Roche Anne I
Department of Psychological and Brain Sciences, The University of Iowa, Iowa City, IA, United States.
Front Psychol. 2019 Aug 22;10:1905. doi: 10.3389/fpsyg.2019.01905. eCollection 2019.
The proportion of the United States population comprised of older adults is consistently growing. Older adults are often involved in making decisions regarding transfer of wealth, and cases involving questions of testamentary capacity are common. Neuropsychologists are well-positioned to perform evaluations of testamentary capacity given their knowledge and expertise surrounding assessment of cognitive and psychological functioning, as well as of neurodegenerative disease related to the aging process. Performing evaluations of testamentary capacity with older adults often comes with complex ethical considerations, however, and neuropsychologists could benefit from a decision-making model to aid in the organization of these multifaceted issues at the clinical-legal interface. The current paper proposes the implementation of Behnke's "four bin" model to aid in the exploration of these complex ethical considerations and provides examples of how the model may be applied through two hypothetical case vignettes.
美国老年人口在总人口中所占的比例一直在持续增长。老年人常常参与财富转移的决策，涉及遗嘱能力问题的案例很常见。鉴于神经心理学家在认知和心理功能评估以及与衰老过程相关的神经退行性疾病评估方面的知识和专业技能，他们非常适合进行遗嘱能力评估。然而，对老年人进行遗嘱能力评估往往伴随着复杂的伦理考量，神经心理学家可以受益于一个决策模型，以帮助在临床-法律界面梳理这些多方面的问题。本文提出实施贝恩克的“四分类”模型，以帮助探讨这些复杂的伦理考量，并通过两个假设的案例 vignettes 提供该模型如何应用的示例。
