      TEXAS COURT OF APPEALS, THIRD DISTRICT, AT AUSTIN


                                       NO. 03-02-00260-CR



                                      David Perez, Appellant

                                                  v.

                                   The State of Texas, Appellee




    FROM THE DISTRICT COURT OF TRAVIS COUNTY, 299TH JUDICIAL DISTRICT
           NO. 005440, HONORABLE JON N. WISSER, JUDGE PRESIDING



                                           OPINION


                Appellant David Perez appeals his convictions for aggravated sexual assault of a child

and indecency with a child by contact. See Tex. Pen. Code Ann. §§ 22.021(a)(1)(B), 21.11(a) (West

2003).1 After the jury found appellant guilty of both offenses, the trial court assessed punishment

in each case at six years’ imprisonment.


                                           Points of Error

                Appellant advances five points of error. First, appellant contends that the trial court

erred in admitting the testimony of Robin Beauregard under the medical diagnosis and treatment




       1
           The current code is cited for convenience.
exception to the hearsay rule. See Tex. R. Evid. 803(4). Second, appellant urges that the trial court

erred in admitting the testimony of Dr. William Lee Carter because the proper predicate for expert

testimony was not laid. See Tex. R. Evid. 702. Third, appellant claims that the trial court erred in

overruling the motion for a new trial. Fourth and fifth, appellant asserts that the evidence is factually

insufficient to support the two convictions as alleged in the indictment.2


                                       Background and Facts

                In order to place the issues in proper perspective a summary of the facts is essential.

The case turns in large measure on the credibility of A.N., appellant’s daughter and the complainant,

who was twelve years old at the time of the February 2002 trial, having been born on November 14,

1989. After two years in shelters, foster homes, and treatment centers, A.N. testified to facts

generally supportive of the indictment’s allegations. She readily acknowledged that earlier she had

denied the allegations and told conflicting stories to caseworkers, a doctor and others. There was

testimony that other witnesses regarded her as a liar and a manipulator.




        2
           Each count contained two paragraphs alleging different theories of aggravated sexual
assault of a child and of indecency with a child by contact. The jury returned two separate general
verdicts, one finding appellant guilty of aggravated sexual assault of a child “as alleged in Count I
of the indictment” and one finding appellant guilty of indecency with a child by contact “as alleged
in Count II of the indictment.” When a general verdict is returned and the evidence is sufficient to
support a finding of guilt under any of the paragraph allegations submitted, the verdict will be
upheld. McDuff v. State, 939 S.W.2d 607, 614 (Tex. Crim. App. 1997); Fuller v. State, 827 S.W.2d
919, 931 (Tex. Crim. App. 1992); Ketchens v. State, 823 S.W.2d 256, 257-58 (Tex. Crim. App.
1991); Roberson v. State, 16 S.W.3d 156, 159 n.3 (Tex. App.—Austin 2000, pet. ref’d).

                                                   2
                 The record reflects that A.N. was born to appellant and a sixteen-year-old prostitute

who was a crack cocaine addict, whom appellant had befriended. The mother left when A.N. was

two weeks old. A.N. lived with her father in approximately seventeen places by the time she was

ten years old. She had attended school irregularly. In 1997, appellant was convicted of injury to a

child after he slapped A.N. He was placed on probation. A.N. was placed in a foster home. A.N.

was returned to appellant in 1999. In January 2000, appellant was arrested for violation of probation.

A.N. was taken into custody and placed in the Williams Shelter. In early February she was placed

in the foster home of Dorothy Place. On February 23, 2000, A.N. was examined by Dr. Beth Nauert,

a pediatrician, who had examined A.N. on February 12, 1997, when A.N. was first in foster home

care. At that time, A.N. had dental cavities and head lice but her genital examination appeared

normal. On the latter occasion, A.N. informed the doctor that she was being examined for a stomach

ache and a runny nose. She volunteered to the doctor that her father (appellant) was in jail for child

molestation, and that it was because when she was “seven” she had “a rash down there” and

appellant kept cream on it, and that was all.3 When asked if she had been touched or bothered, A.N.

told Dr. Nauert that her “boyfriend” David and another boy, Santos, had had sexual intercourse with

her. The genital examination was normal. The doctor explained that a normal genital exam does

not rule out sexual abuse; that it is rare for a doctor to be able to say with certainty that a child has

been sexually abused; that an exam may be normal even if there had been physical penetration; that




        3
            A.N. was mistaken. Appellant was in jail at the time because of a probation violation.

                                                   3
an exam may even be normal if there had been multiple penetrations by different individuals

assuming days or weeks had passed since the penetration; that even if an injury is inflicted, an

examination some time after the assault may not reflect injury as lacerations often heal without

noticeable scars; and that it is only when a child is pregnant or has a sexually transmitted disease,

is there some proof that the child has been sexually molested.

               Beth Arcotta, a mental health counselor under contract with a foster home agency,

began therapy sessions with A.N. on February 15, 2000, at which time A.N. denied that appellant

had molested her and said she did not know why she was in foster care. The sessions involved

A.N.’s adjustments at the foster home and at school. Early on, A.N. told Arcotta that she had

unwanted sex with five boys near her grandmother’s house. In March, A.N. complained that her

foster mother (Place) was pressuring her to admit that her father had molested her which she again

denied. A.N. felt that her foster mother did not like her, but Arcotta stressed that it was A.N.’s

failure to follow directions. A plan was devised for A.N. to follow directions and Arcotta promised

her a sundae if her behavior improved. A.N. then focused on her relationship with her foster mother

and how to please her with Arcotta’s assistance. This all was discussed at a session May 7, 2000.

The next night on May 8, Dorothy Place, the foster mother, called Arcotta and informed her that

A.N. had made an outcry claiming her father had molested her. Arcotta talked to A.N., but assumed

at the time that only “touching” was involved.

               A.N. lived in the foster home of Dorothy Place where there were nine other foster

children. Place testified that at first A.N.’s personal hygiene was inadequate; her clothes were too

tight, too short, and too revealing; two pairs of shorts had one and a half inch holes in the crotch.



                                                 4
A.N. had in her possession some of appellant’s “paperwork,” a $100 bill in a plastic sandwich bag,

and a pair of men’s underwear which she placed under her pillow at night.

