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Opinion BROWN, J. A jury found defendant Joseph Martin Danks guilty of the first degree murder of Walter Holt (Pen. Code, §§ 187, subd. (a), 189), and, based on the same attack, of assault by a person serving a life sentence, with force likely to produce great bodily injury which resulted in death (§ 4500). In a separate proceeding, the jury found true the special circumstance allegations that defendant had been previously convicted of six first degree murders. (§§ 190.1, subd. (b), 190.2, subd. (a)(2).) The jury set the punishment on both counts at death. The case is before us on defendant’s automatic appeal. (Cal. Const., art. VI, §11, subd. (a); Pen. Code, § 1239, subd. (b).) For the reasons that follow, we affirm the judgment. I. Facts A. Guilt Phase 1. Prosecution Evidence On August 23, 1990, defendant entered the California Correctional Institution in Tehachapi serving a sentence of 156 years to life. On September 21, 1990, at approximately 1:00 a.m., defendant attracted the attention of Correctional Officer Daniel Escobar, and told Escobar, “I murdered my cellie.” Defendant’s cellmate was Walter Holt. Defendant also said that the murder had occurred approximately three hours earlier, and that “he had told the floor officer five minutes ago, but she didn’t believe him.” Officer Escobar notified Correctional Officer Kathleen Brown and Sergeant Courtois in the prison’s central control. Officer Brown did not attempt to stop him from calling Sergeant Courtois. Officer Escobar wrote a report on the incident after twice being asked not to by Sergeant Avery because Officer Brown had discovered the incident first. Officer Escobar felt he should write a report because he was the one who actually “phoned it in.” Defendant subsequently made two statements early that same morning describing the killing. In his first statement, which one of the interrogating officers wrote down as defendant spoke, defendant said, “They put me in with this guy and I was just sitting there. [H]e went up to bed. I waited 3 [hours], I ripped off the thick part of the sheet [and] put it around his head and neck. [T]hen I pulled on the sheet with both hands. Then he went out for a second. [T]hen he said what the fuck. [H]is hands flew up in my face and neck. Then I kept squeezing. I felt his heart pulsating. I kept squeezing till it stopped then put a knot in the sheet. [T]hen I got down and got another piece of sheet. [W]ent back up to his bed put [it] around his neck and put it around my foot for a pulley and pulled it real tight and held for awhile. [T]hen I waited from 10:00 until the officer came by at I think at 12:30. [T]hen I told the officer I think I killed my cellie.” After this statement was written down, defendant continued to talk with the officers for eight to 10 minutes. He told them that “he was on a mission from God to take and to kill these transients.” He also made “a statement to the effect that he was supposed to kill old people.” Defendant felt he was God’s own voice on earth. Defendant was excited, very eager to talk, and perspiring profusely. In his second statement, which was tape-recorded, defendant stated that he had decided to kill his cellmate (he did not know Mr. Holt’s name) as soon as he was put in Mr. Holt’s cell between 5:00 and 6:00 p.m. that evening. “The reason I did it, is because they charged me with six murders in the L.A. County Jail. They were all . . . trumped up charges, they were fake charges. I didn’t kill anybody. I confessed to what I did. They insisted that they charge me with murder, so I sit in the cell. So finally, they screwed me around and gave me a stupid deal, instead of . . . giving me the death penalty. They gave me a dumb deal for six life sentences, consecutive. And I figured well, if I ever get a chance to kill somebody, I’ll just kill them .... Just so they know that I really finally did kill somebody. Even if it was just an old man.” Defendant felt “nothing” after the murder. When the topic of sharing a cell in the future came up, defendant said, “I’d like to be in a cell with somebody, it would give me somebody to talk to.” Dr. John Holloway, who in 1990 worked for the Kern County Coroner’s Office, performed an autopsy on Mr. Holt. The cause of death was “hypoxia leading to asphyxia due to ligature strangulation.” Mr. Holt probably lost consciousness in less than a minute and died soon thereafter. Documentary evidence was introduced that at the time of the capital crime defendant was serving a sentence of six consecutive terms of 25 years to life, plus one year, for a total term of 156 years to life. 2. Defense Evidence On September 21, 1990, Correctional Officer Kathleen Brown was employed at the Tehachapi correctional facility. At approximately 1:00 a.m., defendant told her, “I killed my cellie.” She told Correctional Officer Escobar to radio and get medical personnel, “the lieutenant and the sergeant to our building.” She did not mention Officer Escobar in her report. She did mention the people he contacted, with a reference that she had notified them. Officer Brown did personally notify the control sergeant, but could not recall to whom she spoke, and did not mention the call in her report. B. Special Circumstance Phase The prosecution introduced documentary evidence defendant had six 1990 prior first degree murder convictions. The defense rested without presenting any evidence. C. Penalty Phase 1. Prosecution Evidence The prosecution introduced evidence regarding some of the circumstances underlying defendant’s six prior murder convictions, and one stabbing in which the victim survived. On January 20, 1987, defendant was arrested. At the time of his arrest, he dropped a newspaper containing a knife that appeared to have wet blood on it. He was interviewed that day by Detective Addison Arce regarding a series of stabbings that had occurred “in approximately Koreatown of Los Angeles.” Defendant described stabbing victims while they slept, dug through garbage, fought with others, or simply walked along. He did not know any of the people he stabbed. He indicated the incidents were not serious because the victims were “bums” or “transients.” “It ain’t nothing, man, three or four bums. I don’t see what the big fucking deal is, what the big fucking deal is, man.” Defendant did not believe anyone had died from his actions. On November 19, 1989, defendant was a patient at Atascadero State Hospital. On that date, registered nurse Toni Christensen was approached by hospital patient Donald McCully. Mr. McCully had sustained numerous puncture wounds and was “covered in blood from his eyebrow down to his belt.” In a statement to Sergeant Sue Murphy, security personnel for the hospital, defendant said he first tried to suffocate Mr. McCully. Mr. McCully was able to break free, at which point defendant stabbed him with a pencil. “He said he was trying to stab him in the heart, but the pencil broke, and at that point he began to stab him in the face area[.]” He was trying to kill Mr. McCully, but when the pencil broke, he attempted to poke out his eyes. He “seemed irritated because he did not kill Mr. McCully.” On November 12, 1991, Correctional Officer Granville Warren searched defendant’s Tehachapi cell. He discovered an approximately five-inch-long sharp plastic stabbing weapon hidden in defendant’s mattress. On January 23, 1992, Correctional Officer Albert Carter was conducting unclothed