MEMORANDUM OPINION AND ORDER
CHARLES R. SIMPSON, III, Senior District Judge.
This matter came before the court on motion of counsel, made on behalf of the defendant, seeking a competency evaluation of the defendant, Stacy Allen Taylor, regarding his competency to stand trial. DN 39.
A superseding indictment was returned against Taylor on September 21, 2011 charging him with various offense stemming from his purported conduct of an internet pharmaceutical business, including introduction of misbranded drugs into interstate commerce, unlawful distribution and dispensing of controlled substances, mail fraud, wire fraud, money laundering, and various conspiracy counts. (DN 7).
Taylor has been evaluated by two mental health professionals. He was first evaluated at the Federal Medical Center in Lexington, Kentucky by Dr. Judith Elizabeth Campbell Ph.D. He was then evaluated at the request of defense counsel by Dr. Eric Y. Drogin, J.D., Ph.D. Dr. Campbell found Taylor competent, and Dr. Drogin found him incompetent to stand trial. Both experts provided compelling testimony at the competency hearing concerning their impressions of Taylor's psychiatric condition.
The experts conducted different diagnostic tests. However, they agreed that Taylor was not a malingerer, nor did they find him to be psychotic. They both found that he was alert and oriented, animated, and able to understand the charges filed against him. They also agreed that he had a grasp of the legal process through which those charges were filed and the manner in which the case would proceed. He understood the role of counsel and the potential outcomes which might result from the disposition of the charges.
The experts were both familiar with the writings that Taylor has been persistently filing with the court and mailing to the prosecutor in which he talks about, among other things, his connections to congressmen, ambassadors, WikiLeakers, agents in China, tortures in China, Ambassador Stevens' death in Benghazi, Julian Assange, Edward Snowden, and billions of dollars secreted away in an account to which he has access. The experts agreed that Taylor feels it imperative to tell his story, and frequently digresses into explanations of matters which have been variously described as "grandiose" and "fantastical." However, the experts parted ways in their conclusion whether Taylor's persistent focus on matters of international intrigue prevent him from rationally assisting counsel in defending against the charges herein.
The experts agreed that Taylor is completely distrustful of his attorney and believes that his attorney is working against him. Taylor also made it clear to the court that he does not believe himself to be incompetent. He wants to proceed to trial, and stated in court, "I can assist an attorney I can communicate with." (TR 115). He believes that he has "fired" current counsel.
Dr. Drogin diagnosed Taylor with Delusional Disorder, finding that certain of his delusions, such as his assertions that he has been granted immunity by "the United States ambassador to the United States" (TR 55), that his current attorney is being controlled by the government and is hiding evidence (TR 56), and that Julian Assange is going to hire him a new attorney (TR 56), directly impact Taylor's ability to cooperate with current counsel. Dr. Drogin indicated that Taylor's view of his current legal situation is colored by his belief that he will "walk away" from the charge under a grant of immunity, and his paranoia that his attorney was working against him.
Thus, Dr. Drogin believes that there is a certain functional aspect which must be considered when addressing the impact of Taylor's "delusions." The court asked Dr. Drogin whether he believed that Taylor would be unable to assist any attorney in his defense. Dr. Drogin responded that he did not know the answer to that question. (TR 60).
Dr. Drogin identified a "standard of consultation with one's attorney which goes beyond the provision of information." He stated that a defendant "need[s] to be in a position to convey what [he] believe[s] the facts are, but also receive guidance from counsel and make sense of that guidance and comply where relevant." (TR 61). "There has to be some level of trust." (TR 61). Dr. Drogin found that Taylor was not able to rationally assist in his own defense under this standard.
Dr. Campbell offered a different view of Taylor. She gave Taylor an Axis II diagnosis of antisocial personality disorder, histrionic personality, paranoid personality disorder, and narcicisstic personality disorder. She distinguished her diagnosis from that of Dr. Drogin on the basis that although such personality disorders can cause impairment in functioning, they usually do not acutely impair an individual's perception of reality. (TR 76).
Dr. Campell testified that her interaction with Taylor on the psychiatric unit at FMC - Lexington supported her diagnosis. She found that, with urging from her, Taylor was able to set his other issues aside and focus on the current charges. (TR 76-77). While she found that he had a clear distrust for his current attorney, Taylor expressed a willingness to assist an attorney he did trust. She found that he could talk realistically and rationally about the charges against him. (TR 77). She testified that Taylor provided some background relating to the present charges. He stated that he did not profit from the online pharmaceutical business at issue in the indictment. He also stated that he had seen discovery materials and felt that the United States could not prove their case against him. (TR 78).
Dr. Campbell concluded that rather than rendering him incompetent to stand trial, Taylor's personality disorders "may discourage [him] from readily complying with or conceding to the advice of his attorney, but they do not significantly distort his perception of reality in a manner suggestive of severe mental illness and they do not prevent him from engaging rationally and productively with his legal counsel should he choose to do so." (TR 90). She explained that generally, personality disorders are "volitional;" that is, such individuals are able to "rein it in when they know they need to or they're invested in doing so" (TR 96), and that Taylor was able to accomplish such focus in discussions with her.
Title 18 U.S.C. § 4241(d) provides that if, after a competency hearing, the court finds by a preponderance of the evidence that the defendant is presently suffering from a mental disease or defect rendering him mentally incompetent to the extent that he is unable to understand the nature and consequences of the proceedings against him or to assist properly in ...