Assessments for Clinicians as Clients: Forensic Psychologist (INTERN) S’ Dilemma

Tariro Maraire

doi:10.32890/jps2026.29.2

Authors

Tariro Maraire Social Work and Applied Psychology Department, Zimbabwe Ezekiel Guti University, Zimbabwe

DOI:

https://doi.org/10.32890/jps2026.29.2

Keywords:

Assessment, clients, clinicians, dilemma, forensic psychology intern

Abstract

Forensic psychology interns often encounter clinicians-clients. These being health-care professionals needing forensic assessment during their treatment process. The clinicians as clients often exhibit elevated clinical insight, self-awareness, thereby, forming a unique psychological predicament, which can unsettle forensic psychology interns, thereby, compromising their professional objectivity. This qualitative research investigated precise ethical challenges professional dilemmas faced by four forensic psychologist (interns) in conducting readiness for release risk assessments, competency evaluations, family reintegration suitability among clinicians as clients within a private drug rehabilitation centre, in Harare, Zimbabwe. Data was collected using focus group discussion and semi-structured interviews. Thematic Analysis was used for analysis. Findings found four primary challenges: compassion fatigue, problems in forming therapeutic alliance, heightened confidentiality threats and complex power imbalances. The expert on expert dynamic was proved to present blurred professional boundaries, hence, complicating the forensic psychologist (intern) s' evaluative role. The study shows a critical gap in forensic psychology internship, where the dual-status of the client being a clinician professionally, creates unique stressors. Future studies could focus on developing specialised supervision support systems, which are forensic, based, for forensic psychologists (interns). Addressing these challenges is crucial for enhancing the competency and performance of emerging forensic psychologists.

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References

Allied Health Practitioners Council of Zimbabwe. (2021). Psychologist training, registration and practice in Zimbabwe. https://psychpoliticszw.files.wordpress.com

Baird, B. N., & Mollen, D. (2023). The internship, practicum, and field placement handbook: A guide for the helping professions. Routledge.

Bartol, C. R., & Bartol, A. M. (2018). Introduction to forensic psychology: Research and application. Sage Publications.

Bohart, A. C., & Tallman, K. (1999). How clients make therapy work. American Psychological Association.

Bohart. A. C., & Wade, A. G. (2013). The client in psychotherapy. In M. J. Lambert (Ed.), Bergin and Garfield’s handbook of psychotherapy and behavior change (6th ed., pp. 219-257). John Wiley & Sons, Inc.

Brock, R. L., Allen, K. B., Stasik-O’Brien, S. M., Farach, F. J., & Wilson, K. G. (2015). Addressing the psychology internship crisis: Converging perspectives of the psychology community. The Behavior Therapist, 38(8), 245-255.

Chatora, T., & Chiriseri, E. (2022). Navigating the teething stages of allied health specialties: Regulatory expansions under the Allied Health Practitioners Council of Zimbabwe. Zimbabwe Journal of Health Sciences, 2(1), 45–58.

Chong, S. W., & Reinders, H. (2021). A methodological review of qualitative research syntheses in CALL: The state-of-the-art. System, 103, 102646. https://doi.org/10.1016/j.system.2021.102646

D'Arro, C. (2023). The mindful health care professional-e-book: The mindful health care professionale-book. Elsevier Health Sciences.

Davidson, J. E., & Silver, M. P. (2021). The impaired healthcare professional: Unique diagnostic vulnerabilities and treatment resistance in specialized substance use recovery networks. Journal of Substance Abuse Treatment, 124, 108–117.

Denu, Y. (2023). “It’s not passion, it’s sheer survival”: The lived experiences of clinical psychology graduate students of color during the years 2020–2022. University of South Dakota.

Fairfax-Columbo, J., Desai, A., Grisamore, S., & DeMatteo, D. (2025). Career paths in forensic psychology: A primer for a rewarding career at the intersection of law and psychology. Taylor & Francis.

Fillit, H. M., Rockwood, K., & Young, J. B. (2016). Brocklehurst's textbook of geriatric medicine and gerontology e-book. Elsevier Health Sciences.

Frank, J. D., Frank, J. B., & Wampold, B. E. (2025). Persuasion and healing: A comparative study of psychotherapy. JhU Press.

Geller, J. D., Norcross, J. C., & Orlinsky, D. E. (Eds.). (2005). The psychotherapist's own psychotherapy: Patient and clinician perspectives. Oxford University Press.

Grossoehme, D. H. (2014). Overview of qualitative research. Journal of Health Care Chaplaincy, 20(3), 109-122.

Grusecki, K. M. (2019). Perspectives on psychological assessment from internship directors across six categories of internships. Pepperdine University.

Goldsmith, T. A., & Fischer, K. L. (2024). When the expert is the patient: Diagnostic insight, evaluation anxiety, and professional identity preservation among medical clients in therapy. Clinical Psychology Review, 108, Article 102391.

Hodges, S. (2024). The counseling practicum and internship manual: A resource for graduate counseling students in a dynamic, global era. Springer Publishing Company.

Howitt, D. (2019). Introduction to qualitative research methods in psychology. Pearson UK.

Hudson, M. W. (2024). Clinical education and supervision of clinical fellows. In The clinical education and supervisory process in speech-language pathology and audiology (pp. 373-379). Routledge.

Huss, M. T. (2025). Forensic psychology: Research, clinical practice, and applications. John Wiley & Sons.

Jenkins, P., & Panozzo, D. (2024). “Ethical care in secret”: Qualitative data from an international survey of exploratory therapists working with gender-questioning clients. Journal of Sex & Marital Therapy, 50(5), 557-582.

