People v. Hood , 2022 IL App (4th) 200260 ( 2022 )


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    2022 IL App (4th) 200260
                                  FILED
    November 21, 2022
    NO. 4-20-0260                                  Carla Bender
    4th District Appellate
    IN THE APPELLATE COURT                                    Court, IL
    OF ILLINOIS
    FOURTH DISTRICT
    THE PEOPLE OF THE STATE OF ILLINOIS,                        )   Appeal from the
    Plaintiff-Appellee,                              )   Circuit Court of
    v.                                               )   Adams County
    RICHARD L. HOOD,                                            )   No. 18CF148
    Defendant-Appellant.                             )
    )   Honorable
    )   Scott Jones Butler,
    )   Judge Presiding.
    JUSTICE STEIGMANN delivered the judgment of the court, with opinion.
    Presiding Justice Knecht and Justice DeArmond concurred in the judgment and
    opinion.
    OPINION
    ¶1             In February 2018, the State charged defendant, Richard L. Hood, with three counts
    of criminal sexual assault (720 ILCS 5/11-1.20(a)(1) (West 2018)) and one count of unlawful
    restraint (id. § 10-3). A jury found defendant guilty of all four counts, and the trial court later
    sentenced him to nine years and eight months in prison on each of the three criminal sexual assault
    counts and one year in prison for the unlawful restraint count, to be served consecutively.
    ¶2             Defendant appeals, arguing that the trial court erred by (1) denying defendant’s
    requests for standby counsel, (2) admitting testimony from a sexual assault nurse examiner that
    did not fall within the medical diagnosis exception to the hearsay rule, (3) admitting cumulative
    and prejudicial evidence of the victim’s demeanor after the alleged assault, and (4) entering a
    conviction on the unlawful restraint count because it is a lesser-included offense of criminal sexual
    assault.
    ¶3             We disagree and affirm.
    ¶4                                      I. BACKGROUND
    ¶5                                        A. The Charges
    ¶6             In February 2018, the State charged defendant with three counts of criminal
    sexual assault (counts I through III) (id. § 11-1.20(a)(1)) and one count of unlawful restraint
    (count IV) (id. § 10-3). Counts I through III alleged that on January 30, 2018, defendant
    committed three separate acts of sexual penetration against B.L.M. by the use of force or threat
    of force: (1) penis in mouth (count I); (2) penis in vagina (count II); and (3) penis in anus (count
    III). Count IV alleged that, on the same day, defendant detained B.L.M., “in that he would not let
    her leave a house [located in] Quincy, Illinois.”
    ¶7                                  B. The Pretrial Proceedings
    ¶8             In April 2018, at defendant’s first appearance, defendant informed the trial court
    that he intended to proceed pro se. The following month, at a status hearing, defendant refused to
    respond when the court asked if he still wished to represent himself or whether he wanted
    appointed counsel. The court determined that defendant’s silence could not constitute a waiver of
    counsel and accordingly appointed the public defender, Todd Nelson, to represent defendant.
    ¶9             At a June 2018 hearing, defendant complained about Nelson’s representation.
    Despite defendant’s complaints, the trial court declined to vacate Nelson’s appointment. Defendant
    then told the court he wished to represent himself. The court continued the hearing, and the next
    day, Nelson advised the court that he had a conflict of interest. The court reassigned the case to
    another attorney in Nelson’s office, Chris Pratt.
    ¶ 10           Later in June 2018, defendant appeared with Pratt and told the trial court he was
    -2-
    still considering whether he wanted to proceed pro se. The court continued the case for one week.
    ¶ 11           At the next hearing, defendant told the trial court he wished to represent himself
    and pro se filed a motion for substitution of judge and a motion to dismiss the indictment. The
    court granted defendant’s motion for substitution of judge and referred the case to the chief judge
    for reassignment. The court stated the new judge would address defendant’s waiver of counsel.
    ¶ 12           In July 2018, defendant appeared with Pratt at a status hearing. The trial court asked
    Pratt if he was adopting defendant’s pro se motion to dismiss the indictment. Pratt advised the
    court that defendant wished to represent himself. In response to the court’s questions, defendant
    stated that he had an eighth-grade education, had no trouble reading or learning, and had
    participated in court proceedings before. The court stated that it was inclined to order a fitness and
    psychological evaluation to determine if defendant was “of his right mind” before accepting
    defendant’s waiver of counsel. In light of the gravity of the charges, the court sua sponte appointed
    Dr. Terry Killian to conduct a fitness evaluation.
    ¶ 13           In August 2018, the trial court conducted a status hearing at which it addressed,
    among other things, defendant’s (1) motion to dismiss indictment (which contained complaints
    about Pratt’s representation), (2) fitness, and (3) waiver of counsel. The court conducted an inquiry
    into defendant’s complaints about Pratt and found they had no merit. The court then turned to the
    issues of fitness and waiver of counsel and noted that Killian had submitted an evaluation
    concluding that (1) defendant was fit to stand trial and (2) there was no impediment to defendant’s
    representing himself. Defendant affirmed that he still wished to waive counsel, and the court
    admonished defendant, pursuant to Illinois Supreme Court Rule 401(a) (eff. July 1, 1984), about
    the rights he would be giving up if he did so. The court’s admonitions were consistent (nearly
    verbatim) with this court’s recommended warnings about the dangers, disadvantages, and
    -3-
    consequences of self-representation discussed in People v. Ward, 
    208 Ill. App. 3d 1073
    , 1081-82,
    
    567 N.E.2d 642
    , 647-48 (1991). At the conclusion of the court’s Rule 401 admonitions, as
    recommended in Ward (id. at 1082), the court addressed the issue of standby counsel. Specifically,
    the court stated the following:
    “The Court does have, I believe in its discretion, the ability to appoint
    standby counsel, and I am going to tell you that as I am of the belief that [doing so]
    puts an attorney in a difficult position as far as the role that they are actually
    serving[.] *** [I]t would be my intention in using my discretion not to appoint
    standby counsel to represent you or be present during any stage of the trial. Do you
    understand that?”
    Defendant stated that he understood each of the Ward admonitions, including the admonition
    regarding standby counsel.
    ¶ 14           The trial court next inquired into defendant’s education and experience. During that
    inquiry, defendant asserted that he had “successfully defended [himself] in several cases” and had
    “litigated quite a bit” while “locked up” for “24 years straight.” Defendant stated that he had
    participated in both civil and criminal legal proceedings in the past, including three jury trials. He
    affirmed that he was familiar with how a trial is conducted, including jury selection and the
    preparation of jury instructions. Defendant stated he had questioned a witness before, was familiar
    with the rules of evidence, and was capable of making an opening statement and closing argument.
    He understood the charges against him and possible penalties. The court found defendant’s waiver
    of counsel to be knowing and voluntary and vacated Pratt’s appointment.
    ¶ 15           Between August and October 2018, defendant filed additional motions, including
    motions (1) to extend the discovery deadline, (2) to reduce bond, (3) for appointment of standby
    -4-
    counsel and a private investigator, and (4) for release or bond reduction.
    ¶ 16           In December 2018, the trial court conducted a hearing on defendant’s pending
    motions, first addressing his motion for standby counsel. The court asked defendant why his
    motion for standby counsel should be granted. Defendant responded, “[A]t the time that you
    [accepted defendant’s waiver of counsel] you made the observation that you thought it would be
    too complicated to appoint standby counsel. I don’t think you realized the legal complexities of
    the issues involved.” The court replied as follows:
    “[A]s far as that which was stated at the time that I took your waiver for counsel,
    *** I was reading from admonishments to be given to a defendant wanting to
    proceed at a criminal trial without counsel ***. And, I believe what was said was,
    if the Court, in its discretion, does not appoint standby counsel, the Defendant is
    specifically informed that there will be no standby counsel to assist him at any stage
    during the trial. And, I read that, as far as the standard form admonishments—[.]
