In extreme cases of mental disability, substituted judgment may be appropriate when a severe emotional disturbance or cognitive impairment compromises an individual’s ability to give informed consent. Any restriction or denial of decision-making author- ity to a disabled woman should be the consequence of an objective procedure, con- taining proper legal safeguards against every form of abuse. This procedure must be based on an evaluation of the capability of the mentally disabled person by qualified experts, subject to periodic review and to If it has been determined that a woman has no ability to consent, those making reproductive.
