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Descriptive, not categorical

How court questions shape functional expert conclusions in adult capacity cases

Bibliographic Data

ID21458849
AuthorsJiří Závora (Institute of Endocrinology, corresponding author), Marek Páv (0000-0002-9635-5484, Psychiatrická Nemocnice Bohnice), J Michalec (0000-0003-0965-0774, Psychiatrická Nemocnice Bohnice), Jan Čipera (University Hospital Hradec Králové), Hana Sirotková (Institute of Forensic Science), Ivana Švehlová (Court of Appeal)
Year2026
Volume108
Pages102249
Publication date2026-09-01
Open AccessYes
TypeARTICLE
VenueInternational Journal of Law and Psychiatry (JOURNAL)
Journal identifiersISSN: 0160-2527 • E-ISSN: 1873-6386
PublisherElsevier BV (PUBLISHER)
DOI10.1016/j.ijlp.2026.102249
PMID42288022
OpenAlexW7164735509
LanguageEN
References cited27

The study analyses how courts formulate questions in orders/measures commissioning expert reports in legal-capacity proceedings, with the aim of systematising and improving such assignments. Using qualitative clustering with duplicate removal and explicitly focusing on excluding prompts that solicit legal evaluations, we identified eleven question clusters aggregated into four superordinate categories A-D: (A) identification of illnesses and medication; (B) general limitations of cognitive and motivational-volitional processes; (C) specific limitations with a predominant impact on rights and obligations; and (D) specific limitations with a predominant impact on everyday life. Drawing on this semantic structure, we proposed optimised formulations that invite experts to provide descriptive accounts of a person's condition and functioning rather than categorical "is/is not capable" judgments. The reformulation is grounded in (i) longstanding higher-court critiques in the Czech Republic of courts' passive adoption of categorical expert conclusions, (ii) the revealed thematic categories (A-D) with corrections to imprecise wording, and (iii) international frameworks emphasising supported decision-making and non-discriminatory indicators of support needs. Descriptive conclusions in expert reports better equip courts to form a qualified understanding of mental condition and functioning. Practically, we recommend structuring assignments around clearly defined semantic clusters and using model descriptive phrasings for recurrent content areas. Across two judicial regions (HK and SK), we examined 40 court assignments comprising 202 questions in total, of which 188 were substantively related to legal capacity and were retained for analysis

Injury prevention · MEDLINE · Poison control · Suicide prevention · Healthcare Decision-Making and Restraints · Human Factors and Ergonomics · Law, Economics, and Judicial Systems · Medical Malpractice and Liability Issues

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