People v. Cowell CA1/1 ( 2022 )


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  • Filed 12/1/22 P. v. Cowell CA1/1
    NOT TO BE PUBLISHED IN OFFICIAL REPORTS
    California Rules of Court, rule 8.1115(a), prohibits courts and parties from citing or relying on opinions not certified for
    publication or ordered published, except as specified by rule 8.1115(b). This opinion has not been certified for publication or
    ordered published for purposes of rule 8.1115.
    IN THE COURT OF APPEAL OF THE STATE OF CALIFORNIA
    FIRST APPELLATE DISTRICT
    DIVISION ONE
    THE PEOPLE,                                                             A160637
    Plaintiff and Respondent,
    (Alameda County
    v.                                                                   Super. Ct. No. 18-
    JOHN LEE COWELL,                                                  CR-01-6431)
    Defendant and Appellant.
    ORDER MODIFYING
    OPINION AND
    DENYING
    REHEARING
    [NO CHANGE IN
    JUDGMENT]
    THE COURT:
    It is ordered that the opinion filed herein on November 15, 2022, be
    modified as follows:
    1. On page 48: The first full sentence which reads, “And the fact the
    jury found defendant guilty of attempted murder and found true the
    allegation that he committed the attempted murder willfully and
    with premeditation and deliberation, demonstrates that any error in
    not including ‘intent to kill’ and not referencing the special
    circumstance of lying in wait in the CALCRIM No. 3428 instruction
    was harmless, as it is not reasonably probable a more favorable
    1
    result would have been reached had the asserted error not occurred.
    (See People v. Ocegueda, supra, 247 Cal.App.4th at p. 1407 [whether
    error in limiting jury’s consideration of mental disability evidence
    was prejudicial is determined under Watson standard].)” shall be
    modified to read:
    And the fact the jury found defendant guilty of attempted murder
    and found true the allegation that he committed the attempted murder
    willfully and with premeditation and deliberation, demonstrates that
    any error in not including ‘intent to kill’ and not referencing the special
    circumstance of lying in wait in the CALCRIM No. 3428 instruction
    was harmless under either the federal or state standard of prejudicial
    error. (See Townsel, supra, 63 Cal.4th at p. 64.)”
    2. Footnote 17 should be deleted, and all subsequent footnotes
    renumbered accordingly.
    There is no change in the judgment.
    The petition for rehearing is denied.
    Dated:                         ________________________________
    Humes, P. J.
    2
    Filed 11/15/22 P. v. Cowell CA1/1 (unmodified opinion)
    NOT TO BE PUBLISHED IN OFFICIAL REPORTS
    California Rules of Court, rule 8.1115(a), prohibits courts and parties from citing or relying on opinions not certified for
    publication or ordered published, except as specified by rule 8.1115(b). This opinion has not been certified for publication or
    ordered published for purposes of rule 8.1115.
    IN THE COURT OF APPEAL OF THE STATE OF CALIFORNIA
    FIRST APPELLATE DISTRICT
    DIVISION ONE
    THE PEOPLE,
    Plaintiff and Respondent,                                     A160637
    v.                                                                      (Alameda County
    JOHN LEE COWELL,                                                        Super. Ct. No. 18-CR-01-6431)
    Defendant and Appellant.
    Defendant John Lee Cowell was charged with first degree murder and
    attempted murder. Several enhancements were also alleged. He pled not
    guilty by reason of insanity. Following the guilt phase of his trial, a jury
    convicted him of all charges. Later, during the sanity phase, the trial court
    directed a verdict that defendant was sane at the time he committed the
    offenses.
    On appeal, defendant claims numerous errors occurred during both
    phases, although he does not challenge the sufficiency of the evidence
    supporting his convictions. He contends the trial court erred by (1) failing to
    reinstate competency proceedings; (2) conditioning his presence at trial on his
    willingness to be cross-examined; (3) refusing to permit the jury to consider
    evidence of mental disease in connection with the lying-in-wait special
    circumstance; (4) striking his testimony for the sanity phase; (5) excluding
    1
    defense expert witness testimony during the sanity phase; (6) directing a
    verdict on sanity after the jury began deliberations; and (7) denying motions
    for mistrial. He additionally maintains the prosecutor committed misconduct
    throughout the trial.
    We affirm.
    BACKGROUND1
    On a July 2018 night, three sisters, N.W., L.W., and T.W.2 were waiting
    for a BART train at the Concord station. Defendant was also on the platform.
    All four boarded a train headed toward Oakland. T.W. and L.W. sat together,
    and N.W. stood nearby. Defendant, who was wearing a gray hoodie and
    sunglasses, sat near the sisters, but there was no interaction between them.
    At the MacArthur station, the sisters exited the train in order to transfer,
    and defendant followed.
    When the next train arrived, T.W. boarded and took a seat. But before
    N.W. and L.W. could board, defendant stabbed both in the neck with a
    kitchen knife, which he had secreted in his pants pocket.
    BART Police Officer Andres Rocha was on duty at the MacArthur
    station when he heard “people screaming and . . . running” towards him.
    They pointed Rocha toward the platform and told him “someone had a knife.”
    Defendant had, by then, mixed in with the crowd and joined in “directing [the
    police] back towards the BART station.” Rocha found N.W. and L.W. “seated
    on the ground, both bleeding.” He began chest compressions on N.W., who
    1 Because what happened on the night of the crimes was largely
    uncontested, we provide only a brief overview of the facts here. We discuss
    other aspects of the trial in more detail in connection with our discussion of
    the issues on appeal.
    2 We use the victims’ initials to protect their privacy interests. (Cal.
    Rules of Court, rule 8.90(b).)
    2
    had “blood pouring” from her neck and mouth, until an EMT arrived and took
    over. N.W. died at the scene from her injuries—a two-inch deep stab to her
    carotid artery. L.W. was transported to a hospital and released the following
    day.
    About an hour after Officer Rocha was directed to the platform,
    defendant boarded a bus, telling the driver he had injured his leg. Defendant
    asked the driver to take him to the next nearest BART station, and the driver
    let him off near the 12th Street station.
    The following day, using video footage that captured defendant’s path
    after exiting the MacArthur station, BART police officers followed
    defendant’s probable trail toward a parking structure. There, they recovered
    a pair of tan pants that matched the ones defendant was wearing in the
    footage. The pants had “three tears” in the front pocket. At a nearby
    construction site, officers found a kitchen knife.3 Officers also found a
    backpack containing defendant’s medical documents, prescription bottles,
    and a hoodie matching the one defendant was wearing in the surveillance
    footage.
    BART officers later arrested defendant on a train at the Pleasant Hill
    station. He was coherent, responsive, and did not exhibit any signs that
    caused “concern about his mental health well-being.”
    The Alameda County district attorney filed an indictment charging
    defendant with one count of murder (Pen. Code, § 187, subd. (a)—count 1)4
    with alleged special circumstances of lying in wait (§ 190.2, subd. (a)(15)) and
    Defendant “could not be excluded as the possible major contributor”
    3
    to a DNA mixture found on the knife.
    All further statutory references are to the Penal Code unless
    4
    otherwise indicated.
    3
    personally using a deadly weapon (§ 12022, subd. (b)(1)), and one count of
    attempted murder (§§ 187, subd. (a), 664, subd. (a)—count 2) with allegations
    that defendant had acted with deliberation and premeditation, had
    personally used a deadly weapon and had personally inflicted great bodily
    injury (§ 12022.7, subd. (a)). It was further alleged defendant had suffered
    two prior felony convictions within the meaning of the Three Strikes law.
    (§§ 667, subd. (e)(2), 1170.12, subd. (c)(2).)
    Defendant entered a plea of not guilty by reason of insanity. In support
    of his plea, defendant presented extensive evidence of his mental health
    history, in the form of testimony from treating physicians, defendant’s own
    testimony, testimony from family members, and testimony from expert
    witnesses.
    Treating Providers
    Dr. Jesus Perez, a psychiatrist, treated defendant at Atascadero
    Hospital.5 During an interview, defendant told Dr. Perez that “he used
    marijuana and methamphetamines on a daily basis, multiple times per day,”
    that he “also had an issue of using heroin on and off,” and that he “was
    drinking up to a fifth of vodka a day leading up to his arrest.” While
    defendant “was endorsing that he was hearing voices during the interview,”
    he was “very vague with his report of the voices.” Dr. Perez did not “see any
    evidence that he was actually experiencing outward hallucinations at the
    time.” Dr. Perez diagnosed defendant with “schizoaffective disorder, bipolar
    type, antisocial personality disorder; amphetamine type use disorder; alcohol-
    use disorder; cannabis-use disorder, [and] opioid-use disorder.”
    5Defendant was admitted to Atascadero in early 2018 and discharged
    four months later.
    4
    A month before the stabbings, at Contra Costa County Hospital,
    Dr. Jonathan Patberg treated defendant two times, a week apart. On the
    first occasion, defendant appeared high. He stated he used heroin “every
    couple of days” and wanted to get Suvoxone, a medication to “treat[] opioid
    addiction.” Dr. Patberg did not prescribe Suvoxone at that time. A week
    later, on the second occasion, defendant once again sought “treatment for his
    opioid use history.” This time, he also complained about the “presence of
    breast implants,” which he wanted evaluated and taken out. Defendant also
    told Dr. Patberg he was “hearing voices” but maintained he was still taking
    Zyprexa, “an anti-psychotic” medication and Buspar, an “[a]nti-depressant;
    anti-anxiety” medication. This time, Dr. Patberg prescribed the requested
    Suvoxone.
    A little over a week before the stabbings, Dr. Teresita Pontejos-
    Murphy, a staff psychiatrist at John George Psychiatric Pavilion, an in-
    patient psychiatric hospital, testified she treated defendant after he was
    placed at the hospital on a Welfare and Institutions Code section 5150 hold.
    Defendant reported he “had been hearing voices telling him that people were
    out to kill him.” Dr. Pontejos-Murphy believed “those problems . . . were to be
    associated with medication noncompliance.” Upon initial evaluation, Dr.
    Pontejos-Murphy noted defendant was a “ ‘pleasant; somewhat manipulative
    male; limited eye contact; no gross . . . motor agitation,’ ” and he was
    “[a]lerted to person, place, and time.” On the date defendant was discharged,
    he “denied any suicidal ideation or homicidal ideation,” “denied any auditory
    hallucinations or visual hallucinations.” If, on the expected date of discharge,
    a person is “a danger to himself or others,” Dr. Pontejos-Murphy will not
    approve the discharge. Defendant had been scheduled to be released the day
    before, but was suicidal and “kept for another day.”
    5
    Four days before the stabbings, defendant went to the Kaiser Oakland
    emergency department where he was seen by Dr. Yin Huang. Defendant told
    Huang he had suicidal ideations, was hearing auditory hallucinations, was
    homeless, and someone had stolen $800 from him and had thrown urine on
    him. Huang referred defendant to John George Psychiatric Pavilion on a
    Welfare and Institutions Code section 5150 hold. He was released the
    following day.
    The day before the stabbings, defendant returned to the emergency
    department at Kaiser Oakland and was seen by Dr. Thomas Catron. Catron
    did not specifically remember the interaction, but his notes indicate
    defendant’s “only concern” was that he had “twisted his ankle a week ago,
    and it wasn’t feeling better.” Catron ordered an X-ray, wrapped defendant’s
    foot, gave him ibuprofen and acetaminophen, and released him.
    After defendant was arrested, and during the following year, defendant
    was treated at the Santa Rita jail by Behavioral Health Clinician Ian Vianu.6
    Defendant told Vianu he “was feeling optimistic about the possibility of a not
    guilty by reason of insanity outcome in his court case.” After several months,
    he was held in an isolated housing unit with “very limited contact” with other
    inmates. He claimed auditory hallucinations were “commanding” him to “get
    to the dorms and be around people.” He was also designated as an “Intensive
    Observation Log” which is a “designation for inmates who are deemed high
    risk to themselves.” This designation comes with “restrictions around what
    [inmates] are allowed to have in their cells and on their body.” Defendant
    told Vianu that he wanted “off IOL” because he wanted to “have an
    undershirt, underwear, access to a razor, and . . . access to various paper
    inside of his cell.”
    6   Defendant was held at Santa Rita beginning in the summer of 2018.
    6
    A few weeks later, defendant stated he was “no longer bothered” by
    auditory hallucinations and he had stopped taking his medication.
    Defendant told Vianu that although he was still having auditory
    hallucinations, he “kind of like[d] them; they are not bothering me; I’m not
    going to take my meds.’ ” He stated his court case “ ‘could be going better,
    but he was still hopeful for a NGI verdict.’ ” Defendant once again expressed
    a desire to change housing units and became “verbally aggressive” toward
    Vianu for “not supporting him sufficiently in moving him to another housing
    unit.” He also indicated “he needed to be moved off” his current unit because
    “a deputy had been threatening him.” Vianu stated that over the course of
    his contact with defendant his auditory hallucinations were “ ‘consistently
    inconsistent.’ ”
    The following month, defendant told Vianu, “ ‘a possible mental
    competency evaluation is quote/unquote so easy to ace the test.’ ” When
    Vianu asked him to clarify, he stated that he wanted “ ‘to look crazy.’ ”
    After nearly a year in custody, defendant was moved off the observation
    log and moved to a different unit with more contact. He was still not taking
    medication and remained in a “good mood.” At the time Vianu left his
    position, in July 2019, defendant remained off of his medication.
    Dr. Neal Edwards, a psychiatrist, testified he had treated defendant for
    a period of time while he was at Santa Rita jail. During that time, although
    defendant talked about his auditory hallucinations, he never “indicated a
    fixed delusion that somebody had kidnapped his grandmother and he needed
    to rescue her.” Dr. Edwards stated there were “a lot of inconsistencies” in
    defendant’s reporting of auditory hallucinations. Defendant was on
    medication until December 2018, when he no longer wanted to take anything.
    7
    Defendant’s Testimony
    Defendant testified that he has been diagnosed with schizoaffective,
    bipolar, amphetamine-type substance use, opioid use, and antisocial
    personality disorders, and depression. He had been arrested and placed on “a
    lot” of Welfare and Institutions Code section 5150 holds and had also served a
    two-year sentence at a state hospital.
    When defense counsel asked defendant if he ever “experienced a
    delusion where you believe that you are seeing something that other people
    can’t see,” defendant responded, “Are you talking about fake skin?” When
    asked to clarify “fake skin,” defendant said, “Fake skin, something that you
    put on your body, cut someone’s else’s skin off maybe, or understand that
    hologram means hazardous. It means why can’t you explain to me why black
    skin and white skin are different. Like, are we in an area that you can’t
    explain things anymore. So people say fake skin—fake skin aliens make fake
    skin on people; do surgery on people you don’t know who the person is
    anymore that’s surgery on their face, on their voice, so you don’t recognize
    them. They have fake skin. Your parents look different. You don’t know it’s
    fake skin, fake people, fake skin.”
    Defendant also claimed he heard voices and said he remembered
    “hearing voices” after he was released from the state hospital, although he
    did not remember what the voices said.
    On the day of the stabbings, he recalled “being threatened by three
    Black females that were together.” He admitted to the stabbings, but
    asserted he had committed the acts because he thought all three were “going
    to assault my grandmother,” and that they “said they had my grandmother
    8
    kidnapped.”7 He believed the “women on the train were aliens” and claimed
    “they’re involved in the kidnapping.”
    On cross-examination, defendant stated he believed the women “were
    gang members” and that he was “rescuing my family from gang members.”
    He asserted “it’s not illegal to aid, save, or rescue my family from a gang.” He
    admitted his grandmother was not on the train, and that he “didn’t have a
    visual hallucination of [his] grandmother being assaulted.”
    Throughout portions of his cross-examination, defendant claimed not to
    remember. He did not remember telling doctors “that most of the time [he]
    got 5150’d was because [he was] just looking for a place to sleep,” that he had
    “never mentioned ‘aliens’ ” or “fake skin” before in his “mental health
    treatment,” or that he took heroin, methamphetamines, and drank “every
    day” before going to prison. Nor did he remember that three days before the
    stabbings he told “mental health treatment providers . . . that [he] had no
    auditory or visual hallucinations.” And he did not remember telling the
    clinicians at jail that he “want[ed] to look crazy,” that he “ ‘just want[ed] to go
    back to Atascadero so they can release me,’ ” and that he was “feeling
    optimistic about the possibility of not guilty by reason of insanity.”
    At one point during cross-examination, defendant refused to answer the
    prosecutor’s questions, and the court recessed until the following day.
    The next day, defendant refused to come to court, and the trial court
    ordered that “he be brought to court voluntarily or involuntarily.” Once
    defendant arrived, he once again refused to answer any questions and,
    instead, repeatedly accused the prosecutor of telling his attorney that he was
    7   Defendant’s grandmother passed away in 2013.
    9
    not guilty. He then began yelling obscenities, at which point the court
    ordered him removed from the courtroom.8
    Other Witnesses
    Defendant’s paternal aunt testified that even after defendant’s
    grandmother had “passed in 2013, [defendant] would say that aliens were
    holding her hostage and we need to do something about it; they were going to
    kill her and they were torturing her.” On cross-examination, she
    acknowledged that in her statement to the defense investigator, although she
    talked about defendant’s mental health, she “never mentioned the word
    ‘aliens’ ” or “skin suits.”
    Defendant’s former neighbor testified she had known defendant since
    he was 15 years old, and she “watched [defendant] go from a troubled youth
    into a severely disturbed young adult.” Defendant “became more violent; he
    became more out there, you know, just thinking really bizarre things.” Over
    the 11 years she knew him, defendant “began to lose friends,” and for a
    period of “about five or six months straight, if you wanted to talk to [him] . . .
    you had to open your mouth so he could inspect your teeth for transmitters.”
    On cross-examination, the neighbor confirmed defendant was a “long-time
    drug addict.”
    Defense Experts
    Dr. Jeremy Coles testified as a defense expert in forensic psychology
    during the guilt phase of the trial. Dr. Coles never met defendant because
    defendant refused to meet with him. Instead, Dr. Coles reviewed “about
    10,000 pages or a little bit less of mental health documents.” He opined
    8 We discuss the events pertinent to defendant’s removal from the
    courtroom in more detail in connection with our discussion of the issue on
    appeal.
    10
    defendant was afflicted with schizophrenia, paranoid type. Generally, to
    “meet the criteria” for schizophrenia, a person must “show hallucinations,
    delusions, or disorganized speech. . . . One of those three has to be present,
    and then two other symptoms would be disorganized behavior, maybe like
    laughing to yourself or responding to internal stimuli, getting agitated for no
    reason.” All of those things, among others, were “contained in [defendant’s]
    record in many, many places.”
    Dr. Coles ruled out substance-induced psychotic disorder because
    defendant had been in prison for 16 months and his “symptoms never went
    away, and often got worse. And while there are definitely drugs in prison, it’s
    unlikely that he had access to them both financially and he wasn’t affiliated,
    so loners that are running around the prison with no money generally don’t
    have access.” Dr. Coles also ruled out antisocial personality disorder because
    although there was “antisocial behavior,” Dr. Coles believed that could be
    “best explained by his schizophrenia.” He opined that defendant was in “an
    acute and active episode of schizophrenia leading up to the offense” based on
    his “record in the period all the way up to a week before he committed these
    crimes,” which included “persecutorial delusions; auditory hallucinations;
    telling him to hurt somebody; delusions about having breast implants; he
    wasn’t taking his medication.” Specifically, Dr. Coles stated that as
    defendant was experiencing those symptoms “in the time period leading up to
    the offense,” it is “psychologically probable with pretty high certainty that
    some of that was going on; perhaps all of it at the time of the offense.” Dr.
    Coles did not testify during the sanity phase of the trial, and, in fact, testified
    that while there was “ample evidence to conclude [defendant] was psychotic
    up through all of the records which come to right before the crime,” he could
    not form an opinion “as to how that did or did not interact with what he did.”
    11
    Dr. Jeffrey Gould also testified as a defense expert in psychiatry during
    the guilt phase. Dr. Gould opined defendant “suffers from a psychotic
    disorder,” unspecified, meaning someone who “suffers from a psychotic
    illness, a chronic psychotic disorder, but there was either insufficient
    information or conflicting information available to determine one of the more
    specific psychotic disorders.” Defendant’s psychotic disorder was “separate
    from how substances likely exacerbated his symptoms during times he was
    using.” Defendant had “documented occasions when he was having delusions
    about aliens” and “delusions involving people in fake skins or people being
    imposters.” However, defendant did not “mention that his grandmother had
    been kidnapped” in regard to any of the references about “aliens.” Dr. Gould
    also did not interview defendant, but reviewed “8,000 or 10,000 pages” of
    defendant’s medical records from 2004 to 2018, the police report, and his
    criminal history record. He did not testify during the sanity phase, nor did
    he render any opinion on that subject.
    DISCUSSION
    Guilt Phase Issues
    Competency: Changed Circumstances
    In December 2018, proceedings were suspended after defense counsel
    declared doubt as to defendant’s mental competency. The court appointed
    two alienists to perform an evaluation. One opined defendant was
    incompetent to stand trial (Dr. Marlin Griffith), while the other was unable
    to make a determination (Dr. John Chamberlin).
    [REDACTED TEXT.]
    The district attorney requested defendant be examined by a third
    alienist, Dr. Jason G. Roof. The court granted the request.
    12
    Dr. Roof opined defendant was competent to stand trial. [REDACTED
    TEXT.]
    The parties submitted on the three alienists’ reports. The court found
    Dr. Roof’s report “to be the most . . . persuasive,” and ruled defendant was
    competent to stand trial and reinstated the proceedings.
    Five months later, defense counsel again declared doubt [REDACTED
    TEXT].
    The court declined to suspend criminal proceedings, stating “there are
    two factors that I’m wrestling with in this case. One is the, shall I say,
    symptoms that [defendant] exhibited in his original reports from
    Chamberlain, Griffith, and Roof, were irrational, nonsensical, delusional
    statements. [¶] Now we have silence and refusal to cooperate, just shutting
    down essentially. So we have something that’s different. But in each of those
    three reports, and most specifically in Dr. Roof’s report, we have findings of
    malingering on the part of [defendant]. So if we have malingering—and
    maybe we still do, maybe we don’t, I don’t know—and we have a refusal to
    cooperate, the way I would look at it is my conclusion would be he’s just not
    cooperating, he is—there’s no new evidence of substantial change of
    circumstances or anything that gives in my mind serious doubt about the
    validity of the original competency finding, so I wouldn’t order—I wouldn’t
    reinstate competency proceedings.”
    Instead, the court appointed Dr. Roof to file a supplemental evaluation
    on whether proceedings should be suspended.
    Dr. Roof opined there had been no substantial change of circumstances
    and no new evidence giving rise to a serious doubt about the validity of the
    original competency finding. [REDACTED TEXT.]
    13
    The trial court found there was “not substantial evidence as to
    [defendant’s] incompetence, changed circumstances or new evidence as set
    forth on the record.” The court based its determination on Dr. Roof’s
    supplemental report and the court’s “own observations of the defendant most
    recently” on entering his plea the week prior.
    Three weeks after the trial court made its determination, defense
    counsel again declared doubt as to defendant’s competency. In addition to
    the observations recounted in her prior affidavit, counsel wanted to put more
    examples on the record. Counsel’s observations included: defendant
    “repeatedly smiling and laughing inappropriately, as if he’s responding to
    internal stimuli”; defendant “trying to muffle a laugh and smiling while
    sitting at counsel table”; defendant appearing to have “full-on conversations
    as if there’s another person present”; and defendant “sa[ying] loud things
    inappropriately in front of the potential jurors as they were walking in the
    courtroom” such as “I need to brush my teeth” or “ ‘she won’t have sex with
    me.’ ”
    Based on the court’s “own observations of the defendant most recently
    and taking into consideration [Dr. Roof’s] report,” the court again found there
    were no “changed circumstances such as would require a suspension of the
    criminal proceedings.”
    Defendant maintains the court committed reversible error in failing to
    reinstate competency proceedings. He asserts that during the February 2020
    hearing, his counsel presented substantial evidence that he was experiencing
    new and worsened symptoms, constituting a substantial change of
    circumstance in his mental condition.
    A defendant is incompetent to stand trial if, “as a result of a mental
    health disorder or developmental disability, the defendant is unable to
    14
    understand the nature of the criminal proceedings or to assist counsel in the
    conduct of a defense in a rational manner.” (§ 1367, subd. (a); see People v.
    Parker (2022) 
    13 Cal.5th 1
    , 28–29 (Parker).) Trial of an incompetent
    defendant violates both state and federal due process guarantees. (People v.
    Smith (2003) 
    110 Cal.App.4th 492
    , 499; see U.S. Const., 14th Amend.; Cal.
    Const., art. I, § 15.) Thus, “[a] person shall not be tried or adjudged to
    punishment . . . while that person is mentally incompetent.” (§ 1367,
    subd. (a).)
    “ ‘Penal Code section 1368 requires that criminal proceedings be
    suspended and competency proceedings be commenced if “a doubt arises in
    the mind of the judge” regarding the defendant’s competence (id., subd. (a))
    and defense counsel concurs (id., subd. (b)).’ ” (People v. Wycoff (2021)
    
    12 Cal.5th 58
    , 82.)
    However, “the duty to suspend is not triggered by information that
    substantially duplicates evidence already considered at an earlier, formal
    inquiry into the defendant’s competence, and that when faced with evidence
    of relatively minor changes in the defendant’s mental state, the court may
    rely on a prior competency finding rather than convening a new hearing to
    cover largely the same ground.” (In re Sims (2021) 
    67 Cal.App.5th 762
    , 783.)
    “[W]hen a defendant has already been found competent to stand trial, ‘ “a
    trial court need not suspend proceedings to conduct a second competency
    hearing unless it ‘is presented with a substantial change of circumstances or
    with new evidence’ casting a serious doubt on the validity of that finding.” ’ ”
    (Ibid.)
    Further, “once a defendant has been found to be competent, even
    bizarre statements and actions are not enough to require a further inquiry.”
    (People v. Marks (2003) 
    31 Cal.4th 197
    , 220 (Marks).) Nor is an appellate
    15
    court in a position “ ‘ “ ‘to appraise a defendant’s conduct in the trial court as
    indicating insanity, a calculated attempt to feign insanity and delay the
    proceedings, or sheer temper.’ ” ’ ” (Ibid.)
    Accordingly, “[r]eviewing courts give great deference to a trial court’s
    decision whether to hold a competency hearing.” (Marks, supra, 31 Cal.4th at
    p. 220.) We review the trial court’s finding of no substantial change of
    circumstances or no new evidence casting doubt on the validity of the initial
    competency determination for substantial evidence. (People v. Huggins
    (2006) 
    38 Cal.4th 175
    , 220.)
    Citing to People v. Easter (2019) 
    34 Cal.App.5th 226
     (Easter) and People
    v. Tejeda (2019) 
    40 Cal.App.5th 785
     (Tejeda), defendant asserts counsel
    presented evidence of “different” and “inconsistent” symptoms than formed
    the “basis for the previous competency finding.”
    Both Easter and Tejeda rely in part on People v. Jones (1991) 
    53 Cal.3d 1115
     (Jones) and People v. Rodas (2018) 
    6 Cal.5th 219
     (Rodas).
    In Jones, 
    supra,
     
    53 Cal.3d 1115
    , the defendant, during pretrial
    proceedings, was found competent to stand trial. (Id. at pp. 1128, 1132,
    1153.) After trial, but before the court pronounced judgment, “defense
    counsel asked the court to suspend proceedings . . . to conduct a hearing to
    determine whether defendant was mentally competent.” (Id. at p. 1152,
    fn. omitted.) Counsel explained that “for a substantial period of time
    defendant had been unable to assist in the preparation and defense of the
    case.” Counsel “added that . . . a psychiatrist, was present and would so
    testify.” The trial court declined to suspend proceedings. (Id. at p. 1152.)
    On appeal, the defendant argued counsel’s representations provided
    substantial evidence. (Jones, supra, 53 Cal.3d at p. 1152.) Our Supreme
    Court disagreed, explaining that although counsel asserted the defendant
    16
    was uncooperative, counsel “offered no facts to support that claim” nor did he
    offer any “explicit description of the testimony that [the psychiatrist] could
    offer.” (Id. at p. 1153.) Further, “when . . . a competency hearing has already
    been held, the trial court may appropriately take its personal observations
    into account in determining whether there has been some significant change
    in the defendant’s mental state. This is particularly true when . . . defendant
    has actively participated in the trial. The trial court had an opportunity to
    observe, and converse with, defendant throughout the trial itself and the
    posttrial proceedings. The court appropriately considered these observations
    in concluding that defendant’s condition was essentially unchanged from the
    start of trial, when the court found him competent, to the time he was
    sentenced, when defense counsel asked that proceedings again be
    suspended.” (Ibid.)
    In Rodas, supra, 
    6 Cal.5th 219
    , 224, the defendant, at the outset of the
    proceedings, was found incompetent to stand trial. “After several months of
    treatment with antipsychotic medication, hospital physicians reported that
    defendant had regained trial competence.” (Id. at p. 223.) This
    determination “was effectively conditioned” on defendant’s continued use of
    his antipsychotic medication. (Id. at pp. 232, 235.) The trial court ruled
    defendant was competent and reinstated criminal proceedings. (Id. at
    p. 226.)
    After jury selection, the trial court learned the defendant had stopped
    taking his medication, and defense counsel expressed doubt as to his
    competency. Counsel stated that the defendant had begun communicating
    incoherently, and had started exhibiting some of the same symptoms, namely
    “marked disorganization to his thinking, and “ ‘ “speaking in nonsensical
    terms or word salad with legalistic flavor,” ’ ” (Rodas, supra, 6 Cal.5th at
    17
    p. 224), which had led to earlier episodes of incompetence. Defendant had
    also changed his mind about wanting to testify. (Id. at pp. 227, 231.) After a
    brief colloquy with defendant, the court declined to reinstate competency
    proceedings. (Id. at p. 229.) The defendant testified, despite his counsel’s
    advice to the contrary. The testimony was incoherent, and the trial court
    struck it as irrelevant. (Id. at pp. 223, 229.) The jury returned a guilty
    verdict. (Id. at p. 230.)
    The Supreme Court concluded the trial court erred in failing to suspend
    the criminal proceedings after defense counsel expressed doubt as to the
    defendant’s competency. (Rodas, supra, 6 Cal.5th at pp. 231–232.) The high
    court explained, “The effect of the Jones rule is simply to make clear that the
    duty to suspend is not triggered by information that substantially duplicates
    evidence already considered at an earlier, formal inquiry into the defendant’s
    competence; when faced with evidence of relatively minor changes in the
    defendant’s mental state, the court may rely on a prior competency finding
    rather than convening a new hearing to cover largely the same ground.” (Id.
    at pp. 234–235.) In the instant case, however, the “evidence before the trial
    court made it unreasonable to continue to rely on the prior competence
    finding,” because that finding was “based solely on” the defendant’s continued
    use of his medication, and the trial court had learned the defendant had
    discontinued his medication and “was again displaying symptoms similar to
    those he exhibited during bouts of incompetence.” (Id. at p. 235.)
    With this background in mind, we turn to Easter and Tejeda.
    In Easter, supra, 
    34 Cal.App.5th 226
    , defense counsel expressed doubt
    as to the defendant’s competency to stand trial. (Id. at p. 230.) The court
    suspended criminal proceedings, and defendant was evaluated by two
    medical professionals, one finding him competent to stand trial, the other
    18
    finding him incompetent. A jury found defendant competent, and the
    proceedings resumed. (Id. at pp. 230–235.)
    Six months after the competency hearing, defense counsel again
    expressed doubt as to defendant’s competency. (Easter, supra,
    34 Cal.App.5th at p. 235.) Counsel noted “ ‘a significant deterioration in [the
    defendant’s] mental acuity.’ ” Specifically, counsel stated defendant was
    “ ‘responding to . . . auditory hallucinations,’ ” which had been a “ ‘problem in
    the past, but it has become more acute,’ ” and there were new symptoms,
    including, “ ‘a serious decline in [the defendant’s] personal hygiene’ ” and “
    ‘the word “salad,” ’ ” which counsel described as “ ‘a mixture of appropriate
    and inappropriate logical and fanciful responses to questions.’ ” (Id. at
    pp. 235–236, 243.) The trial court declined to reinstate competency
    proceedings, finding counsel’s “offer of proof did not establish a substantial
    change of circumstances.” (Id. at p. 240.) Less than a week later, the trial
    court again declined to reinstate competency proceedings because the
    defendant had understood everything that occurred at a recent Marsden
    hearing.9 (Easter, at p. 242.)
    Citing to Rodas, a different division of this court reversed. (Easter,
    supra, 34 Cal.App.5th at p. 229.) The court noted, “the evidence of the new
    symptom [in Rodas]—defendant’s ‘ “word salad” ’—was similar to the
    evidence of the new symptom here, and in both cases defense counsel
    informed the court that the change in defendant’s mental state, likely linked
    to his medication, prevented counsel from understanding what defendant was
    attempting to communicate.” (Id. at pp. 245–246.) Additionally, “Rodas’s
    explanation of ‘the Jones rule’ makes clear that [the trial court’s] later
    observations regarding defendant’s mental state during a hearing on a
    9   People v. Marsden (1970) 
    2 Cal.3d 118
     (Marsden).
    19
    motion in limine and a Marsden hearing could not obviate the necessity of a
    renewed competency hearing in the face of the evidence of new symptoms
    presented by [defense counsel].” (Id. at p. 246.)
    In Tejeda, supra, 
    40 Cal.App.5th 785
    , the defendant was twice found
    incompetent to stand trial based on his “persistent belief that his actions
    were controlled by a ‘mind control project’ run by the federal government.”
    (Id. at p. 787.) In both proceedings, a doctor opined defendant’s delusions
    affected his ability to rationally assist counsel. “Whereas some criminal
    defendants malingered,” or pretended to have a mental illness, Tejada, “was
    ‘faking good’—i.e., hiding his delusions to be taken seriously.” (Id. at
    pp. 789–790, 794.) When, years later, the trial court found the defendant had
    been restored to competency, “it did so on the premise that he understood his
    delusion was not relevant to his defense” and that he “could set aside” or
    compartmentalize “his delusions for purposes of assisting counsel.” (Id. at
    pp. 790, 794.)
    Several days into trial, the court held a Marsden hearing after the
    defendant expressed dissatisfaction with his counsel in that counsel failed to
    plead not guilty by reason of insanity. (Tejeda, supra, 40 Cal.App.5th at
    pp. 790–791.) At the hearing, counsel explained the defendant had recently
    told him “he ‘never thought [his case] would get this far, because he thought
    Donald Trump would intervene,’ ” and that he wanted to testify and confess
    in order to “ ‘speak about why he did it as a result of a mind control
    program.’ ” (Id. at p. 794.) The trial court made inquiries of the defendant
    and then denied the motion. That same day, the defendant took the stand
    against counsel’s advice and proceeded to deny having any mental illness and
    to admit to the crimes but maintained he did so because “he had been
    20
    controlled by the project” and needed money to “catch a plane to Langley to
    ‘get to the bottom of this mind control project.’ ” (Id. at p. 791.)
    Citing to Rodas, the Court of Appeal held the trial court committed
    error when it did not declare doubt as to the defendant’s competency after it
    learned at the Marsden hearing of his anticipated testimony and then heard
    his actual testimony. (Tejeda, supra, 40 Cal.App.5th at p. 791.) As in Rodas,
    the appellate court concluded the trial court was “confronted with
    circumstances that were inconsistent with” assumptions on which the
    defendant’s competency finding had been based, namely that his restoration
    to competency “was expressly premised on [the doctor’s] belief that he could
    compartmentalize his delusion and keep it separate from his legal defense.”
    Indeed, the trial court, in making the restoration to competency finding had
    “recognized the possibility that at ‘some unspecified time in the future’ [the
    defendant] might attempt to ‘sabotage his own criminal case.’ ” (Id. at
    pp. 795–796.) Based on those facts, the appellate court held the trial court
    should have declared doubt and held a new competency hearing. (Id. at
    p. 796.)
