The DOI matches its Crossref record.
Assessing Competence to Consent to Treatment: A Guide for Physicians and Other Health Prefessionals
Abstract
One of the most challenging tasks facing clinicians today is the assessment of patients' capacities to consent to treatment. The protection of a patient's right to decide, as well as the protection of incompetent patients from the potential harm of the decisions they might make, rests largely on clinicians' abilities to judge patients' capacities to decide what treatment they will receive. Confusing laws and complex ethical questions surrounding competence to consent to treatment have made the process of competence assessment intimidating for many clinicians. Health professionals - physicians, medical students nad residents, nurses, and mental health practitioners - have long needed a consice guidebook that translates the issue for practice. This is what this book accomplishes. The aurthors describe the place of competence in the doctrine of informed consent and show how assessments of competence to consent to treatment can be structured by using a specific set of general medical and psychiatric treatment settings, explain how the assessment should be conducted, and offer a structured interview method to assist the task. They also explore the often difficult process of making the judgement about competence and desire what to do when patients' capacities are limited.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“Most tests of competence to consent to medical treatment require that the person can “weigh” the information and “appreciate” consequences of their decision (7), yet the ability to do this may be impaired by the effects of mental disorder.”
From Medical Assistance in Dying: Challenges for Psychiatry (2018) · cites this paper as [7]
Citations
Cited by
Sorted by citations
Items 301–400 of 804
Older Adults and Capacity-Related Assessment: Promise and Caution
Baird, A. D., Solcz, S., Gale-Ross, R., & Blake, T. M. (2009) · Experimental Aging Research · doi:10.1080/03610730902922085 · Cited by 12
Bielby, P. (2012) · Health Care Analysis · doi:10.1007/s10728-012-0215-2 · Cited by 11
Mental Health and Mental Capacity Law: Some Mutual Concerns for Social Work Practice
Rapaport, J., Manthorpe, J., & Stanley, N. (2009) · Practice · doi:10.1080/09503150902807631 · Cited by 11
Morán‐Sánchez, I., López, A. M., & Pérez-Cárceles, M. D. (2018) · Journal of Empirical Research on Human Research Ethics · doi:10.1177/1556264618789564 · Cited by 11
Decisional Capacity for Informed Consent in Males and Females with Fragile X Syndrome
Wheeler, A., Wylie, A. C., Raspa, M., Villagomez, A. N., Miller, K. M., Edwards, A., DeRamus, M., Appelbaum, P. S., & Bailey, D. B. (2019) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-019-03930-4 · Cited by 11
Self-citationHow to Measure Progress in Forensic Care
Kennedy, H. G., O'Reilly, K., Davoren, M., O'Flynn, P., & O'Sullivan, O. P. (2019) · Long-Term Forensic Psychiatric Care · doi:10.1007/978-3-030-12594-3_8 · Cited by 16
Die Entwicklung des Konzepts der Einwilligung nach Aufklärung in der psychiatrischen Forschung
Helmchen, H. (2019) · Ethik in der Medizin · doi:10.1007/s00481-019-00532-7 · Cited by 6
Issues of Ethics and Identity in Diagnosis of Late Life Depression
Lidz, C. W., & Parker, L. S. (2003) · Ethics & Behavior · doi:10.1207/s15327019eb1303_04 · Cited by 11
Mental capacity and the applied phenomenology of judgement
Martin, W., & Hickerson, R. (2011) · Phenomenology and the Cognitive Sciences · doi:10.1007/s11097-011-9242-y · Cited by 12
Einwilligungsfähigkeit: inhärente Fähigkeit oder ethisches Urteil?
