McWilliams v. Commissioner, Alabama Department of Corrections , 634 F. App'x 698 ( 2015 )


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  •            Case: 13-13906   Date Filed: 12/16/2015   Page: 1 of 46
    [DO NOT PUBLISH]
    IN THE UNITED STATES COURT OF APPEALS
    FOR THE ELEVENTH CIRCUIT
    ________________________
    No. 13-13906
    ________________________
    D.C. Docket No. 7:04-cv-02923-RDP
    JAMES E. MCWILLIAMS,
    Petitioner - Appellant,
    versus
    COMMISSIONER, ALABAMA DEPARTMENT OF CORRECTIONS, et al.,
    Respondents - Appellees.
    ________________________
    Appeal from the United States District Court
    for the Northern District of Alabama
    ________________________
    (December 16, 2015)
    Before TJOFLAT, WILSON, and JORDAN, Circuit Judges.
    PER CURIAM:
    Case: 13-13906     Date Filed: 12/16/2015    Page: 2 of 46
    James Edmund McWilliams, Jr., an inmate on Alabama’s death row, appeals
    the district court’s denial of his 
    28 U.S.C. § 2254
     habeas petition challenging his
    death sentence.
    We granted McWilliams a Certificate of Appealability (COA) on four
    issues: (1) whether the district court erred in holding the state court was not
    objectively unreasonable in determining McWilliams failed to show a violation of
    Ake v. Oklahoma, 
    470 U.S. 68
    , 
    105 S. Ct. 1087
     (1985); (2) whether McWilliams is
    procedurally barred from arguing the trial court violated his Sixth Amendment
    rights by denying him a continuance for his sentencing hearing; (3) whether the
    district court erred in finding the state court was not objectively unreasonable in
    ruling McWilliams received effective assistance of counsel during the penalty
    phase of his trial and sentencing; and (4) whether the district court erred in
    determining the state court was not objectively unreasonable in holding
    McWilliams’s rights under Griffin v. California, 
    380 U.S. 609
    , 
    85 S. Ct. 1229
    (1965) were not violated.
    We hold that the state court did not commit reversible error under 
    28 U.S.C. § 2254
    (d) in denying McWilliams’s Ake claim, his claim of ineffective assistance
    of counsel during the penalty phase of trial and sentencing, and his Griffin claim.
    We also hold that McWilliams is procedurally barred from arguing the trial court
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    violated his Sixth Amendment rights in denying his motion for continuance.
    Accordingly, we affirm.
    I.   BACKGROUND
    On December 30, 1984, McWilliams entered a convenience store in
    Tuscaloosa, Alabama, where Patricia Reynolds was working the nightshift by
    herself. McWilliams locked the doors behind him and proceeded to rob and
    brutally rape Ms. Reynolds. When he was finished, he shot her with a .38 caliber
    handgun. Ms. Reynolds died in surgery that night.
    McWilliams was arrested driving a stolen car in Ohio with the murder
    weapon in his possession soon afterwards. He was identified by eyewitnesses who
    placed him at the scene. While in jail in Ohio, McWilliams bragged to other
    inmates that he robbed, raped, and killed a woman in Alabama.
    In the months leading up to the murder, McWilliams was voluntarily
    attending mental health counseling in the form of couple’s therapy with his
    pregnant wife at the office of Dr. Sherril Rhodes.1 After meeting with
    McWilliams, Dr. Rhodes documented in a report that “there are deeper
    psychological problems that [McWilliams] is avoiding and hopefully the testing
    will reveal this.” She also suspected the presence of “psychosis, or possibly
    manic-depressive disorder.” Dr. Rhodes then set up an appointment for
    1
    Dr. Rhodes’s reports and notes were introduced into evidence during the Rule 32
    hearing.
    3
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    McWilliams to undergo psychological testing with Dr. Marci K. Davis, 2 a clinical
    psychologist, on October 15, 1984.
    Dr. Davis administered the Minnesota Multiphasic Personality Inventory
    (MMPI) to McWilliams and concluded that McWilliams’s MMPI test scores “on
    the surface indicate that the results are invalid due to faking bad.” However, on
    closer examination, she then determined that “[McWilliams] did tell the truth and
    took the test in good faith . . . [c]onsequently, we may assume that he is extremely
    disturbed, has much internal anxiety, and we would expect to find serious
    pathology.” Dr. Davis also recommended McWilliams be admitted to an inpatient
    treatment facility, evaluated by a psychiatrist for medication, and carefully
    monitored by counselors. Dr. Davis ended the report by warning other counselors
    not to meet with McWilliams alone after dark. Nonetheless, McWilliams did not
    return to counseling before murdering Ms. Reynolds two and a half months later.
    A. The Lunacy Commission
    McWilliams’s mental health has been frequently contested and repeatedly
    examined throughout the long history of his case, but the central cause for most of
    the speculation stems from McWilliams’s tendency to malinger, or fake symptoms
    of his alleged mental illness.
    2
    Dr. Davis’s reports were entered into evidence during the penalty phase.
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    McWilliams’s counsel began investigating McWilliams’s mental health less
    than a month after he was arrested for murdering Ms. Reynolds. On January 21,
    1986, counsel petitioned the Circuit Court of Tuscaloosa County to provide a
    psychiatric assessment of McWilliams, including an evaluation of his sanity, his
    competency, and any mitigating circumstances.3 The court granted the petition
    and ordered the State of Alabama (State) to create a “Lunacy Commission” to
    evaluate McWilliams’s mental health at the Taylor Hardin Secure Medical Facility
    (Taylor Hardin). The Lunacy Commission reported directly to the court.
    On June 4, 1986, the Lunacy Commission presented the court with a three-
    and-a-half-page report summarizing the conclusions of three doctors serving on the
    Commission.4 All three doctors concluded McWilliams was competent to stand
    trial, free of mental illness at the time of the crime, and faking psychotic
    symptoms.
    B. Trial and Penalty Phase
    On August 27, 1986, the jury found McWilliams guilty of murder during
    robbery in the first degree and murder during rape in the first degree. The penalty
    phase took place the following day. Counsel’s strategy during the penalty phase
    was to present McWilliams as a man who grew up with significant psychological
    3
    The petition is known as a “Petition for Inquisition Upon Alleged Insane Prisoner.”
    4
    Four doctors appear in the report, including Dr. Norman G. Poythress, the Director of
    Clinical Services at Taylor Hardin. Dr. Poythress did not summarize his own medical
    conclusions but did ultimately sign the report on May 27, 1986.
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    problems that affected his behavior. Although counsel subpoenaed Dr. Rhodes to
    testify during the penalty phase, Dr. Rhodes did not respond to the subpoena.
    Ultimately, only McWilliams and his mother testified for the defense. McWilliams
    and his mother testified that McWilliams had head injuries as a child and a history
    of blacking out, hallucinating, chronic headaches, doctor visits, and memory
    problems. Prior to this testimony, counsel was unaware of these injuries and
    conditions.
    McWilliams was permitted to read Dr. Davis’s report and her MMPI test
    results into the record and explain his mental health issues to the jury. The court
    also admitted Dr. Davis’s report into evidence. However, McWilliams was unable
    to explain any technical aspects of the report, and when cross-examined, he told
    the prosecutor that he was not a psychologist. The State then presented two mental
    health experts from the Lunacy Commission, who each testified that McWilliams
    was faking psychotic symptoms and was not mentally ill. The jury voted 10 to 2 in
    favor of the death sentence.
    C. Sentencing Hearing
    On September 3, 1986, counsel filed a motion requesting that McWilliams
    undergo neuropsychological testing for possible organic brain damage, based on
    the information revealed during the penalty phase about his head injuries. The
    court granted the request, ordering the Alabama Department of Corrections (DOC)
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    to perform complete neurological and neuropsychological testing on McWilliams.
    The court further instructed the DOC to send all results and evaluations to the court
    no later than September 25, 1986.
    On September 22, 1986, Dr. Paul Bivens, a psychologist employed by the
    DOC, wrote the court, explaining that he completed some of the
    neuropsychological testing, which indicated “possible organic impairment,” but
    was unable to complete all the neuropsychological tests. Instead, Dr. Bivens
    recommended more testing and advised the court to find a clinical
    neuropsychological specialist who could perform the tests independent of the DOC
    to “avoid unnecessary conflict.”
    On September 30, 1986, the trial court appointed Dr. John R. Goff, a
    specialist in clinical neuropsychology and the Chief of Psychology at Bryce
    Hospital. Dr. Goff met with McWilliams on October 3, 1986, and performed the
    neuropsychological testing requested by counsel. Dr. Goff’s completed
    neuropsychological assessment was delivered to all the parties approximately 48
    hours before the sentencing hearing.