               Place discovered A.N. “acting out” sexually in playing with dolls or dancing,

simulating sexual positions. She danced around a pretended pole as if she was a topless dancer.

A.N. told Place that her father had taken her to a strip club. A.N. touched the other children on their

legs, openly masturbated, and “came on” to the boys in a sexual manner. On May 8, 2000, after a

house meeting where some of the boys discussed their experiences, A.N. asked to speak to Place

privately. She then made an outcry that her father had molested her. This was approximately four

months after she had been removed from his home. Place had A.N. talk to Arcotta, and then took

a written statement which A.N. signed. A videotape was made the next day.

               Place tried to portray A.N. as being truthful, but admitted that A.N. did tell lies,

although she was not the worst liar Place had ever had in her foster home. Place acknowledged that

in the summer of 2000 A.N. falsely accused her of abuse by hitting. Other evidence showed that in

1997 A.N. had falsely accused her then foster mother of abuse.

               Case worker Amy Thompson, Child Protective Services caseworker Anna Warde,

counselor Robin Beauregard, psychotherapist Charles Cansler, and foster care workers Stefanio

Arigo and Gene Foster all described A.N. as having no sexual boundaries, interacting in overt sexual

behavior with anyone encountered. They also described A.N. as a liar.

               The twelve-year-old A.N. testified in a mature manner. She had been raised by

appellant. She saw little of her mother. Appellant taught her to be “good.” When she was six,

seven, or eight years old, appellant taught her that you are a good girl when you have sex with your



                                                  5
daddy or mommy; that he would french kiss her, have her watch R-rated movies, would buy her

make-up, fingernails and thong underwear. A.N. wore tight clothes and stated her father put holes

in the crotch of her shorts. She also reported that appellant taught her how to shoplift by wearing

baggy pants, trying on merchandise and walking out of the store with the merchandise under her

bagging garments while appellant distracted the store clerk.

               A.N. testified that when she returned from her first foster home placement, appellant

began to order that she have sexual intercourse with him and his friends; that she had sexual

intercourse with appellant “Monday through Friday or Monday through Thursday.”                 A.N.

remembered one occasion when they were staying with her Aunt Eunice. Appellant came into the

room where A.N. had been painting, pushed her papers aside, and put her on the bed and had

intercourse with her. Appellant appeared mad and drunk. On another occasion, appellant had sexual

intercourse with her on a couch and she scratched his face in the encounter. A.N. recalled another

time when appellant had her perform an act of masturbation on him. A.N. said that appellant’s

friends paid fifty and sometimes one hundred dollars to have sex with her. Two of these individuals

were brothers David, age twelve, and Santos, age nineteen. She conceded that David Santos was the

name of her father’s welding boss, but insisted that these were different individuals. A.N.

acknowledged that despite all her sexual activity, she had never seen a man’s penis.

               A.N. admitted that she told conflicting stories to Arcotta, Place, and Dr. Nauert. She

explained in part that she learned from Crystal, another girl at the Place’s home, that it was not

natural for daughters to have sex with their fathers contrary to what appellant had taught her. This

made her angry and she made her outcry to Place. When asked on cross-examination if she told the



                                                 6
truth at the time of the outcry, at the time of the later videotape, and on direct examination, A.N.

answered “Yes” to all three questions.

               Dr. William Lee Carter, a psychologist, testified as an expert about symptoms and

behaviors commonly seen in sexual abuse victims. In answer to hypothetical questions tailored to

the facts of the instant case, Dr. Carter stated those facts indicated a sexually abused child.

               Appellant’s brother and sister were among the defense witnesses. Yvonne (Bonnie)

Bunch testified that she and her children lived with appellant when A.N. was returned from foster

care. Appellant had a cast on his broken leg at the time. Later, appellant and A.N. stayed with her

in Waco. She saw nothing in their relationship that was unusual. Bunch related that when she tried

to discipline A.N. for misconduct, A.N. threatened to call the authorities and report that Bunch was

abusing her children. Bunch stated that A.N. was a liar as did appellant’s brother, Leonard Perez.

               Evidence was offered that appellant voluntarily relinquished his parental rights to

A.N. in August 2000.


                                             Rule 803(4)

               In his first point of error, appellant contends that the trial court erred in admitting the

testimony of Robin Beauregard under the medical diagnosis and treatment exception to the hearsay

rule. See Tex. R. Evid. 803(4). We agree that the trial court erred in admitting A.N.’s hearsay

statements to Beauregard because (1) Beauregard was not shown to be a medical professional, see

Moore v. State, 82 S.W.2d 399 (Tex. App.—Austin 2002, pet. ref’d), and (2) the statements were

made during an extended period of counseling and did not possess the guarantees of trustworthiness




                                                   7
on which the medical diagnosis and treatment exception to the hearsay rule is founded. See Jones

v. State, 92 S.W.2d 619, 623-24 (Tex. App.—Austin 2002, no pet.).

                There was a voir dire examination of Beauregard in the jury’s absence prior to her

trial testimony. Appellant objected that Beauregard’s testimony would be hearsay and that she was

only the “current” therapist and that A.N. had been diagnosed and treated by others earlier. The State

expressly announced that the evidence was admissible under Rule 803(4) and accepted its burden.4

After the voir dire examination, over the repeated objections of the appellant, the trial court expressly

admitted Beauregard’s testimony on the basis of Rule 803(4).

                “Hearsay is a statement, other than one made by the declarant while testifying at trial

or hearing, offered in evidence to prove the truth of the matter asserted.” Tex. R. Evid. 801(d).

“Hearsay is not admissible except as provided by statute or these rules or by other rules prescribed

pursuant to statutory authority.” Tex. R. Evid. 802.

                In Jones v. State, this Court stated:


        The rule against hearsay is a rule of exclusion. Courts have long recognized
        exceptions to that exclusion tailored to allow the introduction of evidence that is
        likely to be trustworthy. Common to the various hearsay exceptions is the notion that
        circumstances attendant to the out-of-court statement provide sufficient guarantees
        of the statement’s trustworthiness, thus rendering unnecessary the normal judicial
        assurances of trustworthiness secured by cross-examination and the oath. 5 Wigmore
        on Evidence §§ 1420, 1422 (3d ed. 1940).


