Medicine, Health Care and Philosophy

, Volume 4, Issue 2, pp 153–159 | Cite as

Autonomy, authenticity, or best interest: Everyday decision-making and persons with dementia

  • Søren Holm


The question of when we have justification for overriding ordinary, everyday decisions of persons with dementia is considered. It is argued that no single criterion for competent decision-making is able to distinguish reliably between decisions we can legitimately override and decisions we cannot legitimately override.

advance directives best interest dementia proxy decision-making 


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Copyright information

© Kluwer Academic Publishers 2001

Authors and Affiliations

  • Søren Holm
    • 1
  1. 1.Institute of Medicine, Law and BioethicsUniversity of Manchester, Williamson BuildingManchesterUK

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