State v. Pretty Weasel , 2023 S.D. 41 ( 2023 )


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  • #30087-a-SPM
    
    2023 S.D. 41
    IN THE SUPREME COURT
    OF THE
    STATE OF SOUTH DAKOTA
    ****
    STATE OF SOUTH DAKOTA,                      Plaintiff and Appellee,
    v.
    VANDON PRETTY WEASEL,                       Defendant and Appellant.
    ****
    APPEAL FROM THE CIRCUIT COURT OF
    THE FOURTH JUDICIAL CIRCUIT
    LAWRENCE COUNTY, SOUTH DAKOTA
    ****
    THE HONORABLE MICHELLE K. COMER
    Judge
    ****
    ELLERY GREY of
    Grey & Eisenbraun Law
    Rapid City, South Dakota                    Attorneys for defendant
    and appellant.
    MARTY J. JACKLEY
    Attorney General
    ERIN E. HANDKE
    Assistant Attorney General
    Pierre, South Dakota                        Attorneys for plaintiff
    and appellee.
    ****
    ARGUED
    APRIL 26, 2023
    OPINION FILED 08/02/23
    #30087
    MYREN, Justice
    [¶1.]        Vandon Pretty Weasel was convicted of ten counts of sexual contact
    with a child under age sixteen and one count of first-degree rape. At his trial, the
    State introduced evidence from Debra Hughes, a mental health practitioner, who
    had served as the victim’s counselor. The State did not notify Pretty Weasel that
    Hughes would give expert testimony. On appeal, Pretty Weasel alleges this failure
    of notice was prejudicial and asserts that Hughes’ testimony improperly bolstered
    the victim’s testimony. We affirm.
    Factual and Procedural History
    [¶2.]        Pretty Weasel and his wife, Jennean, were married in 2012. Five
    children were living in their house at the time of the events that give rise to this
    case. Jennean has two children with Pretty Weasel and two with Vincent Barrios.
    A.D., the victim in this case, is the child of Jennean and Barrios and was twelve
    years old at the time of trial. Also living with the family from the fall of 2015 until
    the spring of 2020 was Pretty Weasel’s child from another relationship, K.P., who
    was sixteen years old at the time of trial.
    [¶3.]        On the morning of March 10, 2020, Jennean noticed that A.D. was
    acting “very, very upset” and was refusing to go to school. Jennean thought
    something was not right, so she took her daughter on a drive to talk. While on this
    drive, A.D. told her mother that Pretty Weasel had been touching her
    inappropriately and doing so for a very long time.
    [¶4.]        Jennean went home and confronted her husband, who said he was
    sorry. She told him he needed to leave, and he moved out of the house. The next
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    day, Jennean filed a report with the police in Deadwood and met with Detective
    Tom Derby, who set up a forensic interview for A.D.
    [¶5.]          Brandi Tonkel, a forensic interviewer at the Children’s Home Child
    Advocacy Center (CAC), conducted the interview. During the interview, A.D.
    disclosed extensive sexual contact. She stated that Pretty Weasel had touched her
    “all around down there” and that it occurred almost “every night.”
    [¶6.]          After the forensic interview, Detective Derby, who had listened to the
    interview, asked Jennean if she would agree to conduct a recorded phone call with
    Pretty Weasel to see if they could obtain additional evidence to support A.D.’s
    disclosures. Jennean agreed to do so. During this phone call, Pretty Weasel told
    Jennean that he felt “so fricking guilty.” When Jennean asked him why he did
    what he did to A.D., he said he thought she was Jennean. Jennean then asked, “[s]o
    you touched her inappropriately?” to which Pretty Weasel responded, “I didn’t teach
    her, I don’t want [A.D.] to be a liar and I didn’t teach her to be a liar. I mean if she
    says then . . . I feel guilty.”
    [¶7.]          Later in the same recorded conversation, Jennean asked when this had
    started, and Pretty Weasel said that A.D. was the one who started it and that it had
    started with belly rubs. He then said,
    And the first time went you know, didn’t notice but she kind of
    grabbed my hand higher, under her chest. And I was like whoa.
    I stopped. I thought--thought she was being curious. You know
    I just--I don’t know what--what to think. I didn’t know what to
    . . . And then she just pushed my hand lower a couple of times.
