David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Jack Alan Reynolds
Learn more about PhilPapers
Bioethics 26 (2):108-116 (2012)
There is an important gap in philosophical, clinical and bioethical conceptions of decision-making capacity. These fields recognize that when traumatic life circumstances occur, people not only feel afraid and demoralized, but may develop catastrophic thinking and other beliefs that can lead to poor judgment. Yet there has been no articulation of the ways in which such beliefs may actually derail decision-making capacity. In particular, certain emotionally grounded beliefs are systematically unresponsive to evidence, and this can block the ability to deliberate about alternatives. People who meet medico-legal criteria for decision-making capacity can react to health and personal crises with such capacity-derailing reactions. One aspect of this is that a person who is otherwise cognitively intact may be unable to appreciate her own future quality of life while in this complex state of mind. This raises troubling ethical challenges. We cannot rely on the current standard assessment of cognition to determine decisional rights in medical and other settings. We need to understand better how emotionally grounded beliefs interfere with decision-making capacity, in order to identify when caregivers have an obligation to intervene
|Keywords||competence fear emotion psychiatric assessment health decisions decision‐making capacity autonomy|
|Categories||categorize this paper)|
Setup an account with your affiliations in order to access resources via your University's proxy server
Configure custom proxy (use this if your affiliation does not provide a proxy)
|Through your library|
References found in this work BETA
No references found.
Citations of this work BETA
Katherine Carroll & Catherine Waldby (2012). Informed Consent and Fresh Egg Donation for Stem Cell Research. Journal of Bioethical Inquiry 9 (1):29-39.
Gerben Meynen (2011). Depression, Possibilities, and Competence: A Phenomenological Perspective. [REVIEW] Theoretical Medicine and Bioethics 32 (3):181-193.
Similar books and articles
Wayne Martin & Ryan Hickerson (2013). Mental Capacity and the Applied Phenomenology of Judgement. Phenomenology and the Cognitive Sciences 12 (1):195-214.
Omar E. M. Khalil (1993). Artificial Decision-Making and Artificial Ethics: A Management Concern. [REVIEW] Journal of Business Ethics 12 (4):313 - 321.
B. C. Partridge (2010). Adolescent Psychological Development, Parenting Styles, and Pediatric Decision Making. Journal of Medicine and Philosophy 35 (5):518-525.
Wim J. M. Dekkers (2001). Autonomy and Dependence: Chronic Physical Illness and Decision-Making Capacity. Medicine, Health Care and Philosophy 4 (2):185-192.
Tim Thornton (2011). Capacity, Mental Mechanisms, and Unwise Decisions. Philosophy, Psychiatry, and Psychology 18 (2):127-132.
Peter Lucas (2011). Decision-Making Capacity and the Deprivation of Liberty Safeguards. Philosophy, Psychiatry, and Psychology 18 (2):117-122.
Ajit Shah (2011). The Pragmatic Aspects of Assessing Mental Capacity. Philosophy, Psychiatry, and Psychology 18 (2):133-134.
Michel Silberfeld & David Checkland (1999). Faulty Judgment, Expert Opinion, and Decision-Making Capacity. Theoretical Medicine and Bioethics 20 (4):377-393.
Arthur R. Derse (1999). Making Decisions About Life-Sustaining Medical Treatment in Patients with Dementia. Theoretical Medicine and Bioethics 20 (1):55-67.
Added to index2010-05-18
Total downloads26 ( #65,687 of 1,098,996 )
Recent downloads (6 months)1 ( #287,293 of 1,098,996 )
How can I increase my downloads?