 If these descriptions of what happens with anorexia patients are correct, it seems plausible to suppose such patients should not (normatively speaking) be counted as having decision-making capacity. They are, on this picture, subject to the emotional equivalent of a powerful illusion, and they are unable to resist the illusion when it comes to choice. However, many problems remain about how to properly distinguish cases of capacity and incapacity. The description offered by Hope et al. is extremely important for what it calls to our attention, but it still leaves most of the core issues unresolved. 