Examining the Mr Tsafendas enquiry trial: Current insights on forensic psychiatric assessment and ethics

Main Article Content

J L Roos
C Kotze

Abstract





On 6 September 1966, the prime minister of South Africa, Dr HF Verwoerd was killed by Mr Tsafendas, a Portuguese national of Greek descent, in parliament by stabbing him in the chest. Mr Tsafendas was a messenger in parliament. At the enquiry trial of Mr Tsafendas, he was found unfit to stand trial on the ground that he suffered from schizophrenia. The psychiatric evidence during the enquiry trial was reviewed and discussed under the following headings: Diagnosis of schizophrenia; Consideration of cultural factors in forensic psychiatric settings; Delusional infestation v. extreme overvalued beliefs; Simulation of psychosis; Ethical considerations in criminal capacity and trial competency assessments. Lessons from the Mr Tsafendas enquiry trial for forensic psychiatrists where a defendant previously diagnosed with schizophrenia commits a prominent political murder, are summarised. It is emphasised that the personhood of an accused referred for forensic observation should be respected and protected, instead of focusing exclusively on a specific diagnosis.





Article Details

How to Cite
Examining the Mr Tsafendas enquiry trial: Current insights on forensic psychiatric assessment and ethics. (2024). South African Journal of Bioethics and Law, 17(1), e1600. https://doi.org/10.7196/sajbl.2024.v17i1.1600
Section
Research Articles
Author Biography

J L Roos, Weskoppies Psychiatric Hospital; and Department of Psychiatry, School of Medicine, Faculty of Health Sciences, University of Pretoria, South Africa

Emeritus Professor in the Department of Psychiatry, University of Pretoria, where he was previously the Head of Department. 

How to Cite

Examining the Mr Tsafendas enquiry trial: Current insights on forensic psychiatric assessment and ethics. (2024). South African Journal of Bioethics and Law, 17(1), e1600. https://doi.org/10.7196/sajbl.2024.v17i1.1600

References

State versus Demitrio Tsafendas. Supreme Court of South Africa, Cape Town (Cape of Good Hope Provincial) 20 October 1966. Reg no: SAH-2016-DOJ-0006. South African History Archive (SAHA).

Government publication: Report of the commission of inquiry into the responsibility of mentally deranged persons and related matters (Rumpff Commission, R.P.69/1969, Pretoria; Government Printer.

Dousemetzis H, Loughran G. The Man who Killed Apartheid. The Life of Dimitri Tsafendas. Jacana Media (Pty) Ltd. 2018; ISBN 978-1-4314-2754-3.

Van Woerden H. As translated by Antjie Krog. Domein van glas. Queilerie-Publishers. Cape Town. 2000; ISBN 0795-800096.

Gowensmith WN, Sessarego SN, McKee MK, Horkott S, MaClean N, McCalum KE. Diagnostic field reliability in forensic mental health evaluations. Psycho Assess 2017;29(6):692-700. https://doi.org/10.1037/pas0000425

Schwartz EK, Docherty NM, Najolia GM, Cohen AS. Exploring the racial diagnostic bias of schizophrenia using behavioral and clinical-based measures. J Abnormal Psych 2019;128(3),263-271. https://doi.org/10.1037/abn0000409

Resnick PJ, Knoll J. Faking it. How to detect malingered psychosis. Curr Psychiatry 2005;4(11):13-25.

Reid WH, Wise M, Sutton B. The use and reliability of psychiatric diagnosis in forensic settings. Clin Forensic Psych 1992;15(3):529-537. https://doi.org/10.1016/ S0193-953X(18)30221-1

Rahman T, Meloy R, Bauer R. Extreme overvalued belief and the legacy of Carl Wernicke. J Am Acad Psychiatry Law 2019;47(2). https://doi.org/10.29158/ JAAPL.003847-19

Weiss KJ. At a loss for words: Nosological impotence in the search for justice. J Am Acad Psychiatry Law 2016;44(1):36-40.

Hicks JW. Ethnicity, race and forensic psychiatry: Are we color-blind? J Am Acad Psychiatry Law 2004;32(1):21-33. https://doi.org/10.3389/fpsyt.2018.00550

Griffith EEH. Ethnics in forensic psychiatry: A cultural response to Stone and Appelbaum. J Am Acad Psychiatry Law 1998;26(2):171-184.

Sue S. In search of cultural competence in psychotherapy and counseling. Am Psychol 1998;53(4):440-448. https://doi.org/10.1037/0003-066X.53.4.440

American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th ed., test rev. 2022. https://doi.org/10.1176/appi.books.9780890425787 15. Meynen G. Neuroscience-based psychiatric assessments of criminal responsibility: Beyond self-report? Camb Q Healthc Ethics 2020;29:446-458. https://doi.org/10.1017/

S0963180120000195

Kendler KS, Ohlsson H, Sundquist J, Sundquist K. IQ and schizophrenia in a Swedish national sample: Their causal relationship and the interaction of IQ with genetic risk. Am J Psychiatry 2015;172(3):259-65. https://doi.org/10.1176/appi. ajp.2014.14040516

Pelfrey WV. The relationship between malingerers’ intelligence and MMPI-2 knowledge and their ability to avoid detection. Int J Offender Ther Comparative Crimin 2004;48(6):649-663. https://doi.org/10.1177/0306624X04265085

Math SB, Kumar CN, Moirangthem S. Insanity defense: Past, present, and future. Indian J Psychol Med 2015;37:381-387.

Calcedo-Barba A. Objectivity and ethics in forensic psychiatry. Curr Opin Psych 2010;23:447-452.

Tsimploulis G, Niveau G, Eytan A, Giannakopoulos P, Sentissi O. Schizophrenia and criminal responsibility: A systematic review. J Nervous Mental Dis 2018;206:370-377

Kalian M, Zabow A, Witztum E. Political assassins – The psychiatric perspective and beyond. Med Law 2003;22:113-130.

Stevens P. Ethical issues pertaining to forensic assessments in mental capacity proceedings: Reflections from South Africa. Psychiatry Psychol Law 2017;24:628- 639. https://doi.org/10.1080/13218719.2016.1264255

Taborda JGV, Abdalla-Filho E, Garrafa V. Ethics in forensic psychiatry. Curr Opin Psychiatry 2007;20:507-510.

Peay J. Mental incapacity and criminal liability: Redrawing the fault lines? Int J Law Psychiatry 2015;40:25-35. https://doi.org/10.1016/j.ijlp.2015.04.007

Niveau G, Welle I. Forensic psychiatry, one subspecialty with two ethics? A systematic review. BMC Med Ethics 2018;19:25:1-10. https://doi.org/10.1186/s12910-018-2266-5

Appelbaum PS. The parable of the forensic psychiatrist: Ethics and the problem of doing harm. Int J Law Psychiatry 1990:13:249-259.

Kalmbach KC, Lyons PM. Ethical issues in conducting forensic evaluations. Appl Psychol Crim Justice 2006;2:261-287.

Most read articles by the same author(s)