body searches on certain Tehachapi inmates, including defendant, before they were released to the exercise yard. He removed the handcuffs from defendant, who began to get undressed. Officer Carter then removed the handcuffs from inmate Renaldo Navarez, and he also began to get undressed. Defendant then stabbed Mr. Navarez with a piece of metal so that it protruded from his head about “an inch back just over ... the eye.” On January 26, 1992, Correctional Officer James Lundy observed a large quantity of smoke billowing out of defendant’s Tehachapi cell. Defendant was removed from the cell. He had set fire primarily to personal papers and newspapers. On April 17, 1992, Correctional Officer Monte Gould searched defendant’s Tehachapi cell. He found an approximately five-inch-long “inmate-manufactured stabbing instrument that was produced from a wall outlet . . . and was cut in half and sharpened to a point.” Defendant told Officer Gould he had concealed other weapons in the mattress. A subsequent search of the mattress revealed two more shanks. On May 12, 1992, Correctional Officer Daniel Price performed a random search of defendant’s .Tehachapi cell. He discovered in the mattress a single-edge razor blade, an approximately three-inch-long copper wire, and an approximately six-inch-long sharp metal weapon. On July 12, 1992, Correctional Officer David Goodman took coffee to defendant’s Tehachapi cell. When the cup was half-full, defendant forcefully struck the cup with the back of his right hand; the spilled coffee slightly burned Officer Goodman’s leg. Defendant also yelled and struck Officer Goodman with his left hand. Defendant was subsequently moved to a cell where he would not have the opportunity to direct food items back at an officer. Documentary evidence was introduced that defendant had suffered two felony drug convictions in 1984 and 1985. (Health & Saf. Code, § 11360.) 2. Defense Evidence Michael and Peter Whyte, two of defendant’s older half brothers, testified. When defendant was bom in 1962, the Whyte family lived in a wealthy neighborhood in Bay City, Michigan. Defendant’s mother, whose name at the time of trial was Karen Walls, was originally the family babysitter. She and defendant’s biological father, Edward Whyte, were approximately 25 years apart in age. Edward Whyte was a very intelligent man and the only son of a wealthy family. He had a significant drinking problem. He would have blackouts and not remember what happened for weeks at a time. Peter testified, “sometimes we were terrified.” Defendant’s mother also drank. Defendant was primarily cared for by an older half sister and the housekeeper, Dora Howard, and was well taken care of. Karen and defendant lived with the Whytes approximately one and a half years. When he was approximately 13, defendant came back to live with the Whytes for a couple of months. The Whytes now lived in a trailer on the Saginaw Bay. According to Peter, defendant “was pretty much a blank slate, clean slate, just a wide-eyed kid with a big grin on his face.” Defendant became exposed to and participated in his half brothers’ frequent drag use, which included marijuana, LSD, and PCP. Michael testified he had defendant “dealing stuff for me at the school.” Michael also taught defendant how to play the guitar. Defendant was on friendly terms with his father. Defendant moved out because Peter was concerned about defendant’s welfare and that defendant would get in trouble with drugs at school and lead the police back to the Whyte family. In 1985 or 1986, defendant caused his half brother Michael to be evicted from his apartment because defendant was sleeping in the hall. Michael was subsequently evicted from a different apartment because defendant was illegally living next door in a vacant apartment. Defendant briefly visited Peter and Peter’s wife and child in 1986. Defendant had on dirty clothes, was unbathed, and was carrying a steak knife. Both Peter and Michael had been, at some point, incarcerated for drug dealing. Another of defendant’s older half brothers, Earl, suffered from drug-induced schizophrenia and had not worked since the 1960’s. Peter stopped all illegal drug activity in 1984 when he became a Jehovah’s Witness. He had been employed at the same location for eight years and was married and had three children at the time of trial. Dora Howard testified she went to work as the Whytes’ housekeeper when defendant was about two weeks old. She left in 1968, but remained acquainted with Edward Whyte until he died. According to Dora, Edward and Karen drank frequently. Karen, at least twice, put defendant in a dresser drawer and shut it when she grew weary of his crying. Defendant’s natural parents also gave him “paragoric,” which made him sleep for long periods of time. After Karen moved out of the Whyte home, Dora was called two or three times a month by Karen’s neighbors because defendant had been left alone for a long time and was crying. Dora would go over to Karen’s home and find defendant “wet and dirty,” and also find “bottles with sour milk in them.” Dora further testified that when defendant was about 14 and associating with the Whytes, Edward Whyte became concerned for defendant’s welfare and apparently did not want him to be in that environment. Edward told defendant “he didn’t want him around anymore, and he wasn’t a son of his, and to get out and never call him or come back.” Leroy Danks, defendant’s adoptive father, testified. Leroy met defendant’s mother Karen and defendant in 1965. Karen was 21, and defendant was approximately two and a half. At times Karen came home with other men and Leroy would leave. Leroy married Karen in 1966, and adopted defendant. “I didn’t adopt him just for his name. I adopted him because I felt I wanted to.” Defendant “always told [Leroy] he was real lucky, . . . luckier than most kids that he had two fathers.” Karen left Leroy two or three times, taking defendant with her, to move back with the Whytes. At some point the family moved from Michigan to South Dakota. They had “a nice house” with three bedrooms, a playroom, and a fenced yard. After six or seven months, they moved to Wyoming. Leroy testified that defendant “was a good kid,” and Leroy had no problem disciplining him; “I usually didn’t have to speak over the second time.” Leroy’s only problem with defendant was his propensity to stay up late. Defendant loved to go fishing, and was always asking Leroy, whom he called “Dad,” to take him. During the marriage, Karen and Leroy had two more boys. Leroy left Karen in December 1970 when defendant was about eight because of Karen’s relationship with Gene Walls. Karen later married Walls. Leroy did not see defendant after 1971 until defendant was about 14 because Karen and defendant moved back to Michigan. Leroy further testified that when defendant was 14, Karen told Leroy she could not handle defendant any more and asked if he could live with Leroy. Defendant lived with Leroy for about a year. He told Leroy that Walls beat him for minor infractions and verbally abused him. In 1981, when defendant was about 19 years old, he visited Leroy. During the visit he inexplicably took all the covers off the electrical sockets and stacked them in a neat pile. In 1985, defendant joined Leroy on his trucking route. After the first day or so, defendant refused to go into cafes. Defendant told Leroy old people were chasing him, and he wanted Leroy to bring his food to the truck. Defendant