GANTS, J.
The defendant was convicted by a jury in the Superior Court on two indictments charging statutory rape, in violation of G. L. c. 265, § 23.
Background. We summarize the evidence admitted at trial that is relevant to this appeal. Molly's adoptive mother is the defendant's sister. In August, 2007, Molly, her adoptive parents, and three of her four siblings traveled from their home in Minnesota and stayed with the defendant's family at their home in Massachusetts for one week.
Six months after the visit, on February 14, 2008, Molly attended a meeting at school led by her godmother that discussed the topic of sexual abuse. During the meeting, according to Molly, "all of a sudden, it just popped up in my head of what happened in Boston." After the meeting, Molly told her godmother that "someone had touched her in ways that he shouldn't have." Her godmother asked her who had touched her, and she said it was her "Uncle Bill," referring to the defendant, and then started to cry. When asked how he had touched her, Molly
At trial, Molly testified that, on the next to last night at the defendant's home (first night), she, the defendant, and Martha, the defendant's then ten year old daughter, went upstairs to the first floor to watch a movie on the television, while Molly's three siblings and two of the defendant's five children stayed downstairs in the basement to watch another movie. The defendant and Molly sat on one couch; Martha sat alone on another. The defendant placed a blanket over both him and Molly, and then put his hand under her shirt and touched her breasts. Nothing else happened, and she later went to bed.
The next night (second night), Molly and the defendant watched television alone on the first floor, while three of her siblings and two of the defendant's children were in the basement television room. The defendant again touched Molly's breasts and told her to go downstairs and take off her underwear, which she did.
On cross-examination, Molly was shown portions of her videotaped interview. With respect to the first night, Molly admitted that she had told the nurse at the center that Martha did not see the defendant touching her breasts because Martha from her vantage point on the other couch could not see Molly
At trial, Molly initially said that she did not remember whether the defendant touched her at any other time during the week. But when the detective sergeant had interviewed Molly in March, 2008, she told him that the defendant had swiped his arm against her breasts approximately ten times while sitting with her and Martha at the piano. When asked at trial whether she recalled that actually happening, she replied, "Yes, because of the video I watched," but then admitted that she had not mentioned this touching during the videotaped interview. At trial, she said that the touching at the piano happened only when Martha had left the room, but she had earlier told the detective sergeant that it happened while Martha was in the room.
Molly had also told the detective sergeant in March, 2008, of another incident with the defendant during her week-long vacation at his home where, three or four times, the defendant brushed her thigh with his foot while they leaned against a table watching television. At trial, she did not remember whether that touching happened, or whether she had spoken of it during her interview with the detective sergeant.
Defense counsel informed the judge that he wished to advance two separate theories as to why Molly's allegations of sexual abuse were not credible. First, he contended that at the time she made her first complaint to her godmother, Molly was seeking "attention" and "sympathy" because her adoptive family was in turmoil as a result of the conduct of her adopted sister Jane.
This theory required the admission of evidence as to what Molly had seen, said, heard, or experienced regarding the sexual abuse committed against her and others by Molly's biological father's brothers. Defense counsel made a proffer to the judge of the evidence of abuse in support of this theory. He proffered that Molly's biological mother had testified in a deposition that Molly, when she was approximately five years old, said that an uncle had touched her "in between her legs" when she was taking a bath. In a voir dire, Molly did not recall being sexually molested in her bath, but she testified that she did remember that an uncle had anally penetrated her with his penis while she lay on a bed when she was younger than six years old.
While the first theory suggested that Molly had initially fabricated what she instinctively understood to be a familiar allegation of sexual abuse against an uncle without appreciating the consequences of such an allegation, the defendant's second theory suggested that Molly's memory might be impaired because of a "dissociative memory" disorder. Defense counsel intended to present this theory to the jury through the expert testimony of a licensed psychologist, Dr. Daniel Brown.