    Dr. Goff’s report was approximately five pages long. He determined that
    McWilliams was suffering from organic brain dysfunction and that “organic
    personality disorder should be considered.” His report also indicated evidence of
    malingering but noted it was potentially consistent with a “cry for help posture” or
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    possibly a “fake bad.” The report further explained there were some “genuine
    neuropsychological problems,” and Dr. Goff diagnosed McWilliams with “organic
    personality syndrome.”
    Counsel subpoenaed McWilliams’s medical and psychiatric records multiple
    times before the penalty phase and well in advance of the sentencing hearing. But,
    the DOC and Taylor Hardin failed to fully comply with the subpoena until the day
    of the sentencing hearing. The last of the medical and psychiatric records
    subpoenaed by counsel arrived at the court on October 8 and October 9, 1986—the
    morning of the 10 a.m. sentencing hearing.
    At the sentencing hearing, counsel moved for a continuance to review the
    newly arrived records with the assistance of an expert. The court denied the
    request but invited counsel to review the records at the clerk’s office during a brief
    recess. When the hearing resumed at 2 p.m., the court admitted Dr. Goff’s report
    and all the new records into evidence. Counsel again asked for a continuance. The
    court again denied the request.
    The court found three aggravating circumstances in support of
    McWilliams’s death sentence: (1) McWilliams was previously convicted of a
    felony involving the use of violence to the person, specifically a robbery and rape
    he was convicted of on June 26, 1985; (2) the murder was committed during the
    course of a robbery and rape; and (3) the murder was especially heinous, atrocious,
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    or cruel compared to other capital offenses in light of the brutality of the rape, the
    execution-type slaying, and McWilliams’s behavior after the crime. The court
    found no mitigating circumstances.
    The court determined that “the [d]efendant is not psychotic, either from
    organic brain dysfunction or any other reason.” The court did find that “the
    defendant possibly has some degree of organic brain dysfunction resulting in some
    physical impairment, but that does not rise to the level of a mitigating
    circumstance” and by “a preponderance of the evidence . . . the defendant [is]
    feigning, faking, and manipulative.” The court then sentenced McWilliams to
    death by electrocution.
    D. Rule 32 Evidentiary Hearing
    On April 2, 1997, McWilliams challenged his conviction in a petition under
    Rule 32 of the Alabama Rules of Criminal Procedure, claiming that his counsel
    was ineffective for failing to investigate and present mitigating evidence at his
    penalty phase and sentencing. On June 12, 2000, the Alabama circuit court
    conducted a four-day evidentiary hearing. In September 2001, the Alabama circuit
    court denied the petition. In 2004, the Alabama Court of Criminal Appeals
    reviewed and affirmed the decision.
    The Rule 32 evidentiary hearing on McWilliams’s post-conviction claims
    included the testimony of defense expert Dr. George Woods and the State’s
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    rebuttal expert, Dr. Karl Kirkland. Dr. Woods reviewed the MMPI performed by
    Dr. Davis that McWilliams read to the jury during the penalty phase. Dr. Woods
    explained the test could be confused with exaggerated scores but actually indicated
    McWilliams had significant psychiatric and psychological problems, including
    paranoia and mania, as well as “abundant evidence of psychopathology.” Dr.
    Woods agreed with Dr. Davis that McWilliams took the MMPI in good faith. Dr.
    Woods also examined the 1986 MMPI testing performed at Taylor Hardin, which
    the State used during the penalty phase. He explained that the results indicated a
    cry for help with severe psychopathology and did not necessarily mean
    McWilliams faked his symptoms.
    Dr. Woods also reviewed Dr. Goff’s report and testified that the results
    revealed symptoms of a psychiatric disorder, but because neuropsychological
    impairments change over time, McWilliams’s neuropsychological function was
    somewhat restored as of 2000. Dr. Woods further testified that he reviewed the
    DOC records, and the records revealed McWilliams was medicated with
    antipsychotics and antidepressants throughout his entire incarceration. Dr. Woods
    stated that, in examining the DOC records, the administration of medication was
    consistent with the presentation of symptoms that required psychiatric treatment.
    ``     Dr. Woods ultimately diagnosed McWilliams with bipolar disorder, with
    symptoms of mania, hypomania, and depression. Dr. Woods also concluded that
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    McWilliams was suffering from bipolar disorder on the night of the crime. Dr.
    Karl Kirkland, a forensic psychologist, testified that he disagreed with Dr.
    Woods’s diagnosis. Dr. Kirkland agreed with the evaluation of the Taylor Hardin
    doctors that McWilliams was feigning psychiatric symptoms and that his behavior
    was more appropriately categorized as a character disorder.
    II.   PROCEDURAL HISTORY
    McWilliams’s conviction and death sentence were affirmed on direct appeal
    by the Alabama Court of Criminal Appeals and the Alabama Supreme Court. See
    McWilliams v. State, 
    640 So. 2d 982
     (Ala. Crim. App. 1991), aff’d in part,
    remanded in part sub nom., Ex parte McWilliams, 
    640 So. 2d 1015
     (Ala. 1993), on
    remand to sub nom., McWilliams v. State, 
    640 So. 2d 1025
     (Ala. Crim. App. 1994),
    opinion after remand, 
    666 So. 2d 89
     (Ala. Crim. App. 1994), aff’d sub nom., Ex
    part McWilliams, 
    666 So. 2d 90
     (Ala. 1995), cert. denied sub nom., McWilliams v.
    Alabama, 
    516 U.S. 1053
    , 
    116 S. Ct. 723
     (1996).
    The Alabama circuit court entered its final order denying McWilliams’s
    Rule 32 petition in September 2001, and the Alabama Court of Criminal Appeals
    affirmed the denial. See McWilliams v. State, 
    897 So. 2d 437
     (Ala. Crim. App.
    2004). On September 24, 2004, the Alabama Supreme Court denied McWilliams’s
    petition for a writ of certiorari on his Rule 32 petition.
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    McWilliams then turned to the federal courts. On October 6, 2004, he filed
    a petition for a writ of habeas corpus in the United States District Court for the
    Northern District of Alabama. The district court assigned a magistrate judge to
    review McWilliams’s petition and submit a recommendation. On February 1,
    2008, the magistrate judge issued a report and recommendation denying all of
    McWilliams’s claims. On August 25, 2010, the district court entered a
    memorandum opinion adopting the magistrate judge’s conclusions. The district
    court further addressed specific objections McWilliams raised to the magistrate
    judge’s report and recommendation and then entered an order dismissing
    McWilliams’s habeas petition with prejudice and denying his application for a
    COA.
    This court granted a COA on whether the district court improperly overruled
    all of McWilliams’s objections to the magistrate judge’s report and
    recommendation without specifically acknowledging certain objections. On
    September 10, 2012, we vacated the district court’s decision and remanded
    McWilliams’s case to the district court with instructions to resolve all the claims in
    his habeas petition. The district court then entered a memorandum opinion on
    April 17, 2013 overruling all of McWilliams’s objections to the magistrate judge’s
    report, adopting the report in full, and denying McWilliams’s habeas petition. On
    October 7, 2013, the district court again denied McWilliams’s request for a COA.
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    McWilliams then filed an application for a COA in this court. On December
    16, 2013, we granted McWilliams a COA.
    III.   STANDARD OF REVIEW
    “When examining a district court’s denial of a . . . habeas petition, we
    review questions of law and mixed questions of law and fact de novo, and findings
    of fact for clear error.” Connor v. Sec’y, Fla. Dep’t of Corr., 
    713 F.3d 609
    , 620
    (11th Cir. 2013) (internal quotation marks omitted).
    “Because [McWilliams] filed his federal petition after April 24, 1996, this
    case is governed by 
    28 U.S.C. § 2254
    , as amended by the Anti-Terrorism and
    Effective Death [Penalty] Act of 1996 (AEDPA).” See Guzman v. Sec’y, Dep’t of
    Corr., 
    663 F.3d 1336
    , 1345 (11th Cir. 2011). When a state court has denied a
    claim on the merits, “the standard a petitioner must meet to obtain federal habeas
    relief was intended to be, and is, a difficult one.” See Johnson v. Sec’y, DOC, 
    643 F.3d 907
    , 910 (11th Cir. 2011) (citing Harrington v. Richter, 
    562 U.S. 86
    , 101, 
    131 S. Ct. 770
    , 786 (2011)).