    When pressed about how often this happened, Pretty Weasel said, “[l]ike once a
    month. If that.” He said he did not remember how old A.D. was when it started
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    and that it only happened when Jennean was gone. Pretty Weasel said he never
    had sex with A.D. or put his fingers in her. He said he did not touch her but stated,
    “[w]ell, she put my hand there.”
    [¶8.]         A grand jury indicted Pretty Weasel on twelve counts of sexual contact
    with a minor under age sixteen (two counts for each year from 2015-2020) and one
    count of first-degree rape occurring sometime in 2020.
    [¶9.]         Before trial, Pretty Weasel filed a motion to require the State to
    provide a summary of any expert opinion it intended to use at trial pursuant to
    SDCL 23A-13-4. Pretty Weasel also filed a motion for a subpoena duces tecum
    seeking any counseling records involving A.D., followed by an in-camera review by
    the court to determine relevancy. Without objection from the State, the circuit court
    granted both motions. The court signed a subpoena duces tecum on February 11,
    2022, directing Hughes to produce all counseling records for A.D. and provide them
    to the court by February 14, 2022. Hughes was ill and unable to deliver the
    documents by that date. Instead, both parties received the counseling records on
    the first day of trial, after jury selection.
    [¶10.]        Jennean was the State’s first witness, and she explained how A.D.
    disclosed the abuse to her and how she reported it to law enforcement. She also
    discussed the recorded phone call she conducted with Pretty Weasel under the
    guidance of Detective Derby. A recording of the phone call and a transcript were
    received into evidence, and the recording was played for the jury.
    [¶11.]        On cross-examination, Jennean acknowledged that A.D. had
    previously told her that K.P. had touched her inappropriately. Jennean explained
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    that the family attended counseling with Hughes because of K.P.’s conduct, and
    sometimes A.D. did not want to attend. The defense also asked Jennean if A.D. had
    told Hughes that she did not like Pretty Weasel because he spanked her as a form of
    discipline. Jennean acknowledged that A.D. may have said that to Hughes but later
    testified that A.D. had not expressed to her personally that A.D. was upset about
    being spanked.
    [¶12.]       On redirect, Jennean testified that Hughes had diagnosed A.D. with
    PTSD (post-traumatic stress disorder). The State then asked her whether Hughes
    ever mentioned that A.D. was unable to tell the difference between what K.P. had
    done to her and what Pretty Weasel had done. Pretty Weasel objected to the
    question based on “improper 702, unnoticed 702,” and invading the province of the
    jury, but the court overruled the objection. Jennean responded that she did not
    recall what Hughes had told her.
    [¶13.]       The State also asked Jennean if Hughes had reported to her that A.D.
    wanted to dress in a particular way that would make her less attractive as a female.
    The defense objected as “speculation and foundation and confrontation[,]” but the
    objection was overruled. Jennean responded, “[A.D.] does not feel comfortable in
    tight-fitting clothing. She wants to wear bigger clothing to cover up herself.” The
    State later asked if A.D. exhibited any behavior where she tried to make herself
    look unappealing. Jennean answered that A.D. had experienced trauma multiple
    times from two different people and that she was very insecure, wanted to cut off
    her hair, and would only wear loose and baggy clothing.
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    [¶14.]       A.D. testified about telling her mother that Pretty Weasel had been
    touching her. She said she told her mother Pretty Weasel had been touching her
    but did not “tell her the detailed stuff[.]” A.D. testified that the touching had been
    going on for a long time at a frequency that “felt like every day.” She thought the
    touching started around age four with just “a backrub and stuff[,]” but then as she
    got older, he touched her inappropriately “[d]own in the area” or “private area.” The
    State clarified with her that she meant her vagina.
    [¶15.]       When the abuse started, A.D. did not know it was wrong and thought
    it was “a normal thing.” She realized it was wrong when she was around seven or
    eight years old after watching some videos. She said it would happen a lot, “[l]ike
    every day.” A.D. stated that Pretty Weasel only touched her with his hands, and he
    mostly would rub her vagina but sometimes “put his fingers between it.”
