV-TR 567 (4th ed.2000); see also W.L. Marshall & Yolanda M. Fernandez, Phallometric Testing with Sexual Offenders: Limits to Its Value, 20 Clinical Psychol. Rev. 807, 810-13 (2000) (questioning the reliability of phal-lometric testing, such as plethysmograph testing); Odeshoo, supra, at 10-13 (detailing a number of problems with plethysmo-graph testing, among them inconsistent results as to the test’s reliability and validity).
A predominant concern with plethysmo-graph testing is its susceptibility to manipulation via faking. Several studies have acknowledged that subjects can control their sexual arousal during the test, thereby posing a threat to the validity of pleth-ysmograph testing. See, e.g., James G. Barker & Robert J. Howell, The Plethysmograph: A Review of Recent Literature, 20 Bull. Am. Acad. Psychiatry & L. 13, 21-23 (1992). According to one source, “[several studies have shown that normal subjects can significantly inhibit their arousal by using mental activities to distract themselves, despite a clear indication that they were attending to the stimuli.” Marshall & Fernandez, supra, at 810. Because “it appears virtually impossible to prevent or detect dissimulation ... faking will always constitute some undetermined degree of threat to the validity of phallometric assessments.” Id. at 811; see also Walter T. Simon & Peter G.W. Schouten, The Pleth-ysmograph Reconsidered: Comments on Barker and Howell, 21 Bull. Am. Acad. Psychiatry & L. 505, 510 (1993) (“The vulnerability of the plethysmograph to voluntary control has been widely documented
Plethysmograph testing has also been sharply criticized as lacking “uniform administration and scoring guidelines.” See Simon & Schouten, supra, at 510; see also Odeshoo, supra, at 12-13 (noting a lack of standardization in administration of pleth-ysmograph testing). One researcher noted well over a dozen potential sources of variation among different assessments, including the type of measuring device and stimuli that are used, the characteristics of the test, and the setting in which it is conducted. See Laws, supra, at 87-88. The lack of standard procedures governing plethysmograph testing has led one pair of commentators to conclude that “research data as well as individual findings derived by plethysmograph must be considered idiosyncratic[and] unamenable to normative comparisons, if not impossible to interpret from a traditional psychometric perspective.” Simon & Schouten, supra, at 511. The lack of uniform standards is compounded by reports that indicate a lack of formal training for clinicians administering the test. See Laws, supra, at 87 (characterizing as “truly appalling” one survey’s findings that seventy-six percent of pleth-ysmograph technicians received one week or less of training and eighteen percent received no training whatsoever).
The supporters of plethysmograph testing acknowledge its limitations. See Barker & Howell, supra, at 13, 22-23 (noting that while some research supports the notion that plethysmograph testing “is a reliable and valid method of objectively measuring and assessing the erectile response in male sexual offenders,” the propensity for faking and lack of standards poses a challenge to accurate use of such testing). In addition, at least one former advocate of the procedure has since changed his tune. See Laws, supra, at 82-84, 99 (explaining the author’s account of why his former faith in plethysmograph testing has subsequently been “seriously eroded”).
Despite these criticisms, plethysmo-graph testing has been recognized by some psychologists and researchers as a useful technique in the treatment of sexual offenders. “The ideal application for the plethysmograph is the assessment and treatment of known sex offenders.” Barker & Howell, supra, at 18. Its role in a treatment program is to aid in identifying whether an individual exhibits a sexual response to deviant stimuli and determining whether a prescribed course of behavior modification therapy is effective
The plethysmograph can help in identifying offenders who manifest high levels of arousal to stimuli depicting inappropriate sexual activity, or those showing very low levels of arousal to stimuli that would be considered portraying appropriate sexual activity. The plethysmo-graph can help determine and enhance specialized behavior therapy for these offenders and evaluate therapeutic efficacy without the normal distortion evident in the subject’s self-report.
Id.
Another researcher has differentiated between the appropriate and inappropriate uses of plethysmograph testing: Among the accepted uses of the procedure, according to that account, are the “[u]se of erection responses to indicate the need to target deviant sexual arousal for treatment and to monitor the effectiveness of that treatment” and the “[u]se of erection responses to confront subjects who deny having deviant arousal.” Laws, supra, at 98. That same analysis, however, cautioned that plethysmograph testing should not be used to “determine or make statements about whether someone has committed a specific sexual offense or whether someone ‘fits the profile’ of a sexual offender.” Id. Also inappropriate would be using plethysmograph testing “as a sole criterion to decide someone’s release from custody or from a treatment program” or “to screen general populations in search of potential sex offenders.” Id.