    ***
    *** I don’t have any transcript before me, and nobody has offered that. I
    will say this: Number one, it certainly would be improper for the Court to have
    some blanket policy in place where you wouldn’t, under any circumstances appoint
    standby counsel. So the record is clear, I am not exerting any blanket policy with
    respect to your case, [defendant], or anyone other’s, and considering this request
    that you are making, and I would likewise recognize that whether or not standby
    counsel is appointed or not is a discretionary matter. It is purely within the
    discretion of the Court to do that, and in considering that, the Court is obligated to
    consider three factors: Number one, the nature and gravity of the charges; second,
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    the expected factual and legal complexity of the proceedings; third, the abilities and
    experience of the Defendant. Those are factors the Court is obligated to consider
    that are enumerated in the case People v. Gibson.
    Certainly, the charges that are pending against you are quite serious in
    nature, [defendant], with the two counts of—or three counts of criminal sexual
    assault and one count of unlawful restraint. The three criminal sexual assault
    charges all being Class 1 felonies, and as has been indicated earlier in these
    proceedings and in the record in this case, you do face the potential consequence if
    you would be found guilty of all that you’re charged with of conceivably going to
    prison for up to 30 years for these particular charges. So, they are very serious in
    nature.
    As far as factual and legal complexity of the proceedings as well as your
    own abilities, I realize that you have some—or your educational background is
    limited or—I asked you about that before. Nonetheless, I engaged you in dialogue
    as far as your ability to understand the nature of the proceedings, their purpose, I
    have inquired of you previously about your knowledge of procedural matters, trial
    procedure and things of that sort, and after having engaged you in that dialogue and
    heard what you have had here to say, I can appreciate that you may desire to have
    standby counsel appointed to represent you in this case, but in light of the
    information that I have glean[ed] from my conversations with you previously as
    well as what has been stated here today, I am going to exercise my discretion and I
    am going to deny your request for the appointment of standby counsel ***.”
    ¶ 17   In January 2019, defendant was represented briefly by a private attorney, Roni
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    VanAusdall. When VanAusdall told the trial court she was not adopting any of defendant’s pro se
    motions, defendant stated he did not want her as his attorney. The court removed defendant from
    the courtroom when he would not stop interrupting the proceedings.
    ¶ 18           VanAusdall later filed a motion to withdraw as counsel, asserting that defendant
    was uncooperative and insisted that she pursue frivolous motions. The court allowed VanAusdall
    to withdraw and gave defendant additional time to find a new attorney. At a hearing in February
    2019, defendant stated that he still wanted to maintain his pro se status and clarified that he had
    just wanted VanAusdall to represent him as standby counsel.
    ¶ 19           In March 2019, defendant appeared in court and refused to respond to any of the
    court’s questions about whether he wanted the court to appoint the public defender. The court
    found that defendant was engaging in dilatory tactics. The court also found that defendant waived
    his right to counsel by his conduct.
    ¶ 20           Defendant remained unresponsive as the trial court addressed the State’s motions
    in limine. Relevant to this appeal, the State asked to admit four minutes of a video recording of
    B.L.M.’s interview with the police approximately 48 hours after the alleged assault. The State
    argued the video was relevant to show B.L.M.’s emotional state of mind. The State also sought to
    allow Melinda Vogel, a psychologist hired by the State to evaluate B.L.M., to testify regarding
    Vogel’s post-traumatic stress disorder (PTSD) diagnosis of B.L.M. The court granted both
    motions.
    ¶ 21                                         C. Trial
    ¶ 22                                     1. Jury Selection
    ¶ 23           In April 2019, the parties convened for trial. Defendant moved for a continuance,
    claiming that he believed his trial was to commence the next day. Defendant told the court, “When
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    you asked me if I wanted an attorney, a public defender, I want to hire private counsel. *** Last
    resort, I would take a public defender at this point.” The court construed this as a motion for a
    continuance to hire private counsel, and the State objected. The court denied the motion to
    continue.
    ¶ 24           Defendant then insisted he was unprepared for trial that day, was sick, had blood
    coming out of his rectum, and did not have street clothes. The trial court offered defendant clothing
    for trial, but defendant refused. The prosecutor provided defendant with writing implements, but
    defendant threw them on the floor. The court admonished defendant that if he became disruptive,
    he would be removed from the courtroom and his trial would take place in his absence. Defendant
    then refused to acknowledge the court or answer its questions.
    ¶ 25           During voir dire, in front of the prospective jurors, defendant complained that he
    was sick and asked to lay down on the floor. He stated that he had not eaten in a week and that his
    mother was dying. Defendant also complained about construction noise, claiming he could not
    hear. Defendant stated he wanted to leave the courtroom. The trial court admonished him that he
    had the right to leave but, if he did, he would give up his right to be present during trial. In the
    presence of the potential jurors, defendant proclaimed his innocence, called the proceedings a
    “joke,” stated he was denied “all [his] witnesses, all [his] discovery,” referred to one witness as a
    “dope-fiend” and “whore,” and accused another of being a “dope dealer.” The court asked the
    bailiff to remove defendant, noting for the record, “[Defendant] is now trying to discuss the case
    directly with the jury. He has indicated he wants to leave. He is leaving.” The court continued with
    voir dire in defendant’s absence.
    ¶ 26           Prior to selecting the jurors, the trial court recessed and ordered defendant to be
    brought to the courtroom. The court offered to move the trial across the hall to help with the
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    construction noise and asked defendant if he wished to be present for his trial or be taken back to
    his cell. In response, defendant asked for a furlough to visit his sick mother. When the court denied
    that request and asked defendant if he wanted to participate in the trial, defendant refused to speak.
    The court noted that the last thing defendant told the court was that he did not want to be present
    during trial. The court admonished defendant that he would be waiving his right to confront and
    cross-examine witnesses and his right to testify. The court then asked defendant if there was
    anything he wished to say, and defendant remained silent. The court had defendant returned to the
    jail and informed the bailiff to bring defendant back if he changed his mind.
    ¶ 27           After jury selection, the trial court brought defendant to court to give him one more
    opportunity to participate in his trial. Defendant filed affidavits of third parties that he claimed
    proved his innocence and asked for more time to subpoena the affiants to testify at trial. The trial
    court denied the request and again asked defendant if he wanted to participate in his trial.
    Defendant stated that he was sick, unable to understand what was going on, and unable to represent
    himself effectively due to his incarceration. When the court again asked defendant if he wanted to
    participate in his trial, he refused to respond. Defendant was escorted back to jail.
    ¶ 28           Defendant also refused to leave his cell to attend the second day of his trial. The
    court found that defendant was exercising his right not to be present for trial but instructed the jail
    administrator to check on him every 30 minutes to see if he changed his mind.
    ¶ 29                                 2. The Evidence Presented
    ¶ 30                                          a. B.L.M.
    ¶ 31           B.L.M. testified that she met defendant at a market in Quincy a few days before
    January 30, 2018. The pair exchanged messages over Facebook, which the State introduced at trial.
    In the messages, defendant stated that he was interested in meeting B.L.M. He explained that he
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    had a wife who was in her sixties and that he and his wife would pay B.L.M. money if she cleaned
    their house. Defendant stated that his wife would be present and that he and his wife were looking
    forward to conversing with B.L.M. After learning that B.L.M. did not have a washer and dryer,
    defendant told B.L.M. that she could also do her own laundry at his house while she was cleaning.
    B.L.M. eventually agreed to go to defendant’s home.
    ¶ 32           On the morning of January 30, 2018, B.L.M. arrived at defendant’s home around 3
    or 4 a.m. When B.L.M. walked inside the house, she saw defendant’s wife laying on her bed in a
    room just off the entryway. Defendant introduced B.L.M. to his wife, but she appeared uninterested
    in meeting B.L.M.
    ¶ 33           B.L.M. then went upstairs with defendant to the laundry room. While her clothes
    were in the washer, she and defendant sat in the laundry room and talked. After about 30 minutes,
    defendant’s wife joined them, but she left after about 30 to 45 minutes.