    Defendant maintains that, as in Easter, “here trial counsel ‘provided
    unequivocal specifics about recent changes’ ” and that, as in Tejeda, “the
    evidence shows the new circumstances were inconsistent with the basis for
    the previous competency finding.”
    However, defendant’s asserted symptoms were not new. [REDACTED
    TEXT.] And, unlike in Easter or Tejeda, where the competency
    determinations where conditioned on the defendant’s continued use of
    antipsychotic medication or the defendant’s belief that he could
    compartmentalize any delusions, here, there were no such conditions.
    [REDACTED TEXT.]
    21
    Defendant makes much of the fact that “trial counsel described
    appellant responding to internal stimuli and, while unobserved, having
    conversations with nonexistent others,” which he says “should have obviated
    concerns about malingering.” However, defendant had routinely self-reported
    hearing voices. Thus, counsel’s report of defendant’s “unobserved”
    conversations did not describe any “new” symptom.
    In sum, given the trial court’s own observations of defendant’s
    behavior, and the additional report from Dr. Roof, we cannot say the trial
    court erred in declining to reinstate competency proceedings.
    Defendant’s Removal from the Courtroom
    Defendant maintains his convictions must be reversed because he was
    excluded from certain trial proceedings.
    During the prosecutor’s opening statement in the guilt phase,
    defendant was removed from court for disruptive behavior. The court read
    section 1043, subdivision (b)(1) to defendant and told him if he could promise
    that he would not continue to disrupt the proceedings, he would be allowed to
    return to court. Defendant agreed to comport himself.
    That afternoon, defense counsel advised the court that the deputies had
    reported that defendant was refusing to come to court. The deputies also told
    counsel they had recorded his refusal on their personal digital recording
    devices (body cams). The court responded, “It appears [as] if your client is
    indeed requesting not to be present, that he may exercise that choice under
    1043(a)(2), which is any prosecution for an offense which is not punishable by
    death and which the defendant is voluntarily absent. [¶] Do you agree that
    the defendant is exercising his option under that subdivision?” Defense
    counsel replied, “I wasn’t present, but I have no reason to think that Deputy
    Ty and Deputy Townsend would lie.” The prosecutor balked and asked that
    22
    the court obtain a court reporter and have the court reporter record
    defendant’s refusal or review the recordings before finding defendant had
    voluntarily absented himself. The court declined to do so. Rather, it swore in
    Deputy Townsend, questioned him about the encounter with defendant, and
    gave defense counsel the opportunity to question him as well. Defense
    counsel asked no questions.
    Thereafter, defendant chose to absent himself, either waiving his
    appearance himself or through counsel.
    Later, during the defense case, defendant chose to appear and testify
    on his own behalf. However, during cross-examination, defendant began to
    refuse to answer the prosecutor’s questions, instead, responding with
    comments like, “There’s nothing I can do for you,” or “You were rude to me.”
    Following a recess during which defendant was not present, deputies notified
    the court he was again “refusing” to return to court. The court ordered
    defendant brought to court “voluntarily or involuntarily.”
    Upon his arrival in the courtroom, and outside the presence of the jury,
    the court told defendant, “You are a witness now. You have chosen to take
    the witness stand, therefore, you do not have a right to voluntarily be absent,
    so I’m ordering you to resume the witness stand and to testify.” Defendant
    responded, “He told me not guilty. [¶] What happens next?” The court
    stated, “Well, you are still presumed innocent. The trial is not over yet. You
    have chosen to take the witness stand in your own defense. You have not
    completed your testimony, so I’m ordering you to be present and to complete
    your testimony.”
    Shortly after cross-examination resumed, it again broke down.
    Defendant repeatedly asserted the prosecutor had told him and his attorney
    that he was “not guilty.” The court admonished defendant stating,
    23
    “Mr. Cowell, you have exercised your constitutional right to take the witness
    stand. When that is done— [¶] . . . [¶] —he may cross-examine you.”
    However, defendant continued to assert that the prosecutor had told him he
    was “not guilty.” At one point, defendant began yelling obscenities, and the
    trial court ordered him removed from the courtroom.
    That afternoon, outside the presence of the jury, the bailiff informed
    the court that defendant “wanted to come down to the courtroom.” The court
    told the bailiff to inform defendant, “he would be allowed to return to the
    courtroom, but that would be to resume the stand and to continue cross-
    examination.” The court continued, “I would state that Mr. Cowell will be
    allowed—in the completion of the case in this guilt phase, he would be
    required to take the stand to conclude his cross-examination. And he would
    be allowed to do so as long as he is not disorderly, disruptive or disrespectful.
    [¶] If he is, then he would be removed after a warning like on prior
    occasions.”
    The next court day, the court observed that defendant had again
    refused to attend and stated he had been “removed from the courtroom . . .
    because of his courtroom conduct in disrupting the court. I’ve informed
    counsel that if he comes back to court that he will be subject to . . . cross-
    examination.” Further, if defendant “persists in refusing to complete his
    cross-examination, I will entertain a motion to strike his testimony.”
    One day later, outside the presence of the jury, the court ordered that
    defendant be brought to court. The court stated, “Mr. Cowell, when you were
    last in court, you were in the process of being cross-examined by the District
    Attorney. [¶] During that cross-examination you conducted yourself in a
    disorderly, disruptive and disrespectful manner and I had you removed from
    the courtroom. [¶] I informed your attorney that should you come back into
    24
    court, it would be for you to resume cross-examination so that that cross-
    examination and any redirect examination by your attorney might be
    completed, but that during it, you would be expected to conduct yourself
    consistently with the decorum and respect inherent in the concept of courts
    and judicial proceedings. [¶] . . .[¶] . . . But if you choose not to conduct
    yourself with the decorum of courts and judicial proceedings, I would have
    you removed.” The court continued, “If you choose not to come at all for
    further cross-examination, I can consider taking sanctions including striking
    all the testimony that you have given and inform the jury not to consider that
    testimony in deciding your guilt or innocence. [¶] So the choice is yours.”
    Defendant declined to retake the stand, and the trial court proceeded to hear
    from counsel regarding appropriate sanctions.
    The following morning, the court asked the bailiff to “inform
    [defendant] that he will not be expected to take the stand, and to ask him
    again if he wants to come to court. At that point, defense counsel stated,
    “Your Honor, I’m willing to stipulate if the Court wants to, that what’s
    already done is sufficient for him to show that he’s absenting himself from
    the trial, unless if the Court wants to do it for clarification.” The court
    responded, “I think it should be made clear to him, because in case he later
    claims that he was threatened to take the stand, and that’s the reason that
    he didn’t come to court.
    Constitutional Right to Be Present
    A criminal defendant has the right under state and federal
    Constitutions “to be personally present with counsel” at every critical stage of
    the trial. (Cal. Const., art. I, § 15; People v. Rundle (2008) 
    43 Cal.4th 76
    , 133
    25
    (Rundle);10 People v. Bryant, Smith and Wheeler (2014) 
    60 Cal.4th 335
    , 465
    (Bryant).) A critical stage is “one in which a defendant’s ‘ “absence might
    frustrate the fairness of the proceedings” [citation], or “whenever his presence
    has a relation, reasonably substantial, to the fullness of his opportunity to
    defend against the charge.” ’ ” (Rundle, at p. 133; Bryant, at p. 465.)
    However, a “defendant may waive his or her constitutional right to be
    present during a critical stage, provided the waiver is knowing, intelligent,
    and voluntary.” (Rundle, supra, 43 Cal.4th at pp. 133–134.)
    Defendant complains that the trial court unlawfully “conditioned” his
    right to be present “on his willingness to be cross-examined.”
    However, as we have recited in detail, the court did not condition
    defendant’s presence in court on the completion of cross-examination.
    Rather, it removed defendant from the courtroom several times because he
    conducted himself in a “disorderly, disruptive and disrespectful manner,”
    including while being cross-examined by the prosecutor. A defendant has no
    constitutional right to engage in disruptive behavior, and a trial court does
    not infringe a defendant’s constitutional rights to be present by telling a
    defendant that he cannot remain in court unless he comports himself
    appropriately. (See People v. Medina (1995) 
    11 Cal.4th 694
    , 738.)
    That defendant put himself in the position of having his testimony
    stricken due to his refusal to permit cross-examination is an entirely different
    issue. Any witness who takes the stand and gives direct testimony must, as a
    matter of due process to the opposing party, submit to cross-examination, and
    if they do not, their direct testimony is subject to being stricken. (See, e.g.,
    Jenkins v. Anderson (1980) 
    447 U.S. 231
    , 236, fn. 3 [“ ‘a defendant who takes
    10 Overruled on another ground as stated in People v. Doolin (2009)
    
    45 Cal.4th 390
    , 421, footnote 22.
    26
    the stand in his own behalf cannot then claim the privilege against cross-
    examination on matters reasonably related to the subject matter of his direct
    examination’ ”]; Brown v. United States (1958) 
    356 U.S. 148
    , 155 [criminal
    defendant “ ‘has no right to set forth to the jury all the facts which tend in his
    favor without laying himself open to cross-examination upon those facts’ ”];
    People v. Reynolds (1984) 
    152 Cal.App.3d 42
    , 46 (Reynolds) [defendant’s
    refusal to answer relevant questions may deprive prosecution of right to
    subject defendant’s claims “to ‘the greatest legal engine ever invented for the
    discovery of truth,’ cross-examination”].)
    Thus, the trial court did not abridge defendant’s right to be present by
    telling him that, having chosen to testify on his own behalf, he was subject to
    cross-examination by the prosecution, and if he persisted in thwarting
    cross-examination, the court could properly strike his testimony on direct.
    This was not coercion or a threat by the court. Rather, it was a correct
    statement of the law. (See, e.g., Fost v. Superior Court (2000) 
    80 Cal.App.4th 724
    , 735–736 (Fost) [where witness “ ‘refuses to submit to proper cross-
    examination regarding material issues, the striking out or partial striking
    out of direct testimony is common, and has been allowed even where the
    result was to deprive a criminal defendant of the fundamental constitutional
    right to testify in his own behalf,’ ” quoting Reynolds, supra, 152 Cal.App.3d
    at pp. 47–48].)
    Furthermore, the court’s final exchange with counsel emphasized that
    the issue with respect to attendance was not whether defendant would allow
    the prosecutor to complete cross-examination—the court assumed he would
    not do so. Rather, the issue was whether he would comport himself
    appropriately, and the court wanted to ensure that defendant understood
    that that was what was required of him to return to court.
    27
    As for those instances in which defendant simply refused to attend, he
    either waived his appearance himself, or did so through counsel. In addition,
    counsel agreed at one point that defendant had exercised his right to “absent
    himself” from court and, during the final colloquy with the court, counsel was
    prepared to stipulate that defendant was voluntarily “absenting himself”
    from trial.
    In sum, defendant’s constitutional rights to be present were not
    conditioned on his allowing the prosecutor to complete cross-examination.
    Rather, his being present was conditioned, and permissibly so, on his
    comporting himself appropriately. As for those times defendant simply
    refused to attend, he voluntarily waived his right to be present. Thus, there
    was no violation of defendant’s constitutional rights to be present.
    Statutory Right to Be Present
    Defendant further contends, for the first time on appeal, that even if he
    knowingly waived his constitutional rights to be present, he did not—because
    he legally could not—waive his statutory rights under sections 977 and 1043
    to be present.
    Section 977, subdivision (b)(1) states: “[I]n all cases in which a felony is
    charged, the accused shall be physically present . . . during those portions of
    the trial when evidence is taken before the trier of fact, and at the time of the
    imposition of sentence. The accused shall be physically or remotely
    present at all other proceedings unless [he or she] waive[s] [his or her] right
    to be physically or remotely present, with leave of court and with approval by
    defendant’s counsel.” Section 1043, subdivision (b) states: “The absence of
    the defendant in a felony case after the trial has commenced in [his] physical
    presence shall not prevent continuing the trial to, and including, the return of
    the verdict in any of the following cases: [¶] (1) Any case in which the
    28
    defendant, after being warned by the judge that [he] will be removed if [he]
    continues [his] disruptive behavior, nevertheless insists on acting in a
    manner so disorderly, disruptive, and disrespectful of the court that the trial
    cannot be carried on with the defendant present in the courtroom. [¶] (2) Any
    prosecution for an offense which is not punishable by death in which the
    defendant is voluntarily absent.” (Italics added.)
    As our high court has explained, “ ‘when read together, sections 977
    and 1043 permit a capital defendant to be absent from the courtroom only on
    two occasions: (1) when he has been removed by the court for disruptive
    behavior under section 1043, subdivision (b)(1), and (2) when he voluntarily
    waives his rights pursuant to section 977, subdivision (b)(1). However,
    section 977, subdivision (b)(1), the subdivision that authorizes waiver for
    felony defendants, expressly provides for situations in which the defendant
    cannot waive his right to be present, including during the taking of evidence
    before the trier of fact. Section 1043, subdivision (b)(2), further makes clear
    that its broad “voluntary” exception to the requirement that felony
    defendants be present at trial does not apply to capital defendants. Thus, [a]
    trial court, by permitting a nondisruptive capital defendant to be absent
    during the taking of evidence, commit[s] error under sections 977
    and 1043.” (People v. Jackson [(1996)] 13 Cal.4th [1164,] 1210.) ‘The
    Legislature evidently intended that a capital defendant’s right to voluntarily
    waive his right to be present be severely restricted.’ (Id. at p. 1211.)” (People
    v. Weaver (2001) 
    26 Cal.4th 876
    , 967–968 (Weaver); accord, People v. Bloom
    (2022) 
    12 Cal.5th 1008
    , 1059; Rundle, 
    supra,
     43 Cal.4th at p. 135 [court
    “stress[es] that a defendant’s statutory ability to waive his presence in a
    capital case is more circumscribed than the associated ability to waive his
    constitutional right” to be present].)
    29
    However, such error, “being merely statutory,” will be reversed only if
    “ ‘ “it is reasonably probable that a result more favorable to the appealing
    party would have been reached in the absence of the error.” (People v.
    Watson [(1956)] 
    46 Cal.2d 818
    , 836.)’ (People v. Jackson, supra, 13 Cal.4th at
    p. 1211.)” (Weaver, 
    supra,
     26 Cal.4th at p. 968; accord, Rundle, 
    supra,
    43 Cal.4th at p. 134.)
    The parties dispute whether the “capital defendant” rule established by
    these statutory provisions applies here. While defendant was charged with a
    special circumstance murder, an offense punishable by death, the prosecution
    did not seek the death penalty.
    Defendant cites to In re Bright (1993) 
    13 Cal.App.4th 1664
    , 1670
    (Bright). In Bright, the petitioner sought “writ review of an order of the trial
    court denying [him] pretrial bail in a pending prosecution for murder with
    special circumstances.” (Id. at p. 1665.) The Court of Appeal concluded that
    “regardless of whether the People actually seek the death penalty, bail
    properly may be denied whenever the accused is charged with an offense
    statutorily punishable by death and the ‘facts are evident or the presumption
    [of guilt is] great.’ ” (Id. at p. 1666.)
    The Attorney General cites to Corenevsky v. Superior Court (1984)
    
    36 Cal.3d 307
    , 317–318 (Corenevsky). In Corenevsky, the petitioner sought
    writ review of an order denying him state-funded ancillary defense services
    and assistance of additional appointed counsel pursuant to section 987.9.
    (Corenevsky, at pp. 312, 315.) Our Supreme Court held that “ ‘[in] those
    murder cases . . . in which the death penalty will not be sought, even though
    the offense charged is statutorily punishable by death, section 987.9 is
    inapplicable.’ ” (Id. at p. 317.)
    30
    We think the Attorney General probably has the better argument, but
    neither party has cited a case that is on point, and, on this record, we need
    not, and do not, decide whether the “capital defendant” rule established by
    sections 977 and 1043 applies only to cases in which the death penalty is
    actually sought. Even assuming defendant did not forfeit this statutory rule
    by failing to raise it below (see Rundle, 
    supra,
     43 Cal.4th at p. 135), and even
    assuming the trial court violated these statutory provisions, it is not
    “reasonably probable that a result more favorable to the appealing party
    would have been reached in the absence of the error.”11 (Watson, supra,
    46 Cal.2d at p. 836.)
    To begin with, defendant was present during parts of the trial. He was
    absent during his aunt’s testimony and maintains that had he been present,
    he “could have helped his attorney rehabilitate her on re-direct by addressing
    some of” the matters with which the prosecutor sought to impeach her. He
    was also absent during the testimony of his treating doctors, and again
    claims that had he been present, he “could have assisted his attorney in real
    time in responding to the cross-examination.” However, these generic
    assertions of supposed assistance, devoid of any detail, are sheer speculation
    and of no evidentiary value. (See Rundle, 
    supra,
     43 Cal.4th at p. 136 [“no
    evidence in the record that defendant might have assisted counsel in some
    other manner had he been present” during his mother’s testimony].)
    11 Defendant incorrectly maintains the prejudicial error standard of
    Chapman v. California (1967) 
    386 U.S. 18
    , 23, controls. Our Supreme Court
    has made it abundantly clear that any error under sections 977 and 1043 is
    subject to the Watson harmless error standard. (E.g., Rundle, 
    supra,
    43 Cal.4th at p. 134; Weaver, 
    supra,
     26 Cal.4th at p. 967; People v. Jackson,
    supra, 13 Cal.4th at p. 1211.)
    31
    Furthermore, as we have recited, the evidence against defendant was
    overwhelming. (See Rundle, 
    supra,
     43 Cal.4th at p. 135 [“guilt phase
    evidence against [the defendant] was overwhelming”].) This included his own
    testimony that he stabbed N.W. and L.W. (which the trial court allowed to
    remain standing during the guilt phase despite his refusal to answer
    questions on cross-examination). In addition, L.W. and T.W. both testified.
    The jury also saw video footage of defendant at the BART stations, some of
    which showed defendant following the sisters onto the train at the Concord
    station and again at the MacArthur station. The evidence was also
    undisputed that after the stabbing, defendant left the scene, took off the
    hoodie he was wearing, changed his pants, put the knife and his backpack in
    different locations, and boarded a bus.
