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10 Mental Capacity and Decision-Making

  • Beverley Clough
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Abstract

The Mental Capacity Act (MCA) 2005 is central to healthcare law, governing medical decision-making in relation to individuals deemed to lack mental capacity. The chapter uses a disability studies perspective (social model of disability) to highlight the problems with this legal framework of capacity and best interests, tracing the history and foundational ideas underpinning the statute. The UN Convention on the Rights of Persons with Disabilities is introduced as posing a key challenge to the MCA, unsettling these foundational ideas and offering an opportunity to rethink approaches to decision-making through a disability studies lens.

Abstract

The Mental Capacity Act (MCA) 2005 is central to healthcare law, governing medical decision-making in relation to individuals deemed to lack mental capacity. The chapter uses a disability studies perspective (social model of disability) to highlight the problems with this legal framework of capacity and best interests, tracing the history and foundational ideas underpinning the statute. The UN Convention on the Rights of Persons with Disabilities is introduced as posing a key challenge to the MCA, unsettling these foundational ideas and offering an opportunity to rethink approaches to decision-making through a disability studies lens.

Heruntergeladen am 4.11.2025 von https://www.degruyterbrill.com/document/doi/10.56687/9781529236569-015/html
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