 She will, of course, be called upon to justify her decision and it may not be clear to her how to describe her mental states. We do not typically report affective experiences in the same way we report beliefs. The only logical argument she could possibly offer would be: I would prefer to risk death than to put on weight (Hope et al. 2013: 30). And this looks like a preference. On the classic analysis she is competent because her refusing treatment logically follows, given her preferences. But as Hope et al. say: