A pragmatist's guide to the assessment of decision-making capacity

Rocksheng Zhong, Dominic A. Sisti, Jason H. Karlawish

Research output: Contribution to journalReview articlepeer-review

6 Scopus citations


Summary Choice, understanding, appreciation and reasoning compose the standard model of decision-making capacity. Difficulties in determining capacity can arise when patients exhibit partial impairment. We suggest that a pragmatic approach, focusing on how capacity status affects the ultimate decision to override the patient's wishes, can help evaluators resolve difficult cases. Declaration of interest None.

Original languageEnglish (US)
Pages (from-to)183-185
Number of pages3
JournalBritish Journal of Psychiatry
Issue number4
StatePublished - Apr 1 2019
Externally publishedYes


  • Consent and capacity
  • ethics
  • psychiatry and law

ASJC Scopus subject areas

  • Psychiatry and Mental health


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