Hermann, H., Trachsel, M., & Biller‐Andorno, N. (2015) · Ethik in der Medizin · doi:10.1007/s00481-015-0360-x · Cited by 11
Deep-Brain Stimulation for Depression
Glannon, W. (2008) · HEC Forum · doi:10.1007/s10730-008-9084-3 · Cited by 11
Compounding Vulnerability: Pregnancy and Schizophrenia
Dudzinski, D. M. (2006) · The American Journal of Bioethics · doi:10.1080/15265160500506191 · Cited by 11
Consent in psychiatry – an ethical review
Lepping, P. (2003) · Psychiatric Bulletin · doi:10.1192/pb.27.8.285 · Cited by 11
Abrams, R. C., Ansell, P., Breckman, R., et al. (2019) · Journal of Elder Abuse & Neglect · doi:10.1080/08946566.2019.1573392 · Cited by 11
Challenges faced by residential aged care staff in decision-making for residents with dementia
Cameron, N., Fetherstonhaugh, D., & Bauer, M. (2020) · Dementia · doi:10.1177/1471301220929154 · Cited by 10
Scholten, M., Braun, E., Gather, J., & Vollmann, J. (2021) · The American Journal of Bioethics · doi:10.1080/15265161.2021.1980133 · Cited by 10
Ethical Issues in Research with Patients Who Have Experienced Stroke
Savage, T. A. (2006) · Topics in Stroke Rehabilitation · doi:10.1310/tsr1304-1 · Cited by 10
Medical Patients’ Treatment Decision Making Capacity: A Report from a General Hospital in Greece
Bilanakis, N., Vratsista, A., Athanasiou, E., Niakas, D. A., & Peritogiannis, V. (2014) · Clinical Practice and Epidemiology in Mental Health · doi:10.2174/1745017901410010133 · Cited by 10
Taking Respect Seriously: Clinical Research and the Demands of Informed Consent
Jansen, L. A. (2018) · The Journal of Medicine and Philosophy A Forum for Bioethics and Philosophy of Medicine · doi:10.1093/jmp/jhy006 · Cited by 10
Ranjith, G., & Hotopf, M. H. (2004) · Journal of the Royal Society of Medicine · doi:10.1258/jrsm.97.10.480 · Cited by 27
Australian lawyers' views on competency issues in older adults
Helmes, E., Lewis, V. A., & Allan, A. (2004) · Behavioral Sciences & the Law · doi:10.1002/bsl.592 · Cited by 10
Geropsychology Training in a VA Nursing Home Setting
Karel, M. J., & Moye, J. A. (2005) · Gerontology & Geriatrics Education · doi:10.1300/j021v25n04_06 · Cited by 10
Evaluating Voting Competence in Persons with Alzheimer Disease
Tiraboschi, P., Chitò, E., Sacco, L., et al. (2011) · International Journal of Alzheimer s Disease · doi:10.4061/2011/983895 · Cited by 10
Fitness for Trial in Queensland
Scott, R. (2007) · Psychiatry Psychology and Law · doi:10.1375/pplt.14.2.327 · Cited by 10
Mental Competence and End-of-Life Decision Making: Death Row Volunteering and Euthanasia
Harrington, C. L. (2004) · Journal of Health Politics Policy and Law · doi:10.1215/03616878-29-6-1109 · Cited by 10
Kitamura, T. (2000) · Psychiatry and Clinical Neurosciences · doi:10.1046/j.1440-1819.2000.00746.x · Cited by 10
Autism and Moral Responsibility: Executive Function, Reasons Responsiveness, and Reasons Blockage
Richman, K. A. (2017) · Neuroethics · doi:10.1007/s12152-017-9341-8 · Cited by 10
Brauner, D. J., & Merel, S. E. (2006) · The Journal of Clinical Ethics · doi:10.1086/jce200617206 · Cited by 10
Consent and long‐term neuroleptic treatment
Harris, N. R., Lovell, K., & Day, J. C. (2002) · Journal of Psychiatric and Mental Health Nursing · doi:10.1046/j.1365-2850.2002.00463.x · Cited by 10