    ¶ 34           When B.L.M.’s laundry was nearly done, defendant (1) asked her to try on a pair
    of underwear for money and (2) tried to kiss her. B.L.M. tried to get him to stop by biting his
    tongue. Defendant choked her and threatened to kill her by snapping her neck. He stopped choking
    her right before she blacked out. Defendant then undressed her and tried to perform oral sex on
    her. B.L.M. resisted, and defendant forced her out of the laundry room and into a bedroom.
    ¶ 35           In the bedroom, defendant forced B.L.M. to lie on the bed and told her he would
    kill her if the police showed up. He then forced B.L.M. to perform oral sex on him and then
    penetrated her vaginally. As this was happening, defendant’s wife came upstairs and, according to
    B.L.M., “pretended” to try to get in the locked door. B.L.M. explained that the room had two doors
    and that defendant’s wife never tried to enter through the other, unlocked door.
    ¶ 36           B.L.M. estimated that she was in the bedroom for about three hours. Defendant then
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    made her go into the bathroom, where he penetrated her anally. He also made her perform oral sex
    on him again. Defendant threatened B.L.M. throughout the entire assault.
    ¶ 37           Defendant eventually told B.L.M. to go into the bathroom and clean herself up. She
    acted as if she were complying but only lightly rinsed herself. The whole time she had been at his
    house, B.L.M had been telling defendant that she had to work at 11 a.m. and if she was not there,
    someone would know she was missing. Defendant let her go at 11 a.m. B.L.M testified that
    defendant made her kiss him on the porch before she could leave “because his neighbors had
    cameras and he wanted it to look normal.” B.L.M. drove directly to her mother’s house.
    ¶ 38                                       b. Chay S.
    ¶ 39           Chay S. testified that she was B.L.M.’s mother and they lived together. In the late
    morning on the day of the offense, B.L.M. was supposed to be at work but instead walked through
    the kitchen door. B.L.M. looked at her mother and began crying. B.L.M. was too distraught to talk
    and Chay had to console her for 10 to 15 minutes. B.L.M. asked her mother to call a friend. The
    friend came immediately, and B.L.M. told them both that defendant had raped her several times.
    Chay took B.L.M. to the emergency room and remained with her while she was examined.
    ¶ 40           A few days later, on February 2, 2018, Chay accompanied B.L.M. to the Quincy
    Police Department where Detective Nick Eddy conducted a “formal interview” of B.L.M. Chay
    sat in on the interview. The prosecutor asked, “Over the course between January 30th—you have
    described her emotional state—until she was interviewed on February 2nd, did her emotional state
    still continue to be—did she continue to be very upset?” Chay answered, “[Y]es.”
    ¶ 41                             c. Law Enforcement Witnesses
    ¶ 42                                    i. Andrew Abbott
    ¶ 43           Andrew Abbott testified that he was employed as a police officer with the City of
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    Quincy. On the day of the offense, he was dispatched to the hospital, where he took B.L.M.’s
    statement. She identified defendant by name as the offender. Abbott determined that investigators
    should be involved. Detectives Kris Billingsley and Nick Eddy of the Quincy Police Department
    arrived at the hospital and took over the investigation.
    ¶ 44                                     ii. Kris Billingsley
    ¶ 45           Billingsley testified that he arrived at the hospital with Eddy and Abbott briefed
    them on the information he had received from B.L.M., including defendant’s name and address.
    Billingsley and Eddy drove by defendant’s home and took photographs. They returned to the
    hospital and nurse Kaylie Gilbert provided Billingsley the sexual assault kit she had administered
    on B.L.M.
    ¶ 46                                       iii. Nick Eddy
    ¶ 47           Eddy testified that he responded to the hospital with Billingsley and, after being
    briefed by Abbott, drove by defendant’s home and took photographs. Eddy and Billingsley
    returned to the hospital and showed B.L.M. the photographs they had taken. She identified the
    home as the location where defendant had sexually assaulted her. Eddy and Billingsley then
    attempted to interview her but were unable to “get a complete statement from her.” Eddy explained
    that when he tried to talk to B.L.M. about the incident “she became very emotional, crying, and
    couldn’t speak to me because she was crying.” Eddy testified that he arranged with B.L.M. to
    interview her on a later date.
    ¶ 48           Eddy stated that he interviewed B.L.M. on February 2, 2018, at the Department of
    Children and Family Services office in Quincy. He described her as “still very overcome by the
    incident” and testified that “[s]he would break down and cry when we talked about it.” The
    prosecutor asked the trial court permission to “play a small portion of [the video] without the audio
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    on to show the demeanor of [B.L.M.] during that February 2nd interview.” The court granted
    permission and the State played a video clip of approximately 4 minutes and 44 seconds duration.
    The video depicted B.L.M. crying and composing herself.
    ¶ 49          Eddy testified that he and Billingsley went to defendant’s home. Defendant let them
    in and escorted them to the laundry room. The detectives tried to question defendant about the
    assault, but defendant did not go into detail when asked direct questions. When the detectives
    asked to speak with his wife, defendant refused and asked them to leave.
    ¶ 50          Eddy also testified that he separately collected buccal swabs from defendant and
    B.L.M. and sent them to the state crime lab for DNA analysis.
    ¶ 51                          d. Medical and Scientific Witnesses
    ¶ 52                                   i. Malinda Vogel
    ¶ 53          Malinda Vogel testified as an expert witness “as a licensed clinic professional
    counselor who is qualified to evaluate clients with [PTSD].” Vogel stated that the Adams County
    State’s Attorney’s Office referred B.L.M. to her for an “independent evaluation.” She met with
    B.L.M. twice, in November and December 2019. Vogel testified that B.L.M. described being raped
    and being held for a “period of several hours” at defendant’s home. Vogel testified that B.L.M
    “clearly met the criteria for [PTSD] *** as a result of the sexual assault.” Vogel described the
    symptoms B.L.M. reported that supported Vogel’s diagnosis, such as intrusive memories of the
    assault, nightmares, difficulty sleeping, depression, anxiety, physiological changes, and
    hypervigilance.
    ¶ 54                                   ii. Kaylie Gilbert
    ¶ 55          Gilbert, a sexual assault nurse examiner, testified that she administered a sexual
    assault kit on B.L.M. at Blessing Hospital on January 30, 2018. She described B.L.M. as having
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    “tremors, very shaky, anxious and tearful, choking back words.” Gilbert testified that B.L.M.
    provided her with the following description of events:
    “She told me that in the early morning hours, she had gone to a man’s home to
    clean his house. She was trying to get some money to help out a friend, and she was
    directed to go there to help clean to gain some money. And after a few hours of
    doing some chores and some laundry, the man told her that if he was not allowed
    to have sex with her, that he was going to kill her.”
    ¶ 56           Gilbert also testified that B.L.M. told her that defendant “penetrated [B.L.M.] with
    his penis orally, vaginally and anally,” “ejaculated in her mouth and around her lips,” “licked the
    left side of her neck and her left ear,” and “choked her and grabbed her by the neck and her hair
    several times to restrain her.” Gilbert collected swabs from B.L.M.’s body and observed a “large
    area of bruising on the left side of her neck a few inches long, couple inches wide. There were
    some abrasions, like shearing of skin.” When Gilbert took combings from B.L.M.’s hair, an
    unusual amount of hair came out, which Gilbert stated was consistent with B.L.M.’s report of her
    hair being pulled during the assault.
    ¶ 57           Additionally, a copy of the patient consent form for administration of the sexual
    assault kit was admitted into evidence and sent back with the jury during deliberations. On this
    form, Gilbert had written B.L.M.’s description of the assault, which was consistent with Gilbert’s
    testimony.
