Charles Young

The decision of the South African Constitutional Court in AK v. Minister of Police has implications for law enforcement agencies that fail the victims of crime. In this matter, the plaintiff sued the Minister and others for damages after officers had failed to rescue her from the perpetrator(s) of a protracted sexual assault and to conduct an adequate criminal investigation afterwards. The judgment deals with a noteworthy psycholegal issue, namely, whether the police are liable for any harm resulting from the plaintiff’s continued trauma exposure beyond the moment a competent search would have likely resulted in her rescue, when her trauma exposure was already prolonged. In this paper, we consider whether the interpretation of the expert evidence is consistent with the relevant research. Research suggests the psychological harm caused by police negligence may have been more than a matter of extended trauma exposure but also of supplemental trauma appraisals.

Counselling Psychologists (CPs) constitute a considerable proportion of psychologists in South Africa (SA), yet empirical knowledge on this workforce remains limited. Furthermore, changes within this workforce overtime have not been thoroughly examined. This study compares early career (<10 years) and established (>10 years) CPs relating to demographic characteristics, work settings, professional roles and activities, career satisfaction, and perspectives on efforts to demarcate the practice of CPs in SA. A total of 512 survey responses were analysed, with 39% representing early career CPs and 61% representing established CPs. Findings reveal significant differences between early career and established CPs across several domains, including age, race, geographic location, highest professional degree, languages spoken; current job-seeking status; satisfaction with income, employment opportunities, work-life balance and primary work settings; likelihood of emigration; and supervision frequency and format. Overall, the results suggest movement towards transformation within the CP profession in SA. Nevertheless, systemic issues continue to hinder the optimal utilisation and equitable distribution of CPs within the country. Advocacy and ongoing workforce analysis is thus essential to support, retain, and effectively utilise CPs as a valuable resource, especially in light of the ongoing debates surrounding the implementation of the National Health Insurance (NHI) system in SA.

Background: Women charged with violent offences may be referred by courts for forensic psychiatric assessment to determine whether mental disorder or intellectual disability impacts their fitness to stand trial and/or criminal responsibility. The profile of these women is a poorly researched area in South Africa.

Aim: This study examined the socio-demographic, offence-related, and clinical profile of South African women charged with violent offences referred for forensic assessment.

Setting: Fort England Hospital (FEH), a forensic psychiatric institution in the Eastern Cape.

Methods: The clinical records of 173 women referred by courts for forensic psychiatric evaluation over a 24-year period (1993–2017) to FEH were systematically reviewed.

Results: Most women were single, black mothers with dependent children, who were unemployed and socio-economically impoverished. Many had backgrounds of pre-offence mental illness, alcohol use and alleged abuse. The majority were first-time offenders whose victims were known to them. Most child victims were biological children killed by their mothers. Likely primary motives for violence were related to psychopathology in half of cases, and interpersonal conflict in a third. Forensic assessment most frequently confirmed psychotic disorders and dual diagnoses. Half the cases were fit to stand trial and under half were criminally responsible.

Conclusion: Violent female offending occurs within a gendered context, with high rates of prior trauma, alcohol use and psychosocial distress in perpetrators. An emphasis on gender-sensitive psychosocial interventions is required.

Contribution: This study highlights the nature and context of violent offending by women referred for forensic psychiatric assessment in South Africa.

Counselling psychology in South Africa has recently emerged from a tumultuous period, stemming from regulatory efforts in 2011, which negatively impacted on the profession’s status and viability. While the definition and scope of counselling psychology arguably demonstrate improvements in aligning with global practices, concerns persist surrounding the work opportunities and professional experiences of counselling psychologists, particularly those in the early stages of their careers. This study aimed to gain an in-depth understanding of the professional experiences of early career counselling psychologists in South Africa. The pool of participants were 10 early career counselling psychologists (females = 7, males = 3, period in service = 1–10 years). The participants completed semi-structured interviews on their early career professional experiences, as well as the meanings they attributed to these experiences. An interpretative phenomenological analysis of the data revealed three group experiential themes: (1) the complexity of finding and securing work; (2) navigating an array of personal, professional, and systemic challenges; and (3) self-acquiring support. The findings suggest that despite the unique and valuable skills and knowledge counselling psychologists possess, the participants struggled to successfully transition into the workforce, resulting in feelings of anxiety, frustration, and professional disillusionment. The findings indicate enhanced support is needed at various levels to address the needs and bolster the wellbeing, utilisation, and retention of counselling psychologists in their transition into the South African workforce.

Despite that counselling psychologists represent a substantial group of registered psychologists in South Africa, literature specifically on the sub-speciality within the country is limited. The aim of this scoping review was to provide a comprehensive summary of the literature available on counselling psychology in South Africa and examine the extent to which literature is available from a lifespan or career-stage perspective. Three electronic databases (EBSCOhost, Sabinet®, and PubMed) were searched for articles published between 2000 and 2021. Titles and abstracts were reviewed, and data extracted and synthesised thematically. Of 507 citations identified, 10 met the inclusion criteria. Findings indicate that literature on counselling psychology in South Africa is scarce, subject to methodological limitations, and dominated by a small number of authors conducting multiple analyses on the same sets of data. Furthermore, literature on counselling psychologists at key career stages across the professional lifespan is largely missing from the professional discourse. Emphasis is instead placed on counselling psychology as embedded in the sociopolitical history of South Africa, professional identity, the contemporary status of the profession, professional threats and challenges, and the profession’s future promise. Our review highlights the need for more empirically informed studies making use of different methodologies, involving multiple authors with diverse backgrounds, tracking employment trends, and soliciting first-person accounts of counselling psychologist’s experiences at key career stages. Without doing so, ideas about how best to support and utilise this particular group of practitioners may be misguided, in turn compromising the successful provision of mental health care within the country.

