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DR. CHILDRESS: And Diane was -- because a part<br />

of this grew out of our discussion <strong>in</strong> early December at the<br />

conference which used this particular title and part of it<br />

is an effort to get at how the subject is first sort of<br />

confronted. What do we see? Questions are raised about<br />

the person's capacity to consent.<br />

However, your po<strong>in</strong>t is well taken.<br />

Diane, do you want to respond?<br />

DR. SCOTT-JONES: We did spend a lot of time<br />

discuss<strong>in</strong>g this issue, Alex, and I agree with you. It is<br />

not really an elegant or a precise term to use but if you<br />

use other terms such as uncerta<strong>in</strong>, uncerta<strong>in</strong> connotes<br />

lack<strong>in</strong>g self-confidence or someth<strong>in</strong>g like that so it is not<br />

the best term either. What we were us<strong>in</strong>g before,<br />

decisionally impaired, became awkward <strong>in</strong> its use throughout<br />

the text.<br />

I th<strong>in</strong>k part of the problem is that we are<br />

lump<strong>in</strong>g together and call<strong>in</strong>g a population be referred to<br />

persons who lack decision mak<strong>in</strong>g capacity as a population<br />

when, <strong>in</strong> fact, there are many different groups who are<br />

be<strong>in</strong>g lumped under this rubric and a better choice -- I do<br />

not th<strong>in</strong>k we can practically do it but a better choice<br />

would be to talk about persons with various disorders

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