213 F.3d 697 (D.C. Cir. 2000)
United States of America, Appelleev.Susan Viola Klat, Appellant
No. 99-3103
United States Court of AppealsFOR THE DISTRICT OF COLUMBIA CIRCUIT
Argued February 7, 2000Decided June 2, 2000

Appeal from the United States District Court for the District of Columbia(No. 96cr00385-01)
Mary M. Petras, appointed by the court, argued the cause  for the appellant.
Thomas S. Rees, Assistant United States Attorney, argued  the cause for the appellee.  Wilma A. Lewis, United States  Attorney, and John R. Fisher and Thomas J. Tourish, Jr.,  Assistant United States Attorneys, were on brief for the  appellee.
Before:  Silberman, Henderson and Randolph, Circuit  Judges.
Opinion for the court filed by Circuit Judge Henderson.
Karen LeCraft Henderson, Circuit Judge:


1
Susan Viola  Klat was convicted of threatening to assault the Chief Justice  of the United States and the Clerk of the United States  Supreme Court in violation of 18 U.S.C. SS 115, 1114.  On  appeal after the conviction, we remanded for the district court  to determine whether there was a reasonable possibility that  appointment of counsel to represent Klat would have changed  the outcome of the pre-trial competency hearing in which  Klat, upon her insistence, appeared pro se.  See United  States v. Klat, 156 F.3d 1258, 1267 (D.C. Cir. 1998).  On  remand the district court found "no reasonable possibility  that counsel could have affected the outcome of defendant's  competency hearing."  UnitedStates v. Klat, 59 F. Supp. 2d  47, 55 (D.D.C. 1999).  Klat appeals, seeking reversal of the  district court's order on remand and a new trial.  She argues  counsel could have affected the outcome of the competency  hearing by (1) sharing his observations regarding her understanding of the proceedings and her ability to assist counsel,  (2) advising her to participate more fully in the psychological  evaluation, (3) challenging the findings of the forensic psychologist who examined her, (4) retaining an independent  expert to examine Klat and (5) advising her not to waive her  right to counsel.  Her arguments, whether standing alone or  in combination, do not persuade us to overturn the district  judge's determination that counsel could not have affected the  outcome of the competency hearing.  Accordingly, we affirm  the district court.

I.

2
Based on conduct law enforcement officers viewed as  threats directed toward the Chief Justice and toward personnel of the United States Supreme Court, Klat was arrested  and presented to a magistrate for a preliminary hearing,  where she was represented by counsel from the Federal  Public Defender's office.  The magistrate judge found probable cause and ordered Klat to undergo a competency examination.  On September 3, 1996 Bruce Cambosos, M.D., a  psychiatrist, concluded Klat was competent to stand trial and  she was released on her own recognizance.  She filed a  motion three weeks later seeking removal of counsel so that  she could represent herself.


3
On October 25, 1996 Klat was indicted on two counts for  threatening to assault, in violation 18 U.S.C. SS 115 and 1114,  an officer and employee of the United States and a United  States judge.  Klat first appeared before the district court at  a November 1, 1996 arraignment hearing.  The record of the  hearing reflects Klat's determination to represent herself.  See Klat, 59 F. Supp. 2d at 47-48.  During the hearing,  counsel moved to withdraw from the case, citing a lawsuit  Klat had filed seeking to hold the United States liable for his  representation of her.  The court granted the motion to  withdraw but found that Klat's "bizarre behavior" provided  reasonable cause to order a competency evaluation.  Joint  Appendix (JA), tab F, at 2.


4
Klat was then transferred to Carswell Medical Center in  Fort Worth, Texas, where James A. Shadduck, a forensic  psychologist, performed a competency evaluation.  Klat was  interviewed and otherwise examined by Shadduck and others  who conducted "psychiatric consultation," "social work consultation" and "behavioral observation."  JA, tab E, at 3.  They  also interviewed Klat's former counsel and her former coworkers.  Shadduck interviewed Klat five times for a total of  approximately ten hours.  Klat, however, refused to take both  an IQ test and the Multi-Phasic Personality Inventory  (MMPI).  Shadduck submitted his report to the court on  December 16, 1996.  Citing Klat's in-depth knowledge of the  legal process, of the charges against her and of potential  outcomes, as well as her at least average intellectual capacity,  Shadduck concluded that she was competent to stand trial.  He diagnosed her as possessing a narcissistic personality  disorder and potential bipolar disorder.