    Sometimes she would be sleeping and would awake to him touching her. A.D. said
    after she realized it was wrong, it made her feel upset and gross when he would
    touch her. She said she told Pretty Weasel that she did not like it, and there was
    one time when she tried to stop him physically, she kicked her feet and elbowed
    him, and he stopped. The touching would typically occur at night when her mother
    was working.
    [¶16.]       A.D. also discussed one incident where Pretty Weasel had asked her if
    she was interested in touching a boy’s private part, but she said no. A.D. discussed
    another time when she had wanted a stuffed animal, and he asked her, “[w]hat’s in
    it for me?” She knew this meant that he wanted to touch her. He took her pants
    and underwear off and her legs were over his shoulders. He put his head between
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    her legs and kissed up and down her legs and then kissed her private area. After
    this incident, he took her to the store and purchased the stuffed animal she wanted.
    A.D. thought she was in about second grade when this happened.
    [¶17.]      A.D. testified that Pretty Weasel told her that he was sorry for what he
    had done to her and that he had apologized to her a lot of times. However, she did
    not believe him because he kept doing these things to her. He had told her not to
    tell anyone about what he was doing because it would destroy the family.
    [¶18.]      A.D. also discussed the prior incidents where her stepbrother K.P.
    touched her inappropriately on her private part. He had done this two times, and
    she had told her mother about the touching. On cross-examination, she stated that
    she was nine years old when he first touched her, and she knew it was wrong. A.D.
    acknowledged that Pretty Weasel supported her going to counseling with Hughes
    for the situation with K.P. and that he had taken her to counseling. Sometimes the
    whole family would go to counseling together; other times they did individual
    counseling. She said she talked to Hughes about K.P.’s conduct. A.D. also stated
    that Pretty Weasel had asked her if she had told Hughes about what he had done to
    her.
    [¶19.]      A.D.’s biological father, Vincent Barrios, testified that in 2015, A.D.
    was staying with him one weekend when she grabbed his penis and started
    giggling. She said that Pretty Weasel let her touch him there and told Barrios that
    Pretty Weasel touched her. She told Barrios that Pretty Weasel “itches” her and
    “puts his hands down and plays with my panties.” Barrios said he called Jennean
    and told her about this. Jennean talked with A.D., and A.D. told her she had lied.
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    Barrios nonetheless reported the allegation to law enforcement. A forensic
    interview was conducted, but A.D. did not disclose any sexual abuse, and no charges
    were filed at the time.
    [¶20.]       Detective Derby testified that he observed A.D.’s 2020 forensic
    interview at the CAC. After the interview, he suggested to Jennean that they make
    a recorded phone call with Pretty Weasel, and Jennean agreed to make the call. He
    told her to be herself when talking to Pretty Weasel but wrote down some bullet
    points to try to cover during the conversation. During Detective Derby’s testimony,
    the court also admitted into evidence a message that A.D. received on her tablet
    from Pretty Weasel saying, “I love you. I’m very sorry for everything.” Pretty
    Weasel sent the message two days after A.D. disclosed the abuse to her mother, but
    before Tonkel’s forensic interview.
    [¶21.]       In her testimony, Tonkel, described the general process when
    interviewing children. She explained that during her interview, A.D. disclosed
    chronic incidences of sexual assault that had happened what felt like every day.
    She stated that A.D. reported digital penetration as well as cunnilingus. The court
    admitted the CAC interview and a transcript of the interview into evidence and
    published the video for the jury, which substantially conformed to A.D.’s testimony
    at trial.
    [¶22.]       Tonkel further testified that she had conducted the forensic interview
    with A.D. in 2015, but A.D. had not disclosed any sexual abuse by Pretty Weasel at
    that time. Tonkel also discussed common characteristics in child sex abuse cases.
    She explained that delayed disclosure and secrecy are common, especially when the
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    perpetrator is a family member. She also explained that children that have
    experienced sexual abuse are frequently able to provide details of conduct that
    would ordinarily be beyond the years of such a child. Tonkel explained that
    cunnilingus and digital penetration would typically involve knowledge beyond the
    years of a ten-year-old child.
