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

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

doi:10.1192/bjp.2019.17

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

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

Research output: Contribution to journal › Review article › peer-review

10 Scopus citations

Abstract

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 language	English (US)
Pages (from-to)	183-185
Number of pages	3
Journal	British Journal of Psychiatry
Volume	214
Issue number	4
DOIs	https://doi.org/10.1192/bjp.2019.17
State	Published - Apr 1 2019
Externally published	Yes

Keywords

Consent and capacity
ethics
psychiatry and law

ASJC Scopus subject areas

Psychiatry and Mental health

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10.1192/bjp.2019.17

Cite this

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title = "A pragmatist's guide to the assessment of decision-making capacity",

abstract = "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.",

keywords = "Consent and capacity, ethics, psychiatry and law",

author = "Rocksheng Zhong and Sisti, \{Dominic A.\} and Karlawish, \{Jason H.\}",

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AU - Sisti, Dominic A.

AU - Karlawish, Jason H.

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AB - 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.

KW - Consent and capacity

KW - ethics

KW - psychiatry and law

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

Abstract

Keywords

ASJC Scopus subject areas

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