    Finally, the trial court, early in the proceedings, admonished the jury
    that it was not to consider whether defendant was present in court or not,
    stating, “Ladies and gentlemen, Mr. Cowell is absent this morning. I want to
    instruct you that you are not to speculate as to the reason and are not to let
    his absence enter into your decision-making in this trial in any way.” We, of
    course, must presume that the jurors understood and followed the court’s
    instructions. (People v. Pearson (2013) 
    56 Cal.4th 393
    , 414.)
    Instructional Error
    Defendant also claims the trial court erred in connection with the jury
    instructions on the lying-in-wait special circumstance. As we explain, his
    argument is based on a misunderstanding of differences between first degree
    murder, including lying-in-wait murder, and the special circumstance of lying
    in wait.
    We first discuss the instructions the court gave. With respect to
    murder, the trial court instructed the jury, in pertinent part:
    32
    “The defendant is charged in count 1 with murder in violation of Penal
    Code section 187. [¶] To prove that the defendant is guilty of this crime,
    the People must prove that: One, the defendant committed an act that
    caused the death of another person; and, two, when the defendant
    acted, he had a state of mind called malice aforethought. [¶] There are
    two kinds of malice aforethought, express malice and implied malice.
    Proof of either is sufficient to establish the state of mind required for
    murder. [¶] The defendant acted with express malice if he intended to
    kill. The defendant acted with implied malice if, one, he intentionally
    committed an act; two, the natural and probable consequences of the
    act were dangerous to human life; three, at the time he acted, he knew
    his act was dangerous to human life; and four, he deliberately acted
    with conscious disregard for human life. [¶] Malice aforethought does
    not require hatred or ill will toward the victim. It is a mental state
    that must be formed before the act that causes death is committed. It
    does not require deliberation or the passage of any particular period of
    time. [¶] If you decide that the defendant committed murder, it is
    murder of the second degree, unless the People have proved beyond a
    reasonable doubt that it is murder of the first degree as defined in the
    next instruction.” (See CALCRIM No. 520.)
    “The defendant has been prosecuted for first degree murder under two
    theories: One, the murder was willful, deliberate, and premeditated;
    and two, the murder was committed while lying in wait or immediately
    thereafter. [¶] Each theory of first degree murder has different
    requirements, and I will instruct you on both. [¶] You may not find the
    defendant guilty of first degree murder unless all of you agree that the
    People have proved that the defendant committed murder. But all of
    you do not need to agree on the same theory.
    “The defendant is guilty of first degree murder if the People have
    proved that he acted willfully, deliberately and with premeditation.
    The defendant acted willfully if he intended to kill. The defendant
    acted deliberately if he carefully weighed the considerations for and
    against his choice and, knowing the consequences, decided to kill. The
    defendant acted with premeditation if he decided to kill before
    completing the act that caused death.
    “The length of time the person spends considering whether to kill does
    not alone determine whether the killing is deliberate and premeditated.
    The amount of time required for deliberation and premeditation may
    33
    vary from person to person according to the circumstances. A decision
    to kill made rashly, impulsively or without careful consideration is not
    deliberate and premeditated. On the other hand, a cold, calculated
    decision to kill can be reached quickly. The test is the extent of the
    reflection, not the length of time.
    “The defendant is guilty of first degree murder if the People have
    proved that the defendant murdered while lying in wait or immediately
    thereafter. The defendant murdered by lying in wait if: One, he
    concealed his purpose from the person killed; two, he waited and
    watched for an opportunity to act; and, three, then, from a position of
    advantage, he intended to and did make a surprise attack on the
    person killed. [¶] The lying in wait does not need to continue for any
    particular period of time, but its duration must be substantial enough
    to show a state of mind equivalent to deliberation and premeditation.”
    (See CALCRIM No. 521.)
    As these instructions make clear, although willful, deliberate and
    premeditated murder and lying-in-wait murder are both species of first
    degree murder, there is a significant distinction between the two theories.
    Whereas willful, deliberate and premeditated murder requires proof of a
    specific mental state (People v. Nelson (2016) 
    1 Cal.5th 513
    , 544–545
    (Nelson); People v. Townsel (2016) 
    63 Cal.4th 25
    , 62 (Townsel)), lying-in-wait
    murder does not (People v. Flinner (2020) 
    10 Cal.5th 686
    , 748 (Flinner)
    [“implied malice” suffices for conviction of lying-in-wait murder]; People v.
    Streeter (2012) 
    54 Cal.4th 205
    , 246 [“lying-in-wait murder requires only a
    wanton and reckless intent to inflict injury likely to cause death”], overruled
    on other grounds as stated in People v. Harris (2013) 
    57 Cal.4th 804
    , 834).
    The remainder of the elements of lying-in-wait murder—the
    defendant’s concealing his purpose from the person killed, waiting and
    watching for an opportunity to act, and from a position of advantage,
    intending to and making a surprise attack on the person killed—pertain to
    proving the physical act of killing while lying in wait or immediately
    34
    thereafter. While proof of lying in wait serves “ ‘as the functional equivalent
    of proof of premeditation, deliberation, and intent to kill’ ” (People v.
    Sandoval (2015) 
    62 Cal.4th 394
    , 416 (Sandoval)), it is the “functional
    equivalent” in terms of heinousness, justifying classification of lying-in-wait
    murder as first degree murder. (Ibid. [lying in wait “is a means of proving
    first degree murder”].) The elements of the act of lying in wait, itself, are not
    requirements of, and do not establish, a specific intent requirement. (See
    Flinner, supra, 10 Cal.5th at p. 748; Streeter, supra, 54 Cal.4th at p. 246.)
    Thus, these elements are not the same as the specific intent requirement of
    intent to kill with willfulness, premeditation, and deliberation. (See Nelson,
    supra, 1 Cal.5th at pp. 544–545; Townsel, supra, 63 Cal.4th at p. 62; see also
    People v. Ruiz (1988) 
    44 Cal.3d 589
    , 614 (Ruiz) [rejecting argument that
    “premeditation, deliberation and intent to kill must be independently proved”
    to prove lying-in-wait murder].)
    As for the special circumstance of lying in wait, the court instructed in
    pertinent part:
    “If you find the defendant guilty of first degree murder, you must also
    decide whether the People have proved that the special circumstance is
    true. [¶] The People have the burden of proving the special
    circumstance beyond a reasonable doubt. If the People have not met
    this burden, you must find the special circumstance has not been
    proved.” (See CALCRIM NO. 700.)
    “In order to prove the special circumstance of lying in wait, the People
    must prove not only that the defendant did the act charged, but also
    that he acted with a particular intent or mental state. The instruction
    for the special circumstance explains the intent or mental state
    required. [¶] An intent or mental state may be proved by
    circumstantial evidence. [¶] Before you may rely on circumstantial
    evidence to conclude that the defendant had the required intent or
    mental state, you must be convinced that the People have proved each
    fact essential to that conclusion beyond a reasonable doubt. [¶] Also,
    before you may rely on circumstantial evidence to conclude that the
    35
    defendant had the required intent or mental state, you must be
    convinced that the only reasonable conclusion supported by the
    circumstantial evidence is that the defendant had the required intent
    or mental state. If you can draw two or more reasonable conclusions
    from the circumstantial evidence, and one of those reasonable
    conclusions supports the finding that the defendant did have the
    required intent or mental state and another reasonable conclusion
    supports a finding that the defendant did not have the required intent
    or mental state, you must conclude that the required intent or mental
    state was not proven by the circumstantial evidence. However, when
    considering circumstantial evidence, you must accept only reasonable
    conclusions and reject any that are unreasonable.” (See CALCRIM
    No. 705.)
    “The defendant is charged with the special circumstance of murder
    committed while lying in wait in violation of Penal Code
    section 190.2(a)(15). To prove that this special circumstance is true,
    the People must prove that: One, the defendant intentionally killed
    [N.W.]; and two, the defendant committed the murder by means of
    lying in wait. [¶] A person commits a murder by means of lying in wait
    if: He or she concealed his or her purpose from the person killed; two,
    he or she waited and watched for an opportunity to act; three, then he
    or she made a surprise attack on the person killed from a position of
    advantage; and four, he or she intended to kill the person by taking the
    person by surprise. [¶] The lying in wait does not need to continue for
    any particular period of time, but its duration must be substantial and
    must show a state of mind equivalent to deliberation or premeditation.
    [¶] The defendant acted deliberately if he carefully weighed the
    considerations for and against his choice and knowing the consequences
    decided to kill. The defendant acted with premeditation if he decided to
    kill before committing the act that caused death. [¶] A person can
    conceal his or her purpose even if the person killed is aware of the
    person’s physical presence. [¶] The concealment can be accomplished
    by ambush or some other secret plan.” (See CALCRIM No. 728.)
    As these instructions reflect, the fundamental distinction between
    lying-in-wait murder and the special circumstance of lying in wait is that,
    unlike lying-in-wait murder, the special circumstance of lying in wait
    requires “intent to kill.” (People v. Cage (2015) 
    62 Cal.4th 256
    , 278 (Cage)
    36
    [“ ‘the lying-in-wait special circumstance requires intent to kill, while lying-
    in-wait murder requires only a wanton and reckless intent to inflict injury
    likely to cause death’ ”]; see Flinner, supra, 10 Cal.5th at p. 748 [“[t]he lying-
    in-wait special circumstance . . . requires the additional element that the
    killing was intentional, not merely committed with implied malice”]; People v.
    Casares (2016) 
    62 Cal.4th 808
    , 832–833 (Casares) [special circumstance
    requires a “lethal” intent], disapproved on another ground as stated in People
    v. Dalton (2019) 
    7 Cal.5th 166
    , 214; People v. Johnson (2016) 
    62 Cal.4th 600
    ,
    633 (Johnson) [evidence supported finding defendant acted “with the intent
    that [the victim] would die”].)12 In all other respects, the elements that
    12 Prior to March 2000, there was also a slight distinction between
    lying-in-wait murder and the special circumstance of lying in wait in terms of
    the timing between the act of lying in wait and the act of killing. As our
    Supreme Court has explained,
    “ ‘[I]n March 2000, the voters passed Proposition 18, which changed the
    definition of the lying-in-wait special circumstance from a killing while
    lying in wait to a killing by means of lying in wait, mirroring the
    language of the first degree murder statute.’ (Johnson, supra,
    62 Cal.4th at p. 634.) ‘[T]he voters’ purpose in amending the
    lying-in-wait special circumstance was to eliminate the temporal
    distinction between the special circumstance and lying-in-wait first
    degree murder . . . thereby expand[ing] the class of cases in which the
    special circumstance could be found true . . . .’ (Id. at p. 636.)
    Nevertheless, we concluded that the amended lying-in-wait special
    circumstance comports with the Eighth Amendment because it
    ‘adequately distinguishes itself from other murders and does so in
    terms that are not so vague as to permit arbitrary determinations
    regarding the truth of the special circumstance allegation.’ (Johnson,
    at p. 636.) As we have long held, the ‘factual matrix’ presented by the
    lying-in-wait special circumstance—an intentional murder coupled
    with the elements of concealment, watching and waiting, and a
    surprise attack from a position of advantage—sufficiently distinguish it
    from ‘ “ordinary” premeditated murder’ [citation], such that it is
    ‘neither applicable to all murderers nor impermissibly vague’ (Johnson,
    at p. 636). And, in Johnson, we reasoned that even if Proposition 18
    37
    establish the act of lying in wait—defendant’s concealing his purpose from
    the person killed, waiting and watching for an opportunity to act, and from a
    position of advantage, intending to and making a surprise attack on the
    person killed—are the same for the crime of murder and the special
    circumstance. (See Flinner, supra, 10 Cal.5th at p. 748 [“[t]he lying-in-wait
    special circumstance [citation] includes the elements of first degree lying-in-
    wait murder”].)
    The trial court also gave the following introductory instruction based
    on CALCRIM No. 252:
    “The following crimes and allegations require a specific intent or
    mental state: Murder, as charged in count 1; the special circumstance
    of lying in wait, as alleged in Count 1; attempted murder, as charged in
    Count 2; and the allegation of willful, deliberate, premeditated
    attempted murder, as charged in Count 2. For you to find a person
    guilty of these crimes or to find the allegations true, that person must
    not only commit the prohibited act, but must do so with the specific
    intent or mental state. The act and the specific intent or mental state
    required are explained in the instruction for that crime or allegation.”
    Thus, the trial court correctly instructed that only willful, deliberate,
    and premeditated first degree murder, the special circumstance of lying in
    wait, and attempted willful, deliberate, and premeditated murder required
    proof of a specific intent.
    On appeal, defendant takes issue with the court’s instruction based on
    CALCRIM No. 627. This instruction is entitled “Hallucination: Effect on
    had rendered the special circumstance identical to lying-in-wait first
    degree murder, the special circumstance would pass constitutional
    scrutiny because lying-in-wait murder ‘historically has been viewed as
    “ ‘a particularly heinous and repugnant crime,’ ” ’ which ‘provides “a
    rational basis for distinguishing those murderers who deserve to be
    considered for the death penalty from those who do not.” ’ (Johnson, at
    p. 637)” (Flinner, supra, 10 Cal.5th at pp. 751–752.)
    38
    Premeditation,” and is one of the instructions in CALCRIM Chapter I, which
    includes instructions on “Impairment Defense.” The trial court gave the
    following version of the instruction, modified to refer not only to
    “hallucination” but also to “delusion”:
    “A hallucination is a perception not based on objective reality. A
    delusion is a belief not based on objective reality. In other words, a
    person has a hallucination or delusion when that person believes that
    he or she is seeing or hearing or otherwise perceiving something that is
    not actually present or happening.
    “You may consider evidence of hallucinations or delusions, if any, in
    deciding whether the defendant acted with deliberation and
    premeditation.
    “The People have the burden of proving beyond a reasonable doubt, as
    to Count 1, that the defendant acted with deliberation and
    premeditation to prove that theory of first degree murder, and, as to
    Count 2, the allegation that the attempted murder was done with
    deliberation and premeditation. If the People have not met this
    burden, you must not find the defendant guilty of first degree murder
    on the theory that he acted with deliberation and premeditation and
    you must not find true the allegation that the attempted murder was
    done with deliberation and premeditation.”
    Thus, as the instruction expressly stated, it was pertinent only to
    willful, deliberate, and premeditated murder (and to attempted willful,
    deliberate, and premeditated murder).
    Prior to the giving of this instruction the following colloquy had
    occurred between defense counsel and the court (italics added for emphasis):
    “[Defense Counsel]: [T]he problem, as I see it with 627 as written by
    the Court, is that you are only allowing them to consider hallucinations
    and delusions as it applies to the premeditation and deliberation theory
    of first degree murder and are precluding it from going towards the
    premeditation and deliberation that’s required for the lying in wait
    theory of first degree murder.
    39
    “[The Court]: Well, that’s—I did that because—well, number one as to
    that theory of lying in wait, the mental state of deliberation and
    premeditation is not required to be shown. Instead, only a duration
    equivalent—only a duration sufficient to allow for deliberation or
    premeditation, and I emphasize the disjunctive is required. And so I
    purposely did not include lying in wait as something that could be
    affected by delusion or hallucination.
    “[Defense Counsel]: I don’t mean to split hairs . . . , but according to
    521, just reading from it directly now, what requires to be shown is a
    duration that’s substantial enough to show a state of mind equivalent
    to deliberation and premeditation. [¶] . . . [¶] Or premeditation. And
    I’m not taking issue with the ‘or’ or ‘and.’ What I’m taking issue is
    when you take a look at the record that’s before this court, I don’t think
    that it would be—my position to the jury is that I don’t think any
    duration is long enough if you’ve got total delusional brain to show
    premeditation and deliberation. And I think that—what this lying in
    wait theory is getting at is there can be a period long enough to be the
    equivalent of premeditation and deliberation. And if what’s going on in
    your brain is what John Cowell has indicated is going on in his brain,
    then he could have 10 days to think about these acts, but he’s not
    formulating premeditation and deliberation. And I think that that’s
    the state of the law, and I believe that the way the instructions are
    being formulated, I’m being precluded from arguing that.
    “[The Court]: Well, I disagree with you. I don’t think it is the law. I
    think that for a theory of lying in wait that it’s not required that the
    person who might qualify under the so-called Morales[13] factors of lying
    in wait is required to have a mental state equivalent to either
    premeditation or deliberation. All that is required is that there be a
    concealment of purpose, a substantial period of watching and waiting
    for an opportune time to act and immediately a surprising attack on an
    unsuspecting victim from a position of advantage or surprise.”
    As this exchange makes clear, the court and defense counsel were
    discussing the instruction in reference to the first degree murder theories
    13People v. Morales (1989) 
    48 Cal.3d 527
    , disapproved on another
    ground as stated in People v. Williams (2010) 
    40 Cal.4th 405
    , 458–459..
    40
    being pursued by the prosecution, and defense counsel urged the court to
    treat lying-in-wait murder as though it required premeditation, as did the
    crimes of willful, deliberate, and premeditated first degree murder and
    attempted willful, deliberate, and premeditated first degree murder. In other
    words, counsel advanced the argument that the Supreme Court’s statement
    that the requirements of the act of a lying in wait killing serve as “the
    functional equivalent of proof of premeditation, deliberation, and intent to
    kill” (Sandoval, supra, 62 Cal.4th at p. 416), means these requirements are
    the same as premeditation, deliberation, and intent to kill.
    As we have discussed, the trial court correctly ruled that defense
    counsel was mistaken. Lying-in-wait murder does not require proof of
    premeditation (or any other component of the mental state of willful,
    deliberate, and premeditated first degree murder), but rather requires proof
    only of implied malice. (Flinner, supra, 10 Cal.5th at p. 748; Streeter, supra,
    54 Cal.4th at p. 246; see Ruiz, supra, 44 Cal.3d at p. 614.)
    On appeal, defendant does not take issue with the court’s refusal to
    modify CALCRIM No. 627 to make it pertinent to lying-in-wait murder.
    Rather, he urges that the instruction should have been modified to make it
    pertinent to the special circumstance of lying in wait because the special
    circumstance, unlike lying-in-wait murder, requires a specific intent.
