Bean G, Nishisato S, Rector N A, Glancy G
Culture, Community and Health Studies, Clarke Institute of Psychiatry, Toronto, Ontario.
Can J Psychiatry. 1994 Oct;39(8):368-76. doi: 10.1177/070674379403900804.
One of the most contentious issues in medical and legal practice is how to reliably assess the mental competence of individuals who consent or refuse psychiatric treatment. Current legislation does not provide clear definitions of what constitutes competence or incompetence to make a treatment decision. As a preliminary attempt to operationalize the concept of competency, we have developed a 15 item questionnaire. The present study reports on the psychometric properties of the instrument. Test-retest and interrater reliability results were good. The instrument was internally consistent and discriminated between individuals found competent and incompetent by the treating physician.
医学和法律实践中最具争议的问题之一是如何可靠地评估同意或拒绝精神科治疗的个体的心理能力。现行立法并未明确界定做出治疗决定时具备或不具备能力的构成要素。作为将能力概念付诸实践的初步尝试，我们编制了一份包含15个条目的问卷。本研究报告了该工具的心理测量特性。重测信度和评分者间信度结果良好。该工具具有内部一致性，并且能够区分经治疗医师判定为有能力和无能力的个体。
