In 1979, Willie Clisby, Jr. broke into the home of Fletcher Handley, a 58 year-old, handicapped man, stole eighty dollars from him, and killed him with an ax. After Clisby was convicted in accord with Alabama Code § 13-ll-2(a)(4) of night-time burglary during which the victim is intentionally killed, the jury recommended, and the judge imposed, the death penalty. The chief issue in this case involves
Ake v. Oklahoma,
Clisby’s first death sentence, handed down in February 1981, was vacated by Alabama’s highest court. Upon remand, the trial court granted a motion by Clisby’s counsel for additional psychiatric examination. 1 The court appointed Dr. John Callahan, a psychiatrist affiliated with the University of Alabama School of Medicine in Birmingham. 2 Dr. Callahan examined Clis-by twice over the course of several days and performed several tests on Clisby, as well as interviewing him. Dr. Callahan determined that Clisby was able to stand trial, that he understood the nature and the implications of the charges against him, and that he was aware of the requirements of law. Dr. Callahan also determined that Clisby suffered from no mental disorder except “possibly anti-social personality disorder.” 3 In addition, Dr. Callahan found that Clisby may have been under the voluntary influence of alcohol or other mind altering drugs at the time of the crime. After an evidentiary hearing at which Dr. Callahan testified, the trial judge again sentenced Clisby to death in May 1983. 4 On the basis of Dr. Callahan’s testimony, the sentencing judge recognized Clisby’s personality disorder as a mitigating factor, although the judge determined that the ag *1049 gravating factors outweighed the mitigating factors. 5
Despite the appointment of a psychiatrist to examine Clisby for mitigating factors, Clisby says the state violated his rights; his argument is that the psychiatric assistance the state court afforded him was not timely enough to allow the advisory jury to consider the mitigating effect of the psychiatric evidence and that the psychiatric assistance was inadequate. In the light of
Ake
and our own precedent, particularly
Thompson v. Wainwright,
Clisby first requested psychiatric evaluation for the purpose of mitigation after the jury had found him guilty and had recommended death. We therefore conclude that Clisby cannot base an
Ake
violation on the unavailability of psychiatric evidence of mitigating circumstances to the jury.
See Thompson,
Before Clisby’s present death sentence was imposed, he filed a motion that said, in part, “it is necessary for a psychiatric examination to be performed upon the Defendant to substantiate his claim that various mitigating circumstances, and therefore, a defense to the imposition of the sentence of death exists_” The court ordered Clis-by to be psychiatrically examined; before sentencing, Clisby underwent the two examinations by Dr. Callahan.
In
Ake v. Oklahoma,
the Supreme Court determined that, when a capital defendant has made a preliminary showing to the trial judge that the defendant’s mental status is likely to be a significant factor in sentencing, the Constitution requires that a state must assure the defendant access to a competent psychiatrist.
We hold that the state meets its
Ake
obligation when it provides a competent psychiatrist. A competent psychiatrist is one who, by education and training, is able to practice psychiatry and who has been licensed or certified to practice psychiatry — that is, a properly qualified psychiatrist.
See In re Fichter’s Estate,
Under this standard, Dr. Callahan is a competent psychiatrist, for Ake purposes. He is a medical doctor and is licensed to practice in New York, Mississippi, and Alabama. He began a psychiatry residency training program at Cherokee Mental Health Institute in Cherokee, Iowa, and transferred to the University of Alabama for his third year of specialty training, from which program he graduated. During his residency, he worked with Dr. Estock in the psychiatric examination of prisoners. He had passed both the written and oral examinations for the American Board of Psychiatry and Neurology. At the time of the trial, he had been an attending assistant professor at the University of Alabama for several years and had worked at the Smolian Clinic at the University of Alabama in the outpatient clinic and in the crisis center. In addition, Dr. Callahan had been involved in the legal justice system and the psychiatric diagnosis of prisoners accused of crimes for approximately three and one-half years. He worked two and one-half days per week at the county and city jails, and thirty percent of his work related to this area of psychiatry. Thus, Dr. Callahan was a competent psychiatrist—by reason of his education, training, and licensure—to perform a psychiatric examination on defendant Clisby.
Defense counsel moved for Clisby to receive “a psychiatric examination to be conducted in light of those mitigating factors or circumstances set forth in Section 13A-11-13 (Alabama Code 1975).” The motion was granted, and Clisby was examined. The state provided a duly qualified psychiatrist not beholden to the prosecution and, therefore, met its obligation under
Ake.
Clisby now urges us to review the specifics of the particular examination he received from Dr. Callahan. But we decline to do that. We agree with the Fourth and Seventh Circuits that nothing in
Ake
obligates the state to provide a psychiatrist who cannot commit malpractice.