    To begin with, since defendant did not raise this issue in the trial court
    and did not ask that the instruction be so modified, he has forfeited the issue
    on appeal. (See People v. Grimes (2016) 
    1 Cal.5th 698
    , 724; People v. Rangel
    (2016) 
    62 Cal.4th 1192
    , 1223.)14
    14 This is not a case where the instruction as given incorrectly stated
    the law and thus defendant was excused from objecting and requesting that
    the instruction be modified. (See People v. Cordova (2015) 
    62 Cal.4th 104
    ,
    149.)
    41
    But even if the issue was not forfeited, his argument on appeal is
    meritless. He starts by asserting the “watching and waiting time”—i.e., the
    elements of the act of lying in wait—must be “ ‘substantial’ ” to “ ‘distinguish
    those cases in which a defendant acts insidiously from those in which he acts
    out of rash impulse,’ ” quoting People v. Mendoza (2011) 
    52 Cal.4th 1056
    ,
    1073 (Mendoza).15 He then asserts, “[a]s such, the defendant must act with
    at least a similar degree of consideration and planning as necessary to find
    premeditation or deliberation”; “[i]ndeed, ‘[l]ying in wait is the functional
    equivalent of proof of premeditation, deliberation, and intent to kill,’ ”
    quoting People v. Stanley (1995) 
    10 Cal.4th 764
    , 794–795.) “Since symptoms
    of mental illness such as delusions or hallucination are relevant to
    determining whether a defendant actually premeditated or deliberated . . .
    they are,” says defendant, “necessarily relevant to determine whether the
    defendant acted with the equivalent mental state required for lying in wait.”
    In other words, defendant is making the same argument on appeal that
    he advanced in the trial court, namely that the required elements of the act of
    lying in wait, itself, are the same as premeditation and deliberation. As we
    have discussed, that is not the law. To the contrary, the required elements of
    the act of lying in wait, itself, are the same for lying-in-wait murder (which
    has no specific intent requirement) and the special circumstance of lying in
    wait (which does require special intent, namely the intent to kill). Thus,
    while these elements establish conduct so reprehensible it is properly
    classified as first degree murder—and in this respect are the “functional
    equivalent” of “proof of premeditation, deliberation, and intent to kill”—they
    15As our high court has more recently stated, the act of lying in wait is
    what distinguishes this form of murder from killings committed only on rash
    impulse and appropriately makes lying-in-wait murder a species of first
    degree murder. (See People v. Sandoval, supra, 62 Cal.4th at p. 416.)
    42
    are not the same as premeditation, deliberation, and intent to kill. (See Ruiz,
    supra, 44 Cal.3d at p. 614.) Since CALCRIM No. 627 pertains only to
    “premeditation,” counsel’s argument that even if the instruction is not
    pertinent to lying-in-wait murder, it is pertinent to the special circumstance
    of lying in wait, misses the mark.
    Defendant also points out that the special circumstance of lying in wait
    requires intent to kill. However, intent to kill is not the same as willful,
    premeditated, and deliberate intent to kill. (See Mendoza, supra, 52 Cal.4th
    at p. 1069 [“ ‘[a] verdict of deliberate and premeditated first degree murder
    requires more than a showing of intent to kill’ ”], quoting People v. Sanchez
    (2001) 
    26 Cal.4th 834
    , 849; People v. Chiu (2014) 
    59 Cal.4th 155
    , 166 [“First
    degree murder, like second degree murder, is the unlawful killing of a human
    being with malice aforethought, but has the additional elements of
    willfulness, premeditation, and deliberation, which trigger a heightened
    penalty.”], superseded on other grounds as stated in People v. Lewis (2021)
    
    11 Cal.5th 952
    , 959, fn. 3.)
    In sum, CALCRIM No. 627 is an instruction that pertains to willful,
    deliberate, and premeditated first degree murder (or attempted willful,
    deliberate and premeditated first degree murder). It does not pertain to
    lying-in-wait murder, let alone the special circumstance of lying in wait.
    Defendant next contends the trial court’s asserted error in refusing to
    modify CALCRIM No. 627 to pertain to the special circumstance of lying in
    wait was “reinforced” by the court’s giving of CALCRIM No. 3428. Since the
    trial court, as we have explained, did not err in refusing to modify CALCRIM
    No. 627, defendant’s claim of “reinforcement” goes nowhere.
    CALCRIM No. 3428 is entitled “Mental Impairment: Defense to
    Specific Intent or Mental State (Pen. Code, § 28).” The trial court instructed
    43
    the jury as follows and gave this instruction immediately following the
    CALCRIM No. 627 instruction:
    “You have heard evidence that the defendant may have suffered from a
    mental disease or disorder. You may consider this evidence only for the
    limited purpose of deciding whether, at the time of the charged crime,
    the defendant acted with the intent or mental state required for that
    crime.
    “The People have the burden of proving beyond a reasonable doubt that
    the defendant acted with the required intent or mental state,
    specifically: deliberately and with premeditation. If the People have
    not met this burden, as to Count 1, you must find the theory that the
    defendant acted deliberately and with premeditation has not been
    proved and, as to Count 2, you must find the allegation that the
    attempted murder was done with deliberation and premeditation has
    not been proved.”
    Prior to the court’s giving this instruction, defendant objected in
    writing as follows: “The defense objects to the pinpoint addition (middle
    paragraph) included in this instruction. This instruction appears to elucidate
    for the jury the difference between diminished capacity and diminished
    actuality. Because both of the defense experts testified consistently with the
    law, there is no need for this pinpoint instruction. Including this instruction
    risks confusing the issues for the jury. [¶] The defense requests that the last
    paragraph in this instruction include the following language: ‘The People
    have the burden of proving beyond a reasonable doubt that the defendant
    acted with the required intent or mental state, specifically: the intent to
    kill. . . .’ (People v. Ocegueda (2016) 
    247 Cal.App.4th 1393
    .)”
    At the conference on instructions the following colloquy took place:
    “[The Court]: On 3428, the request is to include intent to kill. In this
    case, I find no substantial evidence that would be required for the
    giving of an instruction that John Cowell’s mental state interfered or
    diminished in any respect his capacity to intend to kill. And to the
    44
    contrary, it would appear that they would accept that he was deluded
    at the time; that his delusion drove him to an intent to kill, so I will
    decline to include intent to kill in 3428.
    [¶] . . . [¶]
    “[Defense Counsel]: My understanding of the testimony given by
    Mr. Cowell was that he believed that the women were wearing skin
    suits, and I believe that there’s at least some implication that the
    assault that took place on the BART platform was an effort to remove
    the skin suit. And if that was the case, then I believe that there
    wouldn’t be an intent to kill because his delusion led him to believe that
    he wasn’t killing, but that he was removing a skin suit. And so for that
    reason, I do ask the Court to give 3428 towards intent to kill.
    “[The Court]: Well, I think that inference, if it rises to that, is belied by
    his testimony that he intended to prevent them from kidnapping his
    grandmother, so I will decline to include intent to kill in 3428.”
    In his briefing on appeal, defendant does not address the trial court’s
    reason for refusing to add “intent to kill” to the CALCRIM No. 3428
    instruction. He has therefore forfeited any argument that the trial court
    erred in refusing to modify the instruction as requested. (See Thompson v.
    County of Los Angeles (2006) 
    142 Cal.App.4th 154
    , 171 [appellant forfeited
    argument that evidence was improperly excluded by failing to address trial
    court’s reason for refusing to admit it].) Indeed, as we have recited, he argues
    only that the CALCRIM No. 3428 instruction “reinforced” the asserted error
    in the CALCRIM No. 627 instruction. However, as we have explained, the
    CALCRIM No. 627 instruction correctly stated the law.
    We further observe that, even if defendant had, on appeal, challenged
    the trial court’s ruling as to the CALCRIM No. 3428 instruction, and even if
    the court erred in not including “specific intent” in the instruction, any such
    error was harmless under the reasoning of Townsel, supra, 
    63 Cal.4th 25
    ,
    which defendant cites for the proposition that evidence of mental disease or
    45
    defect is relevant not only to premeditation and deliberation, but “any other
    specific intent,” including any specific intent required by any special
    circumstance.
    In Townsel, the trial court gave the analogous CALJIC instruction, and
    instructed the jury it could consider evidence that the defendant suffered
    from a “mental defect or mental disorder” at the time of the charged murders,
    and it could consider such evidence “solely for the purpose of determining
    whether or not [the defendant] actually formed the mental state which is an
    element” of the charged crimes. (Townsel, supra, 63 Cal.4th at p. 59.) The
    defendant claimed the instruction precluded the jury from considering the
    evidence in connection with whether he acted with premeditation and
    deliberation, and in connection with whether he formed the specific mental
    states required to find him guilty of the crime of dissuading a witness and to
    find true the witness-killing special circumstance. (Id. at pp. 57–59.)
    Our Supreme Court concluded the instruction given did not preclude
    consideration of the mental state evidence in connection with any of the
    elements of first degree murder, including premeditation and deliberation.
    (Townsel, supra, 63 Cal.4th at pp. 62–63.) However, it agreed the instruction
    implicitly barred the jury from considering the evidence in connection with
    other mental state issues, including the intent required to find the defendant
    guilty of dissuading a witness and required to find true the witness-killing
    special circumstance and concluded this constituted instructional error. (Id.
    at p. 63.)
    The high court went on to consider whether the error was harmless,
    given that the jury found the defendant guilty of premeditated first degree
    murder, and concluded it was not. (Townsel, supra, 63 Cal.4th at p. 64.) The
    court explained that premeditation and deliberation differed from the specific
    46
    mental states required for the crime of dissuading a witness and for the
    witness-killing special circumstance. “Specifically, with respect to the
    dissuading charge, the jury was instructed, as relevant to mental state, that
    it had to find defendant had ‘the specific intent to prevent or dissuade a
    witness or victim from giving testimony at a trial proceeding or inquiry
    authorized by the law.’ With respect to the mental state required for the
    special circumstance, the jury was instructed it had to find ‘the witness was
    intentionally killed for the purpose of preventing her testimony in a criminal
    proceeding.’ These mental states entail knowledge and purpose beyond an
    intent to kill . . . .”16 (Ibid., italics added.)
    That, however, is not the case with respect to the special circumstance
    of lying in wait. As we have discussed, the only requisite mental state for
    this special circumstance is “intent to kill.” (See Flinner, supra, 10 Cal.5th at
    p. 748; Cage, supra, 62 Cal.4th at p. 278.) Accordingly, the reason the
    Supreme Court found the error in Townsel was not harmless does not exist
    CALCRIM No. 725 spells out the requirements of the witness-
    16
    murder special circumstance as follows:
    “The defendant is charged with the special circumstance of murder of a
    witness [in violation of Penal Code section 190.2(a)(10)]. [¶] To prove
    that this special circumstance is true, the People must prove that:
    [¶] 1. The defendant intended to kill [insert name of decedent];
    [¶] 2. [Insert name of decedent] was a witness to a crime; [¶] 3. The
    killing was not committed during the commission [or attempted
    commission] of the crime to which [insert name of decedent] was a
    witness; [¶] AND [¶] 4. The defendant intended that [insert name of
    decedent] be killed (to prevent (him/her) from testifying in a
    (criminal/[or] juvenile) proceeding/[or] in retaliation for (his/her)
    testimony in a (criminal/[or]juvenile) proceeding). [¶] [A killing is
    committed during the commission [or attempted commission] of a crime
    if the killing and the crime are part of one continuous transaction. The
    continuous transaction may occur over a period of time or in more than
    one location].”
    47
    here. And the fact the jury found defendant guilty of attempted murder and
    found true the allegation that he committed the attempted murder willfully
    and with premeditation and deliberation, demonstrates that any error in not
    including “intent to kill” and not referencing the special circumstance of lying
    in wait in the CALCRIM No. 3428 instruction was harmless, as it is not
    reasonably probable a more favorable result would have been reached had
    the asserted error not occurred. (See People v. Ocegueda, supra,
    247 Cal.App.4th at p. 1407 [whether error in limiting jury’s consideration of
    mental disability evidence was prejudicial is determined under Watson17
    standard].)
    In finding defendant guilty of attempted murder and finding true the
    special circumstance that he committed the attempted murder willfully and
    with premeditation and deliberation, the jury necessarily found that he acted
    with intent to kill; indeed, found he acted with a heightened intent to kill.
    Thus, “ ‘the factual question posed by [an] omitted instruction was
    necessarily resolved adversely to the defendant under other, properly given
    instructions. In such cases the issue should not be deemed to have been
    removed from the jury’s consideration since it has been resolved in another
    context, and there can be no prejudice to the defendant since the evidence
    that would support a finding [favorable to the defendant] . . . has been
    rejected by the jury.’ ” (People v. Wright (2006) 
    40 Cal.4th 81
    , 98; People v.
    Gana (2015) 
    236 Cal.App.4th 598
    , 611 [“By its verdicts and findings the jury
    clearly ‘rejected defendant’s [mental state] defense’ [citation] in another
    context and thus the refusal to instruct on unconsciousness was harmless
    error.”].)
    17    Watson, supra, 
    46 Cal.2d 818
    .
    48
    Sanity Phase Issues
    Striking Defendant’s Testimony
    Defendant maintains the trial court erred in striking his testimony for
    purposes of the sanity phase of the trial and, as a consequence, impinged on
    his due process right to present a defense. Specifically, defendant asserts the
    “court’s decision was an abuse of discretion because the record shows the
    prosecution had more than adequate opportunity to cross-examine [him] on
    issues directly related to the sanity phase.”
    As discussed above, defendant testified on his own behalf during the
    guilt phase. However, he refused to answer questions and became hostile
    and disruptive during cross-examination by the prosecutor, prompting the
    trial court to have him removed from the court. Thereafter, the court told
    defendant several times that, having testified on his own behalf, the
    prosecution was entitled to conduct cross-examination, and if he refused to
    allow the prosecutor to complete his cross-examination, the court would
    consider imposing “sanctions.” Defendant refused to retake the stand.
    Eventually, the court ordered that defendant be brought to court, and
    again asked if he wanted to complete cross-examination. Defendant again
    declined.
    The court then asked counsel what “sanction[s]” the court should
    impose, and specifically, whether defendant’s testimony should be stricken in
    whole or in part. Defense counsel argued that “three hours of cross-
    examination [was] sufficient for the District Attorney to have gotten many
    points,” pointing out the prosecutor had “talked about the criminal priors;
    [and] he got to go into mental health.”
    The court responded, “I don’t think the prosecution was particularly
    damaged in the guilt phase of the trial by Mr. Cowell not allowing himself to
    49
    be cross-examined in relation to the concealment measures that he took,
    which are shown on the video. However, I think [those measures go] directly
    to the issues that we will face in the sanity phase which is whether he
    understood the nature and quality of his acts; or if he did, whether he knew
    they were legally or morally wrong, and that concealment evidence goes
    directly to those issues.” The court therefore proposed “striking [defendant’s]
    testimony . . . for the . . . sanity phase.”
    Defense counsel argued this was unwarranted—the prosecutor, having
    “tactically decided to rattle” defendant on cross-examination and having
    received the “desired outcome of getting the guy dragged out of the courtroom
    while he was cursing,” “now we’re going to strike his testimony?” Counsel
    could not “imagine this jury having this removed from their consideration in
    this circumstance.”
    The prosecution agreed with the court’s suggested sanction.
    The court took the matter under submission, allowing defendant the
    opportunity during the sanity phase to complete cross-examination.
    However, defendant continued to refuse to retake the stand.
    Rejecting continued arguments by the defense that striking defendant’s
    testimony was an excessive sanction, the court struck his testimony for
    purposes of the sanity phase, explaining, “I think that the District Attorney
    was foreclosed from confronting the defendant with regard to the two crucial
    issues under the M’Naghten Rule as to whether Mr. Cowell understood the
    nature and quality of his acts or understood the legal and moral quality of
    those acts. . . . [¶] The reason I thought that the District Attorney was
    foreclosed from crucial testimony was that from the tape Mr. Cowell took
    many measures to conceal his identity and apparently acted in a way that
    50
    showed a total awareness of his surroundings.” Yet, the prosecution had not
    been able to question defendant about what appeared on the tape.
    As we have discussed above, “the right to introduce evidence
    necessarily implicates the responsibility to permit [that evidence] to be fairly
    tested.” (Fost, supra, 80 Cal.App.4th at p. 736.) And “ ‘a defendant who
    takes the stand in his own behalf cannot then claim the privilege against
    cross-examination on matters reasonably related to the subject matter of his
    direct examination.’ ” (Jenkins v. Anderson, supra, 447 U.S. at p. 236, fn. 3.)
    “Where a witness refuses to submit to cross-examination, or is
    unavailable for that purpose, the conventional remedy is to exclude the
    witness’s testimony on direct. As stated in Witkin: ‘In either a civil or
    criminal case, where a party is deprived of the benefits of cross-examination
    of a witness by refusal of the witness to answer, the trial court may strike out
    the direct examination. [Citations.]’ (3 Witkin, Cal. Evidence [(3d ed. 1986)
    Presentation at Trial] § 1877, p. 1831.) . . . Striking a witness’s entire
    testimony is, of course, a ‘drastic solution,’ only to be employed ‘after less
    severe means are considered.’ (Reynolds, supra, 152 Cal.App.3d at pp. 47–
    48.)” (Fost, supra, 80 Cal.App.4th at pp. 735–736.)
    In deciding whether to strike testimony, the trial court should “consider
    first whether the witness has refused to submit to cross-examination
    altogether, rather than refused to answer only one or more questions. In the
    latter circumstance, . . . the witness’s direct testimony need not be stricken in
    its entirety in every case, and the court should consider both the motive for
    the refusal to answer and the materiality of the answer. . . . [T]he court
    [should also] consider solutions short of striking a defendant’s entire
    testimony, such as striking only a portion of the testimony, or instructing the
    jurors that they may take into account the refusal to answer when assessing
    51
    the defendant’s credibility.” (People v. Brooks (2017) 
    3 Cal.5th 1
    , 30, citing
    Reynolds, supra, 152 Cal.App.3d at pp. 47–48.)
    We review the trial court’s decision to strike all or part of a defendant’s
    testimony for abuse of discretion. (Reynolds, supra, 152 Cal.App.3d at p. 47.)
    Here, the court did not strike defendant’s testimony for all purposes.
