Occasionally, those hoping to demonstrate the capacity of a testator will film a video of the testator purporting to show that they were cognitively intact or that the will was a reflection of their independent and capable wishes. Unfortunately, the naïve interviewer makes the mistake of confusing the preservation of social graces…
The leading case on testamentary capacity for almost 150 years has been that of Banks v Goodfellow – a judgment written on appeal by Chief Justice Cockburn of the English High Court in 1870. The four broad criteria that emerged from his judgment have formed the basis of virtually every…
After approval of the legislation, it did not take long for one of my patients (identity disguised) to request access to MAID. I knew that this was a possibility because of previous discussions regarding the eventual outcome of her debilitating and progressive medical condition. However, it had been couched in…
Clinicians and lawyers are regularly exposed to a score on the Mini-Mental State Exam (MMSE) also known as the ‘Folstein test’ after the developer of the most widely used cognitive screening tool in the world. Yet it is one of the most misunderstood and misinterpreted tests in Medicine, not to…
The polarized perspectives on Physician Assisted Dying (PAD) mean that no matter where the Federal Government landed on the specific details of the implementation of the Carter v Canada decision, there would be a guaranteed outcry from one or both of the poles – those representing autonomy under the Charter…
I write as a clinician directed by case law or statutory law when assessing the capacity of a testator or an individual executing Powers of Attorney. The criteria set out in case law (Banks v Goodfellow) for testamentary capacity have traditionally been weighted toward the notion of “what” the testator…
At year end, we typically engage in a retrospective examination, looking back on events and trying to make sense of them. Simultaneously, there is a human instinct to make predictions as well as resolutions, both of which are notoriously unreliable. The notion of predicting the future is one that is…
A recent spate of media articles has emphasized the rapid growth of an elderly or “geriatric” cohort who are regularly referred to as ‘65 and over’. This has been labelled the “Silver Tsunami”, an unfortunate term that does not apply to most older women in North America. In my case,…
Today’s blog was written by guest blogger Dr. Richard Shulman. Dr. Shulman is a Geriatric Psychiatrist, and is the Service Medical Director for Seniors Mental Health Services at Trillium Health Partners (Mississauga Hospital, Credit Valley Hospital and Queensway Health Centre). He is available for independent medical-legal capacity assessments. He is an…
The relationship between suicide and mental disorder has been well explored. The recent death of Robin Williams has brought this issue into the public eye. Most studies (especially in later life) find that the majority of suicides are associated with clinically significant psychiatric illness, particularly mood disorders such as Depression. …