also carried a steak knife for protection. Leroy purchased new clothes for defendant, and defendant was also given clothes by Leroy’s friends. After approximately a couple of weeks together, defendant became angry in the truck for reasons unclear to Leroy, told Leroy he was not his “real dad,” got out of the truck, took off the new clothes in the rain, put on his old clothes, and left. Leroy did not see defendant again “until I walked into this courtroom.” Karen Walls, defendant’s mother, testified. Karen’s mother died when she was three, her father when she was 14. She became romantically involved with Edward Whyte when she was 17. Edward had previously been a heroin addict. In addition to defendant, Karen had four other sons, one of whom had been put up for adoption. Karen drank mildly during her pregnancy with defendant. Defendant was bom two months premature and weighed three pounds 15 ounces. He was in an incubator for four to six weeks. Karen moved out of the Whyte home a few months after defendant was bom. She left for a variety of reasons, including the fact that she and Edward got into an argument and he broke her nose. Karen continued to see Edward, and would put defendant in a dresser drawer as a makeshift crib when she visited. She did not shut him inside the dresser. Karen further testified that she married Leroy Danks in 1965, but he was unfaithful. She began her relationship with Gene Walls while she was still married to Leroy Danks, and married Walls in 1972. Defendant did not get along with Gene Walls. When defendant was 12, Karen told defendant that Edward Whyte was his natural father. In her testimony, Karen delineated aspects of her family’s mental health history. Karen’s grandmother suffered from schizophrenia, as did her grandmother’s son. One of Karen’s other sons suffered from a chemical imbalance. Karen also described certain incidents, apparently to demonstrate defendant’s mental health. Defendant fell off the bed when he was a month old, and was involved in two car accidents in 1977. In 1977, Karen was advised by a Dr. Franks that defendant was suffering from “some sort of psychiatric disturbance.” Beginning in 1979, when defendant was 16 years old, until 1982, defendant hitchhiked for extended periods of time. When he was 16, he was arrested in Mexico, and his release was negotiated by Edward Whyte. During the years 1979-1982, defendant also began to wash dishes he took out of the cupboard before he would use them, and once moved all of Karen’s wall hangings from eye level to the ceiling. In May 1982, defendant made unusual statements, such as “Ronald Reagan smokes 10,000 weeds a day,” and accused his mother and aunt of printing counterfeit money. He also said that his grandparents, all of whom were deceased, had spoken to him. In October 1982, defendant walked into a New Jersey elementary school in shredded clothes. Upon his return to Michigan, defendant would go out in the backyard and start screaming at someone not visible to Karen to “shut up.” At some point, defendant asked Karen to take him to the road so he could leave. She did so, and then persuaded him to get back into the car. Defendant said, “It won’t stop. I’ve got to set myself on fire. I got to kill somebody so I can go to prison for the rest of my life.” In October 1982 Karen had defendant involuntarily committed to a psychiatric hospital. After approximately two weeks he was given grounds access and left the facility. He was found in Florida and placed in a psychiatric institution there. As in Michigan, however, defendant walked away from the facility. In late 1983, defendant lived with Karen for a couple of months. According to Karen, he “was still bizarre” and carried a knife for protection. After defendant’s 1987 arrest for murder but before his transfer to Atascadero, Karen spoke with him. Defendant told Karen his attorney, Larry Rivetz, was a vice cop, and there was a conspiracy against him that went all the way from Daryl Gates, to the mayor, to President Reagan. “Ronald Reagan gave the order and this is why all of this happened to him.” Following his arrival at Atascadero and his placement on medication, he did not make statements about Ronald Reagan. Dr. Robert Jackson, a professor of microbiology and Executive Associate Dean of the Southern Illinois School of Medicine, testified. In approximately July 1982, Dr. Jackson was taking a motorcycle trip from Illinois to the western United States. He picked up defendant, who was dressed lightly in inclement weather. The two traveled together for the next two days. Defendant had no money or identification. When Dr. Jackson asked defendant if he wanted to join him for coffee, defendant expressed fear they were being watched through the restaurant security camera, “glued himself . . . against the wall and the window,” and “slinkfed] along.” Later, at dinner, defendant ordered a box of cereal and milk, after ascertaining the milk would come in a box. He said he had been incarcerated in Mexico, and “knew that people put shit in the food, and because of that he was afraid to eat prepared food.” Defendant remained reluctant to eat prepared food during the time the two traveled together. At the motel that night, defendant expressed concern Dr. Jackson and defendant were being watched through the television set. During their stay at a motel the following night, defendant became upset by a courtroom scene and kicked the television set. Dr. Jackson turned the television off, and commented to defendant that something was troubling him. The two then had a discussion regarding defendant’s life. Defendant felt discomfort because he was “bom a bastard,” he had had at least two stepfathers, his mother had married several times, and he hated his current stepfather. He was angry with his mother for creating an “injurious” environment, and because she did not come to defendant’s aid. Defendant had self-inflicted round bum scars on his forearms. More than once during the trip he said “he particularly liked clean people and clean things and being with clean people. This was a theme.” Dr. Jackson did not believe defendant was play acting or trying to act crazy. “I took this to be a young boy who needed help.” Peggy Walkowiak, who in June 1986 was a probation officer for the State of Michigan, testified. Ms. Walkowiak was assigned defendant’s case after he pled guilty to attempted possession of a short-barrel rifle. She interviewed defendant and noticed unusual behavior. Defendant did not drink coffee, milk, or juice at the jail “because he believed that they might be trying to poison him.” He washed his jail jumpsuit and refused to wear any others because he was afraid they were not clean. “He also talked about a motel room that he had shot up because it was too dirty, it wasn’t clean enough. He was very concerned with his cleanliness and with other people out to get him.” In her opinion defendant was paranoid. Ms. Walkowiak initiated a mental health evaluation of defendant. She was dissatisfied with the psychiatric work-up. Ms. Walkowiak also interviewed defendant’s mother, who relayed her belief defendant needed mental health assistance. Defendant also had a long history of marijuana abuse. Ms. Walkowiak recommended the court incarcerate defendant in prison with substance abuse therapy and a psychiatric evaluation. In September 1986, the court placed defendant on probation, and he absconded within two weeks. Ms. Walkowiak had “never