Gareth S. Owen

Learn More
BACKGROUND Is the nature of decision-making capacity (DMC) for treatment significantly different in medical and psychiatric patients? AIMS To compare the abilities relevant to DMC for treatment in medical and psychiatric patients who are able to communicate a treatment choice. METHOD A secondary analysis of two cross-sectional studies of consecutive(More)
We tested a phenomenological hypothesis about theoretical and practical rationality in people with schizophrenia. This hypothesis states that in schizophrenia there is an enhancement of theoretical rationality. Our case-control experiment supported this hypothesis. Philosophical models of rationality that prioritise theoretical over practical rationality(More)
BACKGROUND Psychiatric disorders can pose problems in the assessment of decision-making capacity (DMC). This is so particularly where psychopathology is seen as the extreme end of a dimension that includes normality. Depression is an example of such a psychiatric disorder. Four abilities (understanding, appreciating, reasoning and ability to express a(More)
BACKGROUND In England and Wales mental health services need to take account of the Mental Capacity Act 2005 and the Mental Health Act 1983. The overlap between these two causes dilemmas for clinicians. AIMS To describe the frequency and characteristics of patients who fall into two potentially anomalous groups: those who are not detained but lack mental(More)
BACKGROUND There are multiple models of mental illness that inform professional and lay understanding. Few studies have formally investigated psychiatrists' attitudes. We aimed to measure how a group of trainee psychiatrists understand familiar mental illnesses in terms of propositions drawn from different models. METHOD We used a questionnaire study of a(More)
BACKGROUND An individual's right to self-determination in treatment decisions is a central principle of modern medical ethics and law, and is upheld except under conditions of mental incapacity. When doctors, particularly psychiatrists, override the treatment wishes of individuals, they risk conflicting with this principle. Few data are available on the(More)
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(More)
The authors regret an omission in the first sentence of 2.3, which should read 'Advance decision-making can be through of as a codification of what Ronald Dworkin called " precedent autonomy " '. The authors would like to apologise for any inconvenience caused.
For people with Bipolar Affective Disorder, a self-binding (advance) directive (SBD), by which they commit themselves to treatment during future episodes of mania, even if unwilling, can seem the most rational way to deal with an imperfect predicament. Knowing that mania will almost certainly cause enormous damage to themselves, their preferred solution may(More)