Those of us who are entrusted with supporting older adults with dementia or other people with limited capacity often face the question of "to what extent does my client have the right to make questionable decisions for themselves?" Those with limited capacity often make choices that may seem foolish to others. However, it is important to recognize that everyone has the right to make choices, even if they seem irrational or unwise.
What is the right to folly? The right to folly is the right to make choices that others may consider harmful or illogical. This right is essential for individuals with dementia or limited capacity because it allows them to make decisions that reflect their personal values and preferences, even if they are not in line with what others may consider the best course of action.
Why is the right to folly important? Simply, because it promotes autonomy and dignity. It acknowledges that everyone has the right to make choices that reflect their own values and priorities, even if those choices are not in their best interests. It also recognizes that individuals with dementia or limited capacity should be treated with respect and dignity, regardless of their ability to make sound decisions.
Moreover, denying anybody the right to make choices, even if they seem foolish to others, can be detrimental to their mental health and well-being. It can cause them to feel disempowered and demoralized, which can worsen their cognitive and emotional state.
To protect the right to folly, it is essential to promote informed decision-making. This means providing individuals with the necessary information and support to make informed decisions that reflect their personal values and preferences. It also means respecting their choices, even if they seem unwise to others.
It is important to note that the right to folly does not mean that individuals with dementia or limited capacity should be left to make decisions without any guidance or support. Rather, it means that they should be supported in making decisions that reflect their personal values and preferences, even if those decisions are not in their best interests. Obviously, there are boundaries in terms of immediate danger to themselves and others and those of us with a duty to care have to weigh the right to folly against these dangers.
The right to folly is an essential right for individuals with dementia or limited capacity. It promotes autonomy, dignity, and well-being, and it is essential to respect this right in order to ensure that these individuals are treated with respect and dignity. By promoting informed decision-making and respecting their choices, we can help them to maintain their sense of autonomy and dignity, even in the face of significant cognitive or functional impairment.
