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    The former describes explaining how one option is viagra where to buy london better than another, and the latter, explaining the potential consequences of following one course or another (e.g., the impact of likely consequences on one’s daily life). The second ability, appreciation, is distinct from understanding in that it describes the ability to recognize how information applies to the person. For example, in the context of treatment capacity, a person with adequate insight recognizes the nature and extent of his or her disorder. The ability to reason describes the presence of reasoning abilities (ability to manipulate information) and not the outcome of that reasoning process.

    For Frontal Dysfunction and Capacity to Consent to Treatment or Research 417 example, in the model put forth by Grisso and Appelbaum (1986), the “reasoning” component of decision-making capacity can be met by demonstrating the presence and application of comparative and consequential reasoning processes. In the case of appreciation of a disorder, this ability is akin to the psychologist’s construct of insight, or awareness. The ability to express a choice is the simplest of the abilities, because it describes the ability to articulate a clear and consistent decision.

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