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Clinical assessment of decision-making capacity in acquired brain injury with personality change

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Clinical assessment of decision-making capacity in acquired brain injury with personality change. / Owen, Gareth; Freyenhagen, Fabian; Martin, Wayne; David, Anthony.

In: Neuropsychological Rehabilitation, Vol. 27, No. 1, 2017, p. 133-148 .

Research output: Contribution to journalArticle

Harvard

Owen, G, Freyenhagen, F, Martin, W & David, A 2017, 'Clinical assessment of decision-making capacity in acquired brain injury with personality change', Neuropsychological Rehabilitation, vol. 27, no. 1, pp. 133-148 . https://doi.org/10.1080/09602011.2015.1053948

APA

Owen, G., Freyenhagen, F., Martin, W., & David, A. (2017). Clinical assessment of decision-making capacity in acquired brain injury with personality change. Neuropsychological Rehabilitation, 27(1), 133-148 . https://doi.org/10.1080/09602011.2015.1053948

Vancouver

Owen G, Freyenhagen F, Martin W, David A. Clinical assessment of decision-making capacity in acquired brain injury with personality change. Neuropsychological Rehabilitation. 2017;27(1):133-148 . https://doi.org/10.1080/09602011.2015.1053948

Author

Owen, Gareth ; Freyenhagen, Fabian ; Martin, Wayne ; David, Anthony. / Clinical assessment of decision-making capacity in acquired brain injury with personality change. In: Neuropsychological Rehabilitation. 2017 ; Vol. 27, No. 1. pp. 133-148 .

Bibtex Download

@article{7cc819e848df4b6395ae76b3025ce9c9,
title = "Clinical assessment of decision-making capacity in acquired brain injury with personality change",
abstract = "Assessment of decision-making capacity (DMC) can be difficult in acquired brain injury (ABI) particularly with the syndrome of organic personality disorder (OPD) (the “frontal lobe syndrome”). Clinical neuroscience may help but there are challenges translating its constructs to the decision-making abilities considered relevant by law and ethics. An in-depth interview study of DMC in OPD was undertaken. Six patients were purposefully sampled and rich interview data were acquired for scrutiny using interpretative phenomenological analysis. Interview data revealed that awareness of deficit and thinking about psychological states can be present. However, the awareness of deficit may not be “online” and effectively integrated into decision-making. Without this online awareness of deficit the ability to appreciate or use and weigh information in the process of deciding some matters appeared absent. We argue that the decision-making abilities discussed are: (1) necessary for DMC, (2) threatened by ABI , and (3) assessable at interview. Some advice for practically incorporating these abilities within assessments of DMC in patients with OPD is outlined.",
author = "Gareth Owen and Fabian Freyenhagen and Wayne Martin and Anthony David",
note = "{\circledC} 2015 The Authors. Published by Taylor & Francis.",
year = "2017",
doi = "10.1080/09602011.2015.1053948",
language = "English",
volume = "27",
pages = "133--148",
journal = "Neuropsychological Rehabilitation",
issn = "0960-2011",
number = "1",

}

RIS (suitable for import to EndNote) Download

TY - JOUR

T1 - Clinical assessment of decision-making capacity in acquired brain injury with personality change

AU - Owen, Gareth

AU - Freyenhagen, Fabian

AU - Martin, Wayne

AU - David, Anthony

N1 - © 2015 The Authors. Published by Taylor & Francis.

PY - 2017

Y1 - 2017

N2 - Assessment of decision-making capacity (DMC) can be difficult in acquired brain injury (ABI) particularly with the syndrome of organic personality disorder (OPD) (the “frontal lobe syndrome”). Clinical neuroscience may help but there are challenges translating its constructs to the decision-making abilities considered relevant by law and ethics. An in-depth interview study of DMC in OPD was undertaken. Six patients were purposefully sampled and rich interview data were acquired for scrutiny using interpretative phenomenological analysis. Interview data revealed that awareness of deficit and thinking about psychological states can be present. However, the awareness of deficit may not be “online” and effectively integrated into decision-making. Without this online awareness of deficit the ability to appreciate or use and weigh information in the process of deciding some matters appeared absent. We argue that the decision-making abilities discussed are: (1) necessary for DMC, (2) threatened by ABI , and (3) assessable at interview. Some advice for practically incorporating these abilities within assessments of DMC in patients with OPD is outlined.

AB - Assessment of decision-making capacity (DMC) can be difficult in acquired brain injury (ABI) particularly with the syndrome of organic personality disorder (OPD) (the “frontal lobe syndrome”). Clinical neuroscience may help but there are challenges translating its constructs to the decision-making abilities considered relevant by law and ethics. An in-depth interview study of DMC in OPD was undertaken. Six patients were purposefully sampled and rich interview data were acquired for scrutiny using interpretative phenomenological analysis. Interview data revealed that awareness of deficit and thinking about psychological states can be present. However, the awareness of deficit may not be “online” and effectively integrated into decision-making. Without this online awareness of deficit the ability to appreciate or use and weigh information in the process of deciding some matters appeared absent. We argue that the decision-making abilities discussed are: (1) necessary for DMC, (2) threatened by ABI , and (3) assessable at interview. Some advice for practically incorporating these abilities within assessments of DMC in patients with OPD is outlined.

U2 - 10.1080/09602011.2015.1053948

DO - 10.1080/09602011.2015.1053948

M3 - Article

VL - 27

SP - 133

EP - 148

JO - Neuropsychological Rehabilitation

JF - Neuropsychological Rehabilitation

SN - 0960-2011

IS - 1

ER -

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