At voir dire and in his report, Dr. Brown declared that children
Dr. Brown further opined that, while recovered memories of abuse by those with dissociated memory are not generally inaccurate, there is a subgroup of persons with major dissociative symptoms "whose memory is very uncertain." Some in this subgroup start to speculate when they do not have the memory available to them, and then engage in "expressed uncertainty," where they fill in the blanks of what they cannot remember, either by inferring the memory from other information or making it up, which is known as "confabulation." Dr. Brown noted that "source misattribution error" is a common error of memory, where someone hears or reads a story, incorporates it into their memory, and then believes it is a memory about their own life. Dr. Brown reported that others in this subgroup have a factitious disorder, which is manifested by "the simulation of symptoms and/or life stories, not necessarily conscious, for the purpose of adopting a sick role or gaining attention."
According to Dr. Brown, a child is most likely to develop the disorganized attachment that can lead to dissociative memory when the child's mother has had children at age fourteen or earlier, is frightening to her children, and is "sort of present but out of it." Dr. Brown noted that Molly's biological mother had all three risk factors.
The judge excluded the testimony of Dr. Brown and the biological mother, and also excluded evidence regarding what Molly had seen, said, heard, or experienced as a young child regarding her uncles' alleged sexual abuses, with one exception: the judge permitted Molly to testify on cross-examination about inconsistencies in her recollection of the rape committed in a bed by an uncle when she under six years old. As a result of the evidentiary ruling allowing this testimony, the jury learned from Molly that she had told the nurse during the videotaped interview that she had never been abused by anyone other than the defendant, but at trial she recalled having been raped by an uncle when she was six years old or younger. Molly explained at trial that "I didn't remember at the time" of the videotaped interview but "start[ed] remembering" the incident "[w]hen I went and
The judge ruled that this evidence was admissible solely as an inconsistent prior statement and instructed the jury, over the defendant's objection, that it was admitted for the limited purpose of assisting the jury in their evaluation of Molly's credibility as to what happened at the defendant's home.
The judge explained her reasons for denying the defendant's motion to admit the expert testimony of Dr. Brown, the testimony of Molly's biological mother, and evidence of prior instances of abuse. First, the judge found that there was no evidence that Molly was currently suffering from a psychiatric disorder and the records "indicate the opposite."
Discussion. Where a party in a criminal trial seeks to offer an expert opinion, the judge, as gatekeeper, must first determine whether the proponent of the evidence has met the five foundational requirements for admissibility: (1) that the expert testimony will assist the trier of fact because the information is beyond the common knowledge of jurors; (2) that the witness is qualified as an expert in the relevant area of inquiry; (3) that the expert's opinion is based on facts or data of a type reasonably relied on by experts to form opinions in the relevant field; (4) that the theory underlying the opinion is reliable; and (5) that the theory is applied to the particular facts of the case in a reliable manner. Commonwealth v. Barbosa, 457 Mass. 773, 783 (2010), cert. denied, 131 S.Ct. 2441 (2011). "Once admitted, the
At trial, the Commonwealth conceded the reliability of the "general science" described by Dr. Brown.
When a judge, in her role as gatekeeper under Commonwealth v. Lanigan, 419 Mass. 15, 25-26 (1994), determines the admissibility of an expert opinion regarding a psychological disorder, the judge must first decide whether the expert's opinions regarding the disorder are reliable, i.e., whether the existence of the disorder and recognition of its symptoms are generally accepted in the relevant psychological community or are otherwise demonstrated to be reliably established. See Shanley, supra at 761-762. Where an opinion regarding a psychological disorder and its symptoms is reliable, the judge must then determine whether the opinion evidence is relevant to an issue in the case and, if relevant, weigh its relevance against the risk the evidence will be unfairly prejudicial; will confuse, divert, or mislead the jury; or will be unnecessarily time consuming. See generally Commonwealth v. Bonds, 445 Mass. 821, 831 (2006); Mass. G. Evid. § 403 (2012). In this case, the judge determined that Dr. Brown's expert testimony regarding dissociation disorder was not relevant (or that any relevance was outweighed by the risk of juror confusion) because there was insufficient evidence to permit the jury to conclude that Molly had the disorder. We review her evidentiary decision under the abuse of discretion standard. See Shanley, supra at 762, citing Canavan's Case, 432 Mass. 304, 312 (2000).