    The “purpose of AEDPA’s” amendments to § 2254 “is to ensure that federal
    habeas relief functions as a guard against extreme malfunctions in the state
    criminal justice systems, and not as a means of error correction.” Greene v.
    Fisher, 565 U.S. __, __, 
    132 S. Ct. 38
    , 43–44 (2011) (internal quotation marks
    omitted). Therefore, federal review of final state court decisions under § 2254 is
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    “greatly circumscribed” and “highly deferential.” See Hill v. Humphrey, 
    662 F.3d 1335
    , 1343 (11th Cir. 2011) (en banc) (internal quotation marks omitted). AEDPA
    only allows federal courts to grant relief for habeas claims decided by a state court
    on the merits if the state court’s resolution of the claims:
    (1) resulted in a decision that was contrary to, or involved
    an unreasonable application of, clearly established
    Federal law, as determined by the Supreme Court of the
    United States; or
    (2) resulted in a decision that was based on an
    unreasonable determination of the facts in light of the
    evidence presented in the [s]tate court proceeding.
    
    28 U.S.C. § 2254
    (d).
    Under AEDPA, “the state court’s application of governing [F]ederal law . . .
    must be shown to be not only erroneous, but objectively unreasonable.”
    Waddington v. Sarausad, 
    555 U.S. 179
    , 190, 
    129 S. Ct. 823
    , 831 (2009) (internal
    quotation marks omitted); see also Williams v. Taylor, 
    529 U.S. 362
    , 410–11, 
    120 S. Ct. 1495
    , 1522 (2000) (“[A]n unreasonable application of [F]ederal law is
    different from an incorrect application of [F]ederal law.”). This is a “substantially
    higher threshold” than when only a showing of erroneousness is required. Schriro
    v. Landrigan, 
    550 U.S. 465
    , 473, 
    127 S. Ct. 1933
    , 1939 (2007). When assessing
    the state court’s decision, we must consider the record the court had before
    it. Cullen v. Pinholster, 
    563 U.S. 170
    , __, 
    131 S. Ct. 1388
    , 1400 (2011). It is the
    petitioner’s burden to demonstrate that the state court applied the relevant clearly
    14
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    established law to that record “in an objectively unreasonable manner.”
    See Woodford v. Visciotti, 
    537 U.S. 19
    , 25, 
    123 S. Ct. 357
    , 360 (2002) (per
    curiam). Given this determination is objective, a federal court may not issue a writ
    of habeas corpus simply because “it concludes in its independent judgment” that
    the state court was incorrect. See Williams, 
    529 U.S. at
    409–11, 
    120 S. Ct. at 1522
    .
    Our review of a petitioner’s claim is further limited under § 2254(e)(1) by “a
    presumption of correctness [that] applies to the factual findings made by state trial
    and appellate courts.” Rose v. McNeil, 
    634 F.3d 1224
    , 1241 (11th Cir. 2011)
    (internal quotation marks omitted). “This deference requires that a federal habeas
    court more than simply disagree with the state court before rejecting its factual
    determinations.” 
    Id.
     (internal quotation mark omitted). “Instead, it must conclude
    that the state court’s findings lacked even fair support in the record.” 
    Id.
     (internal
    quotation mark omitted). The petitioner has “the burden of rebutting the
    presumption of correctness by clear and convincing evidence.” 
    28 U.S.C. § 2254
    (e)(1).
    IV.    DISCUSSION
    A. Alabama’s Application of Ake
    McWilliams contends the State deprived him of due process under Ake
    because the State did not provide him the meaningful assistance of an independent
    psychiatric expert at his sentencing hearing.
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    Under Ake, “when a defendant demonstrates to the trial judge that his sanity
    at the time of the offense is to be a significant factor at trial, the [s]tate must, at a
    minimum, assure the defendant access to a competent psychiatrist who will
    conduct an appropriate examination and assist in evaluation, preparation, and
    presentation of the defense.” Ake, 
    470 U.S. at 83
    , 
    105 S. Ct. at 1096
    . This right
    “extends to the sentencing phase of a criminal case.” Blanco v. Sec’y, Fla. Dep’t
    of Corr., 
    688 F.3d 1211
    , 1223 (11th Cir. 2012) (internal quotation marks omitted).
    However, Ake cautions that a defendant does not have “a constitutional right to
    choose a psychiatrist of his personal liking or to receive funds to hire his own.”
    Ake, 
    470 U.S. at 83
    , 
    105 S. Ct. at 1096
    . Rather, Ake entitles the defendant access
    to a “competent psychiatrist.” 
    Id.
     “[T]he decision on how to implement this right”
    is left “to the [s]tate.” 
    Id.
    McWilliams first argues that he was denied the assistance contemplated by
    Ake because he was not provided an “expert of his own.” Specifically,
    McWilliams asserts that he was denied such an expert because Dr. Goff’s
    assistance was “equally disseminated to all parties.” The State contends there is no
    clearly established Federal law that requires it to provide a partisan mental health
    expert to the defense and, therefore, McWilliams is not entitled to federal habeas
    relief on this basis.
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    In some jurisdictions, a court-appointed neutral mental health expert made
    available to all parties may satisfy Ake. See Miller v. Colson, 
    694 F.3d 691
    , 697–
    99 (6th Cir. 2012) (discussing the split amongst Sixth Circuit decisions that address
    whether a neutral mental health expert satisfies Ake), cert. denied; Granviel v.
    Lynaugh, 
    881 F.2d 185
    , 191–92 (5th Cir. 1989) (holding that Ake is met when the
    government provides a defendant with neutral psychiatric assistance), cert. denied.
    Other circuits have held that the state must provide a non-neutral mental health
    expert to satisfy Ake. See United States v. Sloan, 
    776 F.2d 926
    , 929 (10th Cir.
    1985) (holding that a defendant is entitled to independent, non-neutral psychiatric
    assistance); Smith v. McCormick, 
    914 F.2d 1153
    , 1158 (9th Cir. 1990) (“[U]nder
    Ake, evaluation by a ‘neutral’ court psychiatrist does not satisfy due process.”).
    However, the United States Supreme Court has thus far declined to resolve this
    disagreement among the circuits. See Miller, 694 F.3d at 697 n. 6; Granviel v.
    Texas, 
    493 U.S. 963
    , 
    110 S. Ct. 2577
     (1990) (denying certiorari). As a result, the
    State’s provision of a neutral psychologist would not be “contrary to, or involve[]
    an unreasonable application of, clearly established Federal law.” See 
    28 U.S.C. § 2254
    (d)(1). Therefore, McWilliams’s argument fails.
    McWilliams next contends that Dr. Goff’s late arrival to the proceedings
    denied him due process under Ake. The State asserts a defendant is only entitled to
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    assistance from a psychiatrist under Ake and the trial court’s appointment of Dr.
    Goff satisfied this requirement.
    McWilliams was entitled access to a “competent psychiatrist” to assist him
    in the development of his defense. See Ake, 
    470 U.S. at 83
    , 
    105 S. Ct. at 1096
    .
    The State appointed Dr. Goff to examine McWilliams and produce a report.
    Nothing in the record suggests that Dr. Goff lacked the requisite expertise to
    examine McWilliams and generate a report. While Dr. Goff provided the report to
    McWilliams only a few days before the sentencing hearing, McWilliams could
    have called Dr. Goff as a witness or contacted him prior to the completion of the
    report to ask for additional assistance. McWilliams’s failure to do so does not
    render Dr. Goff’s assistance deficient. Moreover, the report was admitted into
    evidence and considered by the court at sentencing, demonstrating the defense
    utilized Dr. Goff’s assistance. Thus, the State provided McWilliams access to a
    competent psychiatrist, and McWilliams relied on the psychiatrist’s assistance.
    Given the deference owed to the state court, its determination that Ake was
    satisfied under these circumstances was not objectively unreasonable. Therefore,
    we hold that the State’s adjudication of McWilliams’s Ake claim was not contrary
    to or an unreasonable application of clearly established Federal law.
    Even assuming an Ake error occurred, relief may only be granted if the error
    had a “substantial and injurious effect or influence” on the outcome of
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    McWilliams’s case. See Hicks v. Head, 
    333 F.3d 1280
    , 1286–87 (11th Cir. 2003)
    (internal quotation marks omitted). The jury at McWilliams’s penalty phase voted
    10 to 2 in favor of the death penalty. The trial judge reviewed Dr. Goff’s report
    and took into account the possibility of organic brain damage but also noted that,
    throughout McWilliams’s medical records, different psychologists and
    psychiatrists describe him as a malingerer. For example, the mental health
    professionals on the Lunacy Commission determined McWilliams was a
    malingerer and a faker; Dr. Goff’s report indicated that McWilliams was
    malingering on some level; Dr. Kirkland determined McWilliams was faking
    symptoms; and even Dr. Woods, McWilliams’s post-conviction expert admitted
    McWilliams has a history of malingering and can be deceitful and manipulative.
