Some conferences produce proceedings, others an inspiration to labor,
which finally leads to a published work. Such has been the case with
regard to this volume. In 1984, the Center for Ethics, Medicine, and
Public Issues held a conference with the title 'When are Competent
Patients Incompetent?' with the support of the Texas Committee for the
Humanities, a state-based program of the National Endowment for the
Humanities. Assistance was provided by both Baylor College of Medicine
and the Institute of Religion. This conference evoked a con- siderable
interest in examining further the moral status of competency
determinations in the clinical setting. This interest is realized in
this volume, which now affords us an opportunity to thank all those
individ- uals who made the conference possible, only some of whom are
acknowledged in this Preface. In particular, we wish to express our
gratitude to Baruch A. Brody, Rebecca Dresser, the Honorable Jerome
Jones, H. Steven Moffic, Margery W. Shaw, Eleanor Tinsley, and Albert
Van HeIden. The volume took its shape through the labors of Earl Shelp
and Mary Ann Gardell Cutter, who inspired the further evolution of the
papers presented at the conference and attracted contributions from
individuals who had not attended. Earl Shelp and Mary Ann Gardell Cutter
have produced a volume following extensive reflection and dialogue; they
were ably assisted in the final preparation of the manu- script by
Thomas J. Bole III and George Khushf, to whom special thanks are due.