The high rate of foetal alcohol spectrum disorders, which results from alcohol consumption during pregnancy, is of concern in South Africa. The aims of this research were to establish the prevalence, patterns and factors associated with alcohol use amongst pregnant women attending antenatal clinics in two former township areas of Buffalo City, South Africa. A survey was conducted using a structured questionnaire that included socio-demographic questions, and the Alcohol Use Test (AUDIT). The questionnaire was administered in English, Afrikaans or isiXhosa by healthcare providers trained in its administration. Consecutive sampling was used, with all willing women presenting at public clinics offering antenatal care in the two townships being invited to participate. Of the 18 clinics operating in the two townships, 16 were willing to participate, resulting in a sample of 1028 women over a nine-month period. Data were analysed in Medcalc using descriptive statistics, one-way analysis of variance, independent samples t-test and a multivariable binary logistic regression analysis. Two-thirds of the sample did not drink alcohol, but results showed high levels of risky alcohol use: 20.1% on the total AUDIT scale, and 16.8% on the AUDIT-C scale. The following variables were found to be significantly associated with risky drinking: age; race; report of intimate partner violence (IPV); and other regular drinker in the home. Employment status, education status, relationship status, parity and gestation were not associated with risky drinking. Interventions aimed at reducing alcohol use during pregnancy should address: drinking youth cultures; drinking norms within the home; and intimate partner violence. Future studies should include additional mental and physical health variables.

This article conducts a secondary analysis of combined survey data collected from clinical and counselling psychologists in South Africa with a view to contributing to the debate about their respective Scope of Practice. A comparison of clinical and counselling psychologists' activities, where and how they are doing these activities and with what emphasis, as well as the similarities and differences between these categories with respect to demographic variables of their practitioners, values and career satisfaction, and views of their respective Scopes of Practice should provide guidance for the future regulation of both categories. In total, 1105 participants' (comprising 877 registered clinical psychologists and 228 registered counselling psychologists) survey responses were analysed. Findings suggest that counselling and clinical psychologists are more similar than they are different, with responses indicating shared demographic characteristics, areas of overlap in terms of their key activities and theoretical orientations, and their satisfaction with their training and careers. Significant differences, where they did occur, included the race and gender of practitioners; time spent on assessment and research; emphasis on psychodynamic orientations; endorsement of values; views on the Scopes of Practice regulations that were promulgated in 2011; and in each specialties sense of distinctiveness. Findings are discussed in the context of vigorous contestation over the Scopes of Practice in South Africa, where access to mental health services remains poor and the profession largely untransformed.

The article presents a study on Risk of alcohol use disorder among South African university students: The role of drinking motives. A cross-sectional online survey method was employed to collect data from participants during the second term of the academic calendar in 2014. The survey was hosted on Surveymonkey for 18 days. Participants were undergraduate and postgraduate students from a small public university, which has a student population of over 7000. The objectives of this study were threefold: to determine the prevalence RAUD; to explore students drinking motives; and to investigate whether drinking motives predicted RAUD, over and above other risk factors. This study investigated the role of drinking motives in predicting RAUD among students from a population which has been largely underrepresented in the research on drinking motives. The study showed that although students endorse the various drinking motives, the dominant motives differ across contexts. Students in this study endorsed enhancement motives more than social motives. Thus, the study highlights the need for further cross-cultural efforts which include underrepresented regions like Africa and Asia. These larger and representative studies should further evaluate the structure of DMQ-R to ensure better model fit than found in this current study. Despite the noted difference in the rank of drinking motives, this study found that drinking motives predict the highly prevalent RAUD. Thus, clinically, the study supports the provision for AUD screening and assessment, and brief interventions within student healthcare services informed by tenets of the motivational model. The interventions would aid students discover alternative methods of attaining the affective change derived from alcohol use.

Counseling psychologists in eight countries (Australia, Canada, New Zealand, South Africa, South Korea, Taiwan, the United Kingdom, and the United States) responded to survey questions that focused on their demographics as well as their professional identities, roles, settings, and activities. As well, they were asked about satisfaction with the specialty and the extent to which they endorsed 10 core counseling psychology values. This article reports those results, focusing both on areas in which there were between-country similarities as well as on those for which there were differences. These data provide a snapshot of counseling psychology globally and establish a foundation for the other articles in this special issue of the journal.

The origin and development of counselling psychology in South Africa has been profoundly influenced by the country's sociopolitical history and the impact of apartheid. As a result of this, counselling psychologists in the country face a number of challenges and opportunities for the future. In this paper we provide a portrait of counselling psychology in South Africa by describing the current character of the specialty and the context in which South African psychologists work. We critically discuss the challenges that the specialty faces to meet the country's mental health care needs, contest the current Scope of Practice; affirm multiculturalism without essentialising or reifying race and ethnicity, and build an evidence base for community interventions in the country. We also consider how, in the future, counselling psychologists in South Africa may make a more meaningful contribution within public health and the country's health care and education systems.