seen anyone with more mental health problems than [defendant] in the time that [she had] been doing this work.” She did not feel he was “putting [her] on.” In 1987, Los Angeles County Deputy Sheriff Nick D’Angelo worked at the men’s central jail. He testified he had daily contact with defendant for a period of over 10 months. “He was always extremely paranoid. He would say the system is railroading him. He would say his attorneys are against him. . .. [T]he whole system was out to get him .... Then an hour later, he would admit to” stabbing people, but say “I didn’t kill those guys.” Defendant said his food was poisoned, “that somebody is in the kitchen excreting in his food. He would state Burt Reynolds, Johnny Carson is down there, I know they’re excreting in my food, and I want to pick my own tray.” “It was practically a daily thing.” Defendant would clean his cell on his hands and knees with a toothbrush an average of six to 10 times a day. “It was the cleanest cell I’ve ever seen.” He believed he was being brainwashed by the music broadcast in the jail. Defendant’s demeanor did not change when different people were around him. In particular, when Deputy Sheriff D’Angelo watched defendant through a one-way glass, he acted the same. Daniel Grajeda, an inmate at Tehachapi, testified that prison deputies would tell defendant “they had put human sperm in his food. I seen the deputies come like antagonize him and mess with his mind.” This was apparently why defendant threw his trays at the deputies. The deputies would also locate another “weird strange character” in a cell next to defendant, and the two would throw cups of urine, water, or human waste mixed with water at each other. The two would then be separated. When defendant thought he was hearing things or was possessed, Grajeda and others would “mess with him a little bit and accuse the KGB of messing with him.” Because of the threats about human sperm, defendant preferred to pick his own food tray, and would become upset if he was not permitted to do so. Defendant also introduced testimony apparently intended to demonstrate that Tehachapi officials should have been on notice regarding his violent character prior to September 21, 1990. In addition, defendant introduced expert witness testimony that if he were serving a sentence of life imprisonment without the possibility of parole, at least initially he would be isolated from other prisoners given the nature of his “behavior.” However, defendant would still have opportunity to come into contact with others, such as prison personnel administering any involuntary medication. Moreover, there was no guarantee he would not ultimately be returned to the general prison population. Dr. Eugene Kunzman, a psychiatrist at the Los Angeles County jail, evaluated defendant and reviewed certain records at an unspecified time. He formed the opinion defendant had paranoid schizophrenia, an antisocial personality disorder, and a history of polysubstance abuse. Dr. Kunzman testified, “He was a very sick, disabled psychiatric patient, inmate at that time.” According to Dr. Kunzman, breaking the law and rules, and lying or a lack of truthfulness, are fairly characteristic in someone with an antisocial personality disorder. Dr. Robert Hill, a staff psychiatrist at Atascadero State Hospital, treated defendant when he was found incompetent to stand trial for the prior murder allegations in Los Angeles County. Defendant was at Atascadero from June 1989 to March 1990. Upon admission, defendant was diagnosed as having paranoid schizophrenia and an antisocial personality disorder. He also had a significant history of marijuana abuse. Defendant had a relatively low global assessment functioning score, which was even lower when he was discharged because of the staff’s increased “knowledge[] of the extraordinary destructiveness of the homicidal potential of the patient.” Dr. Hill testified that “[h]allucinations and/or delusions are ordinarily present in most schizophrenic people,” and that defendant was delusional. He explained that it is easier for schizophrenic delusions to control a person who also has an antisocial personality disorder because a person with such a disorder has fewer internal controls. Dr. Hill recalled one instance in which defendant “was becoming more delusional, and he loves that. He gets excited by it. It’s a very happy state of being for him. . . . [Wjhen he gets into his sickness, he’s a happy camper because he’s full of exotic violent themes and the wishes to kill. And this stems from a delusional self-concept that occupies his mind which is that he is righteously performing murders or harming people[,] something that he also enjoys greatly.” Defendant described himself as a “bum buster.” It “was his dedication to seek out and find bums and bust them, in his terms,” and fellow Atascadero hospital patient McCully “fit that mold.” Defendant “had a great desire in his delusional system to be able to follow disadvantaged people, ... to track them, to kill them, homeless type people.” Dr. Hill further testified that when defendant was on Haldol, he became “less attentive” to the “very sick violent concepts that he had.” There was “a modest remission of the more distracting psychotic features.” When defendant was taken off Haldol for a trial period, he attacked McCully. The medication was resumed. Defendant was referred to a neurologist because he was suspected of having a brain cyst. The “conclusion was [that] no such organic problem with his brain existed.” Ultimately defendant was found to be competent to stand trial; to remain so, he needed to be on medication. He nonetheless was “a serious and continuing homicidal threat.” Dr. Hill “tried to express in [his] discharge document that this was an extraordinarily dangerous individual regardless of whatever level of psychiatric improvement he may have.” Dr. John Riley, a clinical psychologist at Atascadero State Hospital, ran tests on defendant approximately two months after he arrived at the hospital to determine his intellectual functioning, personality functioning, and his mental status. The Wechsler Adult Intelligence Scale indicated defendant had an I.Q. of 106, which placed him in the average range of intelligence. This test took an hour and a half on two separate occasions. Defendant “responded appropriately, was cooperative, [and] participated meaningfully in the process.” While defendant told Dr. Riley there was nothing wrong with him, he scored high on two portions of the Minnesota Multiphasic Personality Inventory. One high score suggested defendant did not follow the instructions, did not understand what was going on, responded randomly, or suffered from a severe thought disorder. The other high score was on the schizophrenic illness scale. The “first impression of the computer printout” of his Rorschach inkblot test results also indicated “a distinct possibility he suffered from schizophrenia.” Dr. Riley further testified that defendant “swore he would never take[] medications at [the] Los Angeles County [jail], so we wanted to see if we could maintain the competent state off the medications.” As noted earlier, defendant subsequently assaulted fellow patient McCully. Some of the psychological tests were administered when defendant was off medication, although Dr. Riley did not specify which ones. By January 1990, Dr. Riley was of the opinion defendant was competent, and his schizophrenic illness was in