    ¶ 58                                    iii. Dana Pitchford
    ¶ 59           Dana Pitchford, a forensic scientist, performed DNA analysis of the contents of the
    sexual assault kit. Pitchford’s analysis revealed that defendant was included as a possible
    contributor to male DNA profiles identified in the swabs collected from B.L.M.’s vagina, external
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    labia, mouth, left ear, and neck. She identified the statistical probabilities of finding defendant’s
    DNA on the various swabs taken from B.L.M.’s body as follows: (1) vaginal swab, 1 in 4 male
    Caucasians; (2) oral swab, 1 in 6.9 million male Caucasians; (3) external labia, 1 in 25 male
    Caucasians; (4) left ear, 1 in 7.2 nonillion male Caucasians; and (5) neck, 1 in 160 quadrillion male
    Caucasians.
    ¶ 60                                       3. The Verdict
    ¶ 61           During deliberations, the jury sent a note asking the following: “Is there evidence
    from the ER nurse’s medical exam, meaning report, or the statement from the stand.” The trial
    court responded that the exhibit the jury was requesting was included in the exhibits that were sent
    back to the jury room. (The court was referring to the copy of the patient consent form for the
    administration of the sexual assault kit, which contained Gilbert’s notes regarding B.L.M.’s
    description of the assault.) The jury ultimately found defendant guilty of all four counts.
    ¶ 62                                 D. Posttrial Proceedings
    ¶ 63           The week following the jury’s verdict, defendant pro se filed a motion requesting,
    among other things, “[the] appointment of private counsel or a [public defender] from a conflict-
    free county.” The trial court ultimately appointed the public defender’s office, which filed a motion
    for a new trial alleging the court erred by, among other things, (1) denying defendant’s motion for
    standby counsel, (2) conducting the jury trial in defendant’s absence, (3) taking defendant’s silence
    as a waiver of counsel, and (4) allowing Vogel to testify regarding her diagnosis of PTSD when
    Vogel had been retained by the State.
    ¶ 64           In September 2019, the trial court conducted a hearing on defendant’s motion for
    new trial and sentencing hearing. Defendant moved to proceed pro se. After admonishing
    defendant, the court granted his request, and defendant adopted counsel’s posttrial motion. During
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    the hearing on the posttrial motion, defendant again became disruptive, calling the judge a
    “disgrace to the bench” and telling the judge he would “burn in hell.” Defendant insisted on leaving
    the courtroom after being admonished that he would be sentenced in his absence.
    ¶ 65           The trial court denied the motion for a new trial and sentenced defendant to nine
    years and eight months in prison on each of the criminal sexual assault counts and one year in
    prison on the unlawful restraint count, with the sentences to be served consecutively. Defendant
    filed a motion for a new sentencing hearing, which the court also denied.
    ¶ 66           This appeal followed.
    ¶ 67                                      II. ANALYSIS
    ¶ 68           Defendant appeals, arguing that the trial court erred by (1) denying defendant’s
    requests for standby counsel, (2) admitting testimony from a sexual assault nurse examiner that
    did not fall within the medical diagnosis exception to the hearsay rule, (3) admitting cumulative
    and prejudicial evidence of the victim’s demeanor after the alleged assault, and (4) entering a
    conviction on the unlawful restraint count because it is a lesser-included offense of criminal sexual
    assault.
    ¶ 69           We disagree and affirm.
    ¶ 70                     A. The Trial Court’s Denial of Standby Counsel
    ¶ 71                      1. The Applicable Law and Standard of Review
    ¶ 72                            a. The Right to Self-Representation
    ¶ 73           “[T]he Sixth Amendment right to the assistance of counsel implicitly embodies a
    ‘correlative right to dispense with a lawyer’s help.’ ” Faretta v. California, 
    422 U.S. 806
    , 814
    (1975). Accordingly, the sixth amendment (U.S. Const., amend. VI) guarantees a criminal
    defendant the right to represent himself. People v. Silagy, 
    101 Ill. 2d 147
    , 179, 
    461 N.E.2d 415
    ,
    - 16 -
    431 (1984)(citing Faretta, 
    422 U.S. 806
    , and Ill. Const. 1970, art. I, § 8).
    ¶ 74           Because a defendant who chooses to represent himself “relinquishes *** many of
    the traditional benefits associated with the right to counsel,” “in order to represent himself, the
    accused must knowingly and intelligently forgo those relinquished benefits.” (Internal quotation
    marks omitted.) Faretta, 
    422 U.S. at 835
    . “Although a court may consider [a defendant’s] decision
    [to represent himself] unwise, if it is freely, knowingly and intelligently made, that decision must
    be accepted out of ‘that respect for the individual which is the life-blood of the law.’ ” (Internal
    quotation marks omitted.) Ward, 
    208 Ill. App. 3d at 1080
     (quoting Silagy, 
    101 Ill. 2d at 179-80
    ).
    ¶ 75           Before accepting a waiver of the right to counsel, the trial court must determine
    whether a defendant has the “requisite capacity” to make a knowing and intelligent waiver of that
    right. Id. at 1082. The competency standard for waiving counsel is the same as the competency
    standard to stand trial. See Godinez v. Moran, 
    509 U.S. 389
    , 396, 398-99 (1993) (“[W]e reject the
    notion that competence to *** waive the right to counsel must be measured by a standard that is
    higher than (or even different from) the [Dusky v. United States, 
    362 U.S. 402
     (1960) (per curiam)]
    standard” of competency to stand trial, which is a defendant’s (1) “ ‘present ability to consult with
    his lawyer’ ” and (2) “ ‘rational as well as factual understanding of the proceedings against
    him.’ ”). The factors courts generally consider when determining whether a defendant has the
    capacity to make a knowing and voluntary waiver of his right to counsel are the defendant’s
    (1) age, (2) level of education, (3) mental capacity, and (4) prior involvement with the legal
    system. Ward, 
    208 Ill. App. 3d at
    1081 (citing People v. Davis, 
    169 Ill. App. 3d 1
    , 6, 
    523 N.E.2d 165
    , 168 (1988)).
    ¶ 76           Once the trial court has found that a defendant has the requisite competency to
    waive counsel, the court must also find that his waiver of the constitutional right is knowing and
    - 17 -
    voluntary. Godinez, 
    509 U.S. at 400, 402
     (“[W]hen a defendant seeks to waive his right to counsel,
    a determination that he is competent to stand trial is not enough; the waiver must also be intelligent
    and voluntary before it can be accepted.”). “In this sense there is a ‘heightened’ standard for ***
    waiving the right to counsel, but it is not a heightened standard of competence.” (Emphases
    omitted.) 
    Id. at 400-01
    .
    ¶ 77            To ensure a defendant’s waiver of counsel is knowing and voluntary, the trial court
    should make a defendant “aware of the dangers and disadvantages of self-representation, so that
    the record will establish that he knows what he is doing and his choice is made with eyes open.”
    (Internal quotation marks omitted.) Faretta, 
    422 U.S. at 835
    . A defendant “need not himself have
    the skill and experience of a lawyer in order [to] competently and intelligently *** choose self-
    representation.” 
    Id.
     “[T]echnical legal knowledge,” such as “the intricacies of the hearsay rule,”
    or “provisions that govern challenges of potential jurors on voir dire” are not relevant to a knowing
    exercise of the right to self-representation. 
    Id. at 836
    .
    ¶ 78            Illinois Supreme Court Rule 401(a) (eff. July 1, 1984) governs the waiver of
    counsel and requires only that, before accepting a waiver of counsel, the trial court must address
    the defendant personally in open court and determine that he understands (1) the nature of the
    charge, (2) the minimum and maximum sentence he could receive, and (3) that he has a right to
    counsel (and, if indigent, appointed counsel).
