In Lubomira Radoilska (ed.), Autonomy and Mental Health. Oxford University Press (forthcoming)
AbstractIt is usually appropriate for adults to make significant decisions, such as about what kinds of medical treatment to undergo, for themselves. But sometimes impairments are suffered - either temporary or permanent - which render an individual unable to make such decisions. The Mental Capacity Act 2005 sets out the conditions under which it is appropriate to regard an individual as lacking the capacity to make a particular decision (and when provisions should be made for a decision on their behalf). To what extent does having capacity require the endorsement of certain values? Drawing on Owens et al (2009), I assess the extent to which understanding relevant information and weighing it in coming to a decision requires certain evaluative commitments. With reference to literature on anorexia nervosa and decisions informed by religious beliefs, I argue that it is difficult to avoid the conclusion that the conditions for capacity are value-laden, and that if this is so it is important to open discussion about which patterns of distorted valuing undermine capacity, and why.
Added to PP
Historical graph of downloads
References found in this work
No references found.
Citations of this work
Autonomy, Rationality, and Contemporary Bioethics.Jonathan Pugh - 2020 - Oxford, UK: Oxford University Press.
Similar books and articles
Capacity, Mental Mechanisms, and Unwise Decisions.Tim Thornton - 2011 - Philosophy, Psychiatry, and Psychology 18 (2):127-132.
The Consumer Protection Model of Decisional Capacity Evaluation.Daniel D. Moseley & Gary J. Gala - 2013 - Southwest Philosophy Review 29 (1):241-248.
Assessing Capacity to Make Decisions About Long-Term Care Needs: Ethical Perspectives and Practical Challenges in Hospital Social Work.Martin Sexton - 2012 - Ethics and Social Welfare 6 (4):411-417.
Decision-Making Capacity and the Deprivation of Liberty Safeguards.Peter Lucas - 2011 - Philosophy, Psychiatry, and Psychology 18 (2):117-122.
Mental Capacity and Decisional Autonomy: An Interdisciplinary Challenge.Gareth S. Owen, Fabian Freyenhagen, Genevra Richardson & Matthew Hotopf - 2009 - Inquiry: An Interdisciplinary Journal of Philosophy 52 (1):79 – 107.
The Not Unreasonable Standard for Assessment of Surrogates and Surrogate Decisions.Rosamond Rhodes & Ian Holzman - 2004 - Theoretical Medicine and Bioethics 25 (4):367-386.
Personal Autonomy, Decisional Capacity, and Mental Disorder.Lubomira V. Radoilska - 2012 - In Lubomira Radoilska (ed.), Autonomy and Mental Disorder. Oxford University Press.
Patient Autonomy for the Management of Chronic Conditions: A Two-Component Re-Conceptualization.Aanand D. Naik, Carmel B. Dyer, Mark E. Kunik & Laurence B. McCullough - 2009 - American Journal of Bioethics 9 (2):23 – 30.
Mental Capacity and the Applied Phenomenology of Judgement.Wayne Martin & Ryan Hickerson - 2013 - Phenomenology and the Cognitive Sciences 12 (1):195-214.
The Pragmatic Aspects of Assessing Mental Capacity.Ajit Shah - 2011 - Philosophy, Psychiatry, and Psychology 18 (2):133-134.
Mental Competence or Best Interests?Ajit Shah - 2011 - Philosophy, Psychiatry, and Psychology 18 (2):151-152.
Review: Schwyzer, The Unity of Understanding: A Study in Kantian Problems. [REVIEW]D. W. Hamilyn - 1991 - Philosophical Quarterly 41 (162):112.
On Risk and Decisional Capacity.David Checkland - 2001 - Journal of Medicine and Philosophy 26 (1):35 – 59.
The Paradox of the Assessment of Capacity Under the Mental Capacity Act 2005.Ajit Shah - 2011 - Philosophy, Psychiatry, and Psychology 18 (2):111-115.
Making Decisions About Life-Sustaining Medical Treatment in Patients with Dementia.Arthur R. Derse - 1999 - Theoretical Medicine and Bioethics 20 (1):55-67.