 Moreover, discussions of capacity assessment tend to assume (contra Culver &amp; Gert) that the only safe way to avoid this problem (the problem of equating disagreement with incapacity) is to focus exclusively on how patients reach a decision. So although philosophers may still see issues to be explored further, for now the clinical realm views these issues as resolved. It is taken for granted that the need to maintain value neutrality is real, and that the way to do this is to adopt an exclusively process-oriented approach to capacity assessment.