    ¶ 79            In Ward, 
    208 Ill. App. 3d at
    1081-82 (citing 2 Wayne R. LaFave & Jerold H. Israel,
    Criminal Procedure § 11.5(a)-(c), at 42-45 (1984)), this court suggested that it would be desirable
    for a trial court to also warn a defendant of the following concerns:
    “(1) presenting a defense is not a simple matter of telling one’s story, but
    requires adherence to various technical rules governing the conduct of the trial;
    - 18 -
    (2) a lawyer has substantial experience and training in trial procedure and
    the prosecution will be represented by an experienced attorney;
    (3) a person unfamiliar with legal procedures (a) may allow the prosecutor
    an advantage by failing to make objections to inadmissible evidence, (b) may not
    make effective usage of such rights as the voir dire of jurors, and (c) may make
    tactical decisions that produce unintended consequences;
    (4) the defendant proceeding pro se will not be allowed to complain on
    appeal about the competency of his representation;
    (5) the effectiveness of his defense may well be diminished by his dual role
    as attorney and accused;
    (6) defendant will receive no special consideration from the court;
    (7) defendant will receive no extra time for preparation or greater library
    time (if in prison);
    (8) a lawyer can render important assistance (a) by determining the
    existence of possible defenses to the charges against defendant, (b) through
    consultations with the prosecutor regarding possible reduced charges or lesser
    penalties, and (c) in the event of a conviction, by presenting to the court matters
    which might lead to a lesser sentence;
    (9) in the event the court accepts defendant’s decision to represent himself,
    defendant will not be given an opportunity to change his mind during trial; and
    (10) if the court in its discretion is not going to appoint standby counsel, to
    specifically inform the defendant that there will be no standby counsel to assist him
    at any stage during trial.”
    - 19 -
    ¶ 80           A trial court’s failure to give these “Ward admonitions” is not grounds for reversal
    of an otherwise valid waiver of counsel. People v. Williams, 
    277 Ill. App. 3d 1053
    , 1058, 
    661 N.E.2d 1186
    , 1189-90 (1996). However, a court’s reading of the Ward admonitions may dissuade
    a defendant’s unwise decision to waive counsel and represent himself, “resulting in both more
    effective representation for him and smoother, less difficult courtroom proceedings for the court.”
    
    Id.
    ¶ 81           The trial court’s using the Ward admonitions is important for two separate reasons.
    First, after hearing the Ward admonitions, a defendant will have a better understanding of the
    daunting task before him and may be dissuaded from the unwise decision to represent himself.
    Second, if a defendant is not so persuaded, a trial court’s reading of the Ward admonitions provides
    a clear record that the defendant (1) understood the perils of representing himself and
    (2) understandingly, knowingly, and voluntarily waived his right to be represented by counsel.
    ¶ 82           The tenth Ward admonition—a general admonition that there may be no assistance
    of standby counsel if the court, in its discretion, determines not to appoint standby counsel—is
    central to this appeal. We now turn our focus to a discussion of standby counsel.
    ¶ 83                         b. The Appointment of Standby Counsel
    ¶ 84           “[A] defendant who chooses to represent himself must be prepared to do so.” 
    Id.
     A
    pro se defendant does not have a right to standby counsel. People v. Ellison, 
    2013 IL App (1st) 101261
    , ¶ 42, 
    987 N.E.2d 837
    . Nonetheless, because “there is no state statute or court rule to the
    contrary, such appointment is permissible.” 
    Id.
     In People v. Gibson, 
    136 Ill. 2d 362
    , 380, 
    556 N.E.2d 226
    , 233 (1990), the Illinois Supreme Court set forth the “[r]elevant criteria appropriately
    considered by a trial court in deciding whether to appoint standby counsel to assist a pro se
    defendant”—namely, “[(1)] the nature and gravity of the charge, [(2)] the expected factual and
    - 20 -
    legal complexity of the proceedings, and [(3)] the abilities and experience of the defendant.”
    ¶ 85                                   i. The Standard of Review
    ¶ 86           A trial court has broad discretion in deciding whether to appoint standby counsel,
    and a reviewing court will uphold the trial court’s decision absent an abuse of discretion. Williams,
    
    277 Ill. App. 3d at 1058
    . An abuse of discretion will be found only when the trial court’s ruling is
    arbitrary, fanciful, unreasonable, or where no reasonable person would take the view adopted by
    the trial court. People v. Caffey, 
    205 Ill. 2d 52
    , 89, 
    792 N.E.2d 1163
    , 1188 (2001). “This court has
    recently reiterated that ‘no trial court in Illinois has been reversed for exercising its discretion to
    not appoint standby counsel ***.’ ” (Emphases in original.) Ellison, 
    2013 IL App (1st) 101261
    ,
    ¶ 42 (quoting People v. Pratt, 
    391 Ill. App. 3d 45
    , 57, 
    908 N.E.2d 137
    , 147-48 (2009), and quoting
    Williams, 
    277 Ill. App. 3d at 1061
    ).
    ¶ 87             ii. People v. Williams: Potential Problems With Standby Counsel
    ¶ 88           In Williams, 
    277 Ill. App. 3d at 1059
    , this court observed that “[t]he appointment
    of standby counsel frequently creates more problems than it solves.” We first examined the
    problems created by the ambiguity of the role of standby counsel—namely, that “(1) no ‘bright
    line’ exists regarding the role of standby counsel, and (2) appointing standby counsel provides a
    convicted pro se defendant the opportunity to argue on appeal that standby counsel either violated
    the defendant’s Faretta right to proceed pro se or otherwise acted improperly.” Id. at 1060.
    ¶ 89           The ambiguity of the role of standby counsel was highlighted in McKaskle v.
    Wiggins, 
    465 U.S. 168
    , 170 (1984), where the trial court appointed standby counsel to assist the
    defendant in his robbery trial. The defendant repeatedly changed his mind regarding his standby
    counsel’s role, “object[ing] even to the court’s insistence that counsel remain available for
    consultation” on one day, then consulting with standby counsel during cross-examination of a
    - 21 -
    witness and asking him to conduct voir dire of another witness on the next day. 
    Id. at 172
    . After
    the defendant was convicted, he filed a habeas petition in federal district court, complaining that
    standby counsel’s conduct violated defendant’s Faretta right to self-representation. 
    Id. at 173
    . The
    Fifth Circuit Court of Appeals agreed, holding that the defendant’s sixth amendment right of self-
    representation “was violated by the unsolicited participation of overzealous standby counsel.” 
    Id.
    The Fifth Circuit held that standby counsel is “ ‘ “to be seen, but not heard” ’ ” and further
    explained that standby counsel’s role “ ‘is there for advisory purposes only, to be used or not used
    as the defendant sees fit.’ ” 
    Id.
    ¶ 90            The United States Supreme Court disagreed and reversed the Fifth Circuit, holding
    that the defendant’s Faretta rights were not violated, and writing as follows:
    “Faretta affirmed the defendant’s constitutional right to appear on stage at
    his trial. We recognize that a pro se defendant may wish to dance a solo, not a pas
    de deux. Standby counsel must generally respect that preference. But counsel need
    not be excluded altogether, especially when the participation is outside the presence
    of the jury or is with the defendant’s express or tacit consent. The defendant in this
    case was allowed to make his own appearances as he saw fit. In our judgment
    counsel’s unsolicited involvement was held within reasonable limits.” 
    Id.
     at 187-
    88.
    ¶ 91            The Supreme Court defined those “reasonable limits” in only two broad strokes:
    (1) “the pro se defendant is entitled to preserve actual control over the case he chooses to present
    to the jury” and (2) “participation by standby counsel without the defendant’s consent should not
    be allowed to destroy the jury’s perception that the defendant is representing himself.” 
    Id. at 178
    .
    The Court summarized its holding as follows:
    - 22 -
    “Thus, Faretta rights are adequately vindicated in proceedings outside the
    presence of the jury [(1)] if the pro se defendant is allowed to address the court
    freely on his own behalf and [(2)] if disagreements between counsel and the
    pro se defendant are resolved in the defendant’s favor whenever the matter is one
    that would normally be left to the discretion of counsel.” 
    Id. at 179
    .