remission while defendant was on medication. Defendant needed to be on medication to maintain a state of trial competency. Dr. Riley also believed defendant had “sociopathic tendencies, would be prone to lie and manipulate and [was] given to criminal acts.” While defendant stated he did not believe the people he was alleged to have killed had actually died, the consensus of Dr. Riley and the rest of the treatment team was this was not a “psychotic denial, but rather a convenient denial, a sort of isolated phenomenon that he has fabricated to deal with the enormity of the situation.” It was not a delusion related to his schizophrenia. Dr. William Wirshing, a physician who was board certified in psychiatry and neurology, with a subspecialty in the study and treatment of schizophrenia, and who also was an associate professor at the University of California, Los Angeles, testified generally about schizophrenia. In Dr. Wirshing’s opinion, available treatments do not cure but do decrease the manifestations of the illness. While it is possible a paranoid schizophrenic with a history of homicidal violence could be managed in a prison setting, “[t]here are schizophrenics who are beyond the reach of current medical technology.” For 70 percent of paranoid schizophrenics, however, conventional “medications are helpful.” Violence tends to decrease as a schizophrenic patient gets older. Dr. Wirshing also reviewed some of defendant’s medical records, but did not interview defendant. The records clearly indicated defendant’s unwillingness in 1990 to .take medication in the Los Angeles County jail. His Atascadero records indicated he was “at least partially treatment-responsive” to conventional medication. Dr. Wirshing was aware, however, that at the time defendant was discharged from Atascadero, he was still characterized as an extremely dangerous individual. Dr. Robert White, a forensic psychologist, was appointed by the Los Angeles County Superior Court in March 1989 to evaluate defendant’s competence to stand trial. He met with defendant and conducted a variety of tests. He also reviewed certain records and transcripts and consulted with defendant’s attorney, Larry Rivetz, and Deputy Sheriff Nick D’Angelo. Several test results were consistent with a diagnosis of paranoid schizophrenia and indicated that at the time of the testing defendant was suffering from a psychotic episode. Defendant maintained that he had wounded, not killed, a number of people, and “that if he could get a private attorney, then he would be able to get an investigator hired that could go to the hospital and determine that the victims had been released and, in fact, were not dead.” Defendant felt Mr. Rivetz was part of a conspiracy to prosecute him for nonexistent homicides. Dr. White concluded defendant appeared to be suffering from paranoid schizophrenia and an antisocial personality disorder and was incompetent to stand trial. Four or five doctors evaluated whether defendant was competent to stand trial. One of them, Dr. John Stahlberg, found him competent. Dr. White was aware of an incident in which defendant attacked Mr. Rivetz in the courtroom. Defendant told Dr. Stahlberg the only way to get a new attorney is to hurt your attorney by cutting him, and defendant did not think his attorney was doing a good enough job. In 1990, following defendant’s stay at Atascadero, Dr. White again evaluated defendant in the Los Angeles County jail, conducting two interviews. He learned defendánt had very recently been taken off medication because of his adverse reaction. Dr. White testified that the types of medication plaintiff had been on can remain effective for some period of time after they are administered. During both interviews, defendant appeared to be under the effects of the medication. Defendant was very lethargic and did not manifest any delusional or psychotic thinking. Dr. White diagnosed defendant as suffering from paranoid schizophrenia, which was in remission due to medication. While defendant was competent at that time, there was a chance he could become incompetent again if appropriate medication was not administered. Dr. Robert Bittle, a physician with a subspecialty in neuropsychiatry, evaluated defendant in January and March of 1992, and reviewed certain medical and social study reports. Dr. Bittle diagnosed defendant as suffering from paranoid schizophrenia and a personality disorder. Defendant “was flouridly [sic] psychotic, out of control and dangerous.” He was convinced his food was being poisoned, and that his attorneys were in “cahoots” with the district attorney and trial judge and were plotting against him. Defendant stated there had been no deaths in the cases in which he had previously been convicted of six murders, and that he was worth $6 million because he was going to secure judgments in that amount for the false accusations. During one interview, defendant was convinced he and Dr. Bittle were being watched. Defendant could not interpret any of the proverbs given him, such as “you can lead a horse to water, but you can’t make him drink,” “indicating that he has a serious thinking disorder.” According to Dr. Bittle, defendant “is a sadist .... [W]hen I asked [defendant] to describe his feelings about the murders in Los Angeles, [he] became sexually excited. That is one of the motivations for Mr. Danks’ behavior.” In Dr. Bittle’s opinion, even in a treated and improved condition, defendant “is an extremely dangerous individual.” A CAT scan administered to defendant in 1989 showed that defendant had a cyst on his brain. Dr. Bittle ordered a magnetic resonance imaging study (MRI), which was performed two months before his testimony. The cyst was half as large as it had been in. the CAT scan. The two sides of defendant’s brain were not symmetrical. Dr. Bittle also ordered a brain electrical activity mapping (BEAM) test. While it was “not very dramatic,” this test indicated “there may, I emphasize may be some abnormalities, as far as the electrical activity in [defendant’s] frontal region,” and perhaps in defendant’s left and right temporal regions. This test, “in itself, is not going to give you a definitive diagnosis or answer.” Dr. Bittle concluded defendant was “functioning abnormally, that he has organic brain dysfunction, as well as some mild damage to his brain.” By “organic brain dysfunction,” Dr. Bittle was referring to the possible electrical discharge abnormalities. By mild brain damage, he meant there was a documented cyst, “some pressure or space occupying pressure on the brain,” and some indication of abnormal electrical activity. By “mild,” he meant “we can’t find, we can’t identify a specific infarct or a specific tumor in certain parts of the brain, which we could then clearly translate into this is the brain damage, this is the problem.” Dr. Bittle further stated that “individuals who have temporal lobe abnormalities can be seen as being impulsive, showing poor judgment. It’s noted that they could be aggressive, and that they can be destructive, that they can have problems with memory concentration, and that they can have problems from the standpoint of . . . actual organic lesions that can cause schizophreniaform or clinical symptoms that mimic a classic schizophrenic disease.” Factors such as genetics, low birth weight, head trauma, and drug abuse are important clinical data that one needs to have “in terms of understanding a particular person’s brain functioning and