explaining that for cases in which person is “on the physician’s cold examination table” for diagnosis or treatment, it is “natural to presume that adults, and even children of a sufficient age or apparent maturity, will have an implicit awareness that the doctor’s questions are designed to elicit accurate information and that veracity will serve their best interest” and that courts typically review record “not for evidence of such an awareness, but for any evidence that would negate such an awareness, even while recognizing that the burden is on the proponent . . . to show that the . . . exception applies”
How later courts described this case
- explaining that for cases in which person is “on the physician’s cold examination table” for diagnosis or treatment, it is “natural to presume that adults, and even children of a sufficient age or apparent maturity, will have an implicit awareness that the doctor’s questions are designed to elicit accurate information and that veracity will serve their best interest” and that courts typically review record “not for evidence of such an awareness, but for any evidence that would negate such an awareness, even while recognizing that the burden is on the proponent . . . to show that the . . . exception applies”
- concluding ultimately that hearsay exception in Rule 3 803(4) did not apply to victim’s statements made to counselor during session conducted several months after offense as part of victim’s ongoing, long-term therapy and recognizing that “reclining on a therapist’s or psychiatrist’s couch is not quite the same as sitting in the emergency room in the immediate aftermath of an injury or on the physician’s cold examination table in the interest of diagnosing and curing some exigent disease or ailment”
- recognizing “tacit presumption” that children of a sufficient age or apparent maturity will have an implicit awareness that a medical professional’s questions are designed to elicit accurate information and that veracity will serve their best interest, and reviewing courts “assay the record, not for evidence of such an awareness, but for any evidence that would negate such an awareness.”
- recognizing that obtaining the identity of the individual perpetrating an assault upon a child may be pertinent because it is important for a physician to discover the extent of the child’s emotional injuries particularly when the perpetrator may be a family or household member and it is important to remove the child from the abusive environment
Written by the judges who cited it.
The opinion
WOMACK, J.,
filed a concurring opinion, in which KELLER, P.J., and KEASLER and HERVEY, JJ., joined.
The opinion of the Court has it exactly backward when it says (ante at 589) that it is natural to presume that patients who are being treated for a physical illness or *594 injury -will understand that veracity will serve their best interest, but that patients who are being treated for a mental illness or injury will not.
Let us imagine that two patients are at a clinic. Each is a thirteen-year-old girl. One has been stabbed in the abdomen. The other has the physical signs of frequent vaginal intercourse. Which one has an interest in telling the truth about the identity of the perpetrator? In which case does the course of treatment depend on knowing the identity of the perpetrator? In fact, in which case does the patient even have to be conscious and talking in order to be treated properly?
The Court’s analysis is not well founded.