Research Repository

Assessing Decision-Making Capacity after Brain Injury: A Phenomenological Approach

Owen, G and Freyenhagen, F and Martin, WM (2018) 'Assessing Decision-Making Capacity after Brain Injury: A Phenomenological Approach.' Philosophy, Psychiatry and Psychology, 25 (1). pp. 1-19. ISSN 1071-6076

Assessing_Decision_Making_Accepted.pdf - Accepted Version

Download (480kB) | Preview


The assessment of decision-making capacity in patients with brain injuries presents a range of clinical and legal challenges. Existing guidance on the conduct of such assessments is often generic; guidance specific to patients with brain injury is sparse and coarse-grained. We report on an interview-based study of decision-making capacity in patients suffering from acquired brain injury and organic personality disorder. We identify challenges associated with the assessment of DMC in this patient population, review three bodies of relevant research from cognitive neuropsychology and neurophysiology, and draw on phenomenological analysis to identify three distinct abilities that play a role in decision-making, but which can be compromised in patients with organic personality disorder. We address the challenge of translating clinical findings into legally attestable results.

Item Type: Article
Uncontrolled Keywords: Mental Capacity; Competence; Organic Personality Disorder; Acquired Brain Injury; Phenomenology; Metacognition; Decision-Making
Subjects: B Philosophy. Psychology. Religion > B Philosophy (General)
R Medicine > R Medicine (General)
Divisions: Faculty of Humanities
Faculty of Humanities > Philosophy and Art History, School of
SWORD Depositor: Elements
Depositing User: Elements
Date Deposited: 28 Jun 2018 12:44
Last Modified: 06 Jan 2022 13:46

Actions (login required)

View Item View Item