The cognitive based approach of capacity assessment in psychiatry: A philosophical critique of the MacCAT-T

Health Care Analysis

Volumn 12, Issue 4, 2004, Pages 273-283

  Breden, Torsten Marcus ^a   Vollmann, Jochen ^a  

^a UNIVERSITY OF ERLANGEN NUREMBERG   (Germany)

Author keywords

Capacity; Competence; Decision making; Ethics, psychiatry; MacCAT T

Indexed keywords

ANALYTIC METHOD; ANTHROPOLOGY; CLINICAL OBSERVATION; COGNITION; COMPETENCE; DECISION MAKING; EMOTION; EXPERIENCE; FUNCTIONAL ASSESSMENT; HEALTH STATUS; HUMAN; LIFE; MEDICAL DOCUMENTATION; MEDICAL ETHICS; MEDICOLEGAL ASPECT; MENTAL CAPACITY; MENTAL DISEASE; MENTAL FUNCTION; MENTAL HEALTH; MENTAL PATIENT; METHODOLOGY; MODEL; PHILOSOPHY; PHYSICIAN; PROBABILITY; PSYCHOLOGIC ASSESSMENT; QUALITATIVE ANALYSIS; REVIEW; SCORING SYSTEM; STANDARD; SYMPTOM; TASK PERFORMANCE; THEORETICAL STUDY;

PROFESSIONAL PATIENT RELATIONSHIP;

COGNITION; DECISION MAKING; EMOTIONS; HUMANS; MENTAL COMPETENCY; MODELS, PSYCHOLOGICAL; PERSONAL AUTONOMY; PHILOSOPHY, MEDICAL; PSYCHIATRIC STATUS RATING SCALES;

EID: 12544257411     PISSN: 10653058     EISSN: None     Source Type: Journal    
DOI: 10.1007/s10728-004-6635-x     Document Type: Review

References (27)

1. Appelbaum, P.S. (1998) Ought we to Require Emotional Capacity as Part of Decisional Competence? Kennedy Institute of Ethics Journal 8, 377-387.
2. Bauer, A., and Vollmann, J. (2002) Einwilligungsfähigkeit bei Psychisch Kranken. Eine Übersicht Empirischer Untersuchungen. Nervenarzt 73, 1031-1038.
3. Bell, R.C. (1990) Analytic Issues in the Use of Repertory Grid Technique. In G.J. Neimeyer and R.A. Neimeyer (Eds.), Advances in Personal Construct Psychology. Greenwich: JAI Press.
4. Buchanan, A.E. and Brock, D.W. (1989) Deciding for Others: The Ethics of Surrogate Decision Making. New York: Cambridge University Press.
5. Charland, L.C. (1998) Appreciation and Emotion: Theoretical Reflections on the MacArthur Treatment Competence Study. Kennedy Institute of Ethics Journal 8, 359-376.
6. Dekkers, W.J.M. (1998) Hermeneutics and Experiences of the Body. The Case of Low Back Pain. Theoretical Medicine 19, 277-293.
7. Drane, J.F. (1985) The Many Faces of Competency. Hastings Center Report 15(2), 17-21.
8. Elliot, C. (1997) Caring About Risks: Are Severely Depressed Patients Competent to Consent to Research? Archives of General Psychiatry 54, 113-116.
9. Fitten, L.J., Lusky, R., and Hamann, C. (1990) Assessing Treatment Decision-making Capacity in Elderly. Archives of Internal Medicine 150, 1717-1721.
10. Freedman, B. (1981) Competence, Marginal and Otherwise: Concepts and Ethics. International Journal of Law and Psychiatry 4, 53-72.
11. Grisso, T., and Appelbaum, P.S. (1995) Comparison of Standards for Assessing Patients' Capacities to Make Treatment Decisions. American Journal of Psychiatry 152, 1033-1037.
12. Grisso, T., and Appelbaum, P.S. (1998) Assessing Competence to Consent to Treatment. A Guide for Physicians and other Health Professionals. New York, Oxford: Oxford University Press.
13. Helmchen, H., Kanowski, S., and Koch, H.G. (1989) Forschung mit dementen Kranken: Forschungsbedarf und Einwilligungsproblematik. Ethik in der Medizin 1, 83-98.
14. Janofsky, J., McCarthy, R., and Folstein, M. (1992) The Hopkins Competency Assessment Test: A Brief Method for Evaluating Patients' Capacity to Give Informed Consent. Hospital and Community Psychiatry 43, 132-136.
15. Kelly, G.A. (1955) The Psychology of Personal Constructs. New York: Norton.
16. Kelly, G.A. (1970) A Brief Introduction to Personal Construct Theory. In D. Bannister (Ed.) Perspectives in Personal Construct Theory (pp. 1-30). London, New York: Academic Press.
17. Markson, L.J., Kern, D., Annas, G., and Glantz, L. (1994) Physician Assessment of Patient Competence. Journal of American Geriatrics Society 42, 1074-1080.
18. Riemann, R. (1991) Repertory Grid Technik. Göttingen: Hogrefe.
19. Roth, L.H., Meisel, A., and Lidz, C.W. (1977) Tests of Competency to Consent to Treatment. American Journal of Psychiatry 134, 279-284.
20. Rutman, D., and Silberfeld, M. (1997) A Preliminary Report on the Discrepancy between Clinical and Test Evaluation of Competence. Canadian Journal of Psychiatry 37, 634-639.
21. Scheer, J.W., and Catina, A. (Eds.) (1993) Einführung in die. Repertory Grid-Technik. Bern: Huber.
22. Vollmann, J. (2000) Einwilligungsfähigkeit als relationales Modell. Klinische Praxis und medizinethische Analyse. Nervenarzt 71, 709-714.
23. Vollmann, J., Bauer, A., Danker-Hopfe, D., and Helmchen, H. (2003) Competence of Mentally Ill Patients: A Comparative Empirical Study. Psychological Medicine 33, 1463-1471.
24. Vollmann, J., Kühl, K.-P., Tilmann, A., Hartung, H.D., and Helmchen, H. (2004) Einwilligungsfähigkeit und Neuropsychologische Einschränkungen bei Dementen Patienten. Nervenarzt 75, 29-35.
25. Welie, S.P.K. (2001) Criteria for Patient Decision Making (In)competence: A Review of and Commentary on Some Empirical Approaches. Medicine, Health Care and Philosophy 4, 139-151.
26. Welie, J.V.M., and Welie, S.P.K. (2001) Patient Decision Making Competence: Outlines of a Conceptual Analysis. Medicine, Healthcare and Philosophy 4, 127-138.
27. Widdershoven, G.A.M. (1995) Principe of Praktijk? Een Hermeneutische Visie op Gezondheid en Zorg. Maastricht: Rijksuniversiteit Limburg.