Craigie Jillian
University College London.
Int J Law Context. 2013 Mar;9(1):4-19. doi: 10.1017/S1744552312000444.
Calls for the adoption of a universal capacity approach to replace dedicated mental health law are motivated by the idea that the measures designed to protect patient autonomy in legislation such as the Mental Capacity Act 2005 should apply to everyone, including people with a psychiatric diagnosis. In this article it is argued that a diachronic perspective on questions of mental capacity is necessary if capacity law is to play this broader role, but that employing this perspective in assessments of capacity undermines central patient autonomy preserving features of the legislation, which presents a moral dilemma.
呼吁采用通用能力方法取代专门的精神卫生法，其背后的动机是这样一种理念：旨在保护患者自主性的措施，如2005年《精神能力法》中的立法措施，应适用于所有人，包括有精神疾病诊断的人。本文认为，如果能力法要发挥这一更广泛的作用，就需要从历时性角度看待精神能力问题，但在能力评估中采用这一角度会破坏该立法中保护患者自主性的核心特征，这就带来了一个道德困境。
