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Mental Capacity Matters with Alex Ruck Keene

Mental Capacity Matters with Alex Ruck Keene

By: Alex Ruck Keene
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About this listen

This podcast looks at matters mental capacity related. It features conversations between Alex Ruck Keene, a specialist barrister at 39 Essex Chambers, and a whole host of people with different perspectives on mental capacity questions. It also features audio versions of the 'shedinars' that Alex delivers about key topics in mental capacity law, full versions of which (with slides) can be found here: https://www.mentalcapacitylawandpolicy.org.uk/shedinars/. (Boring but necessary caveat: nothing that appears on this podcast constitutes legal advice).Copyright 2021 Alex Ruck Keene and 39 Essex Chambers Political Science Politics & Government Social Sciences
Episodes
  • Translating insight – in conversation with Professor Tony David
    Feb 17 2026

    In this ‘in conversation with,’ I talk to Professor Tony David about his new paper, Insight, the law and psychiatry: Going round in circles or playing nice?. We talk about what ‘insight’ means clinically, and how law and medicine can have a more productive discussion about applying the concept in a way which better secures the interests of those whose capacity to make relevant decisions may be under examination.

    For the original video, see here.

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    24 mins
  • Overwhelming desires and capacity – in conversation with Dr Joe Gough
    Feb 5 2026

    In this ‘in conversation’ with Dr Joe Gough, we discuss some of the fruits of his British Academy Postdoctoral Fellowship at the University of Oxford looking at legal and medical assessments of decision-making capacity, how they misfire for the neurodivergent and cognitively disabled, and how this should inform philosophical accounts of agency and autonomy. In this conversation, we look in particular at the assessment of capacity in the context of anorexia, the challenges that anorexia poses to the very concept of capacity, and how to think about justifications for intervention without falling into ‘outcome’ based assessments of capacity.

    The papers we refer to in the discussion are.

    Affect, Autonomy, Authenticity, and the Assessment of Decision‐Making Capacity: The Problem of Tyrannical Coherence

    Decisional capacity, Cartesianism, the CRPD and obfuscating paternalism: substituting ‘supported’ for ‘substitute’

    Race and mental capacity: no panacea

    Best interest and family compromise

    Joe also has a book forthcoming from Oxford University Press, After Mind: Myths of Mind and Mechanism in Philosophy, Science, Medicine, and Law, developing these arguments in a broader context.

    For the original video, see here.

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    25 mins
  • Nearest relatives – the law and the reality: in conversation with Nick Robinson, Judy Laing and Jeremy Dixon
    Jan 20 2026

    In this ‘in conversation with,’ I talk to Nick Robinson, Professor Judy Laing, and Dr Jeremy Dixon about the website that they have recently been involved in setting up providing resources for nearest relatives under the Mental Health Act 1983. Nick gives the perspective of a nearest relative, Jeremy explains the research underpinning the project, Judy explains the resources available, and all three reflect on the difference between the law and legal literacy / legal confidence, and also give some thoughts about the move to ‘nominated persons’ to be brought in by the Mental Health Act 2025.

    For the original video, see here.

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    27 mins
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