I / The Clinical Context.- Judging Competence: When the Psychiatrist Need, or Need Not, Be Involved.- Informal Judgments of Competence and Incompetence.- II / Reexamining Concepts of Competence.- Competence.- Judgments of Incompetence and Their Moral Presuppositions.- III/Fashioning Law and Public Policy.- Competence: At the Intersection of Law, Medicine, and Philosophy.- The Geography of Competency.- Medical Treatment Decisions and Competency in the Eyes of the Law: A Brief Survey.- IV / Case Studies: Seeking Insight From Application.- Competency Judgments: Case Studies From the Internist’s Perspective.- Competency Judgments: Case Studies from the Psychiatrist’ Perspective.- Competency Judgments: Case Studies in Moral Perspective.- V / Commentary and Critique: Another Look at Concepts of Competence.- The Competency of Definitions of Competency.- Judgments About Patient Competence: Cultural and Economic Antecedents.- Patient Freedom and Competence in Health Care.- Breaking up the Shell Game of Consequentialism: Incompetence — Concept and Ethics.- Competency: A Triaxial Concept.- Notes On Contributors.