D. Plethysmograph Testing as a Condition of Supervised Release
In light of these observations by courts and commentators alike, we cannot say categorically that, despite the questions of reliability, plethysmograph testing can never reasonably promote at least one, if not all three, of the relevant goals laid out in § 3553(a)(2) — namely, deterrence, public protection, and rehabilitation. As the Fourth Circuit, the only circuit to address the permissibility of plethysmograph testing as a condition of supervised release, has held, plethysmograph testing is regarded as' “useful for treatment of sex offenders” in appropriate circumstances and thus can be “reasonably related” to “treatment, fostering deterrence, and protecting the public.” United States v. Dotson,
To so conclude, however, is not the end of the story. First, although we recognize that plethysmograph testing can reasonably promote the goals of supervised release, the question of whether it will promote those goals in a particular case must be an individualized determination. Section 3583(d)(1) requires that conditions of supervised release be “reasonably related” to “the nature and circumstances of the offense and the history and characteristics of the defendant.” See §§ 3583(d)(1), 3553(a)(1). This tailoring requirement is all the more important in cases such as this, where a particularly strong liberty
Second, conditions of supervised release must also “involve ‘no greater deprivation of liberty than is reasonably necessary for the purposes’ of supervised release.” T.M.,
For example, sexual offenders are often treated through self-reporting interviews, during which the subject is asked about his sexual preferences. Odeshoo, supra, at 14. Other sexual offender programs rely on a card-sorting test, which involves asking the individual to sort cards depicting sexual images into deviant and non-deviant categories. Id. Although these techniques have been criticized for their susceptibility to faking on the part of the subject, see id., plethysmograph testing, as we have observed, is not immune from this criticism. The effectiveness of these procedures in the treatment of sexual offenders is disputed among the experts, with one commentator noting that “some researchers believe that basic self-reporting ... is as effective as [plethysmograph testing] or other techniques,” id., and another study concluding that “the psychometric data on these alternative approaches is far less satisfactory than for phallometrics,” Marshall & Fernandez, supra, at 817.
Another non-physiological test which also appears to enjoy routine use in sexual offender programs is Abel testing. Abel testing, which was also required in this case but is not challenged by Weber, involves exhibiting photographs to an individual and measuring the length of time he looks at each picture. See Odeshoo, supra, at 13. This procedure is much less intrusive into the body and somewhat less intrusive into the mind of a defendant than plethysmograph testing. Much like pleth-ysmography, the effectiveness and reliability of Abel testing is the subject of some debate. See id. at 14; Marshall & Fernandez, supra, at 817. One researcher, however, has deemed Abel testing to be a “promising development.” Laws, supra, at 99. Given that Abel testing is not properly before us, we do not set forth any opinion as to its propriety in this, or any
Ordinary polygraph testing is another possible viable alternative to plethysmo-graph testing that can be considered by district courts as they fashion supervised release conditions. Already more common in sexual offender treatment programs than plethysmograph testing, polygraph testing is much less costly to administer and “appears to be at least as valid and reliable as the plethysmograph (if not more so).” Odeshoo, supra, at 14-15. Most importantly, a polygraph examination “may well be preferable by virtue of its less intrusive and controversial character.”’id at 16.
The existence of non-physiologieal, less-intrusive alternatives to plethysmograph testing, including interviews, card-sorting, and Abel and polygraph testing, is, self-evidently, highly relevant to the question of whether plethysmograph testing “involves no greater deprivation of liberty than is reasonably necessary” to serve the purposes of supervised release. § 3583(d)(2); see also T.M.,
E. Conclusion
We conclude that, just as the particularly significant liberty interest at stake in Williams meant that “a thorough inquiry is required” before a district court may impose forced medication as a condition of supervised release, including “on-the-record medically-grounded findings,” Williams,
One critical determination that must guide a district court’s inquiry as to whether the government has met its burden to show that plethysmograph testing is a necessary condition of a defendant’s supervised release is whether such testing is reasonably necessary in that particular case to promote the goals “of deterrence, protection of the public, or rehabilitation of the offender.” T.M.,
Additionally, when engaging in this inquiry the district court must consider the particular sexual offenses committed by the defendant, as well as related offenses likely to be committed if he is,not treated. Weber objects to the imposition of plethysmograph testing on the ground that his crime, possession of child pornography, does not warrant such a procedure, contending that plethysmograph testing is appropriate only for individuals who have committed, or attempted to commit, sexual acts directly against children. The district court is not, however, restricted to the crime of conviction in applying the “reasonably related” standard.
In response to Weber’s objection to the plethysmograph testing requirement, the district court noted that if, in the future, Weber thought that such testing “was medically not necessary,” he could “ask for
We note that our holding does not displace Rearden’s general rule that, so long as the PSR adequately explains the relationship between proposed conditions of supervised release and the purposes those conditions are designed to serve, a district court usually need not specifically articulate those reasons on the record.
V.
The requirement that Weber submit to plethysmograph testing as part of his sex offender treatment program was imposed without the necessary evidentiary record, justification, and findings we now hold are required. Accordingly, we vacate the condition and remand for further proceedings consistent with this opinion.
VACATED and REMANDED.
Notes
. In addition to penile plethysmograph testing, there is a corresponding procedure for women, known as “vaginal plethysmogra-phy.” See Odeshoo, supra, at 2 n. 9. All references in this opinion to the general term "plethysmograph testing” cover only penile plethysmograph testing.
. All statutory references in this opinion are to Title 18 of the United States Code, unless otherwise indicated.
. Abel testing, another procedure used in sexual offender treatment programs, “involves presenting individuals with non-erotic pictures of children and adults and determining sexual interest by measuring how long a person spends viewing each picture.” Odeshoo, supra, at 13.
.We address Weber’s additional challenges to his supervised release conditions, raised for the first time on appeal, in a memorandum disposition filed concurrently with this opinion.
. At present, Weber has completed his prison sentence and is serving his term of supervised release.
. In addition to permitting a district court to design any supervised release condition it deems appropriate, § 3583(d) specifically enumerates as permissible conditions a number of discretionary conditions of probation catalogued at § 3563(b). Relevant here is § 3563(b)(9), which provides that a district court may require a defendant to “undergo available medical, psychiatric, or psychological treatment, including treatment for drug or alcohol dependency, as specified by the court,
. The United States Sentencing Guidelines Manual contains a policy statement that recommends the imposition of sex offender treatment programs for defendants convicted of a sex offense. See U.S.S.G. § 5D1.3(d)(7)(A). The Guidelines do not, however, specify the particulars of such treatment programs and do not mention the plethysmograph testing at issue here.
. As mentioned earlier, § 3583(d) provides for a number of mandatory conditions of supervised release that are to be imposed by the district court in certain circumstances. The statutory framework we have catalogued, however, is applicable to discretionary conditions that a district court may choose to impose on a defendant. This case deals with such a condition. Any reference in this opinion to the standards governing "supervised release conditions” should be understood as referring to only discretionary supervised release conditions.
. Our conclusion as to the proper allocation of the burden of proof at the imposition of a condition of supervised release is further supported by case law considering which party bears the burden of proof in other proceedings concerning supervised release. If a defendant violates a condition of his supervised release, a district court may revoke his supervised release and impose a term of imprisonment. See § 3583(e)(3). We have held that, in such a proceeding, it is the government that bears the burden to demonstrate that a defendant has violated a condition of his supervised release. See United States v. Turner,
. We note that some of our sister circuits are in disagreement with our general approach, holding instead that § 3553(c), which requires a district court to "state in open court the reasons for its imposition of the particular sentence,” requires an explanation for each supervised release condition. See United States v. Loy,
. We read the term "psychotropic” narrowly, so as to "encompass only 'antipsychotic' or 'neuroleptic' drugs.” Williams,
. We have previously approved of a condition of supervised release that required a defendant to participate in a sexual offender treatment program and “follow all other lifestyle restrictions or treatment requirements imposed by defendant's therapist.” United States v. Fellows,
. In the proceedings before the district court, both Weber and the government introduced a number of secondary sources, including psychological journals, in support of their respective positions on the propriety of pleth-ysmograph testing. The discussion that follows relies on some of those sources, as well as others, to describe the nature of plethysmo-graph testing and the corresponding praise and criticism it has received. The broad propositions for which we rely on these sources for support were all litigated before the district court, although not all of the psychological reports were cited by the parties. Relying on such sources is not novel. In considering the liberty interest of an individual to be free from forced medication, the Supreme Court relied on various literature from the psychological field. See Harper,
. As stated above, Weber has objected to the requirement that he submit to plethysmo-graph testing on statutory grounds — that such testing is not reasonably related to the goals of supervised release and would result in a greater deprivation of liberty than necessary.