    Accordingly, whether a standby counsel’s conduct in front of the jury violates Faretta in any
    given trial is determined on a case-by-case basis, and the McKaskle guidelines provide only
    general guidance.
    ¶ 92           Moreover, McKaskle leaves unaddressed the question of how a trial court should
    referee—and a reviewing court determine—out-of-court disagreements between a defendant and
    standby counsel that result in claims of ineffective assistance of counsel, such as an allegation
    that standby counsel gave deficient legal advice upon which the defendant relied in developing
    his trial strategy. Or, as this court observed in Williams, “a defendant might claim that standby
    counsel improperly interfered with the defendant’s preparation for—or presentation at—trial
    based upon conversations that, by definition, the court was not and could not be privy to.”
    Williams, 
    277 Ill. App. 3d at 1060
    . McKaskle instructs only how a trial court should determine
    disagreements that are brought to its attention, but not disagreements that have occurred off-the-
    record and of which the court is aware only when a disagreement arises as a posttrial claim of
    ineffective assistance.
    ¶ 93           A trial court, when deciding whether to appoint standby counsel, can and should
    consider these potential problems. We note that other courts have agreed with and applied this
    court’s analysis in Williams. See People v. Curry, 
    2022 IL App (2d) 210260-U
    , ¶ 73 (citing
    Williams and affirming the trial court’s denial of standby counsel); People v. Hui, 2022 IL App
    - 23 -
    (2d) 190846, ¶ 63 (same); People v. Khan, 
    2021 IL App (1st) 190679
    , ¶ 78, 
    186 N.E.3d 431
    (same); Ellison, 
    2013 IL App (1st) 101261
     (same); Pratt, 
    391 Ill. App. 3d at 57
     (same); People v.
    Smith, 
    377 Ill. App. 3d 458
    , 461, 
    878 N.E.2d 1222
    , 1225 (2007) (same); People v. Phillips, 
    392 Ill. App. 3d 243
    , 265, 
    911 N.E.2d 462
    , 483 (2009) (same); People v. Parker, 
    335 Ill. App. 3d 474
    , 486, 
    781 N.E.2d 1092
    , 1102 (2002) (same).
    ¶ 94           Of particular note, in People v. Mazar, 
    333 Ill. App. 3d 244
    , 250-51, 
    775 N.E.2d 135
    , 141 (2002), abrogated on other grounds by, People v. Breedlove, 
    213 Ill. 2d 509
    , 515-16,
    
    821 N.E.2d 1176
    , 1180 (2004), then-appellate court Justice Anne Burke, in affirming the trial
    court’s denial of the defendant’s request for standby counsel, (1) discussed the problems
    associated with the appointment of standby counsel that this court identified in Williams and
    (2) cited Williams with approval, stating “[Williams] emphasizes the problems with appointment
    of standby counsel and confirms that the trial court’s comments here to defendant were proper.”
    ¶ 95           In contrast to these potential pitfalls arising from the appointment of standby
    counsel, we reiterate that “no trial court in Illinois has been reversed for exercising its discretion
    to not appoint standby counsel.” (Emphases in original.) Williams, 
    277 Ill. App. 3d at 1061
    .
    Moreover, when standby counsel violates a defendant’s Faretta right, “that violation on appeal
    cannot be viewed as harmless error; instead, reversal must occur no matter how strong the
    State’s case may have been.” (Emphasis in original.) 
    Id.
     (citing McKaskle, 
    465 U.S. at
    177 n.8).
    Accordingly, a trial court that appoints standby counsel believing it is mitigating the risk of
    reversal may actually be heightening that risk.
    ¶ 96           The result in Gibson, 
    136 Ill. 2d 362
    , is no exception to that rule. In Gibson, the
    Illinois Supreme Court reversed the defendant’s conviction and remanded for a new trial because
    the trial court, after appointing the public defender as standby counsel, later granted the public
    - 24 -
    defender’s motion to withdraw on the mistaken basis that the court lacked the authority to make
    such an appointment under the Public Defender Act (Ill. Rev. Stat. 1987, ch. 34, ¶¶ 5601-5608).
    Gibson, 
    136 Ill. 2d at 376-77, 379
    . Gibson is unique in that the supreme court’s reversal was due
    to the trial court’s mistaken belief that it did not have the authority to appoint standby counsel, as
    opposed to the trial court’s exercise of its discretion.
    ¶ 97            Gibson is also unique in that it was a death penalty case. That is to say, in Gibson,
    two of the three factors trial courts should consider when deciding whether to appoint standby
    counsel—namely, “the nature and gravity of the charge” and the “legal complexity of the
    proceedings”—were as serious as it gets in Illinois jurisprudence. However, the death penalty is
    no longer available in Illinois. A court deciding whether to appoint standby counsel, and
    therefore weighing the Gibson factors, should be aware of Gibson’s unique facts, which are now
    incapable of repetition.
    ¶ 98                                         2. This Case
    ¶ 99            Defendant argues that the trial court abused its discretion by denying defendant’s
    request for standby counsel because (1) the court’s comments demonstrated that its decision was
    based on a blanket policy and not an application of the Gibson factors and (2) to the extent the
    court’s decision was based on its belief that defendant was capable of representing himself, this
    belief was erroneous because defendant (a) admitted he had never examined a witness,
    (b) demonstrated that he did not know how to obtain proper notarization of affidavits, and
    (c) advised the court that he did not know how to issue subpoenas. Defendant further contends
    that, without standby counsel, the State was permitted to present its evidence completely
    unchallenged, including the admission of inadmissible evidence such as the hearsay testimony of
    the sexual assault nurse examiner. Defendant asserts on appeal that because the resulting prejudice
    - 25 -
    was “incalculable,” he should receive a new trial.
    ¶ 100          We reject all of defendant’s claims.
    ¶ 101                          a. Application of the Gibson Factors
    ¶ 102          First, to support his argument that the trial court improperly applied a blanket policy
    against the appointment of standby counsel, defendant refers only to the following comments by
    the court, made in August 2018 when ruling on the defendant’s request to represent himself:
    “The Court does have, I believe in its discretion, the ability to appoint
    standby counsel, and I am going to tell you that as I am of the belief that [doing so]
    puts an attorney in a difficult position as far as the role that they are actually
    serving[.] *** [I]t would be my intention in using my discretion not to appoint
    standby counsel to represent you or be present during any stage of the trial. Do you
    understand that?”
    When the court made these comments, the court was giving the admonitions suggested in Ward.
    In particular, the court was discussing the tenth Ward admonition, which refers to the generally
    wiser course of not appointing standby counsel. It was not only appropriate for the trial court to
    do so, but commendable. As discussed (supra ¶ 81), admonishing a defendant in this manner will
    either (1) dissuade the defendant from pursuing an unwise course of action or (2) create a clear
    record that defendant knowingly waived his right to counsel with a clear understanding of all the
    attendant risks.
    ¶ 103          Moreover, in his argument to this court, defendant omits the following lengthy and
    material comments from the trial court’s ruling, months later, on defendant’s actual, subsequent
    motion for standby counsel:
    “[I]t certainly would be improper for the Court to have some blanket policy in place
    - 26 -
    where you wouldn’t, under any circumstances, appoint standby counsel. So the
    record is clear I am not exerting any blanket policy with respect to your case,
    [defendant], or anyone other’s and I would likewise recognize that whether or not
    standby counsel is appointed or not is a discretionary matter. It is purely within the
    discretion of the Court to do that, and in considering that, the Court is obligated to
    consider three factors: Number one, the nature and gravity of the charges; second
    the expected factual and legal complexity of the proceedings; third the abilities and
    experience of the Defendant. Those are factors the court is obligated to consider
    and that are enumerated in [Gibson].” (Emphases added.)
