Competence Assessment in Dementia / Edition 1

Hardcover (Print)
Buy New
Buy New from
Used and New from Other Sellers
Used and New from Other Sellers
from $9.40
Usually ships in 1-2 business days
(Save 90%)
Other sellers (Hardcover)
  • All (11) from $9.40   
  • New (8) from $61.21   
  • Used (3) from $9.40   


The increasing number of demented elderly in our societies, the ongoing debate on patient's rights and autonomy, and the growing body of knowledge on the dementias led the European Dementia Consensus Network to regard competence assessment in dementia as an important topic of debate. To date, no other comprehensive publication on this topic is known to exist. EDCON performed a transeuropean survey and has agreed on a consensus, which takes into account the variability of clinical symptoms of dementia as well as the special functions required for different purposes. This book contains a summarised consensus as well as chapters on the state of art of neuropsychological functions and how they are related to the areas of competence and chapters which deals with ethical, legal perspectives. The area of competence, e.g. in the field of driving capacity will be discussed in an own chapter. Furthermore, the book contains short contributions on the situation in individual European countries.

Read More Show Less

Editorial Reviews

Doody's Review Service
Reviewer: Michael Joel Schrift, DO, MA (University of Illinois at Chicago College of Medicine)
Description: The rapidly aging population has given rise to a dramatic increase in those suffering from dementia. Dementia as manifested by multiple domains of cognitive impairment ultimately leads to diminishment in the ability to render decisions. Autonomy which has been central to the way we understand ourselves and structure our lives and society cannot be truly respected where it does not exist, and so the accurate determination of capacity to choose becomes a critical feature of clinical decision making. In liberal societies, there is no standard of the good and therefore "appropriate" behavior cannot be objective. Only the individual has the responsible role in the determination of which decisions are "appropriate," since there is no agreed upon conception of the good or a privileged conception of the good. Competence assessment can be viewed as the determination for the eligibility to assume decision making responsibility and for rendering value judgments. Although competence is essential, it is the legal minimal threshold for autonomy and the determination of competence should serve to identify that minimal capacity for autonomy. This informative new book provides readers with the European perspective regarding the ethical and legal aspects of competence assessment. Written and edited by experts in the field, this is a welcome addition to the field of bioethics.
Purpose: The purpose, according to the editor, is to provide a review and broad perspective of competence assessment to European clinicians. The editor notes that there is no agreement on the level of competence at which it is in the best interest of the person with dementia to have a guardian and receive legal protection from abuse and other mistreatment. This book is an attempt to address the heterogeneity of assessment of competence.
Audience: The target audience is European healthcare personnel, but clinicians anywhere would benefit from the informative discussions here.
Features: The first ten chapters focus on cognitive, neuroanatomical, medical, pharmacological, ethical, and legal factors that affect competence. Included are chapters on testamentary capacity, consent for research, and driving/piloting assessment. The remaining chapters summarize the practice of competence assessment in the various European countries. Each chapter ends with relevant and timely citations of the scientific literature. An index would have been helpful.
Assessment: This is an excellent new book focusing on the assessment of competence from the European perspective. It should be read by clinicians worldwide and should serve as a model for a similar book from an American perspective.
Read More Show Less

Product Details

  • ISBN-13: 9783211723685
  • Publisher: Springer Vienna
  • Publication date: 12/18/2007
  • Edition description: 2008
  • Edition number: 1
  • Pages: 184
  • Product dimensions: 7.90 (w) x 11.10 (h) x 0.60 (d)

Table of Contents


Why has competency assessment become more important?

Development of the Consensus statement

EDCON Consensus: Assessment of Competence

Neuropsychological assessment (Pasquale Calabrese)
Brain structures involved in dementia (Matthias Brand and Hans J. Markowitsch)
Medical factors interfering with competence in dementia (Maria E. Soto and Bruno Vellas)
Drugs that affect competence (Conor O’Luanaigh and Brian Lawlor)
Who decides who decides? Ethical perspectives on capacity and decision-making (Deborah Bowman)
Are legal systems in Europe fit for the dementia challenge? Approach of the Council of Europe (Nicole Kerschen)
Testamentary and financial competence issues in dementia (Konstantinos N. Fountoulakis and Katerina Despos)
Assessment of competency and advance directives (Julian C. Hughes)
Informed consent in dementia research (Anco vd Vorm and Marcel GM Olde Rikkert)
Assessment of fitness to drive, possession of professional drivers’ license, possession of firearms, and pilot’s certificate in clients with dementing conditions (Kurt Johansson and Catarina Lundberg)

Practice of competence assessment in dementia in Europe:

Austria, Denmark, Finland, France, Germany, Greece, Hungary, Ireland, Italy, Netherlands, Norway, Poland, Portugal, Romania, Spain, Sweden, Switzerland, Czechia, UK.-

Read More Show Less

Customer Reviews

Be the first to write a review
( 0 )
Rating Distribution

5 Star


4 Star


3 Star


2 Star


1 Star


Your Rating:

Your Name: Create a Pen Name or

Barnes & Review Rules

Our reader reviews allow you to share your comments on titles you liked, or didn't, with others. By submitting an online review, you are representing to Barnes & that all information contained in your review is original and accurate in all respects, and that the submission of such content by you and the posting of such content by Barnes & does not and will not violate the rights of any third party. Please follow the rules below to help ensure that your review can be posted.

Reviews by Our Customers Under the Age of 13

We highly value and respect everyone's opinion concerning the titles we offer. However, we cannot allow persons under the age of 13 to have accounts at or to post customer reviews. Please see our Terms of Use for more details.

What to exclude from your review:

Please do not write about reviews, commentary, or information posted on the product page. If you see any errors in the information on the product page, please send us an email.

Reviews should not contain any of the following:

  • - HTML tags, profanity, obscenities, vulgarities, or comments that defame anyone
  • - Time-sensitive information such as tour dates, signings, lectures, etc.
  • - Single-word reviews. Other people will read your review to discover why you liked or didn't like the title. Be descriptive.
  • - Comments focusing on the author or that may ruin the ending for others
  • - Phone numbers, addresses, URLs
  • - Pricing and availability information or alternative ordering information
  • - Advertisements or commercial solicitation


  • - By submitting a review, you grant to Barnes & and its sublicensees the royalty-free, perpetual, irrevocable right and license to use the review in accordance with the Barnes & Terms of Use.
  • - Barnes & reserves the right not to post any review -- particularly those that do not follow the terms and conditions of these Rules. Barnes & also reserves the right to remove any review at any time without notice.
  • - See Terms of Use for other conditions and disclaimers.
Search for Products You'd Like to Recommend

Recommend other products that relate to your review. Just search for them below and share!

Create a Pen Name

Your Pen Name is your unique identity on It will appear on the reviews you write and other website activities. Your Pen Name cannot be edited, changed or deleted once submitted.

Your Pen Name can be any combination of alphanumeric characters (plus - and _), and must be at least two characters long.

Continue Anonymously

    If you find inappropriate content, please report it to Barnes & Noble
    Why is this product inappropriate?
    Comments (optional)