    Rather, the court allowed the jury to consider defendant’s testimony during
    the guilt phase.18
    The court also gave careful consideration as to whether the testimony
    should be stricken for purposes of the sanity phase, and its conclusion that
    the prosecution had been wholly foreclosed from cross-examining defendant
    on important evidence, namely the surveillance footage, pertaining to two
    important issues on sanity, is supported by the record. While defendant
    continues to insist the prosecutor “was able to ask . . . whether [defendant]
    understood the nature of his acts, what his plans where [sic], what his
    motivations were, and whether he believed he was morally justified in taking
    those actions,” that does not alter the fact the prosecutor was prevented from
    asking defendant about significant evidence.
    In addition, the court, having observed defendant for weeks during
    trial, was clearly in a position to find that he was deliberately attempting to
    subvert the fact-finding process—that “his motivation [was] to get his story
    out there, but not to subject himself to that type of cross-examination, which
    would detract from the force of that story.”
    18  The court also instructed the jury, “If the defendant failed in his
    testimony to explain or deny evidence against him, and if he could reasonably
    be expected to have done so based on what he knew, you may consider his
    failure to explain or deny in evaluating that evidence. Any such failure is not
    enough by itself to prove guilt. The People must still prove the defendant
    guilty beyond a reasonable doubt.” (See CALCRIM No. 361.) Defendant
    makes no argument on appeal that this instruction was improper.
    52
    In sum, defendant has not demonstrated an abuse of discretion by the
    trial court in striking his testimony for purposes of the sanity phase.
    Exclusion of Expert Testimony
    Defendant also maintains the trial court prejudicially erred in
    excluding the proffered testimony of Dr. McKinzey from the sanity phase.
    On the eve of the sanity phase, defense counsel informed the court that
    she wanted to call McKinzey, a psychologist who was no longer licensed, as
    an expert to opine on defendant’s sanity. The prosecution objected, stating
    defense counsel had given McKinzey copies of defendant’s stricken testimony,
    and this was improper and appeared to be “an effort to back door [defendant’s
    testimony] in or create an opinion that you otherwise would not be able to
    get.”
    Defense counsel responded that many months prior, the trial court had
    appointed Dr. Victoria Campagna pursuant to section 1027 to evaluate
    defendant for his not guilty by reason of insanity plea. However, when Dr.
    Campagna got the section 1027 appointment, she “initially . . . thought it was
    a [section] 1368 appointment.” When informed it was for a section 1027
    evaluation, she told counsel she was unable to “render an opinion.”
    At some point, defense counsel gave Dr. Campagna a transcript of
    defendant’s testimony. A week before the sanity phase was to start,
    Dr. Campagna contacted counsel and stated she was still unable to render an
    opinion, “in part because of her inexperience.” Dr. Campagna also told
    counsel she had “been paying Dr. McKinzey . . . her court-appointed salary to
    review all these records” since November. Dr. McKinzey had “created a
    preces [sic], which . . . is a 30-page document . . . so that he could advise his
    colleague, Campagna, about rendering an opinion.” However, Dr. Campagna
    once again told counsel she could not “render an opinion, but McKinzey, who
    53
    is much more experienced and who I’ve been relying on, I’ve been paying to
    do all the records review for me, he can render an opinion.”
    Counsel called Dr. McKinzey, who told her he thought defendant was
    legally insane. Counsel then gave Dr. McKinzey certain “jail calls” and told
    him to “review this stuff” to see if that changed his opinion. Dr. McKinzey
    called counsel, stated he had “reviewed the jail calls; . . . the videos; I’ve been
    reviewing all this stuff for Vicki Campagna, and Vicki Campagna has been
    paying me to review it, so he’s read the 9- to 10,000 pages,” and his opinion
    had not changed. Dr. McKinzey then sent counsel a one-page document,
    which was an “outline; . . . notes for his testimony.” Counsel, in turn,
    forwarded the outline to the prosecutor, along with Dr. McKinzey’s CV and
    the 30-page precis.
    The court inquired if Dr. McKinzey had stated whether defendant
    “understood the nature and quality of his acts?” Defense counsel replied,
    “quoting directly now from a portion” of Dr. McKinzey’s notes, that
    “ ‘considering the totality of the evidence, defendant was insane.’ ” In that
    regard, Dr. McKinzey made three points: “One, the patient had a . . . 14-year
    history of major mental diagnoses; two, the stabbing was senseless and
    unprovoked, done under the security camera as a result of a delusion; three,
    he knew the stabbing was legally wrong, (signs of guilty knowledge), but
    offers a moral defense.”
    After clarifying that Dr. McKinzey was unlicensed, the court stated
    that because section 1027 requires the court to appoint “two psychiatrists or
    licensed psychologists who have a doctoral degree in psychology,” it was
    “concerned . . . there seems to be a substitution for a licensed psychologist
    with an unlicensed psychologist to render an opinion.” Defense counsel
    responded, “I wouldn’t call it a ‘substitution.’ I mean, this is just us having a
    54
    defense-retained expert at this point.” The court further observed, “nobody
    was ever told by way of discovery or anything else that after Mr. Cowell
    refused to see Dr. Campagna, that Dr. Campagna was still, if I can put it this
    way, retaining her right to offer an opinion even after Mr. Cowell’s refusal to
    see her by farming out the materials that were furnished.” It further pointed
    out “the time limits of all of this. We’re to start with the sanity trial at 1:30
    this afternoon.”
    Even more importantly, the court was concerned that Dr. McKinzey
    was “basing his opinion from what I hear from you on the morality prong of
    M’Naghten. That is in turn based on Mr. Cowell’s testimony that he believed
    his actions were morally justified because he had a right to kill persons who
    had kidnapped his grandmother. It appears to me that Dr. McKinzey
    misunderstands California law. . . . It appears to me that Dr. McKinzey’s
    opinion is based on the moral standards that were peculiar to the accused.”
    Defense counsel made no offer of proof to the contrary.
    The court ruled defendant could not call Dr. McKinzey.
    The sum total of defendant’s argument on appeal as to why the trial
    court purportedly abused its discretion in excluding Dr. McKinzey’s
    testimony is a single paragraph, stating as follows:
    “As an initial matter, if the court believed Dr. McKinzey’s opinion was
    based on an incorrect legal standard, it should have conducted an
    Evidence Code section 402 hearing to determine conclusively whether it
    was an admissible opinion. The court relied only on trial counsel’s
    hastily assembled notes of the conversation, and did not review the 30
    page precis Dr. McKinzey had prepared. To exclude critical defense
    evidence on such an [sic] flimsy evidentiary record is an abuse of
    discretion.”
    To begin with, a trial court is not obligated to hold a foundational
    hearing sua sponte. (See People v. Williams (1997) 
    16 Cal.4th 153
    , 196.)
    55
    Thus, defense counsel having never requested an Evidence Code section 402
    hearing, defendant has forfeited any argument on appeal that one was
    required. (See People v. Lazarus (2015) 
    238 Cal.App.4th 734
    , 787 [failure to
    request prong-three Kelly19 hearing or section 402 hearing forfeited issue on
    appeal].)
    Furthermore, a trial court “has broad discretion in deciding whether to
    admit or exclude expert testimony (People v. Bui (2001) 
    86 Cal.App.4th 1187
    ,
    1196), and its decision as to whether expert testimony meets the standard for
    admissibility is subject to review for abuse of discretion. (People v. Alcala
    (1992) 
    4 Cal.4th 742
    , 788–789; see People v. Lindberg (2008) 
    45 Cal.4th 1
    ,
    45.)” (People v. McDowell (2012) 
    54 Cal.4th 395
    , 426.)
    Here, the trial court identified numerous reasons for excluding
    Dr. McKinzey’s testimony: Defendant’s failure to advise the court of
    Dr. Campagna’s reluctance to provide an opinion and 11th-hour request to
    replace her with Dr. McKinzey. Dr. McKinzey’s consideration of defendant’s
    stricken testimony. Dr. McKinzey’s lack of qualification under the statute
    given his licensing status. And his apparent misunderstanding of California
    law.
    The latter point was deemed by the court to be particularly significant,
    and appropriately so. (See Sargon Enterprises, Inc. v. University of Southern
    California (2012) 
    55 Cal.4th 747
    , 775–776 (Sargon) [“the substantive law . . .
    is relevant to help define the type of matter on which an expert may
    reasonably rely”].) A person is legally insane when due to a mental disease or
    defect, the person was “ ‘incapable of knowing or understanding the nature
    and quality of his act or incapable of distinguishing right from wrong at the
    People v. Kelly (1976) 
    17 Cal.3d 24
    , abrogated by statute on another
    19
    ground as stated in People v. Williamson (2004) 
    33 Cal.4th 821
    , 845–848.
    56
    time of the commission of the offense.’ ” (People v. Coddington (2000)
    
    23 Cal.4th 529
    , 608 (Coddington), overruled on other grounds as stated in
    Price v. Superior Court (2001) 
    25 Cal.4th 1046
    , 1069, fn. 13.) The concept of “
    ‘wrong’ ” includes both legal and moral wrong; thus, a person “ ‘who is
    incapable of distinguishing what is morally right from what is morally wrong
    is insane, even though he may understand the act is unlawful.’ ” (Coddington
    at p. 608.) Morality in the context of the insanity defense means generally
    accepted moral standards, and not distorted standards devised by the
    accused. (Id. at pp. 608–609.) Thus, a “defendant is sane if he knows his act
    violates generally accepted standards of moral obligation whatever his own
    moral evaluation may be.” (People v. Stress (1988) 
    205 Cal.App.3d 1259
    ,
    1274.) While a defendant’s perspective of the morality of his action(s) “need
    not reflect the principles of a recognized religion and does not demand belief
    in a God or other supreme being, it does require a sincerely held belief
    grounded in generally accepted ethical or moral principles derived from an
    external source. ‘[M]oral obligation in the context of the insanity defense
    means generally accepted moral standards and not those standards peculiar
    to the accused.’ [Citation.]”20 (Coddington, at p. 608.)
    20 “ ‘ “For example, if under the influence of his delusion [the defendant]
    supposes another man to be in the act of attempting to take away his life, and
    he kills that man, as he supposes, in self-defence [sic], he would be exempt
    from punishment. If his delusion was that the deceased had inflicted a
    serious injury to his character and fortune, and he killed him in revenge for
    such supposed injury, he would be liable to punishment.” ’ (People v. Rittger
    [(1960) 
    54 Cal.2d 720
    ,] 732; see Finger v. State (2001) 
    117 Nev. 548
    , 576 [
    27 P.3d 66
    ] [‘Persons suffering from a delusion that someone is shooting at
    them, so they shot back in self-defense are insane under M'Naghten. Persons
    who are paranoid and believe that the victim is going to get them some time
    in the future, so they hunt down the victim first, are not’].)” (People v.
    Leeds (2015) 
    240 Cal.App.4th 822
    , 829.)
    57
    Thus, whether a defendant holds a delusional but sincere belief that his
    or her actions are morally correct requires both an examination of what the
    defendant was actually thinking at the time he committed the charged crimes
    and a determination as to whether his view of the morality of his actions was
    based on a warped construct of his own making or was grounded in “generally
    accepted ethical or moral principles derived from an external source.”
    (Coddington, 
    supra,
     23 Cal.4th at p. 608.) However, it did not appear that
    McKinzey’s proffered opinion took into account the latter determination.
    Accordingly, on this record, it cannot be said that the trial court abused
    its discretion in excluding Dr. McKinzey’s testimony.21
    Directed Verdict on Sanity
    Defendant maintains “the sanity verdict must be reversed because the
    court directed the verdict while the jury was deliberating, denying [him] his
    constitutional right to due process.”
    After the jury found defendant guilty as charged,22 the court proceeded
    to the sanity phase. Defense counsel advised the court that given the
    exclusion of Dr. McKinzey’s testimony, the defense had no additional
    evidence. The court observed that defendant could choose to retake the
    21  While defendant acknowledges we generally review a trial court’s
    decision on expert testimony for abuse of discretion (see Sargon, supra,
    55 Cal.4th at p. 773), he asserts Dr. McKinzey’s testimony was so probative
    to his defense that that outweighed any other factor, and its exclusion
    violated a panoply of constitutional rights, including to present a defense and
    to due process. However, as we have discussed, Dr. McKinzey’s proffered
    testimony was of no probative value given his apparent misunderstanding of
    the controlling law.
    22The jury found the allegation that defendant personally inflicted
    great bodily injury upon L.W. not true.
    58
    stand, but if he did not, it would “grant the People’s motion for a directed
    verdict of sanity.”
    After the court instructed the jury, defense counsel told the court
    defendant would not be testifying. The prosecutor, in turn, told the court he
    had not made a motion for a directed verdict.
    The court then proceeded with closing arguments, and on their
    completion on a Thursday afternoon, the jury retired to deliberate. One day
    later, on a Friday, the jury asked the court two questions: (1) “ ‘[W]ould it
    make a person insane if they understand an act to be legally wrong but not
    morally wrong?’ ” and (2) “ ‘[I]s there a difference between knowing the
    quality of an act and understanding the quality of an act?’ ”
    The following Monday, the court advised the parties that the Governor
    had called for home isolation of all Californians over the age of 6523 and the
    presiding judge of the court had issued a similar directive. Four members of
    the jury were over the age of 65.
    The court then announced it intended, on its own motion, to direct a
    verdict of sanity and excuse the jurors on the ground no evidence had been
    presented that, at the time of the crimes, defendant did not know the nature
    and quality of his acts or believed that those acts were, under the applicable
    law, legally or morally justified. Defense counsel did not take issue with the
    court’s assessment of the evidence, but argued that given that the jury had
    deliberated for over a day and had asked several questions, the court should
    23  On March 4, 2020, the Governor declared a state of emergency due
    to the global COVID-19 outbreak. (E.P. v. Superior Court (2020)
    
    59 Cal.App.5th 52
    , 54.) Two weeks later, the Governor declared a shelter-in-
    place, asking anyone age 65 and older to stay at home.
    ( [as of Nov. 10, 2022].)
    59
    “mistry the sanity phase.” After further argument by counsel, the court
    directed a sanity verdict.
    “A plea of not guilty by reason of insanity ‘is a statutory defense that
    does not implicate guilt or innocence but, instead, determines “whether the
    accused shall be punished for the guilt which has already been established.”
    [Citation.]’ (People v. Hernandez (2000) 
    22 Cal.4th 512
    , 528 (conc. opn. of
    Brown, J.).)” (People v. Blakely (2014) 
    230 Cal.App.4th 771
    , 775 (Blakely).)
    “ ‘ “The test of legal insanity in California is the rule in M’Naghten’s
    Case (1843) 10 Clark & Fin.200, 210, as adopted by the electorate in June
    1982 with the passage of Proposition 8. That measure added section 25,
    subdivision (b) . . . , which provides: ‘In any criminal proceeding . . . in which
    a plea of not guilty by reason of insanity is entered, this defense shall be
    found by the trier of fact only when the accused person proves by a
    preponderance of the evidence that he or she was incapable of knowing or
    understanding the nature and quality of his or her act and of distinguishing
    right from wrong at the time of the commission of the offense.’ Despite the
    use of the conjunctive ‘and’ instead of M’Naghten’s disjunctive ‘or,’ this court
    has interpreted the statute as recognizing two distinct and independent bases
    on which a verdict of not guilty by reason of insanity might be returned.”
    [Citation.] “The incapacity must be based on a mental disease or defect even
    though that requirement is not specifically mentioned in [Penal Code
    section] 25, subd[ivision] (b).” ’ ([People v.] Severance [(2006)]
    
    138 Cal.App.4th 305
    , 321–322 [(Severance)].)” (Blakely, supra,
    230 Cal.App.4th at p. 774.)
    “Because a plea of insanity is an affirmative defense in which the
    defendant has the burden of proof, the court may, through the grant of a
    directed verdict, ‘remove the issue of sanity from the jury when the defendant
    60
    has failed to present evidence sufficient to support the special plea.’ (People
    v. Ceja (2003) 
    106 Cal.App.4th 1071
    , 1089; see Severance, supra,
    138 Cal.App.4th at p. 324 [noting the court properly directed a verdict of
    sanity because even if credited and viewed in the light most favorable to the
    defendant, he failed to proffer sufficient evidence of legal insanity, including
    evidence providing a substantial basis for the jury to find that when he
    committed the crimes he believed his actions were morally acceptable].)”
    (Blakely, supra, 230 Cal.App.4th at p. 775.)
    A directed verdict on sanity “ ‘may be granted “only when, disregarding
    conflicting evidence and giving to plaintiff’s evidence all the value to which it
    is legally entitled, herein indulging in every legitimate inference which may
    be drawn from that evidence, the result is a determination that there is no
    evidence of sufficient substantiality to support a verdict in favor of the
    plaintiff if such a verdict were given.” [Citations.] Unless it can be said as a
    matter of law, that, when so considered, no other reasonable conclusion is
    legally deducible from the evidence, and that any other holding would be so
    lacking in evidentiary support that a reviewing court would be impelled to
    reverse it upon appeal, or the trial court to set it aside as a matter of law, the
    trial court is not justified in taking the case from the jury. [Citation.] A
    motion for a directed verdict “is in the nature of a demurrer to the evidence,
    and is governed by practically the same rules, and concedes as true the
    evidence on behalf of the adverse party, with all fair and reasonable
    inferences to be deduced therefrom. . . . The power of a court in passing upon
    such motions is strictly limited. It has no power to weigh the evidence, but is
    bound to view it in the most favorable light in support of the verdict. . . .”
    [Citation.] In other words, the function of the trial court on a motion for a
    directed verdict is analogous to and practically the same as that of a
    61
    reviewing court in determining, on appeal, whether there is evidence in the
    record of sufficient substance to support a verdict. Although the trial court
    may weigh the evidence and judge . . . the credibility of the witnesses on a
    motion for a new trial, it may not do so on a motion for a directed verdict.’ ”
    (Blakely, supra, 230 Cal.App.4th at pp. 775–776.)
    Thus, while we apply the substantial evidence standard of review, in
    doing so “ ‘we do not look for substantial evidence in support of the trial
    court’s ruling that defendant was sane; rather, we look for substantial
    evidence from which the jury reasonably could have found defendant was not
    sane. If we find such evidence, then a directed verdict of sanity was
    improper.’ (Severance, supra, 138 Cal.App.4th at p. 320.)” (Blakely, supra,
    230 Cal.App.4th at p. 776.)
    Defendant first claims the trial court erred procedurally by directing a
    verdict after the jury commenced deliberations. He asserts that “[o]nce an
    issue of fact such as sanity must be decided” and the jury has retired to
    deliberate, “ ‘the jury alone possess[s] the power to pass upon [it].’ ” Or stated
    another way, defendant maintains that a “directed verdict may only be made
    prior to deliberation.”
    Defendant concedes he has been “unable to find any California
    authority” supporting this view. So, he posits that the issue is one of “first
    impression,” characterizing the question as whether, “[o]nce an issue of fact
    such as sanity must be decided, ‘the jury alone possesse[s] the power to pass
    upon [it].’ ”
    Putting aside for the moment whether there was any substantial
    evidence raising a triable issue of fact as to sanity, if the record supports a
    directed verdict, there is no rational reason why it makes any difference
    whether the court grants such a motion immediately at the close of evidence,
    62
    after instructing the jury, or after the jury has retired but before it reaches a
    verdict. A record either does, or does not, contain substantial evidence
    raising a triable issue for the jury to decide, and if it does not, there is no
    issue properly before the jury, and we see no reason why a nonsuit cannot
    properly be granted to bring an end to a legally meaningless exercise. (See
    Severance, supra, 138 Cal.App.4th at p. 314 [“trial courts have the inherent
    power to remove an insanity defense from the jury when there is no evidence
    to support it and in such a circumstance ‘there is no constitutional infirmity,
    either under the California Constitution or the United States Constitution,
    for a judge to remove the issue of sanity from the jury’ ”], quoting Ceja, supra,
    106 Cal.App.4th at p. 1089.)24
    For the first time in his reply brief, defendant asserts section 1140
    precludes discharging a jury “ ‘unless it has rendered a verdict in open court
    or has declared an inability to agree.’ ” Since he did not advance this
    argument in either the trial court or in his opening brief, this issue was
    neither preserved for appeal nor has it been timely raised on appeal. (See
    People v. Tully (2012) 
    54 Cal.4th 952
    , 1075 [“arguments made for the first
    time in a reply brief will not be entertained because of the unfairness to the
    other party”].) In any case, as defendant acknowledges, no authority
    supports the proposition that section 1140 limits the time to grant a directed
    24  Defendant also asserts the trial court “was reluctant” to direct a
    verdict on its own motion, which indicated “lingering doubt” as to the
    propriety of doing so. Not only is this speculation, but the record reflects that
    from the moment the court was told no further evidence would be presented
    by the defense during the sanity phase, it was of the view there was no
    triable issue as to sanity. And even if the court did harbor any “doubt,” that
    is irrelevant to both defendant’s procedural challenge to the directed verdict
    and whether the record does, or does not, contain substantial evidence raising
    a triable issue as to sanity.
    63
    verdict. Indeed, section 1140 provides that “[e]xcept as provided by law, the
    jury cannot be discharged after the cause is submitted to them until they
    have agreed upon their verdict and rendered it in open court, unless by
    consent of both parties, entered upon the minutes, or unless, at the expiration
    of such time as the court may deem proper, it satisfactorily appears that
    there is no reasonable probability that the jury can agree.” (Italics added.)
    The law provides, however, that trial courts have the inherent power to direct
    a verdict in the absence of any substantial evidence raising a triable issue as
    to sanity.
    Defendant next claims there was substantial evidence raising a triable
    issue as to sanity and therefore the issue should have been decided by the
    jury. As we have discussed, the question in this regard is whether defendant,
    who had the burden of proof as to insanity, presented sufficient evidence to
    support a finding that he was incapable of (1) knowing or understanding the
    nature and quality of his acts or (2) distinguishing right from wrong at the
    time he stabbed L.W. and N.W. (See Blakely, supra, 230 Cal.App.4th at
    p. 776; Severance, supra, 138 Cal.App.4th at p. 322.)
    Having presented no evidence at the sanity phase, defendant points to
    evidence presented during the guilt phase, specifically (1) the “extensive
    evidence” of his mental illness; (2) Dr. Coles’ opinion that he “was in an active
    and acute episode of schizophrenia leading up to the offense” (italics omitted),
    and “that while some of [defendant’s behavior] reflected ‘goal-oriented’
    behavior,” it could also be “consistent with an acute and active psychotic
    episode”; and (3) Dr. Gould’s opinion that defendant’s medical records “were
    consistent with his manifesting a psychotic illness at the time of the offense”
    and his statement, in response to a hypothetical question based on
    defendant’s testimony, that defendant’s conduct could be “consistent with
    64
    someone suffering from psychotic symptoms.” Defendant also points out the
    jury deliberated “for days” and asked the court two questions.
    There is no question that significant evidence was presented that
    defendant suffers from serious mental disabilities or diseases. However, as
    we have discussed, this fact, alone, does not satisfy the M’Naghten sanity
    test. (People v. Powell (2018) 
    5 Cal.5th 921
    , 955 [“A defendant ‘may suffer
    from a diagnosable mental illness without being legally insane under the
    M’Naghten standard.’ ”], superseded by statute on another ground as stated
    in People v. Eynon (2021) 
    68 Cal.App.5th 967
    , 973.) In addition, defendant
    was required to establish that his mental condition rendered him incapable of
    knowing or understanding the nature and quality of his act, or incapable of
    distinguishing between right and wrong in relation to that act. (Ceja, supra,
    106 Cal.App.4th at p. 1089.)
    As we have recited, Dr. Coles testified in the guilt phase of the trial as
    to defendant’s capacity to form the specific intent required for the crimes of
    premediated and deliberate murder and attempt to commit premeditated and
    deliberate murder, and for the special circumstance of lying in wait. Dr.
    Coles was not asked to form an opinion about, nor did he testify as to,
    defendant’s legal sanity. While Dr. Coles testified there was “ample evidence
    to conclude that he was psychotic up through all of the records which come to
    right before the crime,”25 he went on to state, “Since I didn’t talk to him, I
    25  As we have recited, a little over a week before the stabbings,
    defendant was placed on a three-day Welfare and Institutions Code
    section 5150 hold and housed at the John George Psychiatric Pavilion
    because he reported “had been hearing voices telling him that people were
    out to kill him.” The attending psychiatrist believed his “problems . . . were
    to be associated with medication noncompliance.” Four days before the
    stabbings, he went to Kaiser Oakland and told the emergency department
    physician he had suicidal ideations, was hearing auditory hallucinations, was
    65
    have no opinion at all as to how that [i.e., what appeared in the medical
    records] did or did not interact with what he did.” He similarly testified, “I
    think given the record, that it’s pretty clear that [defendant] suffers with a
    psychiatric illness that was untreated and was active at the time of the
    crime. Now, how it played a role and to what degree, I have no opinion.”
    Thus, Dr. Coles acknowledged he was not asked to provide, nor did he have,
    an opinion as to whether defendant was legally sane at the time of the
    crimes.
    Dr. Gould similarly testified during the guilt phase as to whether
    defendant could act with the requisite mental state required to prove the
    charged crimes.26 He also was not asked to form, nor did he provide, an
    opinion as to defendant’s legal sanity at the time of the crimes.
    At one point, defense counsel asked Dr. Gould if he had considered
    whether “personality dysfunction” was the sole factor that led to defendant’s
    psychiatric symptoms at the time of the offense.27 The trial court
    interrupted, stating counsel’s question was not “pertinent to this phase of the
    trial.”        Defense counsel asked for some latitude because “[w]e’re paying him
    homeless, and someone had stolen $800 from him and thrown urine on him.
    He was again referred to John George and released the following day. The
    day before the stabbings, he returned to the Kaiser emergency department.
    This time he complained only that he had twisted his ankle a week earlier
    and it was not feeling better. The physician ordered an X-ray, wrapped
    defendant’s foot, gave him ibuprofen and acetaminophen, and released him.
    Gould also never interviewed defendant, and there is no indication
    26
    he listened to defendant or reviewed defendant’s testimony.
    CALCRIM No. 3450, on which the jury was eventually instructed,
    27
    states in part: “Do not base a finding of not guilty by reason of insanity solely
    on the basis of a personality disorder, adjustment disorder, seizure disorder,
    or an abnormality of personality or character made apparent only by a series
    of criminal or antisocial acts.”
    66
    $250 an hour,” and the court acquiesced. Counsel then re-asked the question,
    and Dr. Gould replied he had considered it. He went on to state, “part of
    evaluating whether someone suffers from one mental illness also includes
    excluding other causes of their behavior. And so someone with a personality
    illness or disorder eventually will behave in dysfunctional ways. So by
    diagnosing him with a psychotic disorder, it’s my opinion that’s consistent
    with the records that he was manifesting a psychotic illness. Now, he may
    have an accompanying personality disorder, and that can happen, but it
    wasn’t the sole cause of all the medical records documenting psychotic
    symptoms.” (Italics and boldface added.) It is the italicized portion on which
    defendant relies in his brief. However, as the entirety of the excerpt,
    including the bolded we have added, makes clear, Dr. Gould’s testimony was
    that defendant suffered from a mental illness. The excerpt says nothing
    about whether defendant was legally insane, i.e., that his illness rendered
    him incapable of knowing or understanding the nature and quality of his
    acts, or incapable of distinguishing between right from wrong at the time of
    the criminal acts.
    Prior to both Dr. Cole’s and Dr. Gould’s testimony, the prosecutor
    expressed concern about defense counsel asking hypothetical questions based
    on defendant’s testimony, given defendant’s refusal to testify on cross-
    examination. The prosecutor stated, “I did want to put on the record a
    concern I have in that my expectation that [defense counsel] is going to ask
    Dr. Coles hypothetical questions based on her completed direct examination
    of Mr. Cowell. [¶] . . . [¶] The standard cross-examination or direct
    examination of experts of this type include hypothetical questions based on
    direct testimony and the cross-examination of the defendant. [¶] . . . [B]ut my
    position is that will extremely—that will severely limit my ability to cross the
    67
    doctor since I was not able to question Mr. Cowell on what he was thinking at
    the time; what his motivations are, or anything of that effect.” While the
    court had ordered defendant removed from the courtroom for his obstructive
    behavior, it had not yet told defendant he could not, with impunity, refuse to
    testify on cross-examination and, likewise, had not yet imposed any
    consequences for his refusal to testify.
    Defense counsel subsequently asked Dr. Gould, during the guilt phase,
    to assume the following: A person with a “diagnosed psychotic disorder
    reports that aliens on a BART train kidnapped his grandmother; that one of
    the aliens stood over him and did not have a permit to do so; he talks about a
    radio in his head, and the fact that alien females on the train were
    threatening to assault his grandmother. He goes on to explain that during
    the BART train ride that aliens were pointing to other passengers while
    staring at him; assume further that there is surveillance footage on this
    entire BART train ride that shows no interaction between the diagnosed and
    anybody else on the train.” Counsel then asked Dr. Gould, “Could that report
    be consistent with somebody suffering from psychotic symptoms?” Gould
    answered, “Yes.” Counsel further asked, “And could that report be consistent
    with somebody who’s experiencing delusions?” Gould answered, “Yes.”
    Counsel additionally asked, “And could those psychotic symptoms occur from
    somebody who is suffering from schizophrenia?” Gould again answered,
    “Yes.” Thus, like Dr. Coles, Dr. Gould testified only that defendant could
    have been suffering the symptoms of a mental illness. He did not testify
    whether such illness rendered defendant incapable of knowing or
    understanding the nature and quality of his criminal acts, or incapable of
    distinguishing between right from wrong in relation to those acts.
    68
    Moreover, prior to the sanity phase the trial court struck defendant’s
    testimony and expressly instructed the jury, “that in a conference out of the
    presence of the jury . . . I struck Mr. Cowell’s testimony at the guilt phase and
    therefore you are not to consider that testimony in your resolution of this
    case.”     It further instructed, “If I ordered testimony stricken from the record,
    you must disregard it and must not consider that testimony for any
    purpose.” Thus, these instructions effectively excised from the hypothetical
    question counsel had asked Dr. Gould in the guilt phase nearly all of its
    underpinnings since they had been based on defendant’s testimony. This, in
    turn, left Gould’s answer untethered to the evidence and therefore of no
    evidentiary value. (See People v. Vang (2011) 
    52 Cal.4th 1038
    , 1046 [“A
    hypothetical question not based on the evidence is irrelevant and of no help to
    the jury (italics added).”].)
    In sum, there was no expert testimony presented as to whether, at the
    time he committed the crimes, defendant’s mental illnesses rendered him
    incapable of knowing or understanding the nature and quality of his criminal
    acts, or incapable of distinguishing between right from wrong in relation to
    those acts. Nor was there any testimony by defendant. Thus, the record in
    this case was no different than the record in Blakely—no expert testimony as
    to sanity and no testimony by the defendant—where the Court of Appeal
    affirmed the grant of a directed verdict. (Blakely, supra, 230 Cal.App.4th at
    pp. 776–781.)
    This left the testimony of eyewitnesses to the crimes and those having
    contact with defendant immediately and shortly thereafter, and surveillance
    evidence. This evidence established that on the day of the crimes, defendant,
    who was wearing a hoodie and sunglasses, saw N.W., L.W., and T.W. at the
    Concord BART station. He followed the young women onto a train headed
    69
    toward Oakland. While on the train, he retrieved a knife from his backpack
    and secreted the knife in his pants pockets. After arriving at the MacArthur
    station, he exited the train and followed the women onto the platform. There
    he waited. After the next train arrived, but before the young women could
    board, defendant stabbed L.W. and N.W.
    Defendant thereafter fled the scene, mixing in with the crowd, and
    “directing [the police] back towards the BART station.” He got rid of the
    murder weapon and the clothing he was wearing at two different spots. He
    then ran away from the scene, ending up at the intersection of San Pablo and
    Stanford, which is “about a 25- to 30-minute walk” from the MacArthur
    station, where he boarded a bus. The bus driver testified that when he
    boarded, defendant asked for a ride, stating his ankle hurt. Thus, defendant
    was apparently aware that drivers are allowed to give a “courtesy ride” in
    their discretion when people are injured or “have no money.” He asked the
    driver “to take him to the next BART station and he said 12th, 19th,” which
    was the direction the bus was headed. When the bus arrived in downtown
    Oakland, the driver informed defendant of their arrival. After defendant
    confirmed they were at a BART station, he thanked the driver and exited the
    bus.
    He was arrested less than 24 hours later by BART Police Officer
    Rodney Barrera. Barrera testified defendant’s answers to questions were
    “appropriate,” he did not “seem like he was having trouble understanding,”
    and he was not exhibiting any behavior “that caused [Barrera] to have
    concern about his mental well-being.” Defendant gave Barrera his name and
    told him he was on his way home to Concord. Later that night, Detective
    Medeiros interviewed defendant, who appeared “coherent.” Medeiros, who
    “over the course” of his career had “to contact numerous people, who at least,
    70
    based on [his] training and experience” appeared to “be suffering from some
    sort of mental health issue” did not have “any concerns about [defendant’s]
    mental health” during their conversation. In the portion of the interview
    played for the jury, defendant stated he was on BART headed home to
    Concord, and that he lived with his aunt.
    In sum, while there was substantial evidence defendant suffers from a
    serious mental illness, there was no substantial evidence that at the time of
    the crimes defendant was incapable of (1) knowing or understanding the
    nature and quality of his acts or (2) distinguishing right from wrong. (See
    Blakely, supra, 230 Cal.App.4th at p. 776; Severance, supra, 138 Cal.App.4th
    at p. 322.) Accordingly, the trial court did not err in granting a directed
    verdict on sanity.28
    Prosecutorial Misconduct
    Defendant also maintains the prosecutor engaged in misconduct during
    both the guilt and sanity phases, violating his right to due process and
    rendering the proceedings fundamentally unfair. He contends the
    “misconduct fell into three basic categories: (1) improperly implying
    appellant’s actions were racially motivated and injecting inferences of racial
    animus; (2) goading appellant into erupting before the jury with improper
    questions and argumentative behavior; [and] (3) asking the jury to draw
    conclusions not supported by the evidence, vouching and taking advantage of
    evidentiary rulings.”
    “ ‘ “A prosecutor commits misconduct when his or her conduct either
    infects the trial with such unfairness as to render the subsequent conviction a
    28 We therefore need not, and do not, address defendant’s additional
    claim that, despite the Covid directives, there was “insufficient evidence” that
    the jury could not “safely” deliberate, and that the trial court should have
    declared a sanity mistrial.
    71
    denial of due process, or involves deceptive or reprehensible methods
    employed to persuade the trier of fact.” ’ [Citations.] During opening and
    closing arguments, the prosecution is given wide latitude to make ‘ “fair
    comment on the evidence, including reasonable inferences or deductions to be
    drawn from it.” ’ [Citation.] ‘ “As a general rule a defendant may not
    complain on appeal of prosecutorial misconduct unless in a timely fashion—
    and on the same ground—the defendant made an assignment of misconduct
    and requested that the jury be admonished to disregard the impropriety.” ’ ”
    (Parker, supra, 13 Cal.5th at p. 72.) “ ‘ “A defendant’s conviction will not be
    reversed for prosecutorial misconduct . . . unless it is reasonably probable
    that a result more favorable to the defendant would have been reached
    without the misconduct.” ’ ” (Id. at pp. 71–72.)
    Racial Motivation
    During the prosecutor’s cross-examination of defendant, an argument
    arose between the prosecutor and defense counsel over a transcript, which
    was presented to the jury, of a video of the bus ride defendant took on the
    night of the crimes. The prosecutor asked defendant whether it was, “true
    while you were on the bus, you essentially tried to pick a fight with the
    African-American woman on the bus?” Defendant responded that he did not
    remember. The prosecutor followed up by asking, “Isn’t it true you turned to
    her and said, ‘you are trying to throw something on me, little nigger’?”
    Defendant responded, “No.” Defense counsel objected, stating “That is an
    inaccurate statement; that’s not in evidence; that’s not on the transcript;
    that’s nowhere in here. That’s being fabricated by [the prosecutor].” When
    the prosecutor pointed to the transcript, defense counsel asserted her copy
    did not contain any such statement.
