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Clinical Child Psychology and Psychiatry
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What is Sufficient Understanding?

Peter Reder

Riverside Mental Health Trust, London

Geraldine Fitzpatrick

Pathfinder Mental Health Trust, St George's Hospital, London

Children's `sufficient understanding' is deemed a critical factor in determining their capacity to consent to treatment or give informed opinions about their future care. However, the concept has remained undefined. We propose that it should refer not only to the child's cognitive development, but also to the influence of personal and interpersonal conflicts. Assessment is through clinical interview, during which the clarity of communication, complexity of the issues and the child's emotional state should also be considered.

Key Words: assessment • children • conflict • consent • understanding

Clinical Child Psychology and Psychiatry, Vol. 3, No. 1, 103-113 (1998)
DOI: 10.1177/1359104598031010
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