5
One month after Shadduck submitted his report, the district court conducted a competency hearing at which Klat appeared pro se.  No witnesses were called.  The government did not challenge Shadduck's evaluation and Klat, while  taking issue with certain aspects of the diagnosis, maintained  she was competent.  She did agree to the government's  proposal that she accept appointment of stand-by counsel.The court specifically cited Klat's demeanor during the hearing as indicative of her competence.1  The court acceptedShadduck's opinion and found Klat competent to stand trial  and, in particular, that she had demonstrated both an understanding of the charges and an ability to conduct her defense.  See JA, tab F, at 4.


6
A jury trial commenced in February 1997 and, after opening statements and the government's first two witnesses, Klat  requested that stand-by counsel conduct the rest of the trial.  She was convicted on February 26, 1997 and was held in jail  pending sentencing.  Thomas Goldman, M.D., a psychiatrist, examined Klat on March 26, 1997 at her counsel's request.  Although he determined that she was not competent to  continue representing herself, he did not state that she was  not competent to be sentenced.  On May 27, 1997 Klat was  sentenced to a term of 57 months' imprisonment on each  count, to run concurrently.


7
Klat appealed and we rejected all of her challenges but one.  See United States v. Klat, 156 F.3d 1258 (D.C. Cir. 1998).We held that the district court erred in allowing Klat to  appear without representation at the hearing to determine  her competence to stand trial while at the same time it  expressed misgivings about her competence:


8
In the instant case, appellant had clearly indicated her desire to waive her right to counsel and to proceed prose.  However, at the November 1, 1996 arraignment hearing the district court made an explicit finding that there was "reasonable cause" to believe that appellant was mentally incompetent to stand trial.  Under these circumstances, we find that the district court erred in allowing appellant's appointed counsel to withdraw without appointing new counsel to represent appellant until the issue of her competency to stand trial had been resolved.  This finding is based on our conclusion that, where a defendant's competence to stand trial is reason-ably in question, a court may not allow that defendant to waive her right to counsel and proceed pro se until theissue of competency has been resolved.


9
156 F.3d at 1262-63 (footnotes omitted).  We held that the  district court's error constituted a violation of Klat's sixth  amendment right to counsel.  See id. at 1263.  Accordingly,  we remanded "for an evidentiary hearing to determine whether counsel could have made a difference in the outcome of  appellant's competency hearing."  Id. at 1267.  We instructed  the district court to vacate the conviction and sentence only if  it determined counsel could have affected the outcome but  otherwise affirmed both her conviction and sentence.  See id.


10
The district court held an evidentiary hearing on April 14,  1999 during which the government presented only one witness, James Shadduck, and Klat through counsel presented  four:  Shelly Stanton, M.D., a psychiatrist;  Thomas Goldman,  the psychiatrist who had examined her before sentencing; Richard Schmitt, a psychologist;  and Klat's former counsel  who withdrew at arraignment.  On cross-examination Shadduck testified that it was possible, but not probable, that the  MMPI test (which Klat refused) could have affected his  opinion to some degree and that it was possible, but not  probable, that Klat was suffering from a delusional disorder  when he evaluated her.


11
All of Klat's expert witnesses examined her at some point  after the competency hearing;  Goldman's exam occurred  approximately two months later and the rest were even later.  Goldman concluded, on the basis of a fifty-minute interview  and his review of Klat's trial counsel's case file, that Klat was  not competent to proceed pro se.  He testified that if he had  been asked in March 1997 about her competence to stand  trial one month earlier, he would have deemed her incompetent.  Stanton examined Klat later, in August 1997, after she had begun a hunger strike, and found she had a delusional  disorder.  Stantontestified that, if Klat was in the same  condition at the time of the competency hearing in January  1997 as she was when he saw her several months later in  August 1997, he would opine she was not competent at the  earlier time.  Schmitt, who examined Klat in September 1997,  testified that she suffered not only from a narcissistic disorder but also from a delusional disorder.  Based in large part  on his conclusion that Klat misapprehended the facts of her  case and exhibited "a paranoid distrust of her attorneys,"  Transcript (Tr.) 4/14/97 at 157, Schmitt opined that Klat was  not competent when he examined her.  Shadduck, Goldman  and Stanton agreed, however, that Klat's conviction could  have caused "decompensation," that is, a worsening of her  condition.  See Tr. 4/14/97 at 18-19 (Shadduck), 69 (Stanton)  and 110 (Goldman).


