7 found
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  1.  4
    Assessing Decision-Making Capacity After Brain Injury: A Phenomenological Approach.Gareth S. Owen, Fabian Freyenhagen & Wayne Martin - 2018 - Philosophy, Psychiatry, and Psychology 25 (1):1-19.
    Patients with acquired brain injury present special challenges in the assessment of decision-making capacity or “competence.” Herein, we are particularly concerned with the subset of patients with ABI who have suffered damage to the frontal lobe and acquired the clinical syndrome of “organic personality disorder” sometimes referred to as “the frontal lobe syndrome” and made famous by the case of Phineas Gage. Patients with OPD undergo significant alterations of the habitual patterns of premorbid behavior and the question often arises as (...)
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  2.  49
    Temporal Inabilities and Decision-Making Capacity in Depression.Gareth S. Owen, Fabian Freyenhagen, Matthew Hotopf & Wayne Martin - 2015 - Phenomenology and the Cognitive Sciences 14 (1):163-182.
    We report on an interview-based study of decision-making capacity in two classes of patients suffering from depression. Developing a method of second-person hermeneutic phenomenology, we articulate the distinctive combination of temporal agility and temporal inability characteristic of the experience of severely depressed patients. We argue that a cluster of decision-specific temporal abilities is a critical element of decision-making capacity, and we show that loss of these abilities is a risk factor distinguishing severely depressed patients from mildly/moderately depressed patients. We explore (...)
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  3.  30
    Depression and Decision-Making Capacity for Treatment or Research: A Systematic Review.Thomas Hindmarch, Matthew Hotopf & Gareth S. Owen - 2013 - BMC Medical Ethics 14 (1):54.
    Psychiatric disorders can pose problems in the assessment of decision-making capacity (DMC). This is so particularly where psychopathology is seen as the extreme end of a dimension that includes normality. Depression is an example of such a psychiatric disorder. Four abilities (understanding, appreciating, reasoning and ability to express a choice) are commonly assessed when determining DMC in psychiatry and uncertainty exists about the extent to which depression impacts capacity to make treatment or research participation decisions.
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  4.  77
    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.
    With the waves of reform occurring in mental health legislation in England and other jurisdictions, mental capacity is set to become a key medico-legal concept. The concept is central to the law of informed consent and is closely aligned to the philosophical concept of autonomy. It is also closely related to mental disorder. This paper explores the interdisciplinary terrain where mental capacity is located. Our aim is to identify core dilemmas and to suggest pathways for future interdisciplinary research. The terrain (...)
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  5.  2
    Manic Temporality.Wayne Martin, Tania Gergel & Gareth S. Owen - forthcoming - Philosophical Psychology:1-26.
    ABSTRACTTime-consciousness has long been a focus of research in phenomenology and phenomenological psychology. We advance and extend this tradition of research by focusing on the character of temporal experience under conditions of mania. Symptom scales and diagnostic criteria for mania are peppered with temporally inflected language: increased rate of speech, racing thoughts, flight-of-ideas, hyperactivity. But what is the underlying structure of temporal experience in manic episodes? We tackle this question using a strategically hybrid approach. We recover and reconstruct three hypotheses (...)
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    Authenticity, Insight and Impaired Decision-Making Capacity in Acquired Brain Injury.Gareth S. Owen, Fabian Freyenhagen & Wayne Martin - 2018 - Philosophy, Psychiatry, and Psychology 25 (1):29-32.
    Thanks to Barton Palmer and John McMillan for these thoughtful commentaries. We found much to agree with and it is striking how so many of the issues relating to decision-making capacity assessment find resonances outside of an English jurisdiction. California and New Zealand are clearly grappling with a very similar set of issues and the commentaries speak to the international nature of these discussions.We will pick up on some main points the commentaries raise.As Palmer notes, DMC law is vulnerable to (...)
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  7.  40
    Clinical Assessment of Decision-Making Capacity in Acquired Brain Injury with Personality Change.Gareth S. Owen, Fabian Freyenhagen, Wayne Martin & Anthony S. David - unknown
    © 2015 The Authors. Published by Informa UK Limited, trading as Taylor & Francis Group. Assessment of decision-making capacity can be difficult in acquired brain injury particularly with the syndrome of organic personality disorder. Clinical neuroscience may help but there are challenges translating its constructs to the decision-making abilities considered relevant by law and ethics. An in-depth interview study of DMC in OPD was undertaken. Six patients were purposefully sampled and rich interview data were acquired for scrutiny using interpretative phenomenological (...)
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