Correlates of Children’s Competence to Make Healthcare Decisions
Deatrick, J. A., Dickey, S. B., Wright, R., et al. (2003) · The Journal of Clinical Ethics · doi:10.1086/jce200314302 · Cited by 10
Scholten, M., Efkemann, S., Faissner, M., Finke, M., Gather, J., Gergel, T., Gieselmann, A., van der Ham, L., Juckel, G., van Melle, L., et al. (2023) · European psychiatry · doi:10.1192/j.eurpsy.2023.2421 · Cited by 7
Assessment of decision-making autonomy in chronic pain patients: a pilot study
d’Ussel, M., Sacco, E., Moreau, N., Nizard, J., & Durand, G. (2024) · BMC Medical Ethics · doi:10.1186/s12910-024-01096-y · Cited by 10
Mazur, D. J. (2013) · Sociology Compass · doi:10.1111/soc4.12067 · Cited by 9
Das kombinierte Modell der Entscheidungsassistenz
Scholten, M., Gather, J., & Vollmann, J. (2022) · Der Nervenarzt · doi:10.1007/s00115-022-01384-1 · Cited by 10
Suwa, S., Yumoto, A., Ueno, M., et al. (2019) · Nursing Open · doi:10.1002/nop2.283 · Cited by 9
Voluntary Stopping of Eating and Drinking in Swiss Outpatient Care
Stängle, S., Schnepp, W., Büche, D., et al. (2020) · GeroPsych · doi:10.1024/1662-9647/a000249 · Cited by 10
End-of-Life Decision-Making Capacity in Older People With Serious Mental Illness
Kotzé, C., Roos, J. L., & Ehlers, R. (2021) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2021.752897 · Cited by 11
Depression and Physician-Aid-in-Dying
Tully, I. (2022) · The Journal of Medicine and Philosophy A Forum for Bioethics and Philosophy of Medicine · doi:10.1093/jmp/jhac004 · Cited by 10
Unlocking the Voices of Patients with Severe Brain Injury
Peterson, A. H., Mintz, K. T., & Owen, A. M. (2022) · Neuroethics · doi:10.1007/s12152-022-09492-0 · Cited by 10
Free will and the desire for suicide in mental illness
Zürcher, T. (2022) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2022.909970 · Cited by 9
Wergeland, N. C., Fause, Å., Weber, A. K., Fause, A. B. O., & Riley, H. (2022) · BJPsych Open · doi:10.1192/bjo.2022.592 · Cited by 9
Neuropsychological Evaluation of Decision-Making Capacity in Older Adults
Demakis, G. J. (2013) · Psychological Injury and Law · doi:10.1007/s12207-013-9147-x · Cited by 9
Preliminary T urkish study of psychiatric in‐patients’ competence to make treatment decisions
Er, R. A., Şehiraltı, M., & Aker, A. T. (2012) · Asia-Pacific Psychiatry · doi:10.1111/appy.12000 · Cited by 9
Patient experience and the psychiatric discourse: Attempting to bridge incommensurable worlds
Jacob, K. (2015) · Indian Journal of Psychiatry · doi:10.4103/0019-5545.171847 · Cited by 9
Assessing Decision-Making Capacity in Patients with Communication Impairments
Cairncross, M., Peterson, A. H., Lazosky, A., Gofton, T. E., & Weijer, C. (2016) · Cambridge Quarterly of Healthcare Ethics · doi:10.1017/s0963180116000414 · Cited by 9
McCullough, L. B., Molinari, V., & Workman, R. H. (2001) · The Journal of Clinical Ethics · doi:10.1086/jce200112408 · Cited by 9
Concerned About Client Decision-Making Capacity? Considerations for Practice
Black, K., & Osman, H. (2005) · Care management journals · doi:10.1891/cmaj.6.2.50 · Cited by 9
Community Treatment Orders and Competence to Consent
Milne, D., O'Brien, A. J., & McKenna, B. (2009) · Australasian Psychiatry · doi:10.1080/10398560902721572 · Cited by 9