    Moreover, Dr. Woods was the only doctor who diagnosed McWilliams as
    bipolar—a diagnosis contested by Dr. Kirkland. Based on a review of this and
    other evidence, the trial judge found that McWilliams’s “aggravating
    circumstances overwhelmingly outweighed the mitigating circumstances.”
    A few additional days to review Dr. Goff’s findings would not have
    somehow allowed the defense to overcome the mountain of evidence undercutting
    his claims that he suffered from mental illness during the time of the crime.
    Accordingly, even assuming the state court committed an Ake error, the error did
    not have a substantial and injurious effect on McWilliams’s sentence.
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    B. Procedural Default
    McWilliams argued to the district court that he was denied his Sixth
    Amendment right to effective assistance of counsel when the trial court refused his
    motion for continuance of the sentencing hearing. However, the magistrate judge
    determined McWilliams did not properly raise this claim before the Alabama
    Supreme Court and, in turn, McWilliams failed to exhaust his state remedies.
    Therefore, the district court determined this claim is procedurally barred.
    When a habeas claim arises in state court, the petitioner must exhaust his
    state remedies. 
    28 U.S.C. § 2254
    (b)(1)(A). In order to satisfy the exhaustion
    requirement, a petitioner must “fairly presen[t] federal claims to the state courts in
    order to give the [s]tate the opportunity to pass upon and correct alleged violations
    of its prisoners’ federal rights.” Duncan v. Henry, 
    513 U.S. 364
    , 365, 
    115 S. Ct. 887
    , 888 (1995) (per curiam) (internal quotation marks omitted). The petitioner
    must apprise the state court of “the federal constitutional issue,” not just the
    underlying facts of the claim or a “somewhat similar state-law claim.” Snowden v.
    Singletary, 
    135 F.3d 732
    , 735 (11th Cir. 1998) (internal quotation marks omitted).
    The Supreme Court has observed that “Congress surely meant that exhaustion be
    serious and meaningful.” Keeney v. Tamayo-Reyes, 
    504 U.S. 1
    , 10, 
    112 S. Ct. 1715
    , 1720 (1992). The Court further explained:
    [c]omity concerns dictate that the requirement of exhaustion is not
    satisfied by the mere statement of a federal claim in state court. Just
    20
    Case: 13-13906     Date Filed: 12/16/2015    Page: 21 of 46
    as the [s]tate must afford the petitioner a full and fair hearing on his
    federal claim, so must the petitioner afford the [s]tate a full and fair
    opportunity to address and resolve the claim on the merits.
    Id.; see also Henderson v. Campbell, 
    353 F.3d 880
    , 898 n. 25 (11th Cir. 2003).
    McWilliams first raised his ineffective assistance of counsel claim based on
    the motion for continuance in his direct appeal to the Alabama Court of Criminal
    Appeals. The court denied this claim because McWilliams “demonstrated no
    prejudice.” McWilliams v. State, 
    640 So. 2d 982
    , 993 (Ala. Crim. App. 1991).
    McWilliams then petitioned the Alabama Supreme Court for a writ of certiorari.
    In his petition, McWilliams asserted: (1) his rights were violated “under the Sixth,
    Eighth, and Fourteenth Amendments to the United States Constitution” and (2) the
    Alabama Court of Criminal Appeals erred by holding he had not demonstrated
    prejudice. The Alabama Supreme Court declined to review the petition.
    McWilliams only mentioned his motion for continuance in Sections VIII and
    IX of his brief to the Alabama Supreme Court. But, he failed to argue in either of
    those Sections that the denial of the motion violated his right to effective assistance
    of counsel. Although Section VIII asserted the trial court abused its discretion in
    denying McWilliams’s motion for continuance, McWilliams did not allege the
    denial violated his right to effective assistance of counsel, and he did not mention
    the phrase “effective assistance of counsel” or cite Strickland v. Washington, 466
    21
    Case: 13-13906    Date Filed: 12/16/2015   Page: 22 of 
    46 U.S. 668
    , 
    104 S. Ct. 2052
     (1984). McWilliams also did not mention Strickland or
    use the phrase “effective assistance of counsel” in Section IX of the brief.
    Accordingly, McWilliams did not apprise the state court of his constitutional
    claim regarding his motion for continuance of the sentencing hearing. The district
    court did not err in concluding McWilliams’s ineffective assistance of counsel
    claim is procedurally barred.
    C. Ineffective Assistance of Counsel During the Penalty Phase of Trial and
    Sentencing
    McWilliams also claims counsel was ineffective for failing to investigate or
    present mitigating evidence during the penalty phase of his trial and sentencing.
    The district court’s denial of McWilliams’s habeas corpus petition on this
    issue is reviewed de novo. See Ward v. Hall, 
    592 F.3d 1144
    , 1155 (11th Cir.
    2010).
    As with McWilliams’s Ake claim, we may only grant habeas relief on this
    issue if the State’s resolution of the Rule 32 proceedings and subsequent appeals
    resulted in a decision that was either (1) “contrary to or involved an unreasonable
    application of, clearly established Federal law,” or (2) “based on an unreasonable
    determination of the facts in light of the evidence presented in the state court
    proceedings.” 
    28 U.S.C. § 2254
    (d). Therefore, in contrast to our review of a
    Strickland claim on direct appeal from a federal district court, we must defer to the
    state court unless its application of Strickland was unreasonable. See Richter, 562
    22
    Case: 13-13906     Date Filed: 12/16/2015    Page: 23 of 46
    U.S. at 101, 131 S. Ct. at 785. “A state court’s determination that a claim lacks
    merit precludes federal habeas relief so long as fairminded jurists could disagree
    on the correctness of the state court’s decision.” Id. at 786 (internal quotation
    marks omitted). Furthermore, as discussed above, we must presume the state
    court’s factual findings to be correct unless the petitioner rebuts this presumption
    by “clear and convincing evidence.” 
    28 U.S.C. § 2254
    (e)(1).
    “The object of an ineffectiveness claim is not to grade counsel’s
    performance.” See Strickland, 
    466 U.S. at 697
    , 
    104 S. Ct. at 2069
    ; White v.
    Singletary, 
    972 F.2d 1218
    , 1221 (11th Cir. 1992) (“We are not interested in
    grading lawyers’ performances; we are interested in whether the adversarial
    process at trial, in fact, worked adequately.”). The issue is “not what is prudent or
    appropriate, but only what is constitutionally compelled.” Burger v. Kemp, 
    483 U.S. 776
    , 794, 
    107 S. Ct. 3114
    , 3126 (1987) (internal quotation marks omitted).
    To establish that his counsel provided constitutionally ineffective assistance,
    McWilliams must show both that “counsel’s performance was deficient” and that
    the deficiency “prejudiced [his] defense.” See Strickland, 
    466 U.S. at 687
    , 
    104 S. Ct. at 2064
    . Deficient performance is representation that falls “below an objective
    standard of reasonableness” measured by “prevailing professional norms.” See 
    id.
    at 687–88, 
    104 S. Ct. at
    2064–65. “[C]ounsel is strongly presumed to have
    rendered adequate assistance and made all significant decisions in the exercise of
    23
    Case: 13-13906    Date Filed: 12/16/2015   Page: 24 of 46
    reasonable professional judgment.” Id. at 690, 
    104 S. Ct. at 2066
    . Thus, “to show
    that counsel’s performance was unreasonable, the petitioner must establish that no
    competent counsel would have taken the action that his counsel did take.”
    Grayson v. Thompson, 
    257 F.3d 1194
    , 1216 (11th Cir. 2001).
    Given the strong presumption of reasonableness under Strickland and the
    requirements of AEDPA, our review of counsel’s performance is “doubly
    deferential.” See Knowles v. Mirzayance, 
    556 U.S. 111
    , 123, 
    129 S. Ct. 1411
    ,
    1420 (2009). McWilliams’s claim cannot succeed unless he provides affirmative
    evidence of ineffectiveness—an “absence of evidence cannot overcome the strong
    presumption that counsel’s conduct fell within the wide range of reasonable
    professional assistance.” Burt v. Titlow, 571 U.S. __, 
    134 S. Ct. 10
    , 17 (2013)
    (internal quotation marks omitted).
