Here we describe how more important findings were obtained in a delirium study by using an informal assessment of mental capacity, and, in those who lacked capacity, obtaining consent later when or if capacity returned or a proxy was found. From a total of 233 patients 23 patients lacked capacity as judged by our informal capacity judgment and 210 did not. Of those who lacked capacity, 13 agreed to enter in the study. Six of them regained capacity later. When these (...) 13 participants were excluded from analysis, significant findings were no longer evident. These results show that by the inclusion of subjects who lacked capacity the results of analyses of the condition from whish they suffer are altered. We suggest that this approach to the study of delirium is more ethical than the usual system of strict exclusion of people who lack capacity to give consent and for whom assent is not available. (shrink)
Here we describe how more important findings were obtained in a delirium study by using an informal assessment of mental capacity, and, in those who lacked capacity, obtaining consent later when or if capacity returned or a proxy was found. From a total of 233 patients 23 patients lacked capacity as judged by our informal capacity judgment and 210 did not. Of those who lacked capacity, 13 agreed to enter in the study. Six of them regained capacity later. When these (...) 13 participants were excluded from analysis, significant findings were no longer evident. These results show that by the inclusion of subjects who lacked capacity the results of analyses of the condition from whish they suffer are altered. We suggest that this approach to the study of delirium is more ethical than the usual system of strict exclusion of people who lack capacity to give consent and for whom assent is not available. (shrink)
Chapter One The most plausible arguments for the identity of mind and body that have been advanced in this century have been for the identity of mental ...
Connectionism: Debates on Psychological Explanation, Volume Two Edited by Cynthia Macdonald and Graham Macdonald Blackwell, 1995. Pp. xvii + 424. ISBN 0-631-19744-3. 50.00 (hbk). ISBN 0-631-19745-1 16.99 (pbk). New books on the philosophy of religion Divine Hiddenness and Human Reason By J.L. Schellenberg, Cornell University Press, 1993. Pp. 217. ISBN 0-8014-2792-4. $36.50 (hbk). Reason and the Heart By William J. Wainwright, Cornell University Press, 1995. Pp. 160. ISBN 0-8014-3139-5. $28.50 (hbk). The Rationality of Belief and the Plurality of (...) Faith Edited by Thomas D. Senor, Cornell University Press, 1995. Pp. 291. ISBN 0-8014-3127-1. $39.95 (hbk). (shrink)