        4
          When the State seeks to introduce testimony, it bears the burden of establishing the
admissibility of such evidence. Kelly v. State, 824 S.W.2d 568, 573 (Tex. Crim. App. 1992). The
proponent of hearsay testimony must point to a hearsay exception before such testimony will be
admitted. Moore v. State, 82 S.W.2d 399, 410 (Tex. App.—Austin 2002, pet. ref’d) (Patterson, J.,
concurring). Thus, the proponent of hearsay testimony has the burden of laying the proper predicate
and establishing its admissibility. Id.

                                                   8
92 S.W.3d 619, 622 (Tex. App.—Austin 2002, no pet.).

                  This is true of the medical diagnosis and treatment exception involved in the instant

case which provides:


       Statements made for the purposes of medical diagnosis or treatment and describing
       medical history, or part or present symptoms, pain, or sensations, or the reception or
       general character of the cause or external source thereof insofar as reasonably
       pertinent to diagnosis or treatment.


Tex. R. Evid. 803(4). Rule 803(4) is based on the assumption that the patient appreciates that the

effectiveness of the treatment may depend on the accuracy of the information provided to the

physician. Fleming v. State, 819 S.W.2d 237, 247 (Tex. App.—Austin 1991, pet. ref’d).

                  Some courts have allowed “therapists” to testify about statements made to them in

the course of individual or group therapy sessions. Nevertheless, the offered witness’s qualifications

must be shown to conform to the rule in order to ensure that the medical diagnosis and treatment

exception’s assumption that patients seeking medical care will be honest and truthful in order to

obtain proper treatment remains intact. See Fleming, 819 S.W.2d at 247. “If a witness’s testimony

fails to meet Rule 803(4)’s criteria requiring that the statement be made to medical personnel in the

course of diagnosis and treatment, then the testimony cannot overcome the hearsay rule.” Moore,

82 S.W.3d at 404.

                  Appellant contends that the State did not meet its burden under Rule 803(4) because

implicit in the rule is that the testifying witness be part of the medical profession or otherwise

qualified. Appellant contends that the State failed to lay the proper predicate regarding Beauregard’s

qualifications.

                                                    9
               Beauregard testified that she was the Director of Education at the Cedar Ridge

Charter School, had a master’s degree in education and had been a licensed professional counselor

for three years. Beauregard was under contract with the home where the eleven-year-old A.N. lived

and she agreed to work with A.N. beginning February 7, 2001. This was approximately one year

after A.N. entered foster care for the second time, and nine months after her outcry against her father.

The record reflects the prosecutor’s interrogation on voir dire examination.


       Q. And on that date [February 7, 2001] did you diagnose her with adjustment
          disorder and set treatment goals to be relationships with others, dealing with loss
          of mom, and dealing with sexual abuse?

       A. I did not set the diagnosis. That was done by a psychologist. The treatment
          goals, yes, we [Beauregard and A.N.] decided those in therapy.


               At trial, during the State’s interrogation, the record shows:


       Q. In your therapy sessions you don’t define for her the only things that she can talk
          about. She can bring up anything that she wants with you?

       A. Yes, of course.


               Beauregard testified about seven separate sessions from February 7 to June 7, 2001,

and indicated that she was still A.N.’s therapist at the time of the trial. Beauregard related that they

discussed relationship issues, A.N.’s identity and self-esteem, the loss of A.N.’s mother,5 A.N.’s

sexualized behavior in the classroom, and bad dreams A.N. had. They did not discuss any sexual




       5
         The record reflects that A.N.’s mother left her when she was two weeks old, more than ten
years before the therapy sessions.

                                                  10
abuse issues because of A.N.’s wishes. Beauregard was unaware of A.N.’s outcry against the

brothers, David and Santos, or the other five boys concerning sexual abuse. Beauregard never stated

that she discussed with A.N. the importance of telling the truth in the sessions.

                Turning to qualifications, Beauregard testified that she was a licensed professional

counselor, presumably by the State of Texas although that was not established. See Tex. Occ. Code

Ann. § 503.003 (West 2003). Being a state-licensed professional counselor does not authorize the

individual to practice medicine as defined by the laws of this state. Id. § 503.004. A “physician”

means a person licensed to practice medicine in this state. Id. § 151.002(12). “Practicing medicine”

means the diagnosis, treatment, or offer to treat a mental or physical disease or disorder or a physical

deformity or injury by any system or method, or the attempt to effect cures by those conditions, by

a person who (a) publicly professes to be a physician or surgeon; or (b) directly or indirectly charges

money or other compensation for those services. The State made no effort to show Beauregard’s

training as a counselor and she was not working under the supervision of a physician or even a

psychologist.

                In Moore, this Court held that Rule 803(4) clearly requires the statements by the

declarant be made for purposes of medical diagnosis or treatment, and the trial court erred in

admitting the witness’s testimony over objection even though she was a licensed psychotherapist,

licensed clinical social worker and an advanced clinical practitioner. The “therapist” did not possess

any medical degrees and could not prescribe medicine. The State failed to elicit evidence to explain

how a psychotherapist differs from a psychiatrist or psychologist. Further, the record did not show




                                                  11
how the therapist used a Diagnostic and Statistical Manual to make a medical diagnosis or her

training in this regard. Moore, 82 S.W.3d at 404-05.

               In the instant case, Beauregard was far less qualified than the witness in Moore.

Beauregard had no medical degree and was not a physician. Even as a licensed counselor, she was

not authorized to practice medicine. She was not working under the supervision of a physician or

a psychologist. There is only an inference that a diagnosis was made by an unnamed psychologist,

not shown to be licensed. The treatment goals were decided upon in part by the patient herself.

Under all the circumstances, Beauregard was not qualified to testify. Rule 803(4) clearly requires

the statements by the declarant be made for purposes of medical diagnosis or treatment. The trial

court abused its discretion and erred in admitting Beauregard’s testimony over objection. The State

did not meet its burden. See id. at 405.

               Still further, we note that appellant complains of the scope of the testimony permitted

by the trial court’s ruling. In Jones, the defendant contended that Rule 803(4) was limited to

statements made by a person seeking medical diagnosis and treatment and that the rule does not

extend during the actual course of treatment. 92 S.W.3d at 620.

