 A slightly different point about values and decision-making capacity has been made more recently, also in the context of trying to understand patients with anorexia. After extensive and careful analysis of the ways individual patients talk about and describe their illness, Hope et al. (2011, 2013) have raised doubts about whether or not we can trust a patient’s own description of her mental states, because patients appear to use different words for the same experience at different times. This is extremely important because, given the existing framework, everything turns on whether or not patients have false beliefs (thereby failing either the understanding requirement or the appreciation requirement). But unusual values are (on the standard approach) allowed to stand. However, the research of Hope et al. suggests that the line between beliefs and values can actually be deeply obscure for patients as well as clinicians.