Skip to main content Accessibility help
×
Hostname: page-component-5f56664f6-6m42z Total loading time: 0 Render date: 2025-05-08T06:10:39.719Z Has data issue: false hasContentIssue false

Chapter 9 - Mental Capacity

Mental Disorder/Disability and Freedom

from Part II - Psychiatry and Ethics

Published online by Cambridge University Press:  03 May 2025

Gareth S. Owen
Affiliation:
King's College London and South London and Maudsley NHS Foundation Trust
Get access

Summary

Introduces the concept of mental capacity as a key meeting point between human freedom and mental disorder/disability. The emergence of a functional test of mental capacity, away from status and outcome tests, is discussed. An account is given of how the functional idea has been operationalised in mainly US–UK law and field tested in cases before a specialised court in England. This process is viewed as a classic one involving the public use of reason within a parliamentary democracy. Study of it has shown that an important romantic concern about the functional test (namely, that it overlooks the emotional or valuational aspects of human nature with an intellectual bias) are less compelling than was thought.

Type
Chapter
Information
Psychiatry and Human Nature
Classic and Romantic Perspectives
, pp. 121 - 132
Publisher: Cambridge University Press
Print publication year: 2025

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Book purchase

Temporarily unavailable

References

Kant, I. What is Enlightenment? (Trans. Smith, M.C) 1784. www.columbia.edu/acis/ets/CCREAD/etscc/kant.html. Last accessed 30.6.24.Google Scholar
Shapiro, I. Democratic Justice. New Haven: Yale University Press; 2001.Google Scholar
Williams, B. Shame and Necessity. Berkeley: University of California Press; 1993.CrossRefGoogle Scholar
Fraser, C. Skepticism and value in the Zhuāngzǐ. Int Philos Q. 2009;49(4):439–56.CrossRefGoogle Scholar
Berlin, I. Two Concepts of Liberty. Four Essays on Liberty. Oxford: Oxford University Press; 1969.Google Scholar
Hale, B. Mental Health Law. 5th ed. London: Sweet and Maxwell; 2010.Google Scholar
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, Third Edition – Revised (DSM-III-R). Washington DC: American Psychiatric Publishing; 1987.Google Scholar
Ey, H. Consciousness: A Phenomenological Study of Being Conscious and Becoming Conscious. Bloomington: Indiana University Press; 1978.Google Scholar
Goldstein, K. The Organism. New York: Zone Books; 1995.Google Scholar
R v. C [2009] UKHL 42.Google Scholar
Schmidt v. Lessard, 414 U.S. 473 (1974).Google Scholar
Foot, J. Franco Basaglia and the radical psychiatry movement in Italy, 1961–78. Crit Radic Soc Work. 2014;2:235–49.Google Scholar
Szasz, T. Debunking antipsychiatry: Laing, law and Largactil. Curr Opin Psychol. 2008;27:79101.CrossRefGoogle Scholar
Charland, LC. Decision-Making Capacity: The Stanford Encyclopedia of Philosophy (Summer 2020 Edition); 2020. https://plato.stanford.edu/archives/sum2020/entries/decision-capacity/#ValEmo. Last accessed 20.6.24.Google Scholar
Kim, SYH, Kane, NB, Ruck Keene, A, Owen, G. Broad concepts and messy realities: optimising the application of mental capacity criteria. J Med Ethics. 2022;48:838–44.CrossRefGoogle ScholarPubMed
Ruck Keene, A, Kane, NB, Kim, SYH, Owen, G. Taking capacity seriously? Ten years of mental capacity disputes before England’s Court of Protection. Int J Law Psychiatry. 2019;62:5676.CrossRefGoogle ScholarPubMed
Kane, NB, Keene, AR, Owen, GS, Kim, SYH. Applying decision-making capacity criteria in practice: A content analysis of court judgments. PLoS One. 2021;16(2):e0246521.CrossRefGoogle ScholarPubMed
RB v. Brighton & Hove City Council [2014] EWCA Civ 561.Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

  • Mental Capacity
  • Gareth S. Owen, King's College London and South London and Maudsley NHS Foundation Trust
  • Book: Psychiatry and Human Nature
  • Online publication: 03 May 2025
  • Chapter DOI: https://doi.org/10.1017/9781009212526.009
Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

  • Mental Capacity
  • Gareth S. Owen, King's College London and South London and Maudsley NHS Foundation Trust
  • Book: Psychiatry and Human Nature
  • Online publication: 03 May 2025
  • Chapter DOI: https://doi.org/10.1017/9781009212526.009
Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

  • Mental Capacity
  • Gareth S. Owen, King's College London and South London and Maudsley NHS Foundation Trust
  • Book: Psychiatry and Human Nature
  • Online publication: 03 May 2025
  • Chapter DOI: https://doi.org/10.1017/9781009212526.009
Available formats
×