Literature DB >> 27329177

Getting the Balance Right: Conceptual Considerations Concerning Legal Capacity and Supported Decision-Making.

Malcolm Parker1.   

Abstract

The United Nations Convention on the Rights of Persons with Disabilities urges and requires changes to how signatories discharge their duties to people with intellectual disabilities, in the direction of their greater recognition as legal persons with expanded decision-making rights. Australian jurisdictions are currently undertaking inquiries and pilot projects that explore how these imperatives should be implemented. One of the important changes advocated is to move from guardianship models to supported or assisted models of decision-making. A driving force behind these developments is a strong allegiance to the social model of disability, in the formulation of the Convention, in inquiries and pilot projects, in implementation and in the related academic literature. Many of these instances suffer from confusing and misleading statements and conceptual misinterpretations of certain elements such as legal capacity, decision-making capacity, and support for decision-making. This paper analyses some of these confusions and their possible negative implications for supported decision-making instruments and those whose interests these instruments would serve, and advises a more incremental development of existing guardianship regimes. This provides a more realistic balance between neglecting the real limits of those with mental disabilities and thereby ignoring their identity and particularity, and continuing to bring them equally and fully into society.

Entities:  

Keywords:  Decision-making capacity; Disability; Guardianship; Legal capacity; Supported decision-making

Mesh:

Year:  2016        PMID: 27329177     DOI: 10.1007/s11673-016-9727-z

Source DB:  PubMed          Journal:  J Bioeth Inq        ISSN: 1176-7529            Impact factor:   1.352


  11 in total

1.  On risk and decisional capacity.

Authors:  D Checkland
Journal:  J Med Philos       Date:  2001-02

2.  Patient decision-making capacity and risk.

Authors:  Mark R Wicclair
Journal:  Bioethics       Date:  1991-04       Impact factor: 1.898

3.  "Best interests" and withholding and withdrawing life-sustaining treatment from an adult who lacks capacity in the parens patriae jurisdiction.

Authors:  Lindy Willmott; Ben White; Malcolm K Smith
Journal:  J Law Med       Date:  2014-06

4.  Supported decision-making and personal autonomy for persons with intellectual disabilities: article 12 of the UN convention on the rights of persons with disabilities.

Authors:  Nandini Devi
Journal:  J Law Med Ethics       Date:  2013       Impact factor: 1.718

5.  Legal capacity under the Convention on the Rights of Persons with Disabilities.

Authors:  Bernadette McSherry
Journal:  J Law Med       Date:  2012-09

6.  A new ball game: the United Nations Convention on the Rights of Persons with Disabilities and assumptions in care for people with dementia.

Authors:  Anita Smith; Danny Sullivan
Journal:  J Law Med       Date:  2012-09

7.  Legal capacity in a health care context: an opportunity to review.

Authors:  Kim Forrester
Journal:  J Law Med       Date:  2014-06

Review 8.  Judging capacity: paternalism and the risk-related standard.

Authors:  Malcolm Parker
Journal:  J Law Med       Date:  2004-05

9.  The United Nations Convention on the Rights of Persons with Disabilities: a new approach to decision-making in mental health law.

Authors:  Fiona Morrissey
Journal:  Eur J Health Law       Date:  2012-12

10.  Mental health law and the UN Convention on the rights of Persons with Disabilities.

Authors:  George Szmukler; Rowena Daw; Felicity Callard
Journal:  Int J Law Psychiatry       Date:  2013-11-23
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  1 in total

Review 1.  Empowering the voiceless. Disorders of consciousness, neuroimaging and supported decision-making.

Authors:  Timo Istace
Journal:  Front Psychiatry       Date:  2022-09-06       Impact factor: 5.435

  1 in total

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