    [¶23.]       Hughes was the last witness to testify. She stated she was a child
    trauma therapist with an independent practice, a master’s degree in social work,
    and a license to practice in South Dakota. She stated she uses “the modality of
    trauma-focused child behavioral therapy[.]” She had conducted counseling with all
    of the children in the Pretty Weasel family. Her work with them started when
    Pretty Weasel contacted her after K.P. had touched A.D. in an inappropriately
    sexual way. Hughes stated that she had conversations with A.D. about A.D.
    wanting to be a boy because if she were a boy, she would not be touched. The
    following exchange then occurred:
    State:        Did [A.D.] exhibit any signs that you worked with
    her on as far as a lack of hygiene?
    Hughes:       Yes.
    State:        Okay. And what was that indicative of in your
    profession?
    Defense:      I’m going to object. Unnoticed 702, improper 702.
    Court:        Overruled. You can answer.
    Hughes:       In [A.D.’s] personality and presenting herself
    during our sessions, she felt the more unattractive
    and ugly and hideous, if you will, her behaviors and
    how she looked was, people would stay away from
    her and she was safer.
    [¶24.]       Shortly after this line of questioning, the State asked about diagnosing
    A.D. with PTSD:
    State:        What was your diagnosis of [A.D.]?
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    Defense:     Objection. 702, State versus Buchholtz.
    Court:       Well, these records were subpoenaed, I believe, at
    your request and they were given to both parties
    and I’m going to allow it.
    State:       What was your diagnosis?
    Hughes:      Post-traumatic stress disorder.
    State:       And what does that mean?
    Hughes:      That is an event where an individual fears being
    harmed or the harm of someone else and, as a
    result of that fear, then they have different
    behaviors and actions that continue to reproduce
    fear and the need to protect.
    State:       Is she being treated for that now?
    Hughes:      Yes.
    State:       By you?
    Hughes:      Yes.
    State:       Did you see things that indicated to you that there
    was something more going on here than what had
    happened at the hands of [K.P.]?
    Defense:     Objection. Calls for speculation, improper 702,
    unnoticed 702.
    Court:       Sustained.
    [¶25.]      The defense conducted a brief cross-examination where Hughes was
    asked if A.D. had told her she did not like Pretty Weasel because he spanked her.
    Hughes responded that she did recall that. On redirect, the State asked Hughes if
    there was any connection between the spanking and A.D.’s sexual assault
    allegations. The defense objected based on “[i]mproper 702, beyond the scope,
    unnoticed 702[,]” which the court overruled. Hughes responded,
    So children are very compartmentalized thinkers and in that
    minute, when you say, “Do you like him,” and if there is an
    event that has occurred where he’s punished her or spanked her,
    whatever, that is going to be what she speaks to. So it is not
    uncommon for her to say, “I don’t like him. He spanked me.” I
    do not see the two incidents connecting at all.
    [¶26.]      The State rested, and Pretty Weasel did not present any witnesses.
    The jury found Pretty Weasel not guilty on the two sexual contact charges
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    stemming from acts in 2015 but found him guilty on the other ten counts of sexual
    contact with a minor under the age of sixteen and the first-degree rape charge. The
    court sentenced him to ten years in the penitentiary on each of the sexual contact
    counts to be served concurrently and 25 years in the penitentiary on the first-degree
    rape count to run consecutively to the sexual contact sentences.
    [¶27.]       Pretty Weasel raises two issues on appeal concerning the admission of
    unnoticed expert testimony and alleged improper bolstering of the victim’s
    testimony by an expert witness.
    Standard of Review
    [¶28.]       “We review a [circuit] court’s decision to admit or deny an expert’s
    testimony under the abuse of discretion standard.” State v. Janis, 
    2016 S.D. 43
    ,
    ¶ 13, 
    880 N.W.2d 76
    , 80 (alteration in original) (quoting State v. Johnson, 
    2015 S.D. 7
    , ¶ 30, 
    860 N.W.2d 235
    , 247). We similarly review evidentiary rulings under an
    abuse of discretion using a two-step process. First, whether there was an abuse of
    discretion. Second, whether the error was prejudicial. See State v. Hankins, 
    2022 S.D. 67
    , ¶ 20, 
    982 N.W.2d 21
    , 30. “An abuse of discretion is a discretion exercised to
    an end or purpose not justified by, and clearly against, reason and evidence. It is a
    fundamental error of judgment, a choice outside the range of permissible choices, a
    decision, which, on full consideration, is arbitrary or unreasonable.” Id. ¶ 21
    (internal quotations and citations omitted).