general behaviors.” Persons who abuse drugs in significant amounts over significant periods of time can show brain damage. Dr. Bittle conceded that people with schizophrenic relatives do not necessarily develop schizophrenia. Moreover, “[i]t does not translate that all people with cysts are going to have problems.” In addition, one can suffer brain dysfunction without brain damage. Simply because a person has brain damage or organic brain dysfunction, this does not necessarily mean they will be violent. In particular, the majority of people with frontal lobe dysfunction or temporal lobe damage are not violent. Likewise, the majority of people who have childhood head trauma, are born prematurely, or have low birth weight, do not become violent. Defendant testified on his own behalf. Defense counsel made objections, but did not question defendant during his testimony. Defendant said, “I would have pled guilty to this crime the very first day. I would have pled guilty.” “There would have been no need for you and there would be no need for the money that was spent on this, because, obviously, it was an open and shut case. It is like I was caught red-handed.” Defendant implied he would continue to be violent in a controlled setting. “[Wjhat I’m trying to say is, is that if you leave matches for a little kid to play with, he is going to play with them and bum himself, and I keep finding myself in these types of situations all of the time, and in jail. ...” “I’m trying to make it clear that if everything was just so hunky-dory and peachy-keen in prison, why am I being charged with Walter Holt and why did Mr. Dellostritto [defendant’s counsel] get stabbed in his face . . . .” “But what I’m saying is, this court seems to have picked up where God has abandoned us and saying, ‘hey, man, we cannot allow someone to run wild out here,’ and I did stab them bums in their back, in the back of their neck, in their side while they were laying down, while they were asleep, and I would do it to you too—,” “Let me rephrase it. Just as I done it to Mr. Dellostritto, I would do it to Mr. Eyherabide [defendant’s other counsel] if I had a chance.” “[T]hey sent me to the mental hospital after I practically slit Rodney’s throat in the jail.” “[I]f you are man enough to get into it, be man enough to get out of it, and I guarantee if I spend every last day of my life in prison, it is of no consequence to me, man, either way, and that should be made clear. Because just like in L.A., it was of no consequence. I knew from the day that I got arrested, and it ain’t stopped me yet, and I ain’t never going to stop, so even if I was to be let out here right now, I ain’t going to stop.” Defendant also stated, “Mr. Holt was an old man, and I wasn’t in the habit of trying to kill, as you heard before, about killing old people, like all of these bums were old. I had no idea that these bums were old, because they were so filthy and dirty, you could not tell what was what, but somehow somebody has the impression that I was out to get an old man or somebody . . . that’s not correct.” “You know, and I’m not saying that you should feel sorry for me, because maybe this stuff warped my head when I was a kid . . . and because I was bom a bastard.” “I’m not saying that you should feel sorry for me, because I was 11 years old and here I am turning into a dope fiend.” “But I would not change a thing that I did in my life. That is riot to say I’m proud. As far as going to school and graduating and getting a job and doing . . . what seems to be the normal thing in this world, I’m the first one to admit that, in them respects, that I’m a coward, I’m the lowfest] of the—I’m a slime ball, a grease ball, a scum bag.” “I’m here to tell you today, that their not guilty by reason of insanity plea that saying you done it, you went out you stabbed this dude, and he supposedly died, and when you did it, you didn’t know what you was doing, and it is like I’m standing there but I’m on Mars or something. I don’t know how they can justify this and say you did it, but you don’t know you did it. It is not like I was bio wed out on my mind with dope and PCP, but I was smoking dope and cigarettes, but it is not like I was so drunk that I don’t know how I got home. It wasn’t like that at all and they are trying to tell you that I’m absolutely crazy and I can’t think and all of this. . . . I’m trying to tell you that I have no problem thinking, functioning ... I have no trouble with my faculties. I can read. I can write. I can add, subtract, multiply. I can read my [prison rule handbook]. I can eat my food. I don’t shit and piss in my pants, and I don’t drool on myself, and it seems to me that they were trying to bring in the psychiatrist and tell you that I’m just a fucking moron that can’t do anything, and that is absolutely incorrect. . . .” 3. Rebuttal Dr. Theodore Badgley, a psychiatrist and neurologist, was appointed in June 1992 to determine whether defendant was competent to stand trial. He met with defendant and reviewed voluminous medical records. After reading many of defendant’s records, and before interviewing him, Dr. Badgley was “preconditioned to think” defendant was “mentally ill and off and on psychotic and not competent.” However, while he diagnosed defendant as having an antisocial personality disorder, Dr. Badgley found no evidence of schizophrenia. Defendant did not “appear psychotic in any way during [the] examination.” In Dr. Badgley’s opinion, there were two explanations other than schizophrenia for defendant’s apparent psychotic behavior in the past. First, when defendant was accused of being mentally ill or psychotic, “he got to the point where he was saying you are accusing me of it, I’ll just be that way.” Along these lines, Dr. Badgley saw defendant as “rather dramatic and attention-seeking, and in a bizarre way, you might say, playful, and I think he was getting the best of his captors, in a sense, and was able to con them into thinking that he was psychotic.” “[I]t gave him control of a situation and it gave him attention . . . .” Second, while Dr. Badgley was doubtful this was the explanation for the psychotic elements perceived in the past by others, he noted defendant had a “considerable history of drug usage, and a lot of the abusive substances are mind-altering and are associated with brief psychosis.” While there was evidence from defendant’s MRI that he had an “arachnoid” cyst, such a cyst never affects a person’s mental processes or thinking. It can in extremely rare cases cause a block in the cerebrospinal fluid system, so that pressure would build up and lead to paralysis and coma. “But the cyst, itself, does not disturb mental processes.” The report on defendant’s MRI stated there was “no evidence of change in pressure or increased pressure” on the cerebrospinal fluid system from the cyst. In the absence of pressure, “there is no way” the cyst can affect the way a person is thinking or the operation of the brain. The report on defendant’s BEAM test did not state the test revealed any abnormal electrical activity. In Dr. Badgley’s opinion, after examining defendant and reviewing his medical records, MRI result, and BEAM test result, there was no evidence defendant suffered from any form of organic brain damage. It was conceivable very detailed microscopic neuropsychological testing might reveal some abnormality given defendant’s history of drug abuse, but it “wouldn’t reflect very much in his functioning,” that is, it would not mean he could not “reason or think or read and write.” II. Discussion A. Pretrial Alleged Faretta Error Defendant contends his conviction and death sentence must be reversed because he was denied his right to represent himself, in violation of Faretta v. California (1975) 422 U.S. 806 [45 L.Ed.2d 562, 95 S.Ct. 2525]. We conclude defendant never invoked his right to self-representation because his references to such status were equivocal. 