Karr, A. B., & Brennan, E. M. (2025). Scaffolding the clinical internship: Coping mechanisms and structured supports for navigating peer-client dilemmas in early field placements. Training and Education in Professional Psychology, 19(1), 12–23.

Long, M., Wood, C., Littleton, K., Passenger, T., & Sheehy, K. (2010). The psychology of education. Routledge.

LaDuke, C., DeMatteo, D., Brank, E. M., & Kavanaugh, A. (2024). Training, practice, and career considerations in forensic psychology: Results from a field survey of clinical and non-clinical professionals in the United States. Frontiers in Psychology, 15, 1439874.

Leavy, P. (Ed.). (2014). The Oxford handbook of qualitative research. Oxford University Press.

Mathieu, F. (2012). The compassion fatigue workbook: Creative tools for transforming compassion fatigue and vicarious traumatization. Routledge.

May, R., & Yalom, I. (2005). Existential psychotherapy. Thomson Brooks/Cole Publishing Co.

Moncrief-Stuart, S., Cressman, A., Kimberling, J., & Love, C. (2024). A graduate student-staffed, lowcost mental health program: A community-based model to increase access to services. Social Work in Mental Health, 22(4), 546-563.

Mureriwa, J. F. L. (2024). The making of an African psychotherapist: A report from personal experience and reflection. International Journal for Psychotherapy in Africa, 9(1), 13-24.

Nakash, O., Cohen, M., & Nagar, M. (2018). “Why come for treatment?” Clients’ and therapists’ accounts of the presenting problems when seeking mental health care. Qualitative Health Research, 28(6), 916-926.

Neal, T. (2018). Forensic psychology and correctional psychology: Distinct but related subfields of psychological science and practice. American Psychologist, 73(5), 651.

Newhill, C. E., Safran, J. D., & Muran, J. C. (2003). Negotiating the therapeutic alliance: A relational treatment guide. Guilford Press.

Newman, D. S. (2019). The school psychology internship. Routledge.

Nkoma, E. (2018). Perceptions of Zimbabwean trainee/educational psychologists regarding the training on their support roles and responsibilities in inclusive education. Psychology in the Schools, 55(5), 555-572.

Norcross, J. C., & Sayette, M. A. (2023). Insider's guide to graduate programs in clinical and counseling psychology. Guilford Publications.

Odokonyero, R., Aujo, T., Agaba, D., & Abbo, C. (2022). Childhood adversity and co-dependency roles in a case of a midwife with pethidine use disorder attending Mulago National Referral Hospital, Kampala, Uganda. Cogent Public Health, 9(1), 2145704.

O'Connor, L. (2006). Supervision of clinical fellows: A mentoring process (Recorded Course, 2466). SpeechPathology. com.

Pakenham, K. I., & Stafford‐Brown, J. (2012). Stress in clinical psychology trainees: Current research status and future directions. Australian Psychologist, 47(3), 147-155. Palitsky, R., Kaplan, D. M., Brodt, M. A., Anderson, M. R., Athey, A., Coffino, J. A., Egbert, A., Hallowell, E. S., Han, G. T., Hartmann, M. -A., Herbitter, C., Herrera Legon, M., Hughes, C. D., Jao, N. C., Kassel, M. T., Le, T. -A. P., Levin-Aspenson, H. F., López, G., Maroney, M. R.,...

Stevenson, B. (2022). Systemic challenges in internship training for health-service psychology: A call to action from trainee stakeholders. Clinical Psychological Science, 10(5), 819–845. https://doi.org/10.1177/21677026211072232

Potts, H., & Kois, L. E. (2023). Survey of doctoral internships in psychology offering experience in forensics and corrections. Training and Education in Professional Psychology, 17(1), 106.

Price, P. C., Jhangiani, R., & Chiang, I. C. A. (2015). Research methods in psychology. BCCampus.

Probst, B. (2015). The search for identity when clinicians become clients. Clinical Social Work Journal, 43(4), 337-347.

Ramnanan, J. (2015). A thematic analysis of the obstacles faced by student and intern psychologists whilst conducting their first therapy sessions [Unpublished doctoral dissertation]. University of Zululand.

Reiter, M. D., & Sabo, K. (2024). Succeeding in your psychotherapy practicum and internship: Tips, tools, and tales from supervisors and interns. Routledge.

Savin-Baden, M., & Major, C. H. (2023). Qualitative research: The essential guide to theory and practice. Routledge.

Shepherd, B. F., & Brochu, P. M. (2024). Let’s get real: Identity concealment, burnout, and therapeutic relationship quality among psychology trainees with concealable stigmatized identities. Psychotherapy, 61(2), 125.

Skovholt, T. M., & Trotter-Mathison, M. (2016). The resilient practitioner: Burnout and compassion fatigue prevention and self-care strategies for the helping professions. Routledge.

Teater, M., LMFT, L., & Ludgate, J. (2014). Overcoming compassion fatigue: A practical resilience workbook. PESI Publishing & Media.

Thobari, J. A., Haposan, J., Nurwahidin, M., Chandra, L. A., Riswiyanti, A., & Sari, D. (2022). A postmarketing study of pethidine in Indonesia: Safety profile. Open-Access Maced J Med Sci. 10 (A), 519-524.

van Niekerk, A., Oosthuizen, R. M., & Coetzee, M. (2024). Industrial and organisational psychology internship completion: Enabling and thwarting factors. SA Journal of Industrial Psychology, 50(1), 1-11.

Zirima, H. & Nkoma, E. (2018). Perspectives of psychology graduates on the registration of psychologists in Zimbabwe. Global Journal of Psychology Research: New Trends and Issues. 8(3), 97–106.