               In Jones, this Court stated:


       “Rule 803(4) is premised on the patient’s selfish motive in receiving appropriate
       treatment.” Moore v. State, 82 S.W.3d 399, 413 (Tex. App.—Austin 2002, pet.
       ref’d) (Patterson, J., concurring). This motive is no longer present once a diagnosis
       has been made and treatment has begun. The details a patient may report during an
       extended course of treatment may be prompted by other motives, such as denial or
       deception, or be influenced by the treatment process itself. See id. (safeguards
       inherent in rule not present when statements were made during counseling sessions
       years after events discussed, after allegations had been made repeatedly, and after
       child declarants had heard their mother’s rendition of facts).

                                                 12
Id. at 623.

               In Jones, the statements were made by the complainant over a ten-month period to

a therapist. It was held that these statements made during the course of such counseling did not

possess the guarantees of trustworthiness on which the medical diagnosis or treatment exception is

founded. The same is true of the “statements” made to Beauregard over a period from February 7

to June 7, 2001, particularly where A.N. had been previously subjected to therapy by another,

interviewed by a doctor, and in a foster care setting for some time. Moreover, the statements made

must concern facts that are “reasonably pertinent to diagnosis or treatment.” Tex. R. Evid. 803(4);

Gregory, 56 S.W.3d at 183. And the content of the statement must be such as is reasonably relied

upon by a physician in treatment or diagnosis. United States v. Renville, 779 F.2d 430, 436 (8th Cir.

1985). This was missing in the instant case. Further, there was no evidence that A.N. was aware

of seeing Beauregard for the purpose of medical treatment and that her statements were for the

purpose of treatment. See Powell v. State, 88 S.W.3d 794, 800 (Tex. App.—El Paso 2002, pet.

dism’d). For all of these reasons, Rule 803(4) was misused here and the trial court abused its

discretion in admitting Beauregard’s testimony under Rule 803(4).


                                          Harm Analysis

               A violation of evidentiary rules that results in the erroneous admission of evidence

is non-constitutional error under Rule 44.2(a). Tex. R. App. P. 44.2(b); Johnson v. State, 967

S.W.2d 410, 417 (Tex. Crim. App. 1998); King v. State, 953 S.W.2d 266, 271 (Tex. Crim. App.

1997); Tate v. State, 988 S.W.2d 887, 890 (Tex. App.—Austin 1999, pet. ref’d).                  Any




                                                 13
nonconstitutional error “that does effect substantial rights must be disregarded.” Tex. R. App. P.

44.2(b); Johnson v. State, 43 S.W.3d 1, 4 (Tex. Crim. App. 2001). A substantial right is affected

when the error had a substantial and injurious effect or influence in determining the jury’s verdict.

King, 953 S.W.3d at 271 (citing Kotteakos v. United States, 328 U.S. 756, 776 (1946)). A criminal

conviction should not be overturned for nonconstitutional error if the appellate court upon examining

the record as a whole, has fair assurance that the error did not influence the jury, or had but slight

effect. Cobb v. State, 85 S.W.2d 258, 272 (Tex. Crim. App. 2002); Johnson, 967 S.W.2d at 417.

Moreover, the improper admission of evidence does not constitute reversible error if the same facts

are proved by other properly admitted evidence. See Brooks v. State, 990 S.W.2d 278, 287 (Tex.

Crim. App. 1999) (holding that any error in the admission of hearsay testimony was harmless in light

of other properly admitted evidence proving same fact).

               Much of Beauregard’s testimony concerned her observations about A.N. rather than

A.N.’s hearsay statements. Beauregard stated A.N. acted “silly” after talking to a prosecutor, showed

“anxiety” about upcoming trial dates, was “sad” after talking to an adoption worker, appeared

“concerned” about her father going to prison, seemed to be “focusing on moving forward,” and was

“becoming more mature.” They did not discuss the sexual abuse as that was A.N.’s wish. There

were no hearsay statements about the offenses charged. Large segments of Beauregard’s testimony

did not appear relevant. An examination of the record as a whole reveals that the subject matter of

the hearsay statements was properly proved elsewhere, principally during A.N.’s trial testimony and

that of her earlier therapist, Arcotta. We find the error in the admission of Beauregard’s testimony

to be harmless under these circumstances. The first point of error is overruled.



                                                 14
                                         Expert Testimony

               Appellant contends in his second point of error that the trial court erred in admitting

the testimony of Dr. William Lee Carter after the State failed to lay the proper predicate for its

admission into evidence under Rule 702. Tex. R. Evid. 702.

               Before the jury, Dr. Carter testified, based on his education, training, experience, and

studies as to the behavioral characteristics of sexually abused children. In answer to hypotheticals

based on trial evidence, he testified that many of the behavior characteristics displayed in the

hypotheticals were common among sexually abused children. Dr. Carter did not know A.N. nor had

he examined her. He did not testify that A.N. was truthful. Dr. Carter also testified that sexually

abused children can make false accusations, that a child can be “analyzed” so frequently the child

may come to believe what she has been told to say, and that children-witnesses are often anxious

about court appearances whether they have been sexually abused or not.

               Appellant contends that Dr. Carter should not have been allowed to testify because

the State did not sustain its burden to show by clear and convincing evidence that Dr. Carter’s

testimony was relevant and reliable to assist the jury, and the trial court abused its discretion in

permitting the testimony.

               Rule 702 which governs the admissibility of expert testimony provides:


            If scientific, technical, or other specialized knowledge will assist the trier of fact
       to understand the evidence or to determine a fact in issue, a witness qualified as an
       expert by knowledge, skill, experience, training, or education may testify thereto in
       the form of an opinion or otherwise.


Tex. R. Evid. 702.

                                                   15
                The proponent of an expert’s testimony bears the burden of proof. Broders v. Heise,

924 S.W.2d 148, 151 (Tex. 1996); Roise v. State, 7 S.W.3d 225, 233 (Tex. App.—Austin 1999, pet.

ref’d). As the rule itself requires, the proponent of the testimony must establish (1) that the

scientific, technical, or other special knowledge will aid the trier of fact, and (2) that the expert

witness is qualified to testify on the subject. See Penry v. State, 903 S.W.2d 715, 762 (Tex. Crim.