    Through these comments, the trial court (1) acknowledged the impropriety of applying a blanket
    policy, (2) expressly stated it was not applying such a policy in defendant’s case, (3) acknowledged
    its obligation to exercise its discretion, and (4) correctly recited the Gibson factors that it was
    obligated to consider. Indeed, we commend the trial court for its careful analysis and explicit
    explanation of its reasons for declining to appoint standby counsel. Its remarks on this matter could
    serve as a model for other trial courts when addressing a defendant’s request for standby counsel.
    ¶ 104          In applying the Gibson factors, the trial court first found that the nature of the
    charges against defendant were “very serious in nature.” The court then addressed the factual and
    legal complexity of the proceedings and defendant’s abilities together and determined that it would
    exercise its discretion to deny the appointment of standby counsel.
    ¶ 105          The record supports the trial court’s decision. As the State points out, defendant
    stated that he had “successfully defended [himself] in several cases,” “litigated quite a bit” while
    incarcerated for 24 years, and had participated in both criminal and civil matters. Indeed, the record
    establishes that defendant was able to read and comprehend Illinois law. Throughout the
    - 27 -
    proceedings in the trial court, defendant clearly articulated legal issues and legal arguments. He
    filed several pro se motions on pretrial issues that demonstrated an understanding of law and
    procedure in criminal cases well above that of the average pro se defendant. The court’s decision
    was far from arbitrary, fanciful, or unreasonable.
    ¶ 106                       b. Defendant’s Alleged Lack of Capability
    ¶ 107          Next, defendant argues that because (1) the case involved DNA analysis,
    (2) defendant did not know how to complete procedural tasks, and (3) the absence of standby
    counsel left the State’s evidence unchallenged, the trial court’s decision was erroneous. However,
    these contentions do not support defendant’s claim that the court abused its discretion by not
    appointing standby counsel; instead, these contentions merely underscore the foolishness of
    defendant’s decision to proceed pro se.
    ¶ 108          A defendant who has been offered counsel in a serious case and who rejects that
    offer must live with the consequences of his decision to exercise his right of self-representation,
    no matter how imprudent that decision may seem. And that defendant is deserving of no pity for
    the consequences of his imprudent decision. Accordingly, we emphatically reject defendant’s
    argument that the trial court’s denial of standby counsel was erroneous because it left him
    disadvantaged in this litigation. Defendant was warned of this potential consequence when he
    waived his right to counsel, yet he disregarded those warnings and elected to proceed pro se.
    ¶ 109             3. Another Problem with the Appointment of Standby Counsel
    ¶ 110          We note that this case illustrates yet another problem that the appointment of
    standby counsel can create. In this case, defendant intentionally and repeatedly misbehaved before
    the trial court and the jury. He was removed from the courtroom on several occasions. Yet,
    defendant’s outrageous behavior could very well have been his trial strategy, however unwise.
    - 28 -
    Indeed, defendant’s very argument on appeal is that his convictions should be reversed because
    his absence from his jury trial, without standby counsel to step in, prejudiced him.
    ¶ 111          If defendant’s trial strategy was to prejudice the jury or claim that the trial court
    was biased against him, what would standby counsel do if, upon execution of the “removal from
    the courtroom portion” of defendant’s trial strategy, standby counsel was called upon to
    participate? Standby counsel could not, within the bounds of professional conduct, continue with
    defendant’s strategy. At that point, defendant’s strategy would be overborn, which McKaskle
    instructs cannot be done without violating a defendant’s Faretta right.
    ¶ 112          Although this example (and defendant’s conduct in this case) may be extreme, it
    demonstrates how standby counsel can be placed in an ethical and legal conundrum—unable to
    follow the rules of professional conduct without violating the Supreme Court’s command in
    Faretta.
    ¶ 113          This case also presents the same concern identified by the Second District in Hui,
    
    2022 IL App (2d) 190846
    , ¶ 63, that the appointment of standby counsel “provides an unsuccessful
    pro se defendant the opportunity to argue on appeal that standby counsel either violated his right
    to proceed pro se or otherwise acted improperly.” In Hui, the Second District found no abuse of
    discretion in the trial court’s decision to not appoint the public defender as standby counsel when
    the defendant had previously complained of that office’s performance and sought its discharge.
    ¶ 114          Here, like in Hui, defendant was represented by two attorneys in the public
    defender’s office and complained repeatedly about their performance. He also retained private
    counsel and complained of her performance, as well. On this record, the likelihood is that
    defendant would also complain of standby counsel’s performance if the trial court had appointed
    standby counsel.
    - 29 -
    ¶ 115           B. The Trial Court’s Admission of Hearsay Evidence and Demeanor Evidence
    ¶ 116           Defendant next argues the trial court erred by (1) allowing the sexual assault nurse
    examiner to testify about B.L.M.’s hearsay statements regarding the events leading up to the sexual
    assault and (2) allowing excessive and prejudicial evidence of B.L.M.’s demeanor or mental state
    after the sexual assault through (a) the video of B.L.M.’s February 2018 interview with police and
    (b) Vogel’s diagnosis of PTSD.
    ¶ 117           Defendant acknowledges that these claims were not preserved for appeal because
    he did not raise a contemporaneous objection at trial. However, defendant requests review under
    the first prong of the plain error doctrine.
    ¶ 118           We reject his request.
    ¶ 119                                1. The Plain-Error Doctrine
    ¶ 120           The plain-error doctrine is a well-established exception to forfeiture principles and
    allows a reviewing court the discretion to consider unpreserved error under two alternative prongs:
    (1) when a clear or obvious error occurred and the evidence is so closely balanced that the error
    alone threatened to tip the scales of justice against the defendant, regardless of the seriousness of
    the error, or (2) when a clear or obvious error occurred and the error is so serious that it affected
    the fairness of the defendant’s trial and challenged the integrity of the judicial process, regardless
    of the closeness of the evidence. People v. Moon, 
    2022 IL 125959
    , ¶¶ 19-20.
    ¶ 121           The typical first step in an analysis under either prong of the plain-error doctrine is
    to determine whether any clear or obvious error occurred at all. People v. Bates, 
    2018 IL App (4th) 160255
    , ¶ 71, 
    112 N.E.3d 657
    . The next step under the plain-error doctrine depends on the
    defendant’s argument. When, as here, a defendant claims first-prong plain error, “a reviewing court
    must decide whether the defendant has shown that the evidence was so closely balanced the error
    - 30 -
    alone severely threatened to tip the scales of justice.” People v. Sebby, 
    2017 IL 119445
    , ¶ 51, 
    89 N.E.3d 675
    . “In determining whether the evidence adduced at trial was close, a reviewing court
    must evaluate the totality of the evidence and conduct a qualitative, commonsense assessment of
    it within the context of the case.” Id. ¶ 53. “A reviewing court’s inquiry” involves an assessment
    of the evidence on the elements of the charged offense or offenses, along with any evidence
    regarding the witnesses’ credibility.” Id.
    ¶ 122                                        2. This Case
    ¶ 123           Although the “typical” first step in a plain-error analysis is to determine whether
    any error occurred at all, that step need not be taken when, as here, the evidence of the defendant’s
    guilt is overwhelming. Put another way, because (1) it is the defendant’s burden to establish plain
    error and (2) he must demonstrate both (a) clear or obvious error occurred and (b) the evidence
    was closely balanced, if it is apparent that the evidence is not closely balanced, defendant cannot
    establish plain error.
    ¶ 124           In the present case, even if we were to assume that the trial court erred, as defendant
    claims, by admitting (1) Gilbert’s testimony about B.L.M.’s hearsay statements about the events
    leading up to the sexual assault and (2) excessive evidence of B.L.M.’s demeanor after the sexual
    assault, the evidence in this case was far from closely balanced. B.L.M. gave a detailed account of
    the hours-long assault she suffered at defendant’s hands. Her account was uncontradicted and was
    corroborated by DNA evidence. Forensic scientists found DNA consistent with defendant’s known
    DNA profile on the parts of B.L.M.’s body where she said it would be. B.L.M.’s account was also
    corroborated by Gilbert’s observations during the sexual assault exam. Gilbert documented
    bruising, abrasions, and falling hair consistent with B.L.M.’s account. Chay and Eddy described
    B.L.M.’s demeanor (1) upon B.L.M.’s return home and (2) at the hospital. Their descriptions were
    - 31 -
    consistent with B.L.M. having suffered a traumatic event.