12
Klat's former counsel testified that Klat's conduct after the  August 30, 1996 preliminary hearing and Cambosos's initial  competency determination on September 3 led him to believe  she was incompetent.  He cited Klat's tape-recording a meeting with him and her irrational views on how to proceed in  the case:  for example, refusing the negotiated pre-trial diversion offer and seeking indictment so that she could go to trial  and expose the government conspiracy against her.  He gave  as reasons for his failure to voice his concerns to the magistrate judge his then-recent appointment and insufficient information, and for his subsequent failure to express his misgivings to the district court the legal action Klat had by then  instituted and his reliance on the government to challenge her  competence.


13
In the end, the district court rejected Klat's arguments, the  same five arguments she makes here, and concluded there  was no reasonable possibility that counsel could have changed  the result of the competency hearing.  The district court  emphasized that Klat "repeatedly demonstrated her total  unwillingness to follow advice from others, especially counsel"  and that "three separate mental health experts evaluated Klat at three separate times,"2 none of whom found her incompetent.  59 F. Supp. 2d at 51.  The district court discounted  counsel's doubts as to Klat's competence as cumulative in  light of the court's observations.3  See id. at 53.  The court  also noted that counsel had represented Klat only at the  preliminary hearing stage.


14
Rejecting Klat's argument that counsel could have advised  her to participate in further psychological testing, the court  stated that, given her resistance to counsel's advice and  efforts, "there is absolutely no evidence to give rise to the  inference of a reasonable possibility that defendant would  have acted in accordance with such advice."  59 F. Supp. 2d  at 53.  The court dismissed the argument that counsel's  cross-examination of Shadduck, assuming testimony had been  taken, would have persuaded it that Klat was not competent.The court again relied on the opinions of the two experts  (Cambosos and Shadduck) whose evaluations were before it  when it originally concluded she was competent.  See id. at  54.  Responding to Klat's fourth argument that counsel could  have secured another expert opinion, the court noted that she  proceeded in forma pauperis and found no reasonable possibility that the court would have approved the hiring of an  independent expert to conduct what would have been the  third evaluation in three and one-half months.  See id.  Finally, the district court concluded that counsel's advice not to  proceed pro se would not have affected the outcome in light of  Klat's earlierrejection of the advice of both counsel and the  court that her pro se stance was imprudent.  See id. at 54-55.

II.

15
The applicable standard of review is, not surprisingly, in  dispute.  Klat argues that the determination is a mixed  question of law and fact which should be reviewed de novo.  She likens the issue before us to our review of the "reasonable probability of a different outcome" determination in an  ineffective assistance of counsel claim.4  The government, on  the other hand, contends that the determination amounts to a  finding of fact warranting review only for clear error.  It  compares the issue before us to a competency determination  which we review for clear error.  See United States v. Caldwell, 543 F.2d 1333, 1349 (D.C. Cir. 1974).5


16
In our review of the district court's conclusion that there  was no reasonable possibility counsel could have effected a  different outcome, the factual basis of the competency determination necessarily comes into play.  Nevertheless our task  is to decide the legal question whether a constitutional error  may have so affected the proceeding below that the reasonable possibility standard is met.  We must therefore apply a  legal standard to a particular set of facts.  Accordingly, we  are reviewing a mixed question of law and fact.  See Barbour  v. Browner, 181 F.3d 1342, 1345 (D.C. Cir. 1999).


17
In Barbour we discussed the factors involved in determining whether a mixed question of law and fact deserves  deferential or independent review:


18
As to so-called "mixed questions of law and fact," ...there is no obvious way to decide whether determinations made at the trial level should be reviewed deferentially or independently.  Therefore, the reviewing court must make a reasoned judgment whether the risk of an erroneous trial level decision, or the need to clarify the governing law, or any other value secured by review denovo, is warranted in view of the added costs of such review.


19
181 F.3d at 1345 (citations omitted).  We cited the discussion  in Miller v. Fenton, 474 U.S. 104, 114 (1985), to the effect that  determining the applicable standard of review often turns  upon which judicial actor "is better positioned than another to  decide the issue in question."  Barbour, 181 F.3d at 1345.We cautioned, however, that the goal of clarifying governing  law may be elusive if the case is "intensely fact specific."  Id.  at 1348.  Here, the district judge who presided over the  competency hearing is better positioned than we to decide if  counsel could have affected his factual determination of Klat's  competence.  See Caldwell, 543 F.2d at 1349 (competency  determination is question of fact).  We conclude that our  review of the mixed question of law and fact before us should  be more deferential than independent and, therefore, governed by the clearly erroneous standard.


