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Capacity, value neutrality and the ability to consider the future1

  • Jillian Craigie (a1)

Abstract

Calls for the adoption of a universal capacity approach to replace dedicated mental health law are motivated by the idea that the measures designed to protect patient autonomy in legislation such as the Mental Capacity Act 2005 should apply to everyone, including people with a psychiatric diagnosis. In this article it is argued that a diachronic perspective on questions of mental capacity is necessary if capacity law is to play this broader role, but that employing this perspective in assessments of capacity undermines central patient autonomy preserving features of the legislation, which presents a moral dilemma.

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Copyright

The online version of this article is published within an Open Access environment subject to the conditions of the Creative Commons Attribution-NonCommercial-ShareAlike licence . The written permission of Cambridge University Press must be obtained for commercial re-use.

Corresponding author

Footnotes

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1

Thanks go to Natalie Banner, Fabian Freyenhagen, Jonathan Glover, Gareth Owen, Wayne Martin, Genevra Richardson, Katie Steele, George Szmukler and Jo Wolff for their very helpful comments on earlier drafts of this article. Versions of the article were given at the Normative Neutrality and the Theory of Autonomy conference at the University of Essex, the Annual Conference of the Association for Legal and Social Philosophy at Queen's University Belfast, and the Medical Law and Ethics Research Seminar at King's College London, which helped a great deal its development. The article was written with the support of the Wellcome Trust [094910].

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References

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