    ¶ 125          Defendant presented no evidence that contradicted B.L.M.’s testimony, and all the
    evidence presented by the State was consistent with defendant’s guilt.
    ¶ 126          Because the evidence of defendant’s guilt is overwhelming, he cannot meet his
    burden of showing both that (1) clear or obvious error occurred and (2) the evidence was closely
    balanced. Because defendant cannot establish plain error, we honor his forfeiture.
    ¶ 127                     C. Defendant’s Unlawful Restraint Conviction
    ¶ 128          Last, defendant argues that his conviction and sentence for unlawful restraint
    should be vacated because unlawful restraint is a lesser-included offense of criminal sexual assault.
    Specifically, defendant contends that, because it is impossible to commit a forcible sexual assault
    without “detaining the person assaulted *** a conviction and sentence for both criminal sexual
    assault and unlawful restraint punishes a person twice for the same act in violation of the one-act,
    one-crime doctrine.” Defendant acknowledges that this issue was not properly preserved for
    review but requests review under the second prong of the plain-error doctrine.
    ¶ 129          A violation of the one-act, one-crime doctrine is reviewable under the second prong
    of the plain-error doctrine as “an obvious error so serious that it challenges the integrity of the
    judicial process.” People v. Coats, 
    2018 IL 121926
    , ¶ 10, 
    104 N.E.3d 1102
    .
    ¶ 130                     1. The Applicable Law and Standard of Review
    ¶ 131          Under the one-act, one-crime doctrine, a defendant cannot be convicted of multiple
    offenses “carved from the same physical act.” People v. King, 
    66 Ill. 2d 551
    , 566, 
    363 N.E.2d 838
    ,
    844 (1977). A one-act, one-crime analysis involves a two-step process. Coats, 
    2018 IL 121926
    ,
    ¶ 12. First, a reviewing court determines whether the defendant’s conduct involved multiple acts
    or a single act. People v. Miller, 
    238 Ill. 2d 161
    , 165, 
    938 N.E.2d 498
    , 501 (2010). For purposes
    - 32 -
    of the doctrine, the definition of an “act” is “ ‘any overt or outward manifestation which will
    support a different offense.’ ” In re Rodney S., 
    402 Ill. App. 3d 272
    , 282, 
    932 N.E.2d 588
    , 597
    (2010) (quoting King, 
    66 Ill. 2d at 566
    ). Multiple convictions are permitted when a defendant has
    committed separate acts, despite the interrelationship of those acts. People v. Poe, 
    385 Ill. App. 3d 763
    , 766, 
    896 N.E.2d 453
    , 456 (2008). Likewise, a defendant can be convicted of two offenses
    even when a common act is a part of both offenses. People v. Williams, 
    384 Ill. App. 3d 327
    , 339,
    
    892 N.E.2d 620
    , 631 (2008). Two or more separate acts do not become one act merely because of
    proximity of time and location. People v. Pearson, 
    331 Ill. App. 3d 312
    , 322, 
    770 N.E.2d 1183
    ,
    1193 (2002).
    ¶ 132          Second, if the conduct involved multiple acts, the reviewing court must determine
    whether any of the offenses at issue are lesser-included offenses. Miller, 
    238 Ill. 2d at 165
    . If an
    offense is a lesser-included offense, multiple convictions are improper. 
    Id.
    ¶ 133          The abstract elements approach is the proper method to determine whether one
    offense is a lesser-included offense of a greater offense. 
    Id. at 174-75
    . Under this approach, a
    comparison is made of the elements of the two offenses. 
    Id. at 166
    . “If all of the elements of one
    offense are included within a second offense and the first offense contains no element not included
    in the second offense, the first offense is deemed a lesser-included offense of the second.” 
    Id.
     In
    other words, in order to be a lesser-included offense, it must be impossible to commit the greater
    offense without necessarily committing the lesser offense. 
    Id.
    ¶ 134                                       2. This Case
    ¶ 135          Defendant argues that “it is both theoretically and practically impossible to commit
    criminal sexual assault without also committing unlawful restraint.” Defendant correctly states that
    “the use of force to detain the victim in order to effectuate the sexual assault” cannot sustain a
    - 33 -
    separate conviction for unlawful restraint where the use of force and restraint are the same
    conduct. See People v. Daniel, 
    311 Ill. App. 3d 276
    , 290, 
    723 N.E.2d 1279
    , 1293 (2000)) (unlawful
    restraint count that charged that defendant “entered [the victim’s] vehicle, stated that he had a gun,
    and sexually assaulted her” was a lesser-included offense of the aggravated criminal sexual assault
    count).
    ¶ 136          However, “[u]nlawful restraint is not necessarily a lesser included offense of
    criminal sexual assault” and “is punishable as a separate crime if the restraint is independent of the
    other offenses and arose out of separate acts.” People v. Alvarado, 
    235 Ill. App. 3d 116
    , 117, 
    600 N.E.3d 1236
    , 1237 (1992). In Alvarado, for example, the defendant drove the victim to a secluded
    area, sexually assaulted her, then drove to his grandfather’s house. 
    Id.
     Upon arrival, the victim
    jumped out of the car and ran to the front door, but the defendant grabbed her and physically
    prevented her from entering the house. 
    Id.
     The Third District held that convictions for both
    criminal sexual assault and unlawful restraint were proper because “the convictions were based
    upon separate, independent acts which were not closely related.” 
    Id.
    ¶ 137          The present case is similar to Alvarado. Defendant performed several acts of
    physical force over the course of at least three hours while committing the sexual assaults. B.L.M.
    testified that defendant choked her, pinned her to the freezer, undressed her, made her lay in the
    bed, and threatened to kill her. She testified that she tried to push him away and “tried to fight
    back,” implying that defendant was physically overcoming her. These acts of defendant were the
    acts of force necessary to effectuate the sexual assaults. However, after the acts of sexual
    penetration concluded, defendant did not let B.L.M. leave his house. Instead, he ordered her into
    the shower and directed her to clean herself, even instructing her to use soap. This act of detention
    was not necessary to effectuate the sexual assault, which had already occurred. This detention was
    - 34 -
    a separate detention, likely intended to destroy evidence of the sexual assault.
    ¶ 138          Similarly, before B.L.M. could leave defendant’s porch, defendant made B.L.M.
    kiss him so that her departure would be captured on the neighbor’s cameras and appear normal.
    This was another separate and independent act of detention that was not necessary to effectuate
    the sexual assaults but instead was intended to conceal them.
    ¶ 139          Under the facts of this case, because defendant’s unlawful restraint conviction was
    based on acts separate and independent from those of the criminal sexual assault convictions,
    defendant’s convictions do not violate the one-act, one-crime doctrine.
    ¶ 140                                   III. CONCLUSION
    ¶ 141          For the reasons stated, we affirm the judgment of the trial court.
    ¶ 142          Affirmed.
    - 35 -
    People v. Hood, 
    2022 IL App (4th) 200260
    Decision Under Review:       Appeal from the Circuit Court of Adams County, No. 18-CF-148;
    the Hon. Scott Jones Butler, Judge, presiding.
    Attorneys                    James E. Chadd, Douglas R. Hoff, and Joseph Michael Benak, of
    for                          State Appellate Defender’s Office, of Chicago, for appellant.
    Appellant:
    Attorneys                    Gary L. Farha, State’s Attorney, of Quincy (Patrick Delfino, David
    for                          J. Robinson, and Rosario David Escalera Jr., of State’s Attorneys
    Appellee:                    Appellate Prosecutor’s Office, of counsel), for the People.
    - 36 -