Abstract
In the target article of the present issue, Goldberg challenges the traditional four criteria for the evaluation of clinical decision-making capacity (understanding, appreciation, ability to reason, communication of decision) by arguing “that clinicians and bioethicists who evaluate decisional capacity face questions far deeper than the mere presence or absence of a patient’s informed consent”, and that “an additional standard beyond the existing cognitive criteria – to be called the Narrative Coherence Standard” is needed.