1. Factual Background Three hearings are pertinent to this issue, although at the first hearing, defendant did not mention in propria persona status. On March 26, 1991, a hearing was held before Judge Wallace on a defense motion to continue the trial date. At the hearing, the trial court informed defendant he had a right to trial within 60 days of the time the indictment was filed, or on the currently scheduled trial date of April 8, 1991. The court stated, “Your attorney has indicated a need for a significant amount of additional time to fully prepare your case for trial, and I’m prepared to grant that continuance. It will require a time waiver on your part. Are you willing to waive your right to be tried within 60 days of the filing of the indictment against you, and agree to the continuance to October 15?” Defendant replied, “No, I’m not.” The court said, “All right. Do you understand that you do have a right to an attorney to represent you, and that, of course, means an attorney that is properly prepared to submit to the trier of fact all of the defenses that might be available to you, and you cannot waive that right in this particular case, and the right to an attorney means the right to a prepared attorney, and an attorney that can adequately represent you. And so it’s important that you consider that in making your determination of whether or not you’re willing to waive time. The Court would be inclined, even in [the] absence of a time waiver on your part, to consider a continuance, because of the Court’s obligation to provide an attorney, which means prepared counsel, and based on . . . the declaration that’s been filed in connection with this motion, . . . certainly I think the continuance for an additional six months thereafter is well within the realm of reason.” Defendant made a number of statements in response, including expressing the view that the Los Angeles proceedings that led to his six prior murder convictions had been “a fabric of lies.” He also expressed the view that it was not “right to be making me wait another six months .... Like I got my rights, but the way I look at my rights, they amount to about a pimple on the ass of life right now. I just don’t think it’s fair that you allow this . . . .” The trial court stated the validity of the six prior murder convictions was a “key element to this particular lawsuit,” and hence counsel needed time to properly prepare. Defendant responded, “Well the speedy trial act, the way I read about it, was a public rights bill, not a defendants’ rights bill, has been amended to a defendants’ rights bill, hasn’t it, since the—.” The court reiterated that defendant had a right to be tried within 60 days of the filing of the indictment. “You also have another right. You have a constitutional right to be represented by counsel in this matter, and in this particular case, it’s not a right that you can waive. Right to counsel doesn’t mean the right to have some warm body standing next to you during the course of your trial, it’s the right to have a qualified lawyer that is adequately prepared to present all available legal defenses on your behalf, and if it is not possible for the attorney to be prepared within the 60 days, then it becomes necessary for the Court to balance your right to a speedy trial with your right to have prepared counsel represent you in the course of the trial. And that’s why I’ve suggested to you, in [the] absence of the time waiver, the Court is going to— undoubtedly at this point finds good cause to grant the continuance in any event. . . . [I]f you would prefer to go to trial on the 8th, with a warm body that doesn’t have the ability to present all the defenses on your behalf and to get witnesses here to do that, that’s another story.” Defendant replied, “Well, that’s what I prefer, because it doesn’t seem like you can do anything more to me. Unless you go back to the old days of swift justice and a PT bullet in the back of the head or some cyclone or whatever. But I just prefer to have this over and done with,” describing some discomforts of prison. After further discussion between the court and defendant and the court and counsel, the continuance request was granted. On September 23, 1991, another hearing was held before Judge Wallace on a defense request to continue the trial date from October 15, 1991, to February 18, 1992. The court inquired of defendant, “Are you prepared to waive time so I can grant your attorneys’ request for a continuance?” After confirming Judge Wallace was the same judge who presided at the earlier hearing, defendant said, “You told me last time, over my objection, that my trial was starting . . . October 15.” The court said, “I understand what you’re saying. I’m just asking a very simple question, whether you’re prepared to waive time.” Defendant said, “I wasn’t prepared back then; what makes you think I’m prepared right now?” The court replied, “I have no reason to know anything about what you’re thinking, sir. And I’ll take that to be a no answer, as far as a time waiver is concerned.” Defendant said, “It’s a no.” The court said, “I’ll nevertheless find good cause, based on the materials in the motion, that have been submitted. I’ll note that while Mr. Danks has a speedy trial right, and we’ll do our best to protect that, he also has the right to counsel, which is a constitutional right, which is in this court’s view, is . . . paramount ... to the speedy trial right, and preparatibn for trial is necessary to have counsel that is prepared. So I’ll—.” Defendant asked, “What about going pro. per. ?” The court said, “Well, then, we really have problems having counsel prepared.” It then continued the trial, briefly discussed the timing of motion filing with counsel, and the proceeding adjourned. On February 11, 1992, a hearing was held on a defense discovery motion. At the start of the hearing, defense counsel informed the court defendant wanted to make a Marsden motion. (People v. Marsden (1970) 2 Cal.3d 118 [84 Cal.Rptr. 156, 465 P.2d 44].) The court elected to proceed first with defendant’s discovery request. Once this was resolved, defense counsel moved defendant be examined pursuant to section 1368 to determine if he was competent to stand trial. Before addressing that issue, the court heard the Marsden motion. At the 40-45 minute hearing on the Marsden motion, defendant complained about the number of continuances his attorneys had sought. He noted in particular the continuance of the preliminary examination had led to an indictment and loss of the opportunity for a preliminary hearing. He also expressed irritation that a trial date continuance had been granted over his objection. The court stated it takes some time for counsel to prepare a case like defendant’s, and explained in particular how problems with discovery can cause delay. It then inquired, “So anything else that you are concerned about?” Defendant said the procedure seemed like a “repeat of Los Angeles. . . . [I]t just seems