20
The reasonable possibility inquiry governing the district  court's determination is similar to that made in determining  whether a trial error of constitutional dimension is harmless: that is, whether the error is harmless beyond a reasonable  doubt.  See Coleman v. Burnett, 477 F.2d 1187, 1211 n.158 (D.C. Cir. 1973) (noting that "[i]n Chapman it was held that  before a federal constitutional error can be held 'harmless,'  the court must be of the belief that it was harmless beyond a  reasonable doubt [and] must find that there is no reasonable  possibility that the error complained of might have contributed to the conviction") (citing Chapman v. California, 386 U.S.  18, 24 (1967), overruled in part by Brecht v. Abrahamson, 507  U.S. 619 (1993), and Fahy v. Connecticut, 375 U.S. 85, 86-87 (1963)) (emphasis added);6  United States v. Saro, 24 F.3d  283, 287 (D.C. Cir. 1994) ("For most constitutional errors, an  appellate court is to reverse if it entertains a 'reasonable  doubt' about whether the error affected the outcome below.");see also Pyles v. Johnson, 136 F.3d 986, 994 (5th Cir. 1998)  (equating reasonable possibility determination regarding extrinsic evidence in jury room to harmless error review).


21
Of the five reasons Klat advances for asserting that counsel  could have affected the outcome, the district court's rejection  of the second and fifth reasons (counsel could have advised  her (2) to participate more fully in the psychological evaluation and (5) not to waive her right to counsel) is plainly  reasonable.  We, therefore, consider further only the others.


22
Klat first argues that counsel could have offered his own  observations regarding her understanding of the proceedings  and her ability to assist him.  Because a large part of the  competency determination turns upon a defendant's ability to  assist counsel, see Caldwell, 543 F.2d at 1348 (competence  requires ability to consult with counsel), representation at a  competency hearing is important and we have so recognized:


23
This court recognizes that in making a competency determination it may be very useful for the trial judge to question both the defendant and his counsel; the applicable criteria measure one's ability to consult with his lawyer and to understand the course of legal proceedings.  Thus counsel's first-hand evaluation of a defendant's ability to consult on his case and to understand the charges and proceedings against him may be as valuable as an expert psychiatric opinion on his competency.  This is particularly so when--as in the instant case--trial counsel has independently expressed 'misgivings' about the defendant's competency.


24
United States v. David, 511 F.2d 355, 360 (D.C. Cir. 1975)  (footnotes omitted);  see also Drope v. Missouri, 420 U.S. 162,  177 n.13 (1975) ("Although we do not, of course, suggest that  courts must accept without question a lawyer's representations concerning the competence of his client, an expressed  doubt in that regard by one with the closest contact with the  defendant, is unquestionably a factor which should be considered.") (citations and internal quotation marks omitted).


25
In rejecting Klat's argument, the district court relied in  part on counsel's failure to raise the competency issue at the  preliminary hearing.  Its reliance is misplaced for several  reasons.  First, counsel would have had more exposure to  Klat had he continued to represent her at the competency  hearing.  Furthermore, given the sole purpose of the competency hearing (and the distinct purpose of the preliminary  hearing),it is more likely that counsel would have voiced his  concerns there, particularly if the district court had followed  the David holding's lead and sought his input.  We may  assume the ground for granting counsel's motion to withdraw  was valid when the motion was granted at arraignment and  that therefore new counsel would have been appointed to  represent Klat at the competency hearing.  It is also likely  that newly appointed counsel would have raised the competency issue.  First, he had an ethical duty to do so, assuming  he had doubts as to her competence, see, e.g., United States v.  Boigegrain, 155 F.3d 1181, 1188 (10th Cir. 1998), and, second,  Klat's steadfast refusal to follow advice of counsel, as emphasized by the court below, suggests that counsel could have  thought her unable to consult with him rationally and, therefore, unable to have a rational understanding of the proceedings.  See Caldwell, 543 F.2d at 1348 (defendant must have  rational, not merely factual, understanding of proceedings).


26
Decisive to our rejection of Klat's argument, however, is  that nearly everything counsel could have offered was then  apparent to the district court.7  See 59 F. Supp. 2d at 53.  It  recognized that Klat was untrusting, see id. at 51, that she  "had a distorted notion of the merits of her case," id. at 53,  and that she refused to communicate meaningfully with her  lawyer, see id. at 51, 53-54.  In fact, the district court's  observations to this effect are what triggered it to order the  competency hearing.  See JA, tab F, at 2 ("Because of  defendant's bizarre behavior in open court, the court ordered  that she be committed to the custody of the Attorney General  for ... psychiatric examination.");  see also 59 F. Supp. 2d at  53.  It is highly unlikely on this record that Klat would have  been receptive to any counsel.  The district court thus justifiably deemed any observations of counsel "cumulative."  See  59 F. Supp. 2d at 53.  At the hearing, it was reassured by two  expert opinions that Klat was not incompetent.  Accordingly,  the district court did not clearly err in finding no reasonable  possibility that counsel's observations could have affected the  outcome.


