Two papers examining mental incapacity among psychiatric in-patients are presented in the Journal this month – one investigation focuses on assessment reliability (Cairns et al, pp. 372–378) and one on the prevalence and predictors of incapacity (Cairns et al, pp. 379–385). The authors find that the MacArthur Competence Assessment Tool for Treatment (MacCAT– T) can be used reliably to assess ca...