AUTHOR=Hermann Helena , Trachsel Manuel , Elger Bernice S. , Biller-Andorno Nikola TITLE=Emotion and Value in the Evaluation of Medical Decision-Making Capacity: A Narrative Review of Arguments JOURNAL=Frontiers in Psychology VOLUME=7 YEAR=2016 URL=https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2016.00765 DOI=10.3389/fpsyg.2016.00765 ISSN=1664-1078 ABSTRACT=

Ever since the traditional criteria for medical decision-making capacity (understanding, appreciation, reasoning, evidencing a choice) were formulated, they have been criticized for not taking sufficient account of emotions or values that seem, according to the critics and in line with clinical experiences, essential to decision-making capacity. The aim of this paper is to provide a nuanced and structured overview of the arguments provided in the literature emphasizing the importance of these factors and arguing for their inclusion in competence evaluations. Moreover, a broader reflection on the findings of the literature is provided. Specific difficulties of formulating and measuring emotional and valuational factors are discussed inviting reflection on the possibility of handling relevant factors in a more flexible, case-specific, and context-specific way rather than adhering to a rigid set of operationalized criteria.