Waye v. Murray,
By provision of a properly qualified psychiatrist to a defendant, the state affords the defendant a reasonable chance of success and reduces the risk of inaccurate resolution of issues of insanity or of other mental health questions to a level acceptable in a fair-minded society. Ake was chiefly based on the idea that an indigent capital defendant as a matter of fairness ought to have the same kind of assistance available to him as wealthy defendants have: the wealthy can afford to pay for psychiatric assistance. But even the wealthy defendant may employ a psychiatrist who negligently examines him. The burden on the state to provide a properly qualified psychiatrist is not too high, but to burden the state with legal responsibility for the errors, even the negligent errors, of properly qualified psychiatrists seems too much. A competent psychiatrist may err, or even negligently err, but the Constitution protects neither the rich nor the poor against that risk. We distinguish psychiatrists from legal counsel when it comes to questions of negligence. Psychiatrists may be widely used nowadays in criminal proceedings, but they are not so fundamental as legal counsel to the adversarial process. And, unlike legal counsel, psychiatrists are not mentioned in the Constitution.
Because psychiatry deals with the intangibles of the human psyche and human emotions, it is nearly always possible for a defendant to find one psychiatrist who will disagree with the opinion of another psychiatrist, and castigate the other as “incompetent” or as having performed “an incompetent psychiatric examination.”
8
See Waye v. Murray
at 767. This court declines to embark on a course that would lead to “a battle of the experts in a ‘competence’ re
*1051
view” and compel courts to engage m “a form of ‘psychiatric medical malpractice’ review” as part of the direct and collateral review of cases in which an
Ake
claim is made.
See Silagy v. Peters,
In addition to granting relief on Clisby’s
Ake
claim, the district court denied a number of his other claims. We affirm the denial of relief on those claims.
9
The district court, however, did not reach Clisby’s arguments that Clisby’s lawyer was ineffective in his approach to obtaining psychiatric assistance. This argument seems to deal in part with the lack of a request for psychiatric assistance for sentencing before the advisory jury had make its recommendation. When Clisby’s trial took place, the Supreme Court had not yet handed down
Ake.
Therefore, it will be hard for Clisby to characterize his attorney’s failure to structure his trial defense around
Ake
as ineffective.
Cf. Pelmer v. White,
We VACATE the grant of habeas relief and REMAND for further proceedings consistent with this opinion.
Notes
. Before the trial which led to Clisby’s first death sentence, he had been examined twice by Dr. Robert Estock to determine Clisby's competency to stand trial and to aid in his own defense, and also to determine whether Clisby met the criteria for involuntary commitment.
. The University provides psychiatrists to examine and evaluate defendants in county and city jails, as part of its public service. Dr. Callahan was paid by the University and received no payment from the county for his services. The services of Dr. Estock seem to have been provided under the same circumstances.
. As Dr. Callahan explained, a person with an anti-social personality disorder has trouble conforming his conduct to the rules of society, is not respectful of the rights of others, and is unable to maintain employment for any length of time. It has been estimated that 91% of the "criminal element” are anti-social personality types.
Eddings v. Oklahoma,
.After Clisby's appeal, the Alabama Supreme Court eventually affirmed this sentence.
See Clisby v. State,
. The two aggravating circumstances were that the murder had occurred during a burglary and that the defendant had been previously convicted of another violent felony.
. Because we believe Clisby’s
Ake
claim fails in any event, we decline to reach the issue of whether or not
Ake
applies retroactively to final convictions, such as Clisby’s, which predate
Ake. See Teague v. Lane,
.For the purpose of this opinion, we will assume, without deciding, that Clisby made the requisite threshold showing under Ake.
. Because we hold that there is no constitutional right to non-negligent psychiatric assistance, we do not address the merits of Clisby’s challenges to Dr. Callahan’s examination and diagnosis. We observe, however, that Clisby tried to support his attack on Dr. Callahan, a psychiatrist, with testimony from a psychologist. We strongly question whether the testimony of a psychologist could prove that the work of a duly licensed psychiatrist fell below the standards of
*1051
reasonable care for psychiatrists. A psychiatrist is a physician; a psychologist is not. While psychology and psychiatry are related in that they both deal with the mind, they represent separate schools of thought and different approaches to mental health. As a matter of law, we might refuse to allow a licensed psychiatrist to be established as negligent or "incompetent” without expert testimony from a psychiatrist to that effect unless the negligence of the psychiatrist’s treatment is readily apparent to a layman.
Cf. Cross v. Lakeview Center,
. These include a Miranda claim, a Witherspoon claim, a claim that he was not afforded proper notice of Alabama’s death penalty procedures, a claim that the prosecution made improper closing arguments, and a Strickland claim based on his attorney’s failure to raise some of these issues at trial and on direct appeal.