Monahan, J. T. (2012) · Handbook of Psychology, Second Edition · doi:10.1002/9781118133880.hop211022 · Cited by 9
Protecting or Empowering the Vulnerable? Mental Illness, Communication and the Research Process
Atkinson, J. M. (2007) · Research Ethics · doi:10.1177/174701610700300410 · Cited by 9
The U-ARE Protocol: A Pragmatic Approach to Decisional Capacity Assessment for Clinical Research
Hamilton, R. K. B., Phelan, C. H., Chin, N. A., Wyman, M. F., Lambrou, N. H., Cobb, N. L., Kind, A., Blazel, H. M., Asthana, S., & Gleason, C. E. (2019) · Journal of Alzheimer s Disease · doi:10.3233/jad-190457 · Cited by 8
Poth, A., Penger, S., Knebel, M., Müller, T., Pantel, J., Oswald, F., & Haberstroh, J. (2022) · Aging & Mental Health · doi:10.1080/13607863.2021.2024797 · Cited by 8
Florack, J., Abele, C., Baisch, S., et al. (2023) · BMC Medical Ethics · doi:10.1186/s12910-023-00905-0 · Cited by 8
Competency of aMCI patients to consent to cholinesterase treatment
Oshima, E., Takenoshita, S., Iwai, R., Yabe, M., Imai, N., Horiuchi, M., Takeda, N., Uchitomi, Y., Yamada, N., & Terada, S. (2019) · International Psychogeriatrics · doi:10.1017/s1041610219000516 · Cited by 8
Cohen, D. A., Sepehry, A. A., & Schultz, I. Z. (2019) · Psychological Injury and Law · doi:10.1007/s12207-019-09364-8 · Cited by 8
End-of-life decision-making capacity in an elderly patient with schizophrenia and terminal cancer
Kotzé, C., & Roos, J. L. (2020) · South African Family Practice · doi:10.4102/safp.v62i1.5111 · Cited by 8
Wied, T. S., Poth, A., Pantel, J., et al. (2020) · Zeitschrift für Gerontologie und Geriatrie · doi:10.1007/s00391-020-01779-2 · Cited by 8
Ethisches Spannungsfeld – Patientenselbstbestimmung und professionelle Fürsorge
Gather, J., & Scholten, M. (2020) · Springer Reference Pflege, Therapie, Gesundheit · doi:10.1007/978-3-662-58685-3_48-1 · Cited by 8
Einwilligungsfähigkeit von Menschen mit Demenz
Haberstroh, J., Tesky, V. A., & Pantel, J. (2020) · Zeitschrift für Gerontologie und Geriatrie · doi:10.1007/s00391-020-01820-4 · Cited by 8
Gilbertson, A., Tucker, J. D., Dubé, K., Dijkstra, M., & Rennie, S. (2021) · BMC Medical Ethics · doi:10.1186/s12910-021-00716-1 · Cited by 8
Ethical and Legal Aspects of Technology-Assisted Care in Neurodegenerative Disease
Schmitz‐Luhn, B., & Chandler, J. A. (2022) · Journal of Personalized Medicine · doi:10.3390/jpm12061011 · Cited by 8
Empowering the voiceless. Disorders of consciousness, neuroimaging and supported decision-making
Istace, T. (2022) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2022.923488 · Cited by 8
Baisch, S., Abele, C., Theile-Schürholz, A., Schmidtmann, I. M., Oswald, F., Karakaya, T., Müller, T., Florack, J., Garmann, D., Karneboge, J. N., et al. (2022) · BMC Medical Ethics · doi:10.1186/s12910-022-00854-0 · Cited by 8
Werth, J. L., & Rogers, J. R. (2005) · Mortality · doi:10.1080/13576270500030966 · Cited by 8
Fennell, P., & Goldstein, R. L. (2006) · Behavioral Sciences & the Law · doi:10.1002/bsl.717 · Cited by 8
Decision-making capacity should not be decisive in emergencies
Hubbeling, D. A. A. (2013) · Medicine Health Care and Philosophy · doi:10.1007/s11019-013-9534-9 · Cited by 8
Swindell, J. S. (2009) · The American Journal of Bioethics · doi:10.1080/15265160802635680 · Cited by 8
