The values and rules of capacity assessments

Author:

Hass BineshORCID

Abstract

This article advances two views on the role of evaluative judgment in clinical assessments of decision-making capacity. The first is that it is rationally impossible for such assessments to exclude judgments of the values a patient uses to motivate their decision-making. Predictably, and second, attempting to exclude such judgments sometimes yields outcomes that contain intractable dilemmas that harm patients. These arguments count against the prevailing model of assessment in common law countries—the four abilities model—which is often incorrectly advertised as being value-neutral in respect of patient decision-making both by its proponents and in statute. A straightforward evaluative model of capacity assessment which wears its values on its sleeves and is biased against what are called ‘serious prudential mistakes’ avoids these rational and practical problems.

Publisher

BMJ

Subject

Health Policy,Arts and Humanities (miscellaneous),Issues, ethics and legal aspects,Health (social science)

Reference25 articles.

1. Evaluation of decision-making capacity in patients with dementia: challenges and recommendations from a secondary analysis of qualitative interviews;Poppe;BMC Med Ethics,2020

2. SYH K . The Place of Ability to Value in the Evaluation of Decision-Making Capacity. In: Mosely DD , Gala G , eds. Philosophy and psychiatry: problems, Intersections and new perspectives. New York: Routledge, 2016.

3. Elevated Glutamate and Glutamine Levels in the Cerebrospinal Fluid of Patients With Probable Alzheimer's Disease and Depression

4. Alcohol use disorders and the brain;Rao;Addiction,2020

5. Hawkins J . Affect, value and problems assessing decision-making capacity. Oxford: St Cross Special Ethics Seminar, 2020.

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