    McWilliams asserts counsel was ineffective because counsel failed to
    investigate and present evidence of McWilliams’s family history and mental
    health. According to McWilliams, the mitigation evidence presented at his post-
    conviction hearings shows the evidence counsel offered during trial and sentencing
    was deficient. But, the Alabama Court of Criminal Appeals determined that
    counsel diligently investigated and presented evidence about McWilliams’s family
    history and mental health, and this conclusion does not unreasonably contravene
    clearly established Federal law.
    24
    Case: 13-13906     Date Filed: 12/16/2015   Page: 25 of 46
    First, counsel spoke to McWilliams’s mother, father, and wife about
    McWilliams’s family history. Counsel also telephoned McWilliams’s friends.
    Counsel testified at the Rule 32 evidentiary hearing that he would have
    investigated any other potentially useful sources of information or individuals
    mentioned to him as possible mitigation witnesses. Moreover, McWilliams’s
    mother and McWilliams testified extensively about his childhood during the
    penalty phase.
    Second, counsel: (1) requested that McWilliams be evaluated by the Lunacy
    Commission; (2) retrieved McWilliams’s medical records, despite the DOC and
    Taylor Hardin ignoring his subpoenas; (3) obtained the assistance of a volunteer
    psychologist, (4) arranged for McWilliams to be evaluated by Dr. Goff, and (5)
    subpoenaed McWilliams’s previous psychologist to testify during the penalty
    phase. Although the subpoenaed psychologist did not respond to the subpoena,
    counsel testified at the Rule 32 hearing that he made a strategic decision not to
    enforce the subpoena because forcing a doctor into court could backfire.
    Furthermore, although counsel did not learn of the head injuries McWilliams
    sustained as a child until the penalty phase of trial, the Lunacy Commission
    reported no evidence of a brain injury. Therefore, it was reasonable for counsel to
    conclude that McWilliams had no such injuries. Nevertheless, once counsel
    learned of the head injuries, he immediately moved for and obtained a
    25
    Case: 13-13906    Date Filed: 12/16/2015   Page: 26 of 46
    neuropsychological report prior to the sentencing hearing. At the hearing, the
    report was admitted into evidence.
    In undertaking such efforts, counsel’s investigation of McWilliams’s family
    history and mental health was reasonable. See Reed v. Sec’y, Fla. Dep’t of Corr.,
    
    593 F.3d 1217
    , 1241–43 (11th Cir. 2010) (finding that counsel performed an
    adequate mitigation investigation where he gathered medical records and assisted
    with the development of an expert evaluation report). In addition, given
    McWilliams’s questionable mental health history and the limited value of his
    family background information, it cannot be found that “no competent counsel”
    would have adopted the same approach as counsel. See Grayson, 
    257 F.3d at 1216
    . While counsel may have been able to present more mitigation evidence, this
    alone does not render his decision not to do so unreasonable. See Waters v.
    Thomas, 
    46 F.3d 1506
    , 1514 (11th Cir. 1995) (en banc) (“That other witnesses
    could have been called or other testimony elicited usually proves at most the
    wholly unremarkable fact that with the luxury of time and the opportunity to focus
    resources on specific parts of a made record, post-conviction counsel will
    inevitably identify shortcomings in the performance of prior counsel.”).
    On this record, McWilliams has not met his AEDPA burden. He has not
    shown that counsel’s performance was so deficient as to overcome the “doubly
    deferential” standard required for relief. See Knowles, 
    556 U.S. at 123
    , 
    129 S. Ct. 26
    Case: 13-13906     Date Filed: 12/16/2015     Page: 27 of 46
    at 1420. We therefore reject McWilliams’s claim of ineffective assistance of
    counsel.
    D. Prosecutorial Misconduct
    Finally, McWilliams alleges the prosecutor’s comments during closing
    argument on his failure to testify at trial violated his rights under the Fifth, Sixth,
    Eighth, and Fourteenth Amendments. McWilliams contends these statements
    denied him a fair trial because they constituted improper burden-shifting
    arguments.
    McWilliams’s claim of prosecutorial misconduct involves mixed questions
    of law and fact and, therefore, is reviewed de novo. See United States v. Noriega,
    
    117 F.3d 1206
    , 1218 (11th Cir. 1997).
    The Fifth and Fourteenth Amendments “forbid[] either comment by the
    prosecution on the accused’s silence or instructions by the court that such silence is
    evidence of guilt.” Griffin, 
    380 U.S. at 615
    , 
    85 S. Ct. at 1233
    . However, “a
    prosecutor’s indirect reference to a defendant’s failure to testify is not reversible
    error per se.” United States v. Delgado, 
    56 F.3d 1357
    , 1368 (11th Cir. 1995). This
    court has “strictly enforced the requirement that a defendant show that the
    allegedly offensive comment was either manifestly intended to be a comment on
    the defendant’s silence or that the comment naturally and necessarily related to the
    defendant’s silence.” Isaacs v. Head, 
    300 F.3d 1232
    , 1270 (11th Cir. 2002). “A
    27
    Case: 13-13906     Date Filed: 12/16/2015    Page: 28 of 46
    comment on the failure of the defense, as opposed to that of the defendant, to
    counter or explain the testimony presented or evidence introduced is not [improper
    burden-shifting].” Duncan v. Stynchcombe, 
    704 F.2d 1213
    , 1215–16 (11th Cir.
    1983) (per curiam).
    Prosecutorial misconduct during closing argument, including an
    inappropriate burden-shifting argument, only warrants a new trial if the remarks
    were “improper” and “prejudicially affect[ed]” the defendant’s “substantial rights.”
    See United States v. Wilson, 
    149 F.3d 1298
    , 1301 (11th Cir. 1998) (internal
    quotation marks omitted), aff’d, 37 F. App’x 978 (11th Cir. 2002). “A defendant’s
    substantial rights are prejudicially affected when a reasonable probability arises
    that, but for the remarks, the outcome of the trial would be different.” 
    Id.
    (alterations in original) (internal quotation marks omitted).
    McWilliams challenges the following comment made by the prosecution:
    You know, one thing I do note that neither of the defense
    attorneys have talked about in the evidence or really
    dwelt on: they did not talk about that gun in that car right
    beside the man underneath the armrest, loaded, up in
    Ohio. And they did not talk about the bullets in his
    pocket; and they did not talk about the bullets down in
    the floorboard of the car—the ones he said he was biting
    on. He said he knew those were there, but he didn’t
    know about the gun being there. Why did he have bullets
    in his pocket if he didn’t know anything about any of
    this? There is no good reason, explanation, that indicates
    anything other than guilt in this case. There is no other
    explanation for it, and you have not heard an explanation;
    the evidence doesn’t show any other explanation for it.
    28
    Case: 13-13906     Date Filed: 12/16/2015    Page: 29 of 46
    Ex parte McWilliams, 
    640 So. 2d 1015
    , 1018–19 (Ala. 1993).
    The Alabama Court of Criminal Appeals found that the prosecutor’s
    comment was not “intended to be a reference to [McWilliams’s] silence.”
    McWilliams, 640 So. 2d at 1010. Furthermore, the Alabama Supreme Court
    determined that “[t]his is clearly a comment on the failure of defense counsel to
    explain testimony or evidence.” Ex parte McWilliams, 640 So. 2d at 1019–20.
    The prosecutor began his comment by telling the jury he was referring to what the
    defense attorneys did not talk about “in the evidence.” While the statement,
    “[t]here is no good reason, explanation that indicates anything other than guilt in
    this case,” by itself could be taken to mean the defendant did not provide an
    explanation himself, the prosecutor followed the comment by stating that “the
    evidence doesn’t show any other explanation for it.” In light of the entire
    statement, it is clear that the prosecutor intended the statement to be directed at
    counsel, and the comment naturally and necessarily related to counsel’s arguments
    regarding the evidence introduced at trial, not McWilliams’s constitutionally
    protected silence.
    Accordingly, McWilliams has failed to show the state court’s “was contrary
    to or involved an unreasonable application of, clearly established Federal law” or
    “was based on an unreasonable determination of the facts in light of the evidence
    presented in the [s]tate court proceeding.” See 
    28 U.S.C. § 2254
    (d).
    29
    Case: 13-13906    Date Filed: 12/16/2015    Page: 30 of 46
    V.    CONCLUSION
    For the foregoing reasons, we find as follows. First, the state court did not
    commit reversible error under 
    28 U.S.C. § 2254
    (d) in denying McWilliams’s (1)
    Ake claim, (2) his claim of ineffective assistance of counsel during the penalty
    phase of trial and sentencing, and (3) his claim that the prosecutor improperly
    commented on his failure to testify. Second, McWilliams’s ineffective assistance
    of counsel claim based on the trial court’s denial of his motion for continuance of
    the sentencing hearing is procedurally defaulted. Therefore, we affirm the district
    court’s denial of McWilliams’s petition for a writ of habeas corpus.