App. 1995); Roise, 7 S.W.3d at 234. And it has been stated “that a third hurdle for the proponent

is required—that the subject matter of the testimony is an appropriate one for expert testimony.” 2A

Steven Goode et al., Texas Practice: Courtroom Handbook on Texas Evidence, Article VII, Rule 702

at 729 (West 2003).

                First, an expert’s opinion should be based on a body of scientific technical or other

specialized knowledge that is relevant (pertinent to the facts of the case), and sufficiently reliable for

the expert’s testimony to assist the jury or trier of fact. Roise, 7 S.W.3d at 234; see also E. I. duPont

de Nemours & Co., Inc. v. Robinson, 923 S.W.2d 549, 556 (Tex. 1995). Second, no precise rule or

rigid formula exists for determining whether a particular witness is qualified to testify as an expert.

Roise, 7 S.W.3d at 234. “It is almost impossible to lay down any definite guidelines for determining

the knowledge, skill or experience required in a particular case or of a particular witness.” Rogers

v. Gonzales, 654 S.W.2d 509, 513 (Tex. App.—Corpus Christi 1983, writ ref’d n.r.e.). The expertise

must be measured against the particular opinion the expert is offering. Roise, 7 S.W.3d at 234.

Licensure or certification in a particular discipline is not a per se requirement. Harnett v. State, 38

S.W.3d 650, 659 (Tex. App.—Austin 2000, pet. ref’d).




                                                   16
               While the proponent of the testimony has the burden of establishing the expert’s

qualifications, the trial court has the responsibility to ensure that “those who purport to be experts

truly have expertise concerning the actual subject about which they are offering an opinion.”

Broders, 924 S.W.2d at 152. The inquiry must be into the actual qualification. Id. There must be

a “fit” between the subject matter at issue and the expert’s familiarity therewith. Broders, 924

S.W.2d at 152. The proponent must establish that the expert had the knowledge, skill, experience,

training, or education regarding the specific issue before the trial court which would qualify the

expert to give an opinion on that particular subject. Id.

               Expert testimony that a child exhibits behavioral characteristics that have been

empirically shown to be common among children who have been abused is relevant and admissible

as substantive evidence under Rule 702. Hitt v. State, 53 S.W.3d 697, 707 (Tex. App.—Austin

2001, pet. ref’d); Vasquez v. State, 975 S.W.2d 415, 417 (Tex. App.—Austin 1998, pet. ref’d) (citing

Yount v. State, 872 S.W.2d 706, 709 (Tex. Crim. App. 1993)). Thus, the evidence that Dr. Carter

was called upon to give has been held relevant in child sexual abuse cases. See Cohn v. State, 849

S.W.2d 817, 819-21 (Tex. Crim. App. 1993).

               Daubert v. Merrell Dow Pharmaceuticals, Inc., 509 U.S. 579 (1993), upon which

appellant relies in part, held that the Federal Rule 702 required that scientific evidence be “not only

relevant but reliable.” Id. at 589-901. Dealing with “hard scientific” evidence, Daubert rejected

Frye v. United States, 293 F. 1013 (App. D. C. 1923). In determining reliability, Daubert held that

a number of factors bear on the inquiry: (1) whether the theory or technique can be or has been

tested; (2) whether the theory or technique has been subjected to peer review or publication; (3) the



                                                  17
known or potential rate of error; and (4) general acceptance within the relevant scientific community.

Id. at 593-95. Daubert emphasized that the inquiry was a flexible one.

               Earlier, the Texas Court of Criminal Appeals in Kelly v. State, 824 S.W.2d 568 (Tex.

Crim. App. 1992), had rejected Frye and interpreted Texas Rule 702 as requiring the satisfaction of

a three-part reliability test before novel scientific evidence could be admissible: (1) the underlying

scientific theory must be valid; (2) the technique applying the theory must be valid; and (3) the

technique must have properly applied on the occasion in question. Id. at 573. A number of factors

relating to the determination of reliability were also listed. Id. In 1995, the Texas Supreme Court

adopted the Daubert test and added additional non-exclusive factors. Robinson, 923 S.W.2d at 556-

57. Later, the Texas Court of Criminal Appeals held that its Kelly inquiry was substantially identical

to the Daubert inquiry, Jordan v. State, 928 S.W.2d 550, 554 (Tex. Crim. App. 1996), and that

although Kelly involved novel scientific evidence, the Kelly analysis applied to all scientific

evidence, novel or not. Hartman v. State, 946 S.W.2d 60, 62-63 (Tex. Crim. App. 1997).

               These “hard” or “novel” scientific cases gave birth to numerous factors to be

considered which were not always consistent and all too frequently were tied to the particular facts

of the case spawning the factors. Despite claims of flexibility, trial courts, as gate keepers, were

confronted with applying these factors to non-scientific expert testimony. In Nenno v. State, 970

S.W.2d 549, 561 (Tex. Crim. App. 1998), overruled on other grounds, State v. Terrazas, 4 S.W.3d

720 (Tex. Crim. App. 1999), the court noted that the Daubert inquiry was “flexible” but the Daubert

factors “do not necessarily apply outside the hard science context.” Nenno, 970 S.W.2d at 561. The




                                                 18
court emphasized “methods of proving reliability will vary, depending upon the field of expertise.”

Id. The court then stated:


            When addressing fields of study aside from the hard sciences, such as the social
       sciences or fields that are based primarily upon experience and training as opposed
       to the scientific methods, Kelly’s requirement of reliability applies but with less rigor
       than to the hard sciences. To speak of the validity of a “theory” or “technique” in
       these fields may be roughly accurate but somewhat misleading. The appropriate
       questions are: (1) whether the field of expertise is a legitimate one, (2) whether the
       subject matter of the expert’s testimony is within the scope of that field, and (3)
       whether the expert’s testimony properly relies upon and/or utilizes the principles
       involved in the field. These questions are merely an appropriately tailored translation
       of the Kelly test to areas outside of hard science. And, hard science methods of
       validation, such as assessing the potential rate of error or subjecting a theory to peer
       review, may often be inappropriate for testing the reliability of fields of expertise
       outside the hard sciences.


Id. at 561; see also Weatherred v. State, 15 S.W.3d 540, 542 (Tex. Crim. App. 2000).

