 Here is where the puzzle for capacity assessment arises. In a very real sense, the refusal is based on a mental state with a certain propositional content that is false. So, under the traditional analysis, it seems we should count the patient as lacking capacity. But in another sense, since her reflective self does not accept that content (she does not strictly speaking believe it) she has no false beliefs (Hope et al. 2013: 30). And she is credible in reporting this. So, again following the traditional analysis, it seems we should count the patient as having capacity.