    AFFIRMED.
    30
    Case: 13-13906     Date Filed: 12/16/2015   Page: 31 of 46
    JORDAN, Circuit Judge, concurring.
    I concur in the judgment denying federal habeas corpus relief to Mr.
    McWilliams. My reasons are as follows.
    • The ineffective assistance of counsel claim based on the denial of the
    continuance of the sentencing hearing was not exhausted under 
    28 U.S.C. § 2254
    (b)(1) because Mr. McWilliams did not present it in his petition for
    discretionary review to the Alabama Supreme Court. See O’Sullivan v. Boerckel,
    
    526 U.S. 838
    , 845 (1999).
    • The ineffective assistance of counsel claim related to the investigation and
    presentation of mitigating evidence at the penalty phase fails because counsel
    conducted a competent mental health investigation; had Mr. McWilliams evaluated
    not once, but twice; and presented mitigating evidence (including Dr. Goff’s
    report) at the sentencing hearing. See Bobby v. Van Hook, 
    558 U.S. 4
    , 9-12 (2009).
    • The claim based on a violation of Griffin v. California, 
    380 U.S. 609
     (1965),
    is a close one, as shown by the fact that two judges on the Alabama Court of
    Criminal Appeals sided with Mr. McWilliams. See McWilliams v. State, 
    640 So.2d 982
    , 1014 (Ala. Cr. App. 1991) (Bowen, J., dissenting in part). But given
    AEDPA deference, the finding by the Court of Criminal Appeals that the
    prosecutor’s argument was not a comment on Mr. McWilliams’ right to remain
    silent was a reasonable application of Griffin.
    31
    Case: 13-13906     Date Filed: 12/16/2015   Page: 32 of 46
    • The claim based on Ake v. Oklahoma, 
    470 U.S. 68
     (1985), is also close, for
    the reasons outlined in Judge Wilson’s dissent. At the end of the day, however, I
    think the claim fails. First, the Supreme Court has not addressed whether Ake is
    satisfied by the court appointment of a neutral mental health expert. As a result, I
    cannot say that the Court of Criminal Appeals unreasonably applied, or ruled in a
    way that was contrary to, Ake. See Woods v. Donald, 
    135 S. Ct. 1372
    , 1377
    (2015). Second, I do not think Mr. McWilliams has shown a “substantial and
    injurious effect” from any Ake violation. See Fry v. Pliler, 
    551 U.S. 112
    , 119-20
    (2007). I reach this conclusion in part because Mr. McWilliams did not present Dr.
    Goff as a witness at the state post-conviction hearing. Given this void in the
    record, it is difficult for me to conclude that Mr. McWilliams has met his burden
    on prejudice, as we do not know how additional time with Dr. Goff (and his report)
    would have benefited the defense. My point is not that a capital defendant must
    always present the testimony of his medical expert at a post-conviction hearing to
    prove prejudice under Ake. It is, instead, that in this case Dr. Goff’s absence is one
    of the reasons that Mr. McWilliams cannot show a “substantial and injurious
    effect.”
    32
    Case: 13-13906    Date Filed: 12/16/2015    Page: 33 of 46
    WILSON, Circuit Judge, dissenting:
    Defendants facing the death penalty—the “gravest sentence our society may
    impose”—must have “a fair opportunity to show that the Constitution prohibits
    their execution.” Hall v. Florida, 572 U.S. __, __, 
    134 S. Ct. 1986
    , 2001 (2014).
    This means that they must receive “meaningful access to justice” during their
    capital proceedings. See Ake v. Oklahoma, 
    470 U.S. 68
    , 76–77, 
    105 S. Ct. 1087
    ,
    1092–1093 (1985). In Ake, the Supreme Court held that this guarantee requires
    states to provide defendants meaningful “access to a psychiatrist[]” when their
    mental health “is likely to be a significant factor” at trial or sentencing. See 
    id.
     at
    74–77, 
    105 S. Ct. at
    1091–1093. James Edmund McWilliams, Jr. was denied this
    basic right.
    McWilliams’s mitigation case depended on the judge and jury’s conclusions
    about his mental health. Nonetheless, McWilliams did not receive any expert
    assistance during his sentencing before the jury. And, at his judicial sentencing
    hearing, he again was denied assistance, absent an expert report provided hours
    beforehand from a mental health expert who did not have the opportunity to review
    his full psychiatric history. This was not meaningful assistance. For these reasons,
    Alabama’s resolution of McWilliams’s Ake claim was “an unreasonable
    application of clearly established Federal law.” 
    28 U.S.C. § 2254
    (d)(1).
    Therefore, I would reverse the district court’s denial of McWilliams’s habeas
    33
    Case: 13-13906     Date Filed: 12/16/2015    Page: 34 of 46
    petition with directions to remand the case to state court for a new sentencing
    hearing.
    I.
    The penalty phase of McWilliams’s trial began on August 28, 1986. On that
    date, a sentencing hearing was held before the jury. Although McWilliams
    received psychological services in the months leading up to the murder of Patricia
    Reynolds and his mental health history formed the basis of his mitigation case, the
    trial court did not provide him access to a psychiatrist during this phase.
    Moreover, defense counsel subpoenaed Dr. Sherril Rhodes to testify at the hearing,
    but Dr. Rhodes did not appear. Ultimately, McWilliams and his mother were the
    only witnesses for the defense during the penalty phase. Meanwhile, the State
    proffered multiple expert psychiatric witnesses.
    McWilliams’s judicial sentencing hearing was scheduled for October 9,
    1986. On September 30, 1986, the trial court appointed a clinical
    neuropsychologist, Dr. John R. Goff—a state employee—to examine McWilliams
    and generate a report. Dr. Goff provided his report to both the prosecution and
    defense on October 7, 1986. The report stated that McWilliams’s
    “neuropsychological assessment [wa]s reflective of organic brain dysfunction
    which is localized to the right cerebral hemisphere.” It also found there was
    evidence of “cortical dysfunction attributable to the right cerebral hemisphere
    34
    Case: 13-13906     Date Filed: 12/16/2015     Page: 35 of 46
    dysfunction.” The report concluded that “in light of [McWilliams’s] obvious
    neuropsychological deficit, organic personality syndrome should be considered.”
    The next day, on October 8, the court advised defense counsel that it had just
    received McWilliams’s medical and psychiatric Department of Corrections (DOC)
    records, which counsel had subpoenaed multiple times. However, various records
    remained missing. The DOC produced more records on October 9—the day of the
    sentencing hearing.
    Faced with less than 48 hours to review this new information and consider
    its usefulness, defense counsel sought more time to secure the services of an expert
    to assist him in evaluating the records. Counsel stated to the court:
    [G]iven the nature of this case . . . it is necessary on my
    part to have someone else review these findings. . . .
    [W]e are unable to present anything because of the
    shortness of time between which this material was
    supplied to us and the date of the hearing. . . . It is the
    position of the Defense that we received these records at
    such a late date, such a late time that it has put us in a
    position as layman, with regard to psychological matters,
    that we cannot adequately make a determination as to
    what to present to The [sic] Court with regards to the
    particular deficiencies that the Defendant has. . . . [W]e
    really need an opportunity to have the right type of
    experts in this field, take a look at all of those records and
    tell us what is happening with him. And that is why we
    renew the Motion for a Continuance.
    Nevertheless, the court denied the Motion for Continuance.
    35
    Case: 13-13906     Date Filed: 12/16/2015    Page: 36 of 46
    This sequence of events does not constitute the meaningful access to a
    mental health expert contemplated by Ake.
    II.
    A. An Unreasonable Application of Ake
    Ake is unequivocal: due process requires states to provide a defendant the
    access to a psychiatrist necessary to assure him “a fair opportunity to present his
    defense” and the ability “to participate meaningfully in [his] judicial
    proceeding[s].” See Ake, 
    470 U.S. at
    76–77, 83–84, 
    105 S. Ct. at
    1092–93, 1096–
    97; Medina v. California, 
    505 U.S. 437
    , 444–45, 
    112 S. Ct. 2572
    , 2577 (1992)
    (“The holding in Ake can be understood as an expansion of earlier due process
    cases holding that an indigent criminal defendant is entitled to the minimum
    assistance necessary to assure him a fair opportunity to present his defense and to
    participate meaningfully in the judicial proceeding.” (internal quotation marks
    omitted)). Accordingly, “[t]he [s]tate must, at a minimum, assure the defendant
    access to a competent psychiatrist who will conduct an appropriate examination
    and assist in evaluation, preparation, and presentation of the defense.” Ake, 
    470 U.S. at 83
    , 
    105 S. Ct. at 1096
     (emphasis added). This requirement applies to any
    trial or sentencing proceedings in which the defendant’s mental health will be a
    36
    Case: 13-13906      Date Filed: 12/16/2015       Page: 37 of 46
    significant factor.1 See 
    id.
     at 83–84, 
    105 S. Ct. at
    1096–97; Blanco v. Sec’y, Fla.
    Dep’t of Corr., 
    688 F.3d 1211
    , 1223 (11th Cir. 2012).
    Providing further insight into the type of assistance compelled by Ake, the
    Ake Court explained the role of the psychiatrist in this context as: (1) gathering
    facts—through an examination, interviews, and elsewhere—to share with the judge
    and jury; (2) analyzing the information gathered and rendering conclusions about
    the defendant’s mental condition; (3) assisting the defendant with identifying the
    probative questions to ask of the prosecution’s psychiatrists; (4) assisting the
    defendant with understanding the opinions proffered by the other party’s
    psychiatrists; and (5) helping lay jurors make a sensible and educated
    determination about the defendant’s mental condition. See Ake, 
    470 U.S. at
    80–81,
    
    105 S. Ct. at 1095
    .
    Thus, Ake does not simply entitle a criminal defendant to expert assistance;
    the assistance must be meaningful. McWilliams was denied this right during both
    the penalty phase and judicial sentencing hearing.
    1
    Here, it was clear that McWilliams’s mental health was a significant factor in his
    sentencing proceedings, including both the penalty phase and judicial sentencing hearing. There
    is no dispute among the parties that McWilliams’s rights under Ake were triggered for the
    judicial sentencing hearing. Moreover, at the penalty phase, the trial court was aware of the
    substantial role that McWilliams’s mental health was to play in his case for mitigation—the
    defense informed the court that it subpoenaed a mental health expert to testify at the penalty
    phase hearing, and at the hearing, the State offered expert psychiatric testimony, and
    McWilliams’s mother testified about McWilliams’s childhood head trauma.
    37
    Case: 13-13906     Date Filed: 12/16/2015    Page: 38 of 46
    1. As with the Defendant in Ake, McWilliams Was Not Provided Any
    Psychiatric Assistance When He Appeared Before the Jury for
    Sentencing.
    The facts surrounding McWilliams’s penalty phase hearing mirror those that
    resulted in a denial of due process in Ake. After the defendant in Ake was found
    guilty, he appeared before the jury for sentencing. During this proceeding, the
    prosecution relied on testimony from state psychiatrists who examined the
    defendant, but the defendant had “no expert witness to rebut this testimony or to
    introduce on his behalf evidence in mitigation of his punishment.” 
    Id. at 73
    , 
    105 S. Ct. at 1091
    . The Court held that the defendant was denied due process as a result
    of the state’s failure to provide him access to a psychiatrist at the proceeding. 
    Id.
    at 86–87, 
    105 S. Ct. at 1098
    . Likewise, McWilliams appeared before the jury for
    sentencing—his “penalty phase” hearing—after his verdict was rendered, and the
    trial court did not provide him any access to a psychiatrist, leaving him with no
    means to rebut the State’s expert testimony. Therefore, as in Ake, McWilliams was
    denied due process when he appeared before the jury for sentencing.
    2. The Trial Court Failed to Provide McWilliams Meaningful
    Assistance at the Judicial Sentencing Hearing.
    The trial court’s failure during the penalty phase could have been remedied
    through the provision of meaningful expert assistance for the judicial sentencing
    hearing. But, the trial court did not provide McWilliams such assistance, thereby
    denying him due process.
    38
    Case: 13-13906    Date Filed: 12/16/2015    Page: 39 of 46
    First, Dr. Goff’s late arrival to the proceedings rendered any assistance he
    could provide a nullity, not the meaningful assistance contemplated by Ake. This
    court has previously explained that a psychiatric examination must be done “at
    such a time to allow counsel a reasonable opportunity to use the psychiatrist’s
    analysis in the preparation and conduct of the defense.” Blake v. Kemp, 
    758 F.2d 523
    , 533 (11th Cir. 1985). Dr. Goff was unable to provide assistance to the
    defense until less than 48 hours before the judicial sentencing hearing—when his
    report and findings were finally completed. This was an inadequate amount of
    time for Dr. Goff to educate defense counsel on the report, assist counsel in
    developing a strategy and testimony for the hearing, and/or help counsel
    understand and respond to the testimony put forth by the State’s expert witnesses at
    the penalty phase. See Ake, 
    470 U.S. at
    80–81, 
    105 S. Ct. at 1095
    . In light of the
    technical nature of the report and McWilliams’s complex mental health history, the
    defense did not even have enough time to achieve the basic level of understanding
    of the report needed to use it at the hearing. Moreover, in the hours leading up to
    the hearing, defense counsel had to determine how the newly provided DOC
    records related to the report’s findings. Thus, any assistance received from Dr.
    Goff’s report was superficial and far from meaningful.
    Second, Dr. Goff could not provide competent assistance because he did not
    have the benefit of reviewing critical mental health records. Despite defense
    39
    Case: 13-13906       Date Filed: 12/16/2015      Page: 40 of 46
    counsel’s multiple requests to the DOC, the DOC did not produce McWilliams’s
    mental health records until hours before the sentencing hearing—after Dr. Goff’s
    report was completed. These records showed, inter alia, that McWilliams was
    medicated with antipsychotics and antidepressants while incarcerated. Without
    access to these highly relevant records, Dr. Goff could not have provided a
    meaningful analysis. 2 See Blake, 
    758 F.2d at
    532–33 (finding the defendant was
    denied due process because the state did not produce records relevant to his expert
    psychiatrist’s testimony until the day before trial); Starr v. Lockhart, 
    23 F.3d 1280
    ,
    1288–89 (8th Cir. 1994) (holding that the defendant was denied due process under
    Ake where the psychiatrist was merely “[un]able to interpret or explain” relevant
    information, including the results of past mental health examinations).
    Third, in order to obtain meaningful assistance from a psychiatrist, the
    defense must be able to speak freely with the psychiatrist about its case, without
    the prosecution’s access to the discussion. As McWilliams points out in his brief,
    Ake is not satisfied by an expert “who would provide . . . assistance to the
    defendant, only to cross the aisle and disclose to the State the future cross-
    2
    Additionally, under these circumstances—where the factfinder is deprived of expert
    testimony on parts of the defendant’s psychiatric history—the factfinder “loses the substantial
    benefit of potentially probative information,” resulting in “a much greater likelihood of an
    erroneous decision.” See Ford v. Wainwright, 
    477 U.S. 399
    , 414, 
    106 S. Ct. 2595
    , 2604 (1986)
    (plurality opinion) (discussing the application of Ake).
    40
    Case: 13-13906        Date Filed: 12/16/2015         Page: 41 of 46
    examination of defense counsel.” However, as a neutral expert, Dr. Goff was free
    to make such a disclosure.
    Relatedly, Ake requires that a defendant receive an opportunity—through an
    independent psychiatrist—to “develop[] his own psychiatric evidence to rebut the
    [State’s] evidence and to enhance his defense in mitigation.” Tuggle v.
    Netherland, 
    516 U.S. 10
    , 13, 
    116 S. Ct. 283
    , 285 (1995) (per curiam) (emphasis
    added). In addition to being a state employee with the ability to speak to the
    prosecution about his report and the defense’s case, Dr. Goff provided his report to
    the defense and prosecution at the same time. Clearly, the report did not serve as
    McWilliams’s “own psychiatric evidence.” 3
    In sum, far from simply being denied the chance to choose his own
    psychiatrist or receive funds to hire his own psychiatrist, McWilliams was
    deprived of basic access to a psychiatrist. Although his life was at stake and his
    case for mitigation was based on his mental health history, McWilliams received
    3
    Indeed, we previously stated that “[t]he right to psychiatric assistance does not mean the
    right to place the report of a ‘neutral’ psychiatrist before the court; rather it means the right to use
    the services of a psychiatrist in whatever capacity defense deems appropriate.” Cowley v.