    1.     Whether Pretty Weasel preserved the expert witness
    issues for appellate review.
    [¶29.]       First, the State argues that Pretty Weasel waived the ability to
    challenge any of Hughes’ testimony on appeal because he did not object when the
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    State called Hughes as a witness, and when he did object to specific questions, he
    “did not expand on why it was improper.”∗ “To preserve issues for appellate review
    litigants must make known to the [circuit] courts the actions they seek to achieve or
    object to the actions of the court, giving their reasons.” State v. Bryant, 
    2020 S.D. 49
    , ¶ 18, 
    948 N.W.2d 333
    , 338 (alteration in original) (quoting State v. Dufault, 
    2001 S.D. 66
    , ¶ 7, 
    628 N.W.2d 755
    , 757). This ensures “that the circuit court has an
    opportunity to correct any error.” State v. Guzman, 
    2022 S.D. 70
    , ¶ 26, 
    982 N.W.2d 875
    , 886 (quoting State v. Divan, 
    2006 S.D. 105
    , ¶ 9, 
    724 N.W.2d 865
    , 869).
    [¶30.]         The circuit court entered an order requiring the State to notify the
    defense of any expert testimony it intended to present. The State was therefore
    obligated to provide such notice before offering expert testimony. The State
    solicited testimony from Hughes; Pretty Weasel objected because he believed it was
    expert witness testimony. These objections sufficiently presented the issues to the
    circuit court and preserved them for appellate review.
    2.     Whether Hughes testified as an expert.
    [¶31.]         There are three pieces of testimony from Hughes that Pretty Weasel
    argues qualified as expert testimony requiring advance notice under the circuit
    court’s order and SDCL 23A-13-4: (1) the significance of the victim’s appearance and
    lack of hygiene; (2) Hughes’ diagnosis of A.D. with PTSD; and (3) the connection or
    lack thereof between A.D. being angry about being spanked by the defendant and
    ∗        “[W]aiver is different from forfeiture. Whereas forfeiture is the failure to
    make the timely assertion of a right, waiver is the intentional relinquishment
    or abandonment of a known right.” State v. Bryant, 
    2020 S.D. 49
    , ¶ 18 n.2,
    
    948 N.W.2d 333
    , 338 n.2 (quoting United States v. Olano, 
    507 U.S. 725
    , 733,
    
    113 S. Ct. 1770
    , 1777, 
    123 L. Ed. 2d 508
     (1993)).
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    A.D.’s allegations of sexual abuse. The State contends Hughes did not provide any
    expert testimony.
    [¶32.]       Lay witness testimony is governed by SDCL 19-19-701, which
    provides:
    If a witness is not testifying as an expert, testimony in the form
    of an opinion is limited to one that is:
    (a)    Rationally based on the witness’s perception;
    (b)    Helpful to clearly understanding the witness’s testimony
    or to determining a fact in issue; and
    (c)    Not based on scientific, technical, or other specialized
    knowledge within the scope of § 19-19-702.
    Opinion testimony from qualified experts is governed by SDCL 19-19-702.
    [¶33.]       The State specifically asked Hughes what a lack of hygiene was
    “indicative of in your profession?” (Emphasis added.) By invoking Hughes’
    profession, the State sought her “scientific, technical, or other specialized
    knowledge” based on her expertise as a child trauma therapist. Hughes would have
    similarly been required to use such knowledge to diagnose A.D. with the mental
    health disorder of PTSD. Hughes’ testimony on these two items constituted expert
    testimony because it “was beyond the knowledge and experience of the average
    layperson.” See State v. Andrews, 
    2001 S.D. 31
    , ¶ 18, 
    623 N.W.2d 78
    , 83.
    [¶34.]       It is not as evident that Hughes’ testimony on redirect regarding the
    lack of a connection between A.D.’s statement that she disliked Pretty Weasel
    because he spanked her and A.D.’s allegations that Pretty Weasel sexually abused
    her was expert testimony. Making a connection between statements about two
    events does not necessarily require specialized knowledge; a layperson could make
    such a connection. However, in her response to the question, Hughes described her
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    professional understanding of a child’s thought process before stating that she did
    not see the events as connected. Because Hughes’ testimony was based on
    “scientific, technical, or other specialized knowledge[,]” it constituted an expert
    opinion. Her expert testimony was subject to the court’s pretrial orders requiring
    timely expert opinion disclosure.