In the context of this case, the defendant was not required to offer in evidence an expert diagnosis that Molly had dissociative memory in order to establish the relevance of Dr. Brown's expert opinion that those with dissociative memory sometimes have a distorted memory of past events. We found no abuse of discretion in the admission of comparable testimony by the Commonwealth regarding a dissociative disorder in Shanley without a diagnosis that the victim suffered from dissociative amnesia. See Shanley, supra at 757, 766. And we have rejected a defendant's argument that expert testimony regarding the general behavioral characteristics of sexually abused children should only have been admitted by the Commonwealth in response to a hypothetical question related to the facts of the case, whether assumed or in evidence. Commonwealth v. Dockham, 405 Mass. 618, 627-628 (1989). See Commonwealth v. Goetzendanner, 42 Mass.App.Ct. 637, 641-646 (1997) (expert testimony regarding behavioral and emotional characteristics common to victims of battering without diagnosis that victim suffered from battered women syndrome properly admitted). If such a diagnosis were required, expert evidence regarding dissociative disorder would rarely be available to either a defendant
In determining whether Dr. Brown's expert testimony was relevant in this case in the absence of such a diagnosis, it must be remembered that the defendant need not prove that Molly had a dissociative disorder to prevail at trial; the defendant need only raise a reasonable doubt in a rational jury's mind as to the reliability of her testimony, which he may accomplish with evidence permitting a reasonable inference that her memory may be distorted by a dissociative disorder. Therefore, a defendant may establish the relevance of reliable expert testimony regarding a dissociative disorder by presenting evidence regarding the alleged victim and her personal history that is consistent with the diagnosis, and that is sufficient to permit a reasonable inference that the alleged victim may have the disorder. See Commonwealth v. Sheehan, 435 Mass. 183, 189 (2001) (mental health records admissible where they "provide a basis for cross-examination about the possibility that these earlier events in [the alleged victim's] life caused him to fantasize and have problems separating reality from fiction"). Cf. Commonwealth v. Wilson, 441 Mass. 390, 401 (2004) (expert witness may testify that certain quantity of drugs is consistent with possession with intent to distribute).
In Shanley, supra at 756-759, the Commonwealth sought to admit expert testimony to explain how the victim of sexual abuse in that case could have recovered memories of the sexual
Just as the Commonwealth in Shanley was permitted to offer expert testimony about dissociative memory disorder to educate the jury about this psychological condition in seeking to demonstrate the reliability of the victim's testimony, id., so, too, here the defendant should have been able to offer comparable expert evidence to demonstrate the unreliability of Molly's testimony. In Shanley, the victim's testimony of recovered memory of childhood sexual abuse by a priest was consistent with such a diagnosis. Id. Here, Molly's testimony about the defendant's alleged rapes suddenly "popping into" her head, her loss of memory as to what happened on the first day of the defendant's touching, her recovered memory of being sexually abused in a bed when she was a young child, and her lack of memory of having told her biological mother that she was sexually assaulted as a young child in a bathtub
Properly limited, such expert testimony does not intrude on the jury's function of determining the credibility of witnesses. No witness, expert or not, may offer an opinion as to the credibility of another witness. Commonwealth v. Montanino, 409 Mass. 500, 504 (1991), and cases cited. While the line "between permissible and impermissible opinion testimony in child sexual abuse cases is not easily drawn," Commonwealth v. Richardson, 423 Mass. 180, 186 (1996), an expert witness does not cross that line where he educates the jury about the causes of dissociative disorder, the prevalence of the disorder, the symptoms of the disorder, and the risk of confabulation arising from "expressed uncertainty" and "source misattribution error." See Shanley, supra at 758-759, 766 (expert testimony admissible regarding dissociative amnesia, how it works, its causes, and its prevalence among those with serious trauma); Commonwealth v. Frangipane, 433 Mass. 527, 535 n.12 (2001) ("no error in permitting the witness to testify to the symptoms, including dissociative memory loss and recovered memory, of sexually abused children").