27
Next, Klat argues counsel could have challenged Shadduck's findings.  The district court dismissed this argument  because no live testimony was taken at the competency  hearing and because Klat challenged only Shadduck's conclusion, arguing that the facts before him should have led him to  the opposite conclusion.  See 59 F. Supp. 2d at 54.  But  counsel could have subpoenaed Shadduck and then questioned  his opinion.  See Caldwell, 543 F.2d at 1348 (D.C. Cir. 1975)  ("While the proceeding need not be lengthy or involved, as a  minimum we think the inquiry must be of record and both  parties must be given the opportunity to examine all witnesses who testify.") (internal quotation marks omitted);  see  also United States v. Williams, 113 F.3d 1155, 1160 (10th Cir.  1997) (once doubt is raised as to his competence "protections  of an adversary proceeding must be afforded the defendant").  The only point on which Shadduck's opinion appears assailable, however, is his inability to administer, and assess, the  personality test (MMPI) Klat refused to take.  In any event, Shadduck testified at the hearing on remand that, while the  lack of the MMPI result limited the accuracy of his diagnosis,  it did not affect the accuracy of his competency determination.


28
Perhaps counsel's opportunity to expose this weakness in  Shadduck's diagnosis would have enabled counsel to persuade  the court to appoint another expert to evaluate Klat, which  leads to her last argument.  Klat claims counsel could have  retained an independent expert to evaluate her.  As the  district court recognized, however, Klat's argument requires severalinferences to be stacked one upon the other.  See 59  F. Supp. 2d at 54.  The weakest may be the foundational  supposition that the district judge would have second-guessed  Shadduck's opinion (the second competency determination in  three and one-half months), whether based on crossexamination or on counsel's doubts which mirrored his own,  and then authorized and credited another evaluation.8


29
For the foregoing reasons, we conclude that the district  court did not err, at least not clearly so, in determining that  there was no reasonable possibility counsel could have affected the outcome of Klat's competency hearing.  Accordingly,  we affirm the district court.


30
So ordered.



Notes:


1
 The district court found Klat's demeanor "controlled and appropriate for the situation."  JA, tab F, at 4.


2
 Although the district court's count included Goldman who evaluated Klat after conviction, in its analysis the court relied on the  opinions of Cambosos and Shadduck who had evaluated Klat before  the court found Klat competent to stand trial.  See 59 F. Supp. 2d  at 54.


3
 The district court concluded that counsel's description of Klat's obstinacy in ignoring his efforts to communicate and her inflated  opinion of her defense could not have affected the outcome because  it had itself noted the same behavior.  See 59 F. Supp. 2d at 53.


4
 Our standard of review for ineffective assistance of counsel  claims is itself subject to debate.  See United States v. Askew, 88  F.3d 1065, 1070 (D.C. Cir. 1996) (unnecessary to pass on unsettled  issue of standard of review).


5
 "Competence to stand trial requires 'sufficient present ability to consult with his lawyer with a reasonable degree of rational understanding and ... a rational as well as factual understanding of the  proceedings against him.' "  Caldwell, 543 F.2d at 1348 (quoting  Dusky v. United States, 362 U.S. 402 (1960) and citing Pouncey v.  United States, 349 F.2d 699, 701 (D.C. Cir. 1965)).  Competence to  stand trial vel non is decided by a preponderance of the evidence.See 18 U.S.C. S 4241(d).


6
 In Chapman, 386 U.S. at 24, the Court stated:
There is little, if any, difference between our statement in Fahy v. State of Connecticut about 'whether there is a reasonable possibility that the evidence complained of might have contributed to the conviction' and requiring the beneficiary of a constitutional error to prove beyond a reasonable doubt that the error complained of did not contribute to the verdict obtained.  We, therefore, do no more than adhere to the meaning of our Fahy case when we hold, as we now do, that before a federal constitutional error can be held harmless, the court must be able to declare a belief that it was harmless beyond a reasonable doubt.


7
 As the court pointed out on remand, "Dr. Shadduck, like Dr. Cambosis [sic] before him, also observed this type of behavior and  found defendant to be competent."  See 59 F. Supp. 2d at 53.


8
 Although Klat claims she has a right to another evaluation, that decision is committed to the trial court's discretion.  See 18 U.S.C. S 4247(b) (providing that additional psychiatric or psychological  examinations may be conducted "if the court finds it appropriate");cf. id. S 4241(b) (same as to initial examination).