    3.     Whether the circuit court abused its discretion by
    allowing the State to present unnoticed expert
    testimony.
    [¶35.]       Before trial, the circuit court ordered the State to provide Pretty
    Weasel with advance notice of any expert witness and a summary of their expert
    opinions. Although the State provided Pretty Weasel with a notice of intent to call
    Tonkel as an expert in sexual assault, it provided no such notice as to Hughes.
    [¶36.]       The circuit court granted a motion from the defense for a subpoena for
    A.D.’s counseling records in July 2021. Because the production of the records was
    delayed, the parties did not receive them until halfway through the first day of trial,
    after jury selection but before opening statements.
    [¶37.]       Nonetheless, in State v. Blem, this Court stated that “[o]nce an expert
    opinion is known to the State and the State determines that it will solicit that
    opinion in court, it must disclose the opinion to the defense regardless of the
    number of days or hours before the witness is scheduled to testify.” 
    2000 S.D. 69
    ,
    ¶ 40, 
    610 N.W.2d 803
    , 811. This holding was based on SDCL 23A-13-15, which
    provides, “[i]f, prior to or during trial, a party discovers additional evidence or
    material previously requested or ordered, which is subject to discovery or inspection
    under §§ 23A-13-1 to 23A-13-14, inclusive, he shall promptly notify the other party
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    or his attorney or the court of the existence of the additional evidence or material.”
    (Emphasis added.) In Blem, the State asserted that it did not find out about an
    expert’s conclusions until only a day before he testified. This Court held that the
    State was still required to disclose the opinion to the defense despite the late notice
    because “[p]arties are not granted immunity from discovery orders merely because
    the trial has commenced.” Blem, 
    2000 S.D. 69
    , ¶ 40, 
    610 N.W.2d at 811
    .
    [¶38.]       Here, the State did not provide the required expert witness notice to
    Pretty Weasel because it was a last-minute decision to call Hughes as a witness
    after receiving the counseling records that Pretty Weasel had subpoenaed. Still,
    Blem establishes that the State must provide advance notice before calling an
    expert witness. If the State had provided the required notice, Pretty Weasel could
    have placed the issue before the circuit court for its consideration, outside the jury’s
    presence, and before the State presented any expert witness testimony.
    [¶39.]       Although Pretty Weasel has established that the circuit court abused
    its discretion by allowing the State to present expert witness testimony in violation
    of its pretrial order, he must also establish that the admission of that testimony
    constituted prejudice. Our record review reveals that Hughes’ unnoticed testimony
    did not affect the jury’s verdict. See Hankins, 
    2022 S.D. 67
    , ¶ 21, 982 N.W.2d at 30.
    Earlier in the trial, defense counsel elicited testimony from Jennean during cross-
    examination about the family attending counseling with Hughes and that A.D. told
    Hughes that she did not like Pretty Weasel because he spanked her. On redirect
    and without objection from the defense, the State elicited testimony from Jennean
    that Hughes had diagnosed A.D. with PTSD. The State elicited further testimony
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    from Jennean about A.D.’s efforts to alter her appearance. Hughes’ testimony about
    these things was duplicative, but she also provided an expert witness explanation of
    the significance of A.D.’s efforts to alter her appearance. Additionally, Hughes
    testified that she did not see a connection between A.D.’s disclosures of sexual abuse
    and any anger she may have expressed about Pretty Weasel spanking her.
    [¶40.]       Despite this testimony from Hughes, Pretty Weasel was not precluded
    from arguing to the jury that A.D. had a motive to fabricate, given her expressed
    anger toward him. Pretty Weasel thoroughly presented this theme throughout his
    closing argument, and neither party mentioned Hughes’ testimony in their closing
    arguments. We are convinced that even if this expert testimony from Hughes had
    been excluded, it would have had no effect on the verdict because of the
    overwhelming nature of the other evidence presented to the jury. Therefore, Pretty
    Weasel has not established any prejudice from the admission of this unnoticed
    expert testimony.
    4.     Whether Hughes’ testimony constituted improper
    bolstering of the victim’s testimony.
