The Tokyo High Court's decision Thursday to uphold Tsutomu Miyazaki's death sentence was not surprising to many experts who have followed the case.

The focus of the serial child-killer's trial has been whether he could tell right from wrong when he committed the crimes.

Masaaki Noda, a psychiatrist and professor at Kyoto Women's University, said he believes Thursday's ruling, which held Miyazaki fully responsible, is appropriate from a psychiatric perspective.