000010006 001__ 10006
000010006 005__ 20240125143605.0
000010006 0247_ $$2DOI$$a10.6083/zw12z6120
000010006 037__ $$aIR
000010006 245__ $$aStrangers to ourselves: self-deception and lack of insight in the setting of mental illness
000010006 260__ $$bOregon Health and Science University
000010006 269__ $$a2023
000010006 336__ $$aCapstone
000010006 502__ $$gMedicine (Undergraduate Medical Education)
000010006 502__ $$bM.D.
000010006 520__ $$aAn extensive body of research exists in both philosophy and social psychology on the subject of self-deception. Self-deception denotes the relative lack of insight that people have into what drives their thinking and behavior. Self-deception, then, would seem to be a critical concept for decision-making capacity that evaluates how well patients can apprehend and reason about a piece of information in order to make a decision that aligns with their desires and values. Issues surrounding capacity frequently arise in the context of patients with mental illness as these patients often lack insight into their condition. Yet self-deception remains unaddressed in the ethical frameworks of capacity assessments. This essay first gives an overview of various models for determining capacity and of the social psychological research on self-deception and then analyzes a short story that represents the consequences of not accounting for self-deception's role in human thought and behavior. This essay ultimately argues that self-deception is a concept that should be considered in the ethics research that underpins capacity and that taking self-deception into account allows for more rigorous capacity assessments.
000010006 540__ $$fCC BY
000010006 650__ $$aDeception$$021667
000010006 650__ $$aAgnosia$$014360
000010006 650__ $$aSelf Perception
000010006 650__ $$aMental Disorders$$015415
000010006 6531_ $$amedical humanities
000010006 691__ $$aSchool of Medicine$$041369
000010006 692__ $$aDepartment of Medicine$$041425
000010006 7001_ $$aDerk, George$$uOregon Health and Science University$$10000-0001-5690-1703$$041354
000010006 7201_ $$aTate, Tyler$$uOregon Health and Science University$$041354$$7Personal$$eMentor
000010006 8564_ $$90d9a0525-ff6d-439e-9f87-7da97a8ee994$$s219357$$uhttps://digitalcollections.ohsu.edu/record/10006/files/Derk.George.2023.pdf
000010006 905__ $$a/rest/prod/zw/12/z6/12/zw12z6120
000010006 909CO $$ooai:digitalcollections.ohsu.edu:10006$$pstudent-work
000010006 980__ $$aScholarly Project Capstones