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What it is like to be manic

A response to Director

Bibliographic Data

ID21514871
AuthorsNuala B Kane (0000-0002-0618-1231, Health Service Executive, corresponding author)
Year2024
Volume50
Issue10
Pages716-717
Publication date2024-10-01
Open AccessNo
TypeARTICLE
VenueJournal of Medical Ethics (JOURNAL)
Journal identifiersISSN: 0306-6800 • E-ISSN: 1473-4257
PublisherBMJ (PUBLISHER • GB)
DOI10.1136/jme-2024-110032
PMID38688687
OpenAlexW4396508251
LanguageEN
Citations received2
References cited10

In a recent article, Director makes the case that many individuals with bipolar disorder have the capacity to consent to many decisions while acutely manic, even when those decisions are out of character and cause harm. Referring to recent qualitative evidence, I argue that Director overlooks a key mechanism of manic incapacity, an inflexible experience of the future that impairs one’s ability to value. Without attention to the illness-specific experience of decision-making, capacity assessments risk false negatives in people with mania

Data science · World Wide Web · Computer Science · Healthcare Decision-Making and Restraints · Mental Health and Psychiatry · Psychiatric care and mental health services

  • Defending manic competence

    Samuel Director•Journal of Medical Ethics•2025

  • Epistemic health, epistemic self-trust, and bipolar disorder

    Open Access•Seamus Barker•Synthese•2025

  • Bipolar disorder and competence

    Samuel Director•Journal of Medical Ethics•2024

Citations per year2
Citation span2025 - 2025 (1)
Highly citedNo

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