Chapter 3: Assessing the Accused

dc.contributor.authorKaliski, Sean
dc.contributor.editorKaliski, Sean
dc.date.accessioned2026-06-10T12:28:43Z
dc.date.available2026-06-10T12:28:43Z
dc.date.issued2022
dc.description.abstractThis text examines the assessment of criminal defendants within the South African forensic mental health system under Sections 77, 78, and 79 of the Criminal Procedure Act 51 of 1977 (CPA). It addresses the complexities that emerge from the uncodified nature of South African substantive criminal law, highlighting a recurrent lack of mutual understanding between mental health practitioners and the courts regarding the exact elements of criminal liability (actus reus versus mens rea). The chapter details the multi-departmental referral process, contrasting South Africa’s system—where entry is almost exclusively precipitated by a criminal offense—with systems like the United Kingdom's. It critiques the historical conflation of fitness to stand trial (Section 77) and criminal responsibility (Section 78) by practitioners, advocating for separate inquiries to preserve procedural justice. Furthermore, the author evaluates the statutory thresholds of adjudicative competence, drawing comparisons with the United States' Dusky standard to structure evaluations. It outlines the legal and constitutional evolutions following the De Vos (2015) ruling and the Criminal Procedure Amendment Act 4 of 2017, which granted courts the discretion to order less restrictive care for unfit defendants instead of relying on automatic, indefinite institutionalization. Finally, the text analyzes the limitations of the classic cognitive and conative tests of insanity, arguing that modern neuropsychiatry challenges the law's artificial separation of cognition and impulse control.
dc.identifier.apacitationKaliski, S. (2022). Chapter 3: Assessing the Accused. In S. Kaliski. (Ed.), <i>Forensic Mental Health: From Assessment to Recovery</i> (pp.32). Cape Town, South Africa: Edutech. http://hdl.handle.net/11427/43303en_ZA
dc.identifier.chicagocitationKaliski, Sean. "Chapter 3: Assessing the Accused" In <i>FORENSIC MENTAL HEALTH: FROM ASSESSMENT TO RECOVERY</i>, edited by Sean Kaliski., 32. Cape Town, South Africa: Edutech. 2022. http://hdl.handle.net/11427/43303.en_ZA
dc.identifier.citationKaliski, S. 2022. Chapter 3: Assessing the Accused. In <i>Forensic Mental Health: From Assessment to Recovery</i>. S. Kaliski, Ed.Cape Town, South Africa: Edutech. 32. http://hdl.handle.net/11427/43303 .en_ZA
dc.identifier.ris TY - Chapter in Book AU - Kaliski, Sean AB - This text examines the assessment of criminal defendants within the South African forensic mental health system under Sections 77, 78, and 79 of the Criminal Procedure Act 51 of 1977 (CPA). It addresses the complexities that emerge from the uncodified nature of South African substantive criminal law, highlighting a recurrent lack of mutual understanding between mental health practitioners and the courts regarding the exact elements of criminal liability (actus reus versus mens rea). The chapter details the multi-departmental referral process, contrasting South Africa’s system—where entry is almost exclusively precipitated by a criminal offense—with systems like the United Kingdom's. It critiques the historical conflation of fitness to stand trial (Section 77) and criminal responsibility (Section 78) by practitioners, advocating for separate inquiries to preserve procedural justice. Furthermore, the author evaluates the statutory thresholds of adjudicative competence, drawing comparisons with the United States' Dusky standard to structure evaluations. It outlines the legal and constitutional evolutions following the De Vos (2015) ruling and the Criminal Procedure Amendment Act 4 of 2017, which granted courts the discretion to order less restrictive care for unfit defendants instead of relying on automatic, indefinite institutionalization. Finally, the text analyzes the limitations of the classic cognitive and conative tests of insanity, arguing that modern neuropsychiatry challenges the law's artificial separation of cognition and impulse control. CY - Cape Town, South Africa DA - 2022 DB - OpenUCT DP - University of Cape Town ED - Kaliski, Sean J1 - Forensic Mental Health: From Assessment to Recovery KW - Forensic Psychiatry, Criminal Procedure Act 51 of 1977, Fitness to Stand Trial (Section 77), Criminal Responsibility / Insanity Defence (Section 78), South African Criminal Law, Adjudicative Competence, Mental Health Care Act 17 of 2002, Pathological Incapacity LK - https://open.uct.ac.za PP - Cape Town, South Africa PY - 2022 T1 - Chapter 3: Assessing the Accused TI - Chapter 3: Assessing the Accused UR - http://hdl.handle.net/11427/43303 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/43303
dc.identifier.vancouvercitationKaliski S. Chapter 3: Assessing the Accused. In Kaliski S, editor.. Forensic Mental Health: From Assessment to Recovery. Cape Town, South Africa: Edutech; 2022. p.32. [cited yyyy month dd]. http://hdl.handle.net/11427/43303.en_ZA
dc.language.isoen
dc.publisherEdutech
dc.publisher.departmentDepartment of Psychiatry and Mental Health
dc.publisher.facultyFaculty of Health Sciences
dc.publisher.locationCape Town, South Africa
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.sourceForensic Mental Health: From Assessment to Recovery
dc.source.pagination32
dc.subjectForensic Psychiatry, Criminal Procedure Act 51 of 1977, Fitness to Stand Trial (Section 77), Criminal Responsibility / Insanity Defence (Section 78), South African Criminal Law, Adjudicative Competence, Mental Health Care Act 17 of 2002, Pathological Incapacity
dc.titleChapter 3: Assessing the Accused
dc.typeChapter in Book
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