Faulty judgment, expert opinion, and decision-making capacity

Theoretical Medicine and Bioethics 20 (4):377-393 (1999)
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Abstract

An assessment of decision-making capacity is the accepted procedure for determining when a person is not competent. An inferential gap exists between the criteria for capacity specific abilities and the legal requirements to understand relevant information and appreciate the consequences of a decision. This gap extends to causal influences on a person'scapacity to decide. Using a published case of depression, we illustrate that assessors' uses of diagnostic information is frequently not up to the task of bridging this inferential gap in a justifiable way. We then describe cases of faulty judgement which challenge the understanding of diagnostic causal influences. These cases help to clarify the nature of the expertise required for capacity assessments. In practice, the requirements of decision-making capacity are often abandoned to other considerations due to a lack of requisite expertise. The legal policy supporting decision-making capacity as a means to protective intervention is justified only if the requisite expertise is developed. We propose the requisite expertise to be developed in the long term as a distinct multidisciplinary endeavour

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David Checkland
Ryerson University

References found in this work

Freedom of the will and the concept of a person.Harry G. Frankfurt - 1971 - Journal of Philosophy 68 (1):5-20.
Brainstorms: Philosophical Essays on Mind and Psychology.Daniel C. Dennett (ed.) - 1978 - Cambridge, Massachusetts: Bradford Books.
Mortal Questions.Thomas Nagel - 1980 - Critica 12 (34):125-133.
The Nature of Rationality.Robert Nozick - 1993 - Revue Philosophique de la France Et de l'Etranger 186 (1):187-189.

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