. Courts have uniformly declared that the results of such tests are "inadmissible as evidence because there are no accepted standards for this test in the scientific community.” Glanzer,
. One of these detriments derives from the fact that plethysmograph testing involves presenting subjects with various erotic images which, according to some accounts, can include child pornography. See Odeshoo, supra, at 33. "Treating” a sexual offender, like Weber, who was convicted of possession of child pornography by presenting him with images of the very sort that lead to his conviction is a little like handing a pyromaniac a lighted match but cautioning him not to use it. The consideration that the test involves exposing the sexual offender to the very stimuli that other conditions of supervised release may discourage him from possessing is one more reason why a careful, on-the-record assessment of the individual’s circumstances, most usefully informed by expert opinion, is necessary to sort out whether the likely impact of plethysmograph testing, is, on balance, reasonably related to the statutory purposes of supervised release.
. We recently considered a challenge to a supervised release condition mandating polygraph testing for a sexual offender as part of his treatment program. See Antelope,
. We note that, in this case, following the investigation into Weber's possession of child pornography and the initial seizure of Weber’s computer, it was later discovered that he continued to possess child pornography on a second computer. Although this fact alone would be insufficient to warrant plethysmo-graph testing, Weber’s apparent inability to control his desire for child pornography, even after detection by authorities, might be relevant to a determination of the appropriateness of such testing.
. A supervised release term need not be related to the offense of conviction and instead can "look forward in time to crimes that may be committed in the future.” See United States v. Wise,
. We note that Weber’s claim that plethys-mograph testing may have limited applicability to individuals like him — those who have not committed an act of sexual abuse — has some support from researchers in the field. Although studies claim that plethysmograph testing is appropriate for treatment of "sex offenders,” see Barker & Howell, supra, at 18, one study of plethysmograph testing has specifically limited the definition of sexual offenders to "mature males who either coerce an adult female to have sex with them, or have sex with a child,” Marshall & Fernandez, supra, at 809. Although recognizing that there are individuals who commit other sexually offensive acts such as exhibitionism or voyeurism (of which viewing child pornography is a variety), the authors of that study stated that "phallometry has either had limited or no application to these populations.” Id.
. Should circumstances arise after sentencing, while a defendant is serving his term of supervised release, that would impact the decision of whether plethysmograph testing is proper, it is possible that on an appropriate showing the district court could modify the defendant's conditions of supervised release. See § 3583(e)(2); United States v. Miller,
. We note that even if Rearden were the governing precedent, its requisites almost surely were not met. The PSR did put Weber on notice of the proposed plethysmograph testing. It did not, however, spell out "in detail” the relationship between that condition and the statutory requirements for conditions of supervised release. See Rearden,
Meanwhile, these special conditions are necessary to protect the public as the defendant undergoes treatment^ ] Pursuant to 18 USC 3583(d), conditions of supervised release must be reasonably related to the nature and circumstances of the offense and the history and Characteristics of the defendant. Conditions Nos. 3 to 5, and 8 to 19 have been recommended as a result of the instant offense involving the possession of child pornography, which was collected and stored using his computer, and the history and characteristics of the defendant.
Concurrence Opinion
concurring.
Judge Berzon’s excellent opinion is deserving of support. I would, however, go beyond it to hold; the Orwellian procedure at issue to be always a violation of the personal dignity of which prisoners are not deprived. The procedure violates a prisoner’s bodily integrity by affecting his genitals. The procedure violates a prisoner’s mental integrity by intruding images into
By committing a crime and being convicted of it, a person does not cease to be a person. A prisoner is not a mere tool of the state to be manipulated by it to achieve the purposes the law has determined appropriate in punishment. The prisoner retains his humanity and therefore has purposes transcending those of the state. A prisoner, for example, cannot be forced into prostitution to aid the state in securing evidence. A prisoner, for example, cannot be made to perjure himself in order to assist a prosecution. Similarly, a prisoner should not be compelled to stimulate himself sexually in order for the government to get a sense of his current proclivities. There is a line at which the government must stop. Penile plethysmography testing crosses it.