like I am not going to get a trial here. You know, I come into this courtroom today and the first thing [defense counsel’s] talking about is filing a [section] 13[68] on me and having me sent to the looney bin. I don’t appreciate that, I don’t like that, and I will not stand for that.” After further exchange, defendant said, “I want to ask you, Judge, what happens if I just flat out refuse to talk to any doctors, to take any psychological tests, period? What are you going to do? Are you going to resort to some kind of third degree gas at that point or torture tactics to force me to talk to a psychiatrist when I do not choose to talk to a psychiatrist? I would like to defend myself in the first place. Proposition 115,1 understand provision of that allows that a jury, you don’t have to bring in a jury panel of four, five hundred people and question ’em all through the lawyers and the day questioning. I understand you can drop their names in the hat and the Judge can pick their names of 12 jurors and six alternates out of the, out of a hat. I understand that. Well, that’s what I want. I don’t feel like going through questioning all them people. And if I was defending myself see, I’m the only one that knows what’s going on inside my head and I am going to tell them doctors nothing. I might not even talk to the doctors, period. And what these people are doing, I don’t understand what these people are doing, you know, they’re going back, going to Michigan and visiting my family, you know. That’s all fine and dandy, but you know, they ain’t even beginning to scratch the surface of what’s, of what’s really happening.” The court explained defendant’s attorney had a duty to investigate and gather information to prepare for trial. After further exchange, defendant said that if he refused to see the doctors, his attorneys would claim he was refusing to cooperate. He then said he had been “railroaded” into a mental hospital during the earlier Los Angeles murder proceedings, and that even his current counsel felt he had been so “railroaded.” Defendant insisted, “I understand what it means to be competent.... [I]f I was to . . . hire my own attorney, well, I would be expecting him to be working for me. I wouldn’t be expecting him the first thing I do when I come into the courtroom is him telling the Judge that ... I belong in a looney bin and that I’m nuts. I don’t appreciate that. I don’t like that. If, if a man was working for me, he would be off the case, ... he’d be on his way.” The trial judge assured defendant he would not grant counsel’s section 1368 motion unless he thought it was appropriate, and stated that counsel seemed to be trying to get to know defendant’s case as much as possible. Defendant then asked the court to explain “something” about the charge against him. Before elaborating, he said, “I didn’t like that either, he’s telling the Court that I’m killing elderly men. I had no idea them bums were old men. I had no idea whatsoever. I mean I didn’t just go out and look for an old man. That kinda upset me there, too .... But anyway, . . . what exactly is the charge now . . . .” Defendant stated in the absence of the prior murder convictions, there would be no special circumstances. The court said that was why defendant’s attorneys were investigating his guilty plea, to see “if there’s some way to attack the legality.” Defendant responded, “I understand all that. I’ve been working with them on that. You know, they think that I’m not working with them on that, but I am working with them on that. They don’t realize how much I’ve been working with ’em on that.” The court said, “I’m sure they do,” and then explained prisons can place limitations on attorneys spending time with their clients. Defendant commented on the difficulty the prison placed on the attorneys’ visits, and said he could not see “that the Department of Corrections has a right to do that. Especially when they’ve been spending thousands . . . upon thousands upon thousands ... of dollars to fly out to Michigan . . . and all the other things that I’ve been working with ’em with. See if—I don’t know what they’ve been explaining to this Court, but I have been working with them, and I have been . . . approaching them on certain things that is very important, and it’s going to cost money. We’re talking about subpoenas to bring down material witnesses and things like that. I guess they just don’t realize how much I’ve been cooperating with ’em. But—.” In response to the court’s inquiry, defense counsel then apparently indicated they wished to continue to represent defendant. The court agreed with defendant that the prison had logistical problems. Defendant then said, “/ will work with them. I will try to cooperate with ’em. I just wanted to make clear for the record that if this were, if the law under that CAT test, if it were the truth, and I understand there’s a case back when the San Quentin [S]ix trial was going on when one of the men there went pro. per. in that case and back then they had made a new law where a man has a right to choose, pick and choose his attorney. ... I don’t know if that’s true, but according to [a book] in that trial. . . one of ’em was allowed to go pro. per. and one of ’em was allowed to pick and choose his own attorney. Now I don’t know if he was forced to pay for that attorney or if it was a state appointed attorney, but according to that, he was allowed to do that. Now the way I figure it is if that, if the CAT, if that CAT law was true, then . . . these people would have an obligation to be fighting for my rights for a speedy trial. . . . I’m still getting time continuances against my wishes. I want to make that clear for the record so that 20 or 30 years from now because . . . the death penalty law is nothing but a joke in the first place, so 20, 30 years from now when I get enough law books and come back and get these records I can come back and say hey, here’s an attorney that ... is supposed to be, according to the law, a real attorney, just like you would go out on the streets and just hire [] any attorney and he is supposed to be fighting for your rights, but look what happened. I didn’t get a trial for two or three or four years. Anyway, I will work with these attorneys . . . .” Defendant and the court then engaged in an extended colloquy regarding whether the section 4500 charge would independently support a death verdict even if the prior murder convictions were found invalid. After further colloquy on other matters, defendant said he did not want his defense attorneys “meddling in what happened in Los Angeles because I’m just going to tell you right now bluntly they’re incompetent to handle anything that happened in Los Angeles. . . . And I just don’t feel it [is] right for them to meddle in my affairs in Los Angeles when the issue right here is Mr. Holt, and . . . I’m not going to take a deal, but ... I would like to have a jury selected out of a hat and . . . that way I could sit up, wherever I’m going to sit, I don’t know where you sit, and I could tell the jury personally exactly what happened. See I think, Judge, that you fail to realize just exactly what kind of terror Mr. Holt went through in that cell... I don’t think anybody personally gives a shit what goes on in them prisons or them jails. . . . Nobody understands, I mean, what this victim has went through. The only thing they’re concerned about is putting me in a looney bin, and I don’t appreciate it one