 A second worry is that such an approach (one that appeals to pathological values) risks giving up one feature of the current framework prized by many psychiatrists, namely the refusal to use diagnosis as a basis for determinations of capacity  (§5.5  above). If anorexia causes problematic values and if this is sufficient to render patients incompetent, then since all patients with anorexia have such values, we will in effect be saying that all such patients lack the capacity to refuse treatment.