               In Nenno, the court reviewed several federal cases in reaching the decision. See, e.g.,

United States v. Jones, 107 F.3d 1147, 1156, 1158 (6th Cir. 1997) (Daubert’s factors apply to hard

science but not to expert testimony involving clinical medicine); Freeman v. Case Corp, 118 F.3d

1011, 1016 n.6 (4th Cir. 1997) (Daubert “analysis” inappropriate where expert relies on his

experience and training and not a particular methodology to reach his conclusion); United States v.

Bighead, 128 F.3d 1329, 1330 (9th Cir. 1997) (Daubert’s tests for admissibility “do not require

exclusion of expert testimony that involves specialized knowledge rather than scientific theory”).

               Dr. Carter was shown to be a psychologist in solo practice at the Cedar Crest Hospital

and Residential Treatment Center in Belton. He had obtained a bachelor, masters, and doctoral

degrees in psychology all from Baylor University. He had been licensed by the State as a



                                                  19
psychologist since 1983 and had focused on child sexual abuse cases for about ten years. Dr. Carter

had handled hundreds to a thousand of such cases and had testified in court as an expert witness

more than fifty times. The doctor related that he was a member of various local, state and national

psychological associations and obtained a speciality certification in the area of psychological

evaluation and assessment . Dr. Carter had published psychology books about family relationships

and the treatment of child sex abuse victims, a teenage workbook. He testified that the sub-field of

child sexual abuse dynamic is a subject well established in the field of psychology. Dr. Carter

maintained his annual continuing education in the sub-field by attending psychology seminars and

reading and studying.

                Appellant claims that the State did not meet its burden of proving either the validity

of the scientific theories or principles underlying Dr. Carter’s testimony or the validity of the method

used for applying the theories or principles. Appellant relies upon Kelly and Fowler v. State, 958

S.W.2d 853 (Tex. App.—Waco 1997), aff’d, 991 S.W.2d 258 (Tex. Crim. App. 1999), rather than

Nenno and its progenies. We are here dealing with a soft science or specialized knowledge. Turning

to Nenno’s three factors, 970 S.W.2d at 561, we observe that Dr. Carter’s field of expertise is a

legitimate one. See Hernandez v. State, 53 S.W.3d 742, 751 (Tex. App.—Houston [1st Dist.] 2001,

no pet.). Dr. Carter’s opinions in answer to hypothetical questions were based on his extensive

experience over a ten-year period observing sexually abused children in hundreds of cases. The

special knowledge that qualifies a witness to give an expert opinion may be derived from specialized

education, practical experience, a study of technical works, or a varying combination of these things.

Wyatt v. State, 23 S.W.3d 18, 27 (Tex. Crim. App. 2000). While it cannot do so in every case,



                                                  20
experience alone may provide a sufficient basis for an expert’s testimony in some cases. Gammell

v. Jack Williams Chevrolet, Inc., 972 S.W.2d 713, 726 (Tex. 1998); Gregory v. State, 56 S.W.3d

164, 180 (Tex. App.—Houston [14th Dist.] 2001, pet. dism’d, improvidently granted); Olin Corp.

v. Smith, 990 S.W.2d 789, 795-98 (Tex. App.—Austin 1999, pet. denied). Due to Dr. Carter’s

superior knowledge and experience concerning the behavior of children who have suffered sexual

abuse, the common characteristics and dynamics of such children were within the scope of his

expertise. Dr. Carter’s unimpeached testimony, direct and circumstantial, supported the fact that his

opinion and writings on sexual abuse of children was accepted by his relevant scientific community

of psychologists. Appellant fails to point what “principles involved in the field” that Dr. Carter’s

testimony failed to rely on or utilize. Even the factors set forth in Nenno may be inappropriate in

testing the reliability of every field of expertise outside the hard sciences.

                Reviewing courts will not disturb the trial court’s determination that a witness is or

is not qualified as an expert witness unless a clear abuse of discretion is shown. Morales v. State,

32 S.W.2d 862, 865 (Tex. Crim. App. 2000). The appellate court will not conclude that there is an

abuse of discretion merely because under the same circumstances it would have ruled differently or

if the trial court committed a mere error in judgment. Robinson, 923 S.W.2d at 558. We are

required to gauge an abuse of discretion by determining whether the trial court acted without

reference to any guiding rules or principles. Id.

                We hold that the trial court did not abuse its discretion in allowing Dr. Carter to

testify as an expert as to the behavioral characteristics of sexually abused children. The State met




                                                    21
its burden under Rule 702 and the trial court did not err in overruling the Rule 4036 objection in

connection therewith. Cf. Wyatt, 23 S.W.3d at 28; Henderson v. State, 77 S.W.3d 321, 325 (Tex.

App.—Fort Worth 2002, no pet.). The second point of error is overruled.


                                       Motion for New Trial

               In his third point of error, appellant urges that the trial court erred in overruling his

motion for a new trial. Appellant briefs and argues this point together with his challenge to the

factual sufficiency of the evidence to support either conviction in points of error four and five.

               The guilt/innocence phase of the trial was conducted from February 4 to 8, 2002.

Sentences were imposed on March 28, 2002. The only motion for new trial in the record was filed

on April 5, 2002. No action was taken on such unsworn motion after that date. The motion appears

to have been overruled by operation of law seventy-five days after punishment was imposed. See

Tex. R. App. P. 21.8(c). No error appears to be presented.

               Appellant’s appellate counsel notes that the motion reflects a certificate of service on

February 15, 2002, and that the motion, although belatedly filed by trial counsel, was heard and

overruled on March 28, 2002. A somewhat unusual procedure is reflected by the record. On March

28, 2002, the trial court conducted the punishment phase of the trial, heard a motion for new trial,

and conducted a revocation of probation in a different case all in one setting. Only after a discussion

was it determined that the court would proceed with the punishment phase first. At the hearing, the

trial court took “judicial notice” that the new trial motion had been shown to the court on February


       6
         Tex. R. Evid. 403. Rule 403 does not require that the balancing test be performed on the
record. Hett v. State, 53 S.W.3d 697, 706 (Tex. App.—Austin 2001, pet. ref’d).

                                                  22
15, 2002. We have no way to compare the unsworn motion filed on April 5 with the motion referred

to at the hearing on March 28, although appellant urges that it was the same motion.

               “The defendant may file a motion for new trial before but not later than 30 days after

the date when the trial court imposes or suspends the sentence in open court.” Tex. R. App. P.

21.4(a). The time begins running when the sentence is imposed or suspended even if the judgment

of conviction is not signed until later. Rodarte v. State, 860 S.W.2d 108, 110 n.2 (Tex. Crim. App.

1993). Ordinarily, a motion for a new trial is not made until the defendant has been sentenced or

granted probation. 43A George E. Dix & Robert O. Dawson, Texas Practice: Criminal Practice and

Procedure § 41.31 (2d ed. West 2001). Appellant has not discussed the propriety of a premature

hearing on an unfiled and unsworn motion for new trial. Cf. Cortez v. State, 735 S.W.2d 294, 301

(Tex. App.—Dallas 1987, no pet.) (holding a motion for new trial filed after the jury’s verdict and

before sentence is timely).

               “A motion for new trial is a prerequisite to presenting a point of error on appeal when

necessary to adduce facts not in the record.” Tex. R. App. P. 21.2.7 In criminal cases sufficiency

issues need not be preserved to be reviewed on appeal. Givens v. State, 26 S.W.3d 739, 740-41 (Tex.

App.—Austin 2000, pet. ref’d) (citing Flanary v. State, 316 S.W.2d 897, 898 (Tex. Crim. App.

1958) (op. on reh’g)). In re A.P., 42 S.W.3d 248, 255-56 (Tex. App.—Waco 2001, no pet.);

Chestnut v. State, 959 S.W.2d 308, 311 (Tex. App.—El Paso 1997, no pet.) (claim of factual

sufficiency need not be preserved).


       7
          If a motion for a new trial is necessary to adduce facts not in the record, it must be
supported by an affidavit though not required by statute or rule. Reyes v. State, 849 S.W.2d 872, 816
(Tex. Crim. App. 1993); Flores v. State, 18 S.W.3d 796, 798 (Tex. App.—Austin 2000, no pet.).

                                                 23
                 Appellant need not have made a motion for a new trial if his real purpose was to

preserve error for appeal. The motion contained several grounds, but appellant calls attention only

to the allegation that the verdict is contrary to the law and evidence. See Tex. R. App. P. 21.3(h).

Appellant notes that since Clewis v. State, 922 S.W.2d 126, 132 (Tex. Crim. App. 1996), “this

question has been equated to a factual sufficiency issue,” citing Youens v. State, 988 S.W.2d 404,

407 n.2 (Tex. App.—Houston [1st Dist.] 1999, no pet.) (remedy for factual sufficiency is new trial

which makes it equivalent to the granting of new trial on the basis that verdict was contrary to law

and evidence).

                 At the March 28th hearing, there was only argument. Appellant did not single out

factual sufficiency under the proper standard. On appeal, appellant relies upon the trial court’s

remarks when ruling on the motion for new trial8 and at the conclusion of the punishment phase.

The trial court did not believe A.N., the complainant, and did not agree with the verdict. The trial

court properly ruled, however, that the jury was the trier of facts.

                 Under all the circumstances, the trial court did not abuse its discretion in overruling

the motion for new trial, if the motion was properly before the court. The third point of error is

overruled.

                                         Factual Sufficiency

                 In the fourth and fifth points of error, appellant asserts that evidence is factually

insufficient to support appellant’s two convictions. An analysis of the factual sufficiency of the




       8
          “In ruling on a motion for new trial, the court must not summarize, discuss, or comment
on the evidence.” Tex. R. App. P. 21.8(h).

                                                   24
evidence begins with the presumption that the evidence supporting the judgment of conviction is

legally sufficient. Clewis v. State, 922 S.W.2d 126, 129 (Tex. Crim. App. 1996). In a factual

sufficiency challenge, the evidence must be viewed without employing the prism “in the light most

favorable to the verdict.” Id. The evidence must be viewed in a neutral light and reversal will occur

only if the evidence supporting guilt is so obviously weak as to render the conviction clearly wrong

and manifestly unjust, or if the evidence, although adequate when taken alone, is so greatly

outweighed by the overwhelming weight of contrary evidence as to render the conviction clearly

wrong and manifestly unjust. Vasquez v. State, 67 S.W.3d 229, 236 (Tex. Crim. App. 2002);

Johnson v. State, 23 S.W.3d 1, 11 (Tex. Crim. App. 2000).9 While the reviewing court has some

authority in a factual sufficiency situation to disregard evidence that supports the verdict, it must be

appropriately deferential so as to avoid substituting its own judgment for that of the fact-finder.

Vasquez, 67 S.W.3d at 236; Westbrook v. State, 29 S.W.2d 103, 112 (Tex. Crim. App. 2000); Cain

v. State, 958 S.W.2d 404, 407 (Tex. Crim. App. 1997). An appellant court should not substantially

intrude upon the jury’s role as the sole judge of the weight and credibility of witness testimony.

Westbrook, 29 S.W.2d at 112.




       9
          In Johnson v. State, 23 S.W.3d 1 (Tex. Crim. App. 2000), the court found that it was
unclear whether Clewis v. State, 922 S.W.2d 126 (Tex. Crim. App. 1996) had adopted both civil
factual sufficiency review standards for criminal cases. The Johnson court then proceeded to do so.
Evidence can be factually insufficient if (1) it is so weak as to be clearly wrong and manifestly
unjust, or (2) the adverse finding is against the great weight and preponderance of the available
evidence. Id. at 11. See also Hitt v. State, 53 S.W.3d 697, 709 (Tex. App. 2001, pet. ref’d); 43
George E. Dix & Robert O. Dawson, Texas Practice: Criminal Practice and Procedure § 31.136
(West 2001).

                                                  25
                In the instant case, appellant recognizes the standard of review, sets out the facts and

notes the inconsistencies in the complainant’s testimony, and then chooses the first component of

the test—“that the proof of guilt is so obviously weak as to undermine confidence in the jury’s

determination.” Appellant does not single out the elements of the offense whose proof is obviously

weak nor does he impartially compare evidence that tends to prove the existence of a disputed fact

or facts with evidence that tends to disprove that fact or those facts. See Santellan v. State, 939

S.W.2d 155, 164 (Tex. Crim. App. 1998). Appellant does not analyze why in his opinion the facts

fall short of the standard of review. Appellant has inadequately briefed the factual sufficiency issues.

See McDuff v. State, 939 S.W.2d 607, 613 (Tex. Crim. App. 1997); Moon v. State, 44 S.W.3d 589,

593 (Tex. App.—Fort Worth 2001, pet. ref’d); see also Gallegos v. State, 76 S.W.3d 224, 228 (Tex.

App.—Dallas 2002, pet. ref’d); Turner v. State, 4 S.W.3d 74, 81 (Tex. App.—Waco 1999, no pet.).

                Appellant asserts that the record reveals “that serious questions were raised as to the

credibility of [complainant].” Further, appellant notes that the jury did not have an “easy time” in

making its decision; that the jury had a portion of the complainant’s testimony read back; that twice

the jury indicated that it was “hung,” giving the numerical split; and that the trial court gave an

“Allen” charge before a verdict was reached. Still further, appellant calls attention to the trial court’s

statements at the penalty stage of the trial and the hearing on the new trial motion that it did not

believe the complainant and would not have found appellant guilty if the court had been the trier of

the facts. These factors are interesting, but they are not evidence to be considered under the

appropriate standard of review.




                                                   26
               The twelve-year-old A.N., who had been in foster care for two years, testified under

oath that appellant had sexually molested her. She related that on one occasion while she was at her

Aunt Eunice’s house, appellant brushed aside her art work, threw her on the bed, and sexually

assaulted her until her “privates” became numb and she screamed. This testimony alone, if believed,

would have supported the aggravated sexual assault allegations. This also was the testimony that

the jurors requested be read back to them. A.N. also testified that appellant had her masturbate him.

This alone, if believed, would have supported the indecency with a child charge.

               There was testimony that A.N. had insisted for five months in foster care that

appellant had not sexually molested her. This was consistent with her normal medical examination,

although Dr. Nauert testified that there could be a normal examination even if there had been

multiple penetrations given the passage of time. Dr. Nauert explained it is rare for a doctor to say

with certainty that a child had been abused in the absence of pregnancy or the presence of a sexually

transmitted disease. A.N. did report that she had sex with brothers, David and Santos, and unwanted

sex with five other boys. These reports were not investigated.

               Also on this side of the ledger, A.N. complained to Beth Arcotta, a therapist, that her

foster mother, Dorothy Place, was pressuring her to state that appellant had molested her. Arcotta

talked to Place about the pressure. However, when A.N. expressed the sense that she was unloved

by her foster mother, Arcotta worked with her on the ways to win favor with Place. Shortly

thereafter, A.N. made her outcry to Place.

               Back on the opposite page, A.N. testified that she loved her father and had been loyal

to him, but when another girl at the foster home told her it was not natural for parents to have sex



                                                 27
with their children, she knew appellant had lied to her. She became angry. A.N. admitted that she

previously had told lies to Arcotta and others.

               The State offered evidence that A.N.’s shorts had holes in the crotch when she arrived

at Place’s home. A.N. said appellant placed the holes in her shorts so he could have sexual

intercourse with her without removing her clothing. It was shown that new shorts purchased after

A.N. was in Place’s home developed similar holes when A.N. masturbated and rubbed against

objects.

               A.N. arrived at Place’s home with a $100 bill in a sandwich baggie. The prosecution

relied upon such evidence to support A.N.’s claim that appellant had used her as a prostitute for $50

and $100 fees. However, A.N. testified that when the police arrived to arrest appellant for revocation

of probation, he had told her to secure his wallet. Moreover, A.N. was at a children’s shelter several

weeks before being moved to Place’s home.

               The testimony of a child victim alone is sufficient to support a conviction for

aggravated sexual assault or indecency with a child. See Tex. Code Crim. Proc. Ann. art. 38.07

(West Supp. 2003); Tex. Pen. Code Ann. §§ 21.11, 22.021(a)(1)(B) (West 2003). Tear v. State, 74

S.W.3d 555, 560 (Tex. App.—Dallas 2002, pet. ref’d); 43 George E. Dix & Robert O. Dawson,

Texas Practice: Criminal Practice and Procedure § 31.355 (2d ed. West 2001). Moreover, the jury

is the sole judge of the credibility of the witnesses and the weight to be given the evidence, and may

choose to believe all, some, or none of it. Tex. Code Crim. Proc. Ann. art. 38.04 (West 1974);

Margraves v. State, 34 S.W.3d 912, 919 (Tex. Crim. App. 2000); Rachal v. State, 917 S.W.2d 799,

805 (Tex. Crim. App. 1996); Skillern v. State, 890 S.W.2d 849, 879 (Tex. App.—Austin 1991, pet.



                                                  28
ref’d). Thus, the jury is permitted to believe or disbelieve any part of the testimony of any witness.

Jones v. State, 984 S.W.2d 254, 258 (Tex. Crim. App. 1998). Reconciliation of evidentiary conflicts

is solely a function of the trier of fact. Losada v. State, 721 S.W.2d 305, 309 (Tex. Crim. App.

1986); Bowden v. State, 628 S.W.2d 782, 784 (Tex. Crim. App. 1982); Perez v. State, 960 S.W.2d

84, 86 (Tex. App.—Austin 1997, no pet.) (citing Chambers v. State, 805 S.W.2d 459, 461 (Tex.

Crim. App. 1991)). The jury could have accepted that portion of A.N.’s testimony sufficient to

support the convictions and disregarded the inconsistencies. “A decision is not manifestly unjust

because the jury resolved the manifestly conflicting views of the evidence in favor of the State.”

Cain, 958 S.W.2d at 409.

               We have reviewed all the evidence impartially in a neutral light. With due deference

to the jury verdicts, we conclude that the evidence is factually sufficient to support both convictions.

The fourth and fifth points of error is overruled.

               The judgment is affirmed.



                                               __________________________________________

                                               John F. Onion, Jr., Justice

Before Chief Justice Law, Justices B. A. Smith and Onion*

Affirmed

Filed: August 14, 2003

Publish
*
    Before John F. Onion, Jr., Presiding Judge (retired), Court of Criminal Appeals, sitting by
    assignment. See Tex. Gov’t Code Ann. § 74.003(b) (West 1998).

                                                  29
