ground that it was the product of undue influenceon the
testator exerted by a family member or a third party.
As TC represents a legal construct closely associ-
ated with the testator’s mental status, clinicians are
often asked to evaluate TC and offer clinical testimony
in legal proceedings. Such evaluations are sometimes
conducted contemporaneously with a will’s execution
but more often occur retrospectively following the
incapacity or death of a testator and probating of the
will. In recent years, there has been an increase in will
contests in the probate courts, with associated claims
of impaired TC and also undue influence.
There is currently relatively little literature on TC.
Several papers addressing the general clinical guide-
lines for assessing TC and undue influence exist.
However, there is a great need for conceptual and
empirical work in this area.
Legal Elements of TC
Although the requirements for TC vary across states,
four criteria must generally be met. A testator must
have (a) knowledge of what a will is, (b) knowledge of
the class of individuals that represents the testator’s
potential heirs (“natural objects of one’s bounty”),
(c) knowledge of the nature and extent of his or her
assets, and (d) a general plan of distribution of assets
to his or her heirs.
The absence of one or more of these elements can
serve as grounds for a court to invalidate a will due to
lack of TC. However, the way in which courts weigh
the legal elements of TC in determining the validity of
a will varies across states. Some states require that the
testator meet only one of the criteria for a will to be
valid. Other states require that the testator not only
must understand a will and demonstrate memory of all
property and potential heirs but also must hold this
information in mind while developing a plan for dis-
position of assets. Accordingly, the reader is strongly
encouraged to review the relevant law on TC specific
to his or her state jurisdiction.
Insane Delusion and TC
Even when the legal elements of TC are present, a will
can fail due to an insane delusion. Specifically, some
states require that the testator be free of delusions and
hallucinations that result in the testator devising prop-
erty in a way that he or she would not have done in the
absence of the delusions and hallucinations. A psychi-
atric disorder with delusions and other symptomatology
is not by itself sufficient to invalidate the will. It must be
shown that the delusion specifically and materially
affected the testator’s creation or amendment of a will.
In other words, the will must be the direct product of the
insane delusion.
Undue Influence
A will can also fail on the separate ground that it was
the product of undue influence. Although undue influ-
ence is conceptually distinct from TC, these two legal
issues very often co-occur and intertwine when wills
are contested. Under the law, undue influence exists in
those situations where the will is the product of manip-
ulation, persuasion, or coercion exerted by the “influ-
encer” (e.g., family member, friend, neighbor, caregiver)
and is not truly the volitional act of the testator. It com-
monly occurs in relationships where the testator has a
special trust in or reliance on the influencer and where
dependency has been increased through the influencer’s
use of isolation and manipulation. In some instances,
the testator may be subjected to explicit threats and
intimidation by the influencer. Conceptually, undue
influence assumes some preserved level of TC in the
testator, which, however, is supplanted by the wishes
and actions of the influencer. For this reason, undue
influence should be considered conceptually distinct
from TC, albeit closely linked to it. Clinicians need to
understand both TC and undue influence when con-
ducting evaluations in this area.
Attorney Observations of TC
Typically, issues of TC may first arise in the context of
a testator’s interactions with his or her attorney. During
the course of the client interview, an attorney may
observe signs of diminished TC, such as an inability to
recall the names of family members or to appreciate the
full value of different assets. Variability in a client’s
state of mind and a lack of consistency between the
client’s current choices and his or her long-term values
and previously stated wishes can also raise red flags.
From a professional standpoint, attorneys must be sen-
sitive to indicators of diminished TC in their clients
and, where necessary, take steps to protect their client’s
best interests. In many instances, this may involve seek-
ing consultation from a clinician.
Clinical consultation regarding TC can substan-
tially inform the way in which attorneys and judges
understand and determine the legal issues of TC. The
role of clinicians in cases of TC includes informal
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