    [¶41.]       Pretty Weasel next argues that Hughes’ expert opinions, including the
    significance of the lack of hygiene, the PTSD diagnosis, and the lack of connection
    between the spanking and allegations of abuse, all improperly bolstered A.D.’s
    testimony. Pretty Weasel cites State v. Buchholtz in support of his argument. In
    that case, the defendant was charged with first-degree rape and sexual contact. An
    expert for the State testified that she had diagnosed the child with “child sexual
    abuse.” 
    2013 S.D. 96
    , ¶ 9, 
    841 N.W.2d 449
    , 454. This Court found that such a
    diagnosis essentially “put[ ] a certificate of veracity on the child’s testimony” and
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    “t[old] the jury what to find.” Id. ¶ 28, 
    841 N.W.2d at 459
    . We stated that “[t]rial
    courts must be careful to distinguish between expert opinion that helps the jury and
    expert opinion that merely endorses a witness’s testimony. . . . [An expert’s] role is
    not to tell the trier of fact what to decide, shifting responsibility from the decision
    maker to the expert.” 
    Id.
    [¶42.]       In this case, Hughes did not discuss the cause of the PTSD, only that
    she had diagnosed A.D. with the disorder and was treating her for it. Expert
    testimony regarding sexual abuse is generally limited “to explaining the
    characteristics of sexually abused children and comparing those characteristics with
    the account and behavior of a particular child.” Id. ¶ 25, 
    841 N.W.2d at 457
    .
    “Experts can fairly testify to what types of behaviors might indicate child sexual
    abuse, give insights through expert evaluation of a witness, and educate jurors on
    matters that will help them to assess credibility,” id. ¶ 31, 
    841 N.W.2d at 460
    , but
    they “cannot pass judgment on a witness’s truthfulness in the form of a medical
    opinion[,]” id. ¶ 28, 
    841 N.W.2d at 459
    .
    [¶43.]       Hughes was not asked and did not testify that A.D. was diagnosed
    with child sexual abuse. However, while discussing the PTSD diagnosis, the State
    attempted to probe the cause of A.D.’s PTSD, inquiring of Hughes: “[d]id you see
    things that indicated to you that there was something more going on here than
    what had happened at the hands of [K.P.]?” However, defense counsel immediately
    objected. The court sustained the objection and prevented Hughes from providing
    the type of testimony that would have been an impermissible “direct[ ] comment on
    the credibility of another witness by means of a diagnosis.” See id. ¶ 25, 841
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    N.W.2d at 458. Hughes did not testify regarding a direct causal link between A.D.’s
    PTSD and Pretty Weasel’s conduct. Additionally, the State did not discuss the
    cause of A.D.’s PTSD or Hughes’ other expert opinions in its closing argument.
    [¶44.]       As for Hughes’ testimony about A.D.’s appearance and lack of hygiene,
    her observation that A.D. felt safer and believed people would stay away from her if
    she were unattractive and ugly is not the type of expert testimony found
    problematic in Buchholtz. While Hughes was not asked whether this behavior
    would be consistent with that exhibited by children who had been sexually abused,
    this was the obvious implication of her testimony. Buchholtz notes that this is the
    type of expert testimony that is generally acceptable. See id. ¶ 25, 
    841 N.W.2d at 457
    .
    [¶45.]       Finally, as we noted above, Hughes’ opinion about A.D.’s allegations of
    abuse being unrelated to her statement about being spanked by Pretty Weasel was
    elicited in response to questions defense counsel asked Hughes to support Pretty
    Weasel’s theory of a possible motive for A.D. to lie. Hughes did not offer an opinion
    about whether A.D. was truthful or whether the abuse had happened. Instead, it
    was simply Hughes’ observation that she did not perceive any connection between
    A.D.’s statement that she disliked Pretty Weasel because he spanked her and A.D.’s
    sexual allegations against Pretty Weasel. She was not attesting to the validity of
    A.D.’s statements regarding either topic. Therefore, Hughes’ testimony did not
    improperly bolster A.D.’s testimony.
    [¶46.]       We affirm.
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    [¶47.]       JENSEN, Chief Justice, and KERN, SALTER, and DEVANEY,
    Justices, concur.
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