M.A. (Clinical, Psychology) / The aim of this study was to develop a selection model for students who are to be trained as Clinical Psychologists at the Masters degree level. Since selection criteria are both subjective and objective and the procedure itself time consuming, the model would have to incorporate these aspects and also save time. For these reasons the possibility of utilizing a single assessment instrument, the 16PF, was investigated. The experimental design compared two methods of selection. These were (i) the traditional method involving interpersonal contact between selectors and candidates and (ii) a statistical method involving the 16PF. were tested. Three hypotheses i That the 16PF would discriminate significantly between selected and selected students. ii That a pattern of objective criteria would emerge. iii That some subjective criteria would be identified. All three hypotheses were subsequently confirmed. Recommendations for the future utilization of the model are made.

M.A. (Clinical Psychology) / Over the past decade, clinical psychologists have begun to play an increasingly important role in the community and in the mental health team. A good understanding of the role of the clinical psychologist is of extreme importance for the general practitioner in order -to make effective referals to the clinical psychologist when necessary and also for the maintenance of the mental health team. Van Den Berg (1980) states that the large number of incorrect referals between members of the mental health team are due to a lack of knowledge as to the services available. It is thus essential that research be conducted in order to clarify any misunderstandings that may exist between the general practitioner and the clinical psychologist who are both members of the mental health team. This research was conducted with two broad hypotheses in mind, namely that incongruence exists between the clinical psychologist's perception and the general practitioner's perception of the role of the clinical psychologist; and that general practitioners do not have a clear perception or understanding of the professional role of the clinical psychologist. In order to test these hypotheses, a questionnaire was designed and given to a sample of clinical psychologists and a sample of general practitioners. The questionnaire was based on the literature study of the role of the clinical psychologist and on interviews that were conducted with the teaching staff at the psychology department at the universities and mental institutions in the Witwatersrand area.

Includes bibliography. / Over the past decade clinical psychologists have increasingly begun to work in general hospital settings, but little published research has dealt in depth with the adjustments and negotiations that need to occur at the interface of clinical psychology and medicine. In this dissertation, the relationship of the psychosocial to medicine and the professional relationships of psychologists and doctors are discussed. Consultation- liaison psychiatry and multidisciplinary treatment teams are presented as two ways in which medicine has attempted to deal with the psychosocial, and which provide potentially useful models of practice for psychologists. Four cases that were referred to the author while working as an intern clinical psychologist in a Neurosurgery unit are discussed in terms of the insight they provide in understanding implicit assumptions about and expectations of psychology. In addition, the head of this Department of Neurosurgery and the two clinical psychologists working in this department were interviewed, and these interviews, together with the cases, provide the material for a discussion of various issues which face clinical psychologists in this unit. These include: the power structures and relationships in the unit; the use of consultation-liaison psychiatry and multidisciplinary treatment team models of practice; the inability of psychologists to fulfil present demands for their services; and the issue of reactive or proactive definition of psychological functions. Finally, some suggestions for enhancing the psychological contribution to patient care in Neurosurgery are made, based on the principles that arise out of the discussion.

This quantitative exploratory study surveyed 64 South African clinical psychologists' opinions of the insanity defence. Clinical psychologists are increasingly becoming meaningful contributors to the judicial process in South Africa with regard to criminal incapacity. It is therefore considered important to canvas their opinions. To the author's knowledge this is the first research on psychologists' opinions of the defence in South Africa, possibly internationally. A standardized Likert scale developed by Skeem and Evans-DeCicco (2004) to gauge jury views on the insanity defence in the United States was used as the data collection tool. This research employed an overall correlational research design. Due to heterogenous variances the more liberal assumptions of non-parametric tests were used to extrapolate findings. The bulk of opinion rested in the moderate to ambivalent support ranges, with few strongly positive or negative opinions of the insanity defence. Significant results suggest that female psychologists, regardless of race, showed less support of the insanity defence than their male counterparts. Furthermore, those whose primary therapeutic orientation was psychodynamic had less support than those who practiced other modalities. However, a disappointingly small sample size and low reliability of the scale makes the generalisability of the results tentative, and thus further research is needed to verify these findings / Thesis (M.Soc.Sc.)-University of KwaZulu-Natal, Pietermaritzburg, 2007.

