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Article CommentaryAnalysis and Commentary

Decisional Capacity in Amyotrophic Lateral Sclerosis

Eindra Khin Khin, Darlinda Minor, Amanda Holloway and Ayla Pelleg
Journal of the American Academy of Psychiatry and the Law Online June 2015, 43 (2) 210-217;
Eindra Khin Khin
Dr. Khin Khin is Assistant Professor of Psychiatry, Director of Forensic Psychiatry Services and Associate Director of Residency Training Program, Department of Psychiatry and Behavioral Sciences, George Washington University School of Medicine and Health Sciences. Drs. Minor and Holloway are psychiatry residents at George Washington University School of Medicine and Health Sciences, Washington, DC. Dr. Pelleg is a primary care internal medicine resident at John H. Stroger, Jr. Hospital of Cook County, Chicago, IL.
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Darlinda Minor
Dr. Khin Khin is Assistant Professor of Psychiatry, Director of Forensic Psychiatry Services and Associate Director of Residency Training Program, Department of Psychiatry and Behavioral Sciences, George Washington University School of Medicine and Health Sciences. Drs. Minor and Holloway are psychiatry residents at George Washington University School of Medicine and Health Sciences, Washington, DC. Dr. Pelleg is a primary care internal medicine resident at John H. Stroger, Jr. Hospital of Cook County, Chicago, IL.
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Amanda Holloway
Dr. Khin Khin is Assistant Professor of Psychiatry, Director of Forensic Psychiatry Services and Associate Director of Residency Training Program, Department of Psychiatry and Behavioral Sciences, George Washington University School of Medicine and Health Sciences. Drs. Minor and Holloway are psychiatry residents at George Washington University School of Medicine and Health Sciences, Washington, DC. Dr. Pelleg is a primary care internal medicine resident at John H. Stroger, Jr. Hospital of Cook County, Chicago, IL.
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Ayla Pelleg
Dr. Khin Khin is Assistant Professor of Psychiatry, Director of Forensic Psychiatry Services and Associate Director of Residency Training Program, Department of Psychiatry and Behavioral Sciences, George Washington University School of Medicine and Health Sciences. Drs. Minor and Holloway are psychiatry residents at George Washington University School of Medicine and Health Sciences, Washington, DC. Dr. Pelleg is a primary care internal medicine resident at John H. Stroger, Jr. Hospital of Cook County, Chicago, IL.
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Article Figures & Data

Tables

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    Table 1

    Consensus Diagnostic Criteria for Frontotemporal Dementia (Ref. 8, p 1548)

    Main diagnostic criteria
        Insidious onset and gradual progression
        Early decline in social interpersonal conduct
        Early impairment in regulation of personal conduct
        Early emotional blunting
        Early loss of insight
    Other criteria supporting diagnosis
        Behavioral changes (such as mental rigidity, distractibility, stereotypy)
        Speech and language changes (such as mutism or pressure, echolalia, perseveration)
        Physical signs (such as primitive reflexes, muscle rigidity and tremor, low blood pressure)
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    Table 2

    Consensus on Diagnostic Criteria of Behavioral Variant of Frontotemporal Dementia (Adapted from Ref. 13, Table 3, p 2460)

    Diagnostic features
        Disinhibition
        Apathy/inertia
        Loss of sympathy or empathy
        Perseverative, stereotyped, or ritualistic behavior
        Hyperorality and dietary change
        Executive dysfunction
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Journal of the American Academy of Psychiatry and the Law Online: 43 (2)
Journal of the American Academy of Psychiatry and the Law Online
Vol. 43, Issue 2
1 Jun 2015
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Decisional Capacity in Amyotrophic Lateral Sclerosis
Eindra Khin Khin, Darlinda Minor, Amanda Holloway, Ayla Pelleg
Journal of the American Academy of Psychiatry and the Law Online Jun 2015, 43 (2) 210-217;

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Decisional Capacity in Amyotrophic Lateral Sclerosis
Eindra Khin Khin, Darlinda Minor, Amanda Holloway, Ayla Pelleg
Journal of the American Academy of Psychiatry and the Law Online Jun 2015, 43 (2) 210-217;
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  • Article
    • Abstract
    • Cognitive and Behavioral Impairments Associated with ALS
    • Considerations for Cognitive and Behavioral Assessment in ALS
    • ALS-Associated Clinical Scenarios and Decisional Capacity
    • Assessing Decisional Capacity in ALS
    • Preservation of Patient Decision-Making Rights
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