    72
    The discussion moved into chambers. There, defense counsel again
    asserted “[t]he transcript that [the prosecutor] gave me was given to me over
    email and it does not include the N word. He passed out a transcript to [the]
    jury that includes the N word and that was never given to me.” The
    prosecutor claimed he had handed defense counsel a copy of the transcript he
    was using when she walked into court. Defense counsel denied that she had
    been given a copy and asserted the emailed copy “did not mirror what he
    handed out to the jury. I would have never agreed to have the N word on
    that transcript because that’s not what’s heard in the video. You cannot hear
    that in the video. And he handed out to this jury, and he intentionally did it
    knowing that my copy said ‘unintelligible,’ and he put the N word on his copy
    and it’s misconduct and it’s flagrant misconduct and I want a mistrial. There
    is absolutely—that is the most despicable behavior I have ever seen in my
    entire life trying cases.”
    The prosecutor responded, “What actually happened is . . . at some
    point prior to Thursday, I received a transcript . . . I did email it to [defense
    counsel]. I’m not denying that. In the interim, I reviewed the transcript,
    which is my practice. I listened to the audio, and it’s very clear to me—it’s
    very clear to me what is said. . . . I corrected the transcripts, and there are
    other corrections as well, and [defense counsel] can go through the transcript
    and look at that as well. [¶] Thursday, I gave her a hard copy on her desk.
    There was no doubt in my mind about that. I know that to be the case. In
    addition, at the end of the day Thursday, there was a discussion in my office
    by DAs who were in here who said, has [defense counsel] said anything about
    it. And I said no, she’s had it. She’s had it since this morning. [¶] The court
    has a copy that’s clearly marked. The exhibit is marked. So to try to claim
    that I purposely tried to mislead her is absolutely not true. If [defense
    73
    counsel] is saying she didn’t look at the hard copy I gave her, that’s on her.
    She had it Thursday, Friday, Saturday, Sunday, Monday, and never raised
    an objection.”
    The court stated, “[I]f you are going to include that word on a
    transcript, which you give to the jury, [and] you have not furnished that same
    transcript to [defense counsel], that is reprehensible conduct to give it to the
    jury.” The court did not decide whether or not the prosecutor, in fact, had
    given defense counsel the corrected transcript; rather, it stated the
    prosecutor “should have” brought to defense counsel’s attention “that there
    was a difference in that transcript and the transcript that you had earlier
    furnished her.” The court also denied the motion for mistrial, pointing out it
    had instructed the jury that “transcripts are not evidence” and stating it
    would also admonish the jury “to disregard the District Attorney’s question
    as to the content of that transcript.”29
    On appeal, defendant continues to maintain the prosecutor
    deliberately—and improperly—showed the “corrected” transcript to the jury
    without affording defense counsel an opportunity to review it in order to
    portray defendant as a racist and imply he was motivated by racial animus.
    To begin with, the trial court refused to make any finding that the
    prosecutor deliberately tried to get the “corrected” transcript in front of the
    29 The court duly admonished the jury as follows: “A transcript was
    furnished to you yesterday, Exhibit 7C, of audio from the AC Transit bus.
    That transcript contained a remark allegedly made by the defendant, which
    was of a racial nature. Whether that remark was made is only an
    interpretation by the person who was preparing the transcript and is not
    evidence. Since it is not evidence, you are to disregard it and it is to play no
    part in your decision making in this case. [¶] As I’ve also instructed you,
    questions of counsel are not evidence, so you are also to disregard any
    questions by the District Attorney that assumed it was true.”
    74
    jury before defense counsel had an opportunity to see it. Instead, it chastised
    the prosecutor for failing to alert defense counsel that such a significant
    “correction” had been made. We wholeheartedly agree with the trial court
    that the prosecutor’s failure to alert defense counsel to this “correction” of the
    transcript was highly inappropriate and unprofessional. However, we are in
    no position to make the credibility determination the trial court refused to
    make, and we agree that given all of the circumstances the trial court’s
    chastisement was an appropriate way to handle the situation.
    Even assuming the prosecutor engaged in outright misconduct, we
    cannot say it is probable that a result more favorable to the defendant would
    have been reached without the misconduct. The “N” word in the transcript
    and referenced by the prosecutor was certainly loaded, but it was a single
    word and a single question in a guilt-phase trial that lasted more than 10
    weeks. In addition, the court promptly admonished the jury that the
    transcript and the prosecutor’s question were not evidence and it was to
    disregard both. In addition, as we have recited, the evidence that defendant
    committed the stabbings was overwhelming.
    Improper Questioning
    Defendant maintains the prosecutor’s “continu[ous] goad[ing]” of
    defendant, despite his awareness of defendant’s “severe mental illness,”
    “went beyond spirited advocacy to a manipulative and improper attempt to
    influence the jury.” He points to two such instances.
    The first occurred when the prosecutor asked about the knife in
    defendant’s hand as seen on the BART surveillance video. The prosecutor
    asked “Do you remember last Tuesday, me showing you a knife?” and “And
    you remembered that knife, right?” Defendant replied, “Yes” to both
    questions. The prosecutor then held up the knife, marked as exhibit No. 3A1,
    75
    and asked, “That’s the knife, correct?” Defendant responded, “Yes.” To which
    the prosecutor replied, “It’s not a banana, right?” At that point, defense
    counsel objected as “argumentative,” and the trial court sustained the
    objection.
    The second occurred when the prosecutor asked defendant whether he
    was “not taking meds because you want to appear crazy, right?” Defendant
    responded, “I don’t remember that.” The prosecutor asked again later, during
    his cross-examination, “And again, sir, you’re not on any medication today,
    are you?” Defendant responded, “I don’t take medication at all.” The
    prosecutor responded, “Because you want to appear crazy, right?”
    To begin with, defense counsel made no objection to the latter,
    medication questions, thus forfeiting the issue on appeal. (People v. Foster
    (2003) 
    111 Cal.App.4th 379
    , 383 [A “ ‘defense counsel’s failure to object to the
    prosecutor’s [questions] waives the issue on appeal.’ ”].)
    In any case, the cross-examination about which defendant complains
    did not cross the line into prejudicial misconduct. “[T]he permissible scope of
    a prosecutor’s cross-examination of a defendant is ‘ “very wide.” ’ ” (People v.
    Mayfield (1997) 
    14 Cal.4th 668
    , 755, overruled in part on another ground as
    stated in People v. Scott (2015) 
    61 Cal.4th 363
    , 390, fn. 2.) We have reviewed
    the prosecutor’s entire cross-examination, and though at times vigorous and
    adversarial, his questions neither individually nor in combination rose to the
    level of having so “infect[ed] the trial with such unfairness as to render the
    subsequent conviction a denial of due process, or involve[d] deceptive or
    reprehensible methods employed to persuade the trier of fact.” (Parker,
    supra, 13 Cal.5th at p. 72.)
    76
    Vouching and Matters Outside the Record
    Defendant also complains the prosecutor engaged in improper vouching
    and referred to matters outside the record.
    During closing, the prosecutor stated, “The defendant testified on direct
    examination and said the word ‘aliens’ six times. There’s a little asterisk at
    the end, because I had the benefit of reading through it all.” Defense counsel
    objected, “as vouching.” The trial court sustained the objection. It had also
    instructed the jury that it could not consider testimony as to which the court
    sustained an objection and that nothing counsel argued or said was evidence.
    A little later, the prosecutor stated, “By the way, cross-examination
    was 100 pages, and one time he used the word ‘aliens.’ ” The court overruled
    defense counsel’s objection that referring “to all these page counts as
    vouching and outside of evidence.” The court did not err in doing so, as this
    statement was comment on the state of the evidence, not improper vouching.
    (See People v. Weaver (2012) 
    53 Cal.4th 1056
    , 1077 [prosecutor may comment
    on state of the evidence]; People v. Jasso (2012) 
    211 Cal.App.4th 1354
    , 1370–
    1371 [same].)
    The prosecutor also discussed, during closing, defendant’s jailhouse
    calls. He stated, “The jail calls. Again, he uses a different PIN . . . . He does
    that because they are harder to track. We can’t find his PIN . . . .” Defense
    counsel made no objection, so any complaint about this statement is forfeited
    on appeal. (People v. Foster, supra, 111 Cal.App.4th at p. 383 [A “ ‘defense
    counsel’s failure to object to the prosecutor’s [questions] waives the issue on
    appeal.’ ”].)
    In rebuttal argument, the prosecutor stated, “What I know is that
    mental health records are very, very difficult to get. There’s this thing about
    privilege, right.” Defense counsel responded, “Objection, evidence,” and the
    77
    trial court again sustained the objection. As noted above, the court had also
    instructed the jury that it could not consider testimony as to which the court
    sustained an objection and that nothing counsel argued or said was evidence.
    Later in rebuttal, the prosecutor stated, “And [defense counsel] is right,
    they didn’t have to present a case, but once they do, it goes into the lump of
    evidence for your consideration. . . . [W]ell, the prosecution has the burden of
    proof so maybe we’re not supposed to use that evidence. No.” The trial court
    sustained defense counsel’s “burden shifting” objection. Again, the court had
    also instructed the jury that it could not consider testimony as to which the
    court sustained an objection and that nothing counsel argued or said was
    evidence.
    The prosecutor also stated in rebuttal, “And I told you the only
    difference between lying in wait for a first degree murder, which this clearly
    is, and the special circumstance enhancement, is you have to find he intended
    to kill, and nobody watching that video can have a doubt about that. Nobody
    should. [¶] If [N.W.] was alive—.” Defense counsel objected as “appealing to
    passions,” and the trial court sustained the objection. The prosecutor went
    on, “If you watch the video, and she hadn’t died, you would think he tried to
    kill those two girls. That’s my point. That’s what I’m saying. If you saw it,
    and she hadn’t died, you would think he tried to kill her.” This time the court
    overruled defense counsel’s objection. The court correctly did so, as this was
    again fair comment on the evidence.
    During the prosecutor’s closing argument in the sanity phase, he stated
    “a court will appoint two doctors when there’s a sanity issue. And the doctors
    come and say, look, he suffered from a mental disease or defect, prong one.
    And at the time that he was insane, prong two. There’s no evidence of that.
    [¶] . . . [¶] And yes, all of you are intelligent. You figure out the defendant
    78
    doesn’t want to interview with them. . . . He knows they are going to test him
    for malingering. So there’s no evidence of the second prong.” Later, after the
    court sent the jury to deliberate, defense counsel stated, “I didn’t object at the
    time for tactical reasons, but I did want to lodge an objection on the record”
    that the prosecutor committed misconduct when he “started to talk about
    how the defense has no experts; and they didn’t call any experts when they
    know very well that I had an expert and I had an expert who was going to
    come in here and testify that my client was legally insane at the time of the
    offense, but it got excluded.” Counsel then requested admonition, which the
    court declined. The court did not err in refusing to further admonish the
    jury. This was a fair comment on the state of the evidence, and the court
    had, as we have recited, instructed the jury that argument of counsel is not
    evidence.
    In sum, neither individually, nor collectively, did these complained-of
    statements rise to the level of having so “infect[ed] the trial with such
    unfairness as to render the subsequent conviction a denial of due process, or
    involve[d] deceptive or reprehensible methods employed to persuade the trier
    of fact.” (Parker, supra, 13 Cal.5th at p. 72.) On the contrary, some of
    defense counsel’s objections were sustained, and the jury was instructed both
    that questions and comments by counsel were not evidence and it could not
    consider any testimony to which an objection was sustained. As to several of
    the complained-of statements, defendant made no objection and thus forfeited
    any claim of error. And as those objections that were not sustained, the
    complained-of statements did not constitute misconduct. Furthermore,
    considered in context and in light of the instructions given, and given the
    overwhelming evidence supporting the verdicts of guilty, it is not reasonably
    79
    probable that a result more favorable to the defendant would have been
    reached without the asserted misconduct.
    Mistrial
    Defendant also contends the trial court erred in denying his motions for
    a mistrial. He asserts there were “numerous incidents and factors that
    together rendered the possibility of a fair trial highly unlikely,” pointing to
    three assertedly “dramatic incidents.”
    The first incident was L.W. vomiting in front of the jury when she was
    “asked . . . to stand close to the video monitor and narrate . . . the video”
    footage just before it showed defendant “stabbing her sister in the neck.”
    Defense counsel moved for a mistrial stating, “I think that based upon what
    just occurred which was—it appeared to me that when [the prosecutor] was
    started to lead the witness . . . , I objected and it was sustained. And he
    appeared to then, in my mind, act emotionally; take the witness and stand
    her within 1 foot of a gigantic TV screen where she was then forced . . . to
    watch video surveillance, which shows her sister being stabbed to death in
    front of her. And then she ended up throwing up in front of the jury. And I
    just don’t see—I believe that my client’s chance to get a fair trial is
    irreparably damaged. And on those grounds, I’m moving for a mistrial.”
    The court denied the motion, stating “I don’t believe the fact that the
    witness throwing up could have been foreseen by the District Attorney and
    therefore the motion for mistrial is denied.”
    The second incident was the argument over the AC Transit bus
    transcript, which we have detailed above (see pp. 75–79, ante).
    The third incident occurred outside court, on one of the days of the
    prosecution’s rebuttal argument. Defense counsel told the court:
    “I was walking into the courthouse . . . using the main entrance . . . ,
    which is the entrance that I believe would be used by the majority of
    80
    our jurors . . . there were a number of protestors. . . . They are standing
    actually not on public space, but they are standing on the wall that is
    the courthouse building. And jurors would have to walk up past them.
    [¶] And in addition to this, there’s people screaming on the court
    steps—excuse me—kitty-corner screaming ‘[N.W., N.W.]’ And when I
    walked back, the woman in the photo who has a jean jacket on and is
    holding a heart sign that says ‘[N.W.]’ said ‘oh, look who it F-ing is? F
    you, you F-ing Bitch,’ and she wasn’t saying ‘F-ing,’ and she was saying
    it very aggressively. And she took her signage and shoved it in my face
    from her position of advantage up above me. And I had to stop in my
    steps, and I had to fling my head back so as not to be hit by her
    signage. There was a lot of people around when that happened. I
    didn’t have an opportunity to see if there were any jurors, because I
    was, frankly, scared out of my mind that I was about to be assaulted,
    but I think it is highly likely that a juror saw me get assaulted by this
    woman. And I think it’s highly likely, almost undeniable, that the
    jurors saw this protest that is being allowed to occur not on public
    space, but being allowed to occur standing on the courthouse. [¶] And
    with that, I would like to . . . move for a mistrial.”
    The court denied the motion stating, “I have no indication that this
    jury’s objectivity has been compromised by this incident.”
    A motion for mistrial “is directed to the sound discretion of the trial
    court.” “ ‘A mistrial should be granted if the court is apprised of prejudice
    that it judges incurable by admonition or instruction. [Citation.] Whether a
    particular incident is incurably prejudicial is by its nature a speculative
    matter, and the trial court is vested with considerable discretion in ruling on
    mistrial motions.’ ” (People v. Jenkins (2000) 
    22 Cal.4th 900
    , 985–986; see
    People v. Lightsey (2012) 
    54 Cal.4th 668
    , 718.) “We review a trial court’s
    ruling on a motion for mistrial for abuse of discretion. [Citation.] Such a
    motion should only be granted when a defendant’s ‘chances of receiving a fair
    trial have been irreparably damaged.’ ” (People v. Valdez (2004) 
    32 Cal.4th 73
    , 128.) Even if prosecutorial misconduct is involved, this court will not
    reverse a conviction absent prejudice to the defendant. (See People v. Riggs
    81
    (2008) 
    44 Cal.4th 248
    , 298 [under California misconduct law, no reversal
    unless “reasonably probable that without such misconduct, an outcome more
    favorable to the defendant would have resulted”; and under federal law, no
    reversal “unless the challenged action ‘ “so infected the trial with unfairness
    as to make the resulting conviction a denial of due process” ’ ”].) Thus, if “any
    reasonable jury would have reached the same verdict,” the trial court’s ruling
    will stand. (People v. Bolton (1979) 
    23 Cal.3d 208
    , 214–215.)
    The trial court did not abuse its discretion in denying defendant’s three
    mistrial motions. There is nothing in the record that suggests that the fact
    one of the victims got sick during her testimony, was “incurably prejudicial.”
    (See People v. Martin (1983) 
    150 Cal.App.3d 148
    , 162–163 [no mistrial for
    witness’s emotional outburst]; People v. Roy (1971) 
    18 Cal.App.3d 537
    , 554
    [no mistrial for single emotional outburst by murder victim’s wife while
    testifying], disapproved of on another ground as stated in People v. Ray
    (1975) 
    14 Cal.3d 20
    , 32.30) As for the AC Transit bus video, as we have
    discussed above, the trial court handled the situation appropriately and it did
    not call for a mistrial. As for the out-of-court protest, counsel’s assertions
    that some jurors must have seen it was speculative, and even assuming some
    jurors did pass by it, nothing in the record indicates it interfered with their
    service in accordance with the court’s instructions. (See People v. Lewis and
    Oliver (2006) 
    39 Cal.4th 970
    , 1029 [mistrial properly denied where witness
    comment “added nothing to what the jury knew” and it was speculative as to
    whether jury even heard comment]; People v. Panah (2005) 
    35 Cal.4th 395
    ,
    450–451 [mistrial properly denied in absence of any indication in the record
    that the jury actually observed an incident of spectator misconduct]; see also
    30 Abrogated on another ground in People v. Lasko (2000) 
    23 Cal.4th 101
    , 110.
    82
    People v. Craig (1978) 
    86 Cal.App.3d 905
    , 919–920 [mistrial properly denied
    when jury observed picketing outside the courtroom because of court’s prompt
    admonition and even assuming error, it was harmless].)31
    DISPOSITION
    The judgment is AFFIRMED.
    31 Given our rejection of defendant’s specific claims of error, we need
    not and do not address his claim of prejudicial cumulative error.
    83
    _________________________
    Banke, J.
    WE CONCUR:
    _________________________
    Humes, P. J.
    _________________________
    Margulies, J.
    A160637 People v. Cowell
    84