    Stricklin, 
    929 F.2d 640
    , 644 (11th Cir. 1991) (internal quotation marks omitted). Furthermore,
    the Majority opinion puts us at odds with our sister circuits on this issue. See Starr, 
    23 F.3d at
    1287–88, 1290–91, 1294 (examining the relationship between Ake and United States ex rel.
    Smith v. Baldi, 
    344 U.S. 561
    , 
    73 S. Ct. 391
     (1953) and reversing where the defendant was
    provided a “neutral” state examiner); Smith v. McCormick, 
    914 F.2d 1153
    , 1157–58 (9th Cir.
    1990) (holding that Ake requires the provision of a non-neutral psychiatrist); United States v.
    Sloan, 
    776 F.2d 926
    , 929 (10th Cir. 1985) (“The essential benefit of having an expert in the first
    place is denied the defendant when the services of the doctor must be shared with the
    prosecution.”).
    41
    Case: 13-13906        Date Filed: 12/16/2015        Page: 42 of 46
    an inchoate psychiatric report at the twelfth hour and was denied the opportunity to
    utilize the assistance of a psychiatrist to develop his own evidence. As a result,
    McWilliams was precluded from meaningfully participating in the judicial
    sentencing hearing and did not receive a fair opportunity to rebut the State’s
    psychiatric experts. Put simply, he was denied due process. See Simmons v. South
    Carolina, 
    512 U.S. 154
    , 164–65, 
    114 S. Ct. 2187
    , 2194 (1994) (plurality opinion)
    (citing Ake, 
    470 U.S. at
    83–87, 
    105 S. Ct. 1096
    –98) (holding that defendant was
    denied due process where he was “prevented from rebutting information that the
    sentencing authority considered”). Given these circumstances, the state court’s
    application of Ake was unreasonable.4
    B. A Substantial and Injurious Effect
    We are required to grant habeas relief for an “Ake error” if the error had a
    “substantial and injurious effect” on the trial or sentencing. See Hicks v. Head, 333
    4
    The concurring opinion states that the Supreme Court has not addressed whether Ake is
    satisfied by the appointment of a neutral psychiatrist and, therefore, the state court did not
    unreasonably apply Ake. This focus on the “neutral expert” issue misses the point. Assuming
    for the sake of argument that a state’s failure to provide a defendant access to his own
    psychiatrist is not contrary to Ake, the state court’s decision is still an unreasonable application of
    Ake. As noted above, Ake plainly holds that when a defendant’s mental health is a significant
    factor at trial or sentencing, due process requires that the defendant receive access to a
    psychiatrist who can competently “assist in [the] evaluation, preparation, and presentation of
    [his] defense.” See Ake, 
    470 U.S. at 83
    , 
    105 S. Ct. at 1096
    . Regardless of the “neutral expert”
    issue, Dr. Goff was unable to assist defense counsel with the preparation and presentation of the
    defense because he did not finish his report until hours before the sentencing hearing and did not
    have access to pivotal mental health records. Solely considering these deficiencies, it is clear
    that McWilliams was denied “the assistance of a psychiatrist for the development of his defense.”
    See Simmons, 
    512 U.S. at 165
    , 
    114 S. Ct. at 2194
     (emphasis added) (summarizing the holding in
    Ake). Said another way, the concurring opinion’s focus on the “neutral expert” issue misses the
    broader controlling issue: whether McWilliams received access to meaningful expert assistance.
    42
    Case: 13-13906     Date Filed: 12/16/2015    Page: 43 of 
    46 F.3d 1280
    , 1286 (11th Cir. 2003) (quoting Brecht v. Abrahamson, 
    507 U.S. 619
    ,
    623, 
    113 S. Ct. 1710
    , 1714 (1993)) (internal quotation marks omitted). Alabama’s
    Ake error had this effect on McWilliams’s death sentence, as it precluded
    McWilliams from offering evidence that directly contradicted the psychiatric
    evidence put forward by the State.
    At the penalty phase of his trial, McWilliams had no opportunity to respond
    to testimony provided by the State’s expert psychiatrists opining that McWilliams
    was a malingerer who “faked” mental illness. He was reduced to reading to the
    judge and jury a technical psychiatric report that indicated he was potentially
    psychopathic, but the information was virtually useless in the absence of an expert
    who could explain the report and answer the State’s questions. At the judicial
    sentencing hearing, McWilliams was again denied the assistance he required to
    respond to the State’s expert testimony. Hence, as a result of the trial court’s error,
    a convicted murderer had to testify about his own mental health, was called a liar
    by State experts, and then was prevented from showing otherwise.
    Testimony from McWilliams’s state post-conviction hearing shows that,
    with appropriate assistance, he would have been in position to confront the State’s
    evidence that he was merely feigning mental health issues. At the post-conviction
    hearing, Dr. George Woods—an expert in psychiatry and neurology—stated that
    McWilliams’s psychiatric testing indicated a “cry-for-help.” He then explained the
    43
    Case: 13-13906    Date Filed: 12/16/2015   Page: 44 of 46
    difference between a “fake-bad” and a “cry-for-help” diagnosis; the former is
    “someone attempting to make themselves look worse,” and the latter, while
    seemingly “very similar” to the former, actually reflects “significant psychiatric
    and psychological problems.” Dr. Woods further contradicted the State’s experts
    by concluding McWilliams was suffering from bipolar disorder the night of the
    crime. Dr. Woods’s findings relied on, inter alia, records from the DOC showing
    McWilliams was medicated with antipsychotics and antidepressants throughout his
    entire incarceration. Due to the trial court’s failures, McWilliams was wholly
    unable to present this or similar evidence during sentencing.
    Despite this powerful evidence, the concurring opinion finds that
    McWilliams has not shown a substantial and injurious effect “in part because . . .
    [he] did not present Dr. Goff as a witness at the state post-conviction hearing[,]”
    and therefore, “we do not know how additional time with Dr. Goff (and his report)
    would have benefited the defense.” See Concurring Op. at 32. But, this argument
    is belied by Dr. Woods’s testimony, which shows that McWilliams would have
    presented “different,” significantly “more viable” mental health evidence during
    sentencing if he was afforded an expert who actually reviewed his full psychiatric
    history and had more than a few hours to assist the defense. See Hicks, 
    333 F.3d at 1287
    .
    44
    Case: 13-13906     Date Filed: 12/16/2015   Page: 45 of 46
    Furthermore, when considering whether a defendant was prejudiced by a
    constitutional error that affected his presentation of mitigation evidence, we are
    required to “evaluate the totality of the available mitigation evidence—both that
    adduced at trial, and the evidence adduced in the habeas proceeding”—and
    “reweigh[] it against the evidence in aggravation.” See Williams v. Taylor, 
    529 U.S. 362
    , 397–98, 
    120 S. Ct. 1495
    , 1515 (2000) (citing Clemons v. Mississippi,
    
    494 U.S. 738
    , 751–52, 
    110 S. Ct. 1441
    , 1449–50 (1990)); Hicks, 
    333 F.3d at
    1286–
    87 (weighing the mitigation evidence presented during trial and habeas
    proceedings in considering whether an Ake error had a substantial and injurious
    effect). In other words, we must consider the evidence before us. Nonetheless, my
    concurring colleague is dissuaded, in part, because “McWilliams did not present
    Dr. Goff as a witness at the state post-conviction hearing.” Concurring Op. at 32.
    In light of the relevant precedent, I am inclined, however, to weigh the evidence in
    the record, rather than opine about the value of hypothetical evidence not in the
    record. See Williams, 
    529 U.S. at
    397–98, 
    120 S. Ct. at 1515
    .
    After weighing the available evidence, we are required to ask ourselves:
    “does a grave doubt exist as to whether” the Ake error “substantially influence[d]”
    McWilliams’s sentence? See Duest v. Singletary, 
    997 F.2d 1336
    , 1339 (11th Cir.
    1993) (per curiam). To me, the answer to this question is clear. McWilliams has
    shown that but-for the trial court’s Ake error, the court would have been faced with
    45
    Case: 13-13906     Date Filed: 12/16/2015    Page: 46 of 46
    a starkly different record. McWilliams has put forth evidence contesting the
    Lunacy Commission, showing he was not malingering, and demonstrating that he
    suffered from a major mental illness at the time of the crime. Therefore, I cannot
    find that the Ake error did not substantially influence McWilliams’s sentence.
    III.
    Because the state court’s resolution of McWilliams’s Ake claim was an
    unreasonable application of Ake itself and this error had a substantial and injurious
    effect, I dissent. To remedy the error, I would reverse the district court’s denial of
    the petition for a writ of habeas corpus so that the matter can be remanded to the
    state court for a new sentencing hearing.
    46