The line would be crossed if Dr. Brown, in testifying before the jury, were explicitly to opine that Molly's memory of events at the defendant's home was unreliable as a result of her dissociative disorder. See Commonwealth v. Richardson, supra ("impermissible vouching" where "witness explicitly links the opinion to the experience of the witness"); Commonwealth v. Ianello, 401 Mass. 197, 202 (1987) ("expert may not render an opinion on the credibility of a witness"). Because of this limitation, an expert's opinion that touches on the credibility of a fact witness must be accompanied by other evidence that permits the
The Commonwealth contends that evidence of the prior sexual assaults against Molly is inadmissible under the rape shield statute, G. L. c. 233, § 21B. Under that statute, "[e]vidence of specific instances of a victim's sexual conduct ... shall not be admissible except evidence of the victim's sexual conduct with the defendant or evidence of recent conduct of the victim alleged to be the cause of any physical feature, characteristic, or condition of the victim. . . ."
We have recognized, however, that where the rape shield
Here, the defendant sought to admit evidence of Molly's sexual abuse by her uncles to demonstrate the significant possibility that Molly suffered from dissociative memory and confabulated her memory of the defendant's alleged sexual assaults by recovering a dim memory of sexual abuse by her biological father's brother, confusing the source of the abuse with her adoptive mother's brother (the defendant), and inferring facts to fill in the blanks of her memory. Because such evidence, if credited, would materially affect the jury's evaluation
The error was prejudicial and requires a new trial. The Commonwealth's case rested wholly on the credibility of Molly, and the exclusion of evidence that may have significantly affected the jury's evaluation of her credibility regarding the defendant's alleged rapes was not harmless. See Commonwealth v. Sheehan, 435 Mass. 183, 190 (2001) (exclusion from evidence of complainant's psychiatric records required new trial where Commonwealth's case rested "almost entirely" on his testimony and evidence, if believed, might have had significant effect on outcome of trial).
Because the issue may arise at a new trial, we briefly address the defendant's claim that the prosecutor's closing argument was improper in asking the jury, "What motive does [Molly] have to lie?" The defendant relies on our statement in Commonwealth v. Beaudry, 445 Mass. 577, 587 (2005), quoting Commonwealth v. Riberio, 49 Mass.App.Ct. 7, 10 (2000), that "[t]elling the jury that the victims have no reason to lie is over the line of permissible advocacy...." But in the Beaudry case we declared that a prosecutor may not argue that a victim is credible simply because she appeared to testify in court. Id. See Shanley, supra at 777. We recognized that a prosecutor may marshal the evidence in closing argument to "urge the jury to believe the government witnesses and disbelieve those testifying for the defendant." Commonwealth v. Beaudry, supra. Where,
Conclusion. Because the judge erred in excluding the expert testimony of Dr. Brown and the evidence of childhood sexual abuse necessary to apply the expert opinion to the facts of this case, and because the error was prejudicial, we reverse the defendant's convictions and remand the case to the Superior Court for a new trial.
So ordered.
The judge instructed the jury, again over the defendant's objection, that the significance of the inconsistency "depends largely on why you think [Molly] made that prior statement." The judge explained:
The judge then added: "You are not to use this evidence of prior sexual abuse for any other purpose. More specifically, there is no evidence in this case that ties the events of ten or twelve years ago to the events of August, 2007. Moreover, [Molly's] state of mind, apart from her credibility, is not relevant in this case."