CONCLUSIONS
     CHAIR CHILDRESS:  It says Conclusions.  I don't really think
I need to offer any.  We have talked about what we need to do to
prepare the report on the decisionally impaired subjects, or
whatever title we come up with.
     I guess that might actually be an appropriate thing to close
with, is any other thoughts about what direction we might go in
terms of categories to use or a category to use toward the
report, since questions emerged about research subjects with
questionable capacity, as well as questions that emerged about
every other category.
     You may not have any thoughts today, but this is something
we obviously need to think about, since it does raise issues for
a variety of issues.  These terms apply various things for
different individuals, and we do need to be aware of how they
might be perceived.
     DR. CASSELL:  I thought that that was a safe
-- impairment of decision making capacity was a -- but it isn't,
is it?
     CHAIR CHILDRESS:  I think questions have been raised.
     PROFESSOR BACKLAR:  I think it's interesting to look at Paul
Applebaum's -- and we might want to take clues from that.  Not to
copy it, necessarily, just the nature of disorders that affect
decision making ability.  I'm not certain exactly how one affects
the disorders that affect decision making ability -- some way of
visualizing this.
     DR. CASSELL:  All I -- decisionally challenged.
     DR. SCOTT-JONES:  Jim.
     CHAIR CHILDRESS:  Yes.
     DR. SCOTT-JONES:  What was the deadline we gave ourselves
for responding to the draft of this paper?
     CHAIR CHILDRESS:  One week.
     DR. MORENO:  One week.
     CHAIR CHILDRESS:  We said one week.  But would you like to
try to sneak in 10 days?  One week.  All right.
     DR. MORENO:  One week.
     CHAIR CHILDRESS:  One week.
     One last thing.  Eric reminds me that there has been some
discussion about getting a paper that looks at the various kinds
of assumptions in trying to determine incompetence, incapacity,
or lack of capacity, the kinds of measurements that Paul
Applebaum and others have developed.  There's been some
discussion that Alex, Trish, Eric and I have been involved with
about a possible paper in that direction.
     Any thoughts about that?  This is one other contract paper
that could be useful to us, and perhaps could be, if not
available in -- couldn't be available in full form by the time we
need, but we might be able to get a possible contractor to talk
with us about the kinds of issues that are involved in
measurement in some type of capacity.  Is that an area where we'd
like to have some kind of report on this in February?
     DR. BRITO:  That would be useful.  I wouldn't be surprised
if what we come up with is -- well, we know that there's a lack
of standardization, and it may actually open up another area
where -- go ahead.  Were you going to say something?
     DR. CASSELL:  It's a can of worms.
     DR. BRITO:  It's a can of worms.  But it would be useful
just to find that out.
     CHAIR CHILDRESS:  I was intrigued by the Maryland approach,
which was at least through the -- people to investigators to
indicate how they're going about determining this, and that's
obviously one kind of procedural way to go.  But it may be useful
for us to look at some of the issues involved, so we will try to
do that.
     Any last points that people would like to make?
     (No response)
     CHAIR CHILDRESS:  Well, I thank you for your forbearance.  I
thank the others who were here for their contributions.  We
really appreciate the work of staff.  We thank you very much for
all that you've done to make this period of two days very
successful.  Thank you.  Thanks, everyone.
     (Whereupon, at 11:56 a.m., the meeting was concluded.)