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reluctance to make out someth<strong>in</strong>g of which you know noth<strong>in</strong>g.<br />

This we are talk<strong>in</strong>g about someth<strong>in</strong>g like a<br />

psychiatric advance directive. You may not have had<br />

precise experience but you should have had some experience<br />

perhaps <strong>in</strong> los<strong>in</strong>g capacity to make decisions for yourself.<br />

All you are do<strong>in</strong>g is with a specific protocol putt<strong>in</strong>g <strong>in</strong><br />

place certa<strong>in</strong> protections for yourself should you lose<br />

capacity dur<strong>in</strong>g that research process. And that will be<br />

those protections of a surrogate and an outside health care<br />

provider.<br />

DR. CHILDRESS: But I just might note we can<br />

put --<br />

MS. BACKLAR: And the ability to drop out<br />

whatever happens. If you object you get out of it.<br />

DR. CHILDRESS: But see this is why I th<strong>in</strong>k,<br />

Trish, as you and I have discussed several times, it is<br />

really important to dist<strong>in</strong>guish the notion of advance<br />

directive from all these other protections and as long as<br />

you can <strong>in</strong>flate them then a lot of this debate is go<strong>in</strong>g to<br />

go on.<br />

MS. BACKLAR: Okay. I am will<strong>in</strong>g --<br />

DR. CHILDRESS: We could require these<br />

protections --<br />

MS. BACKLAR: -- the reason --

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