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Emotion and Value in the Evaluation of Medical Decision-Making Capacity: A Narrative Review of Arguments
Ever since the traditional criteria for medical decision-making capacity (understanding, appreciation, reasoning, evidencing a choice) were formulated, they have been criticized for not taking sufficient account of emotions or values that seem, according to the critics and in line with clinical expe...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Frontiers Media S.A.
2016
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4880567/ https://www.ncbi.nlm.nih.gov/pubmed/27303329 http://dx.doi.org/10.3389/fpsyg.2016.00765 |
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author | Hermann, Helena Trachsel, Manuel Elger, Bernice S. Biller-Andorno, Nikola |
author_facet | Hermann, Helena Trachsel, Manuel Elger, Bernice S. Biller-Andorno, Nikola |
author_sort | Hermann, Helena |
collection | PubMed |
description | Ever since the traditional criteria for medical decision-making capacity (understanding, appreciation, reasoning, evidencing a choice) were formulated, they have been criticized for not taking sufficient account of emotions or values that seem, according to the critics and in line with clinical experiences, essential to decision-making capacity. The aim of this paper is to provide a nuanced and structured overview of the arguments provided in the literature emphasizing the importance of these factors and arguing for their inclusion in competence evaluations. Moreover, a broader reflection on the findings of the literature is provided. Specific difficulties of formulating and measuring emotional and valuational factors are discussed inviting reflection on the possibility of handling relevant factors in a more flexible, case-specific, and context-specific way rather than adhering to a rigid set of operationalized criteria. |
format | Online Article Text |
id | pubmed-4880567 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-48805672016-06-14 Emotion and Value in the Evaluation of Medical Decision-Making Capacity: A Narrative Review of Arguments Hermann, Helena Trachsel, Manuel Elger, Bernice S. Biller-Andorno, Nikola Front Psychol Psychology Ever since the traditional criteria for medical decision-making capacity (understanding, appreciation, reasoning, evidencing a choice) were formulated, they have been criticized for not taking sufficient account of emotions or values that seem, according to the critics and in line with clinical experiences, essential to decision-making capacity. The aim of this paper is to provide a nuanced and structured overview of the arguments provided in the literature emphasizing the importance of these factors and arguing for their inclusion in competence evaluations. Moreover, a broader reflection on the findings of the literature is provided. Specific difficulties of formulating and measuring emotional and valuational factors are discussed inviting reflection on the possibility of handling relevant factors in a more flexible, case-specific, and context-specific way rather than adhering to a rigid set of operationalized criteria. Frontiers Media S.A. 2016-05-26 /pmc/articles/PMC4880567/ /pubmed/27303329 http://dx.doi.org/10.3389/fpsyg.2016.00765 Text en Copyright © 2016 Hermann, Trachsel, Elger and Biller-Andorno. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Psychology Hermann, Helena Trachsel, Manuel Elger, Bernice S. Biller-Andorno, Nikola Emotion and Value in the Evaluation of Medical Decision-Making Capacity: A Narrative Review of Arguments |
title | Emotion and Value in the Evaluation of Medical Decision-Making Capacity: A Narrative Review of Arguments |
title_full | Emotion and Value in the Evaluation of Medical Decision-Making Capacity: A Narrative Review of Arguments |
title_fullStr | Emotion and Value in the Evaluation of Medical Decision-Making Capacity: A Narrative Review of Arguments |
title_full_unstemmed | Emotion and Value in the Evaluation of Medical Decision-Making Capacity: A Narrative Review of Arguments |
title_short | Emotion and Value in the Evaluation of Medical Decision-Making Capacity: A Narrative Review of Arguments |
title_sort | emotion and value in the evaluation of medical decision-making capacity: a narrative review of arguments |
topic | Psychology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4880567/ https://www.ncbi.nlm.nih.gov/pubmed/27303329 http://dx.doi.org/10.3389/fpsyg.2016.00765 |
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