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doi:10.1136/bmj.a902

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Matthew Hotopf, professor of general hospital psychiatry1,
Gareth S Owen, clinical researcher1,
Anthony S David, professor of cognitive neuropsychiatry1,
Genevra Richardson, professor of law2

¹Department of Psychological Medicine, King’s College London, London SE5 9RJ
²School of Law, King’s College London, London SE5 9RJ

m.hotopf{at}iop.kcl.ac.uk

Saddichha draws attention to the issue of insight and capacity—a topic that will be the subject of an upcoming paper analysing our data further. The issue is complicated because insight is not a legal concept yet sometimes does legal “work.” In some ways, legal capacity already recognises poor insight via its recognition that inability to “appreciate” (in US jurisdictions) or “use” (in English Mental Capacity Act …