Dementia, Decision Making, and Capacity
Dementia, Decision Making, and Capacity
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DOI：
10.1097/hrp.0000000000000163
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发表时间：
2017-11-01
影响因子：
3.8
通讯作者：
Dickerson, Bradford C.
中科院分区：
文献类型：
--
作者：
Darby, R. Ryan;Dickerson, Bradford C.
医疗和法律的专业人士面临的挑战，评估能力和能力，使医疗，法律的，并在决策能力受损的痴呆症患者的财务决策。虽然这种评估传统上侧重于复杂推理和执行功能的能力，但决策研究表明，动机和元认知过程也很重要。我们首先简要回顾了神经心理学文献的决策和医疗和法律的评估能力。接下来，我们将讨论将决策研究结果整合到能力评估中的局限性，包括群体对个体的推理问题，神经影像学在能力评估中的作用不明确，以及缺乏整合决策重要方面的能力措施。最后，我们提出了几个案例，我们试图证明的潜在好处和重要的限制，使用决策研究，以帮助能力的测定。
Medical and legal professionals face the challenge of assessing capacity and competency to make medical, legal, and financial decisions in dementia patients with impaired decision making. While such assessments have classically focused on the capacity for complex reasoning and executive functions, research in decision making has revealed that motivational and metacognitive processes are also important. We first briefly review the neuropsychological literature on decision making and on the medical and legal assessment of capacity. Next, we discuss the limitations of integrating findings from decision-making research into capacity assessments, including the group-to-individual inference problem, the unclear role of neuroimaging in capacity assessments, and the lack of capacity measures that integrate important facets of decision making. Finally, we present several case examples where we attempt to demonstrate the potential benefits and important limitations of using decision-making research to aid in capacity determinations.