I’ve thought on this all night. My sister is in some ways this woman. Mood disorder, erratic behaviour and probably not a dissimilar mental age if you just went on IQ. Her behaviour has been risky many times, from suicide attempts to violent, with a range of other risks added in. Brian damage, probably asd, LD, serious mental health issues. Couldn’t be allowed to parent. Cared for in the family.
The reason I struggle is I’ve seen her go through many assessments over the years, capacity, IQ, when sectioned etc. They’ve been erratic. Some have insisted she’s ‘fine’, another kept under section. The professionals turn over quite fast, information is at times lost and ultimately she is largely assess on her presentation right then. Which can be picked up on a bridge after an asssault by a ‘lover’ with her stomach pumped and self- harming/ showing no sign of understanding. Other times she superficially passes tests, especially as some give clues to the right answers to speed it up! Whether she’s deemed to have capacity can vary between assessors and attitude, it’s all subjective.
I can see if a pregnancy emerged whilst she was inpatient this isn’t outside the realm of possibility of being her. I’ve seen some callous assessments of her feelings and understanding, for example not acknowledging her as seeking human touch and comfort quite normally but viewing entering into relationships as self harming and to be prevented (does anybody not seek love). Other periods of her life she’d certainly be asked. Other professionals would react differently too,
I guess what I’m saying is I’m uncomfortable as someone who cares for an adult with not dissimilar needs. I’ve always known I understand her far more than what is written down or observed. Particularly her emotional understanding. She does not react in conventional ways to situations, therefore she is rarely acknowledged as upset/ traumatised or whatever emotion she is atypically displaying. Spend months or years with her and you understand that she holds things