Informed Consent to Breaking Bad News
Rudnick, A. (2002) · Nursing Ethics · doi:10.1191/0969733002ne481oa · Cited by 8
When the State Takes Over a Life: The Public Guardian as Public Administrator
Teaster, P. B. (2003) · Public Administration Review · doi:10.1111/1540-6210.00303 · Cited by 8
Waight, M., & Oldreive, W. J. (2011) · British Journal of Learning Disabilities · doi:10.1111/j.1468-3156.2011.00683.x · Cited by 8
Capacityin vacuo: An audit of decision-making capacity assessments in a liaison psychiatry service
Spencer, B. W. J., Wilson, G., Okon-Rocha, E., et al. (2017) · BJPsych Bulletin · doi:10.1192/pb.bp.115.052613 · Cited by 8
Moye, J. A., & Braun, M. (2010) · Elsevier eBooks · doi:10.1016/b978-0-12-374961-1.10022-3 · Cited by 9
Ethical Framework of Supporting Medical Decision Making for Persons With Aphasia
Wagner, L. C. B. (2018) · Perspectives of the ASHA Special Interest Groups · doi:10.1044/2018_pers-sig2-2018-0014 · Cited by 8
Insight and capacity to consent to electroconvulsive therapy
Scott, R. J., & Prowacki, S. (2019) · Australasian Psychiatry · doi:10.1177/1039856219852290 · Cited by 8
The Rhetoric of the ‘Passive Patient’ in Indian Medical Negligence Cases
Subramani, S. (2019) · Asian Bioethics Review · doi:10.1007/s41649-019-00106-1 · Cited by 8
Ulivi, G., Reilly, J., & Atkinson, J. M. (2009) · Journal of Mental Health · doi:10.1080/09638230802053367 · Cited by 8
Werth, J. L. (2000) · OMEGA - Journal of Death and Dying · doi:10.2190/ugym-4gvu-f5c2-8cu7 · Cited by 8
Decision-making competence in adults: a philosopher's viewpoint
Dickenson, D. L. (2001) · Advances in Psychiatric Treatment · doi:10.1192/apt.7.5.381 · Cited by 8
Involuntary psychiatric treatment: Capacity should be central to decision making
Holloway, F., & SZMUKLER, G. I. (2003) · Journal of Mental Health · doi:10.1080/09638230310001603500 · Cited by 8
Ethical Issues in Psychological Assessment
Koocher, G. P., & Rey‐Casserly, C. M. (2003) · Wiley eBooks · doi:10.1002/0471264385.wei1008 · Cited by 9
Braun, E., Gather, J., Scholten, M., & Vollmann, J. (2022) · The American Journal of Bioethics · doi:10.1080/15265161.2021.2013979 · Cited by 8
Hein, I. M., Daams, J. G., Troost, P. W., Lindeboom, R., & Lindauer, R. (2014) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd011099 · Cited by 8
RetractedWhat Is Coercion and Can Its Use Be Justified in Mental Healthcare? An Ethical Analysis
Hempeler, C., Scholten, M., Werning, A., & Gather, J. (2024) · Springer eBooks · doi:10.1007/978-3-031-61224-4_7 · Cited by 8
Fazio, N. D., Morena, D., Piras, F., Piras, F., Banaj, N., Delogu, G., Damato, F. M., Frati, P., Fineschi, V., Ferracuti, S., et al. (2024) · Frontiers in Psychology · doi:10.3389/fpsyg.2024.1309909 · Cited by 9
Ethical Issues Concerning Patient Autonomy in Clinical Practice
Simon, A. (2020) · The International Library of Bioethics · doi:10.1007/978-3-030-56703-3_8 · Cited by 7
Solomon, E. D., Mozersky, J. T., Baldwin, K. A., Wroblewski, M. P., Parsons, M. V., Goodman, M. S., & DuBois, J. M. (2021) · Journal of Clinical and Translational Science · doi:10.1017/cts.2021.807 · Cited by 7
Mandatory Disclosure and Medical Paternalism
Bullock, E. C. (2015) · Ethical Theory and Moral Practice · doi:10.1007/s10677-015-9632-2 · Cited by 8
Assessment in Juvenile Justice Systems: An Overview
Hoge, R. D. (2012) · Springer eBooks · doi:10.1007/978-1-4614-0905-2_11 · Cited by 7
Conducting a Psychological Assessment
Kane, A. W. (2007) · Springer eBooks · doi:10.1007/978-0-387-36445-2_11 · Cited by 8
Reconsidering Consent and Biobanking
Bullock, E. C., & Widdows, H. (2011) · The International library of ethics, law and technology · doi:10.1007/978-94-007-1673-5_8 · Cited by 7
Accuracy of nurses' perceptions of voice hearing and psychiatric symptoms
England, M. (2007) · Journal of Advanced Nursing · doi:10.1111/j.1365-2648.2006.04162.x · Cited by 7
Evaluación de la capacidad de toma de decisiones sobre su salud en pacientes ancianos
Atienza-Martín, F., Garrido-Lozano, M., Losada-Ruiz, C., Rodríguez-Fernández, L. M., Pérez, F. R., & Marín-Andrés, G. (2013) · Medicina de Familia SEMERGEN · doi:10.1016/j.semerg.2012.11.008 · Cited by 7
End‐of‐Life Care: An Overview for Professional Counselors
Werth, J. L., & Crow, L. (2009) · Journal of Counseling & Development · doi:10.1002/j.1556-6678.2009.tb00567.x · Cited by 7
Aging society and the adult guardianship system
Mizuno, Y., & Nanba, Y. (2003) · Geriatrics and gerontology international/Geriatrics & gerontology international · doi:10.1111/j.1444-1586.2003.00100.x · Cited by 7
Cross-Cultural Adaptations of the MacArthur Competence Assessment Tool for Treatment in Iran
Saber, A., Tabatabaei, S. M., Akasheh, G., Sehat, M., Zanjani, Z., & Larijani, B. A. (2016) · Archives of Trauma Research · doi:10.5812/atr.33464 · Cited by 7
Protocol for the Assessment of Patient Capacity to Make End-of-Life Treatment Decisions
Stuart, R. B. B., & Thielke, S. M. (2017) · Journal of the American Medical Directors Association · doi:10.1016/j.jamda.2017.11.011 · Cited by 7
Holdsworth, N., & Dodgson, G. (2003) · Journal of Mental Health · doi:10.1080/09638230310001603528 · Cited by 7
MacArthur Competence Assessment Tools
Schaefer, L. A. (2010) · Springer eBooks · doi:10.1007/978-0-387-79948-3_1613 · Cited by 8
Kupsch, L., Gather, J., Vollmann, J., Nadolny, S., & Schildmann, J. (2025) · European Psychiatry · doi:10.1192/j.eurpsy.2025.10041 · Cited by 8
Informed Consent in Court-Involved Therapy
Dwyer, S. A. (2012) · Journal of Child Custody · doi:10.1080/15379418.2012.652572 · Cited by 6
Metadata
- Authors
- Grisso, T., & Appelbaum, P. S.
- Publisher
- Oxford University PressNew York, NY
- Published
- 1998-02-12
- OpenAlex
- W4388066189
- Cited by
- 823
- References
- 0
- Citations by year
- 2026: 45 · 2025: 45 · 2024: 38 · 2023: 31 · 2022: 34 · 2021: 44 · 2020: 36 · 2019: 45 · 2018: 36 · 2017: 30 · 2016: 26 · 2015: 35 · 2014: 26 · 2013: 44 · 2012: 28
- FWCI
- 9.61
- Type
- book
- Language
- en
- Open access
- closed
- Topics
- Social Sciences › Psychology › Clinical Psychology › Healthcare Decision-Making and Restraints
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Ethics and bioethics in healthcare
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Ethics and Legal Issues in Pediatric Healthcare
- Keywords
- capacity to consent, informed consent, decision-making capacity, patient autonomy, competency assessment, structured interviews, psychiatric patients, medical patients, legal and ethical issues
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review