M.A. (Clinical Psychology) / The primary aim of this study is to investigate the different subsystems involved in a child custody case. By identifying the various patterns of interaction within each subsystem this work attempts to provide the clinical psychologist with a condensed frame of reference for the role of expert witness in cases of this nature. The study focuses therefore on the legal system in South Africa, the family system in the process of divorce as well as models of assessment used by practicing psychologists when giving expert testimony. In investigating the legal system, the study starts off by highlighting the premises from which the law derives its findings - in both constituted laws and judicial precedents. The best interests of the child as overriding standard is traced through various laws and judicial findings. The study then turns to the latest developments following the promulgation of the Mediation in Certain Divorce Matters Act no 24 of 1987. The hesitancy and doubts that prevail among practitioners of the law concerning this Act are noted. the study initially looks at divorce, then moves on to the the children subsystem.

This study explored and described the perception of clinical psychologists regarding thebarriers to the provision of psychological services in urban public health settings for people with first-episode schizophrenia. The qualitative research study utilised an explorative, descriptive interpretive research design. Purposive sampling was utilised to gain access to clinical psychologists, who had at least two years of public health experience working with people recently diagnosed with schizophrenia. Data was gathered from 11 participants from the Nelson Mandela Bay Health District of the Eastern Cape by means of in-depth interviews that were conducted in English by the researcher until data saturation had occurred. A computer-assisted qualitative thematic analysis of the collected data was conducted using NVIVO software. The findings have been categorised according to three broad domains: 1)contextual barriers 2)health care system-related barriers and 3)first-episode schizophrenia syndrome-related barriers. Several specific sub-themes were identified for each of these main domains allowing for recommendations and suggestions to be provided for attending to and overcoming these perceived barriers.

Clients diagnosed with Borderline Personality Disorder (BPD) interact with healthcare professionals in compelling ways. By virtue of the symptoms that define BPD, it is likely that the client will challenge the therapist with regards to their theoretical approach or therapeutic style. In addition, clients with BPD are likely to project their need for a therapeutic interaction that is both genuine, empathic and at the same time, flexible. In light of this, it is not uncommon for healthcare practitioners to consider clients with BPD as “difficult” in some way or the other. This study explores how clinical psychologists in Gauteng conceptualise and manage a “difficult” client presenting with Borderline Personality Disorder. Further, coping strategies of the clinician will also be explored. The qualitative study, couched in a social constructionist paradigm, involved interviewing seven clinical psychologists practicing in Gauteng, South Africa. The transcripts of the semi-structured interviews were thematically analysed. The findings of the current study indicated that the difficulties experienced are reflective of the general criteria of the disorder. The picture of the difficult client is painted by personal experience, as well as stereotypes gained from interactions with colleagues and other healthcare professionals. It was further found that management of these patients were viewed and implemented based on the nature of the disorder. In addition, management by the clinician often included supervision and leisure activities. / Psychology / M.A. (Clinical Psychology)

Disputes concerning care and contact arrangements for the minor children of divorcing couples present special challenges for professionals in the legal and psychological professions. Care and contact (custody) disputes, which are complex undertakings, are a point of debate in the professional arena in South Africa. Clinical psychologists are often included in the professional cohort that assists the high court, as the upper guardian of minor children, in the decision making process regarding contested care arrangements of children. This field is further challenged by the lack of training programmes and practice guidelines, the intense adversarial nature of disputes and litigation processes, as well as the increase in board complaints levelled against psychologists at the Health Professions Council of South Africa. These challenges contribute to the reluctance of psychologists to become involved in care and contact matters. This study therefore aimed first to explore the current practices and contributions of clinical psychologists in care and contact disputes in South Africa, and second to evaluate the procedures used by clinical psychologists to inform their recommendations to the court. In such matters, clinical psychologists adhere to the best interest of the child (BIC) principle. The final aim of the study was to identify and propose guidelines for a model of better practice. The study was guided by a Constructivist Epistemology and a Social Constructionist paradigmatic framework. A qualitative research approach was employed. Data were collected through face- to-face interviews with clinical psychologists and advocates and were analysed using Thematic Network Analysis of Attride-Stirling. The findings, which indicated that that the practices of psychologists are plenteous, revealed significant shortfalls in current practices. In addition, the findings designated that creating a universal model for care and contact evaluations to fit with the legal professions’ empiricist tendency poses a paradigmatic dilemma and a practical challenge. A position of observer-dependence and a reflective position on the part of the psychologist is instead indicated. / Psychology / Ph. D. (Psychology)