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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...

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Autores principales: Hermann, Helena, Trachsel, Manuel, Elger, Bernice S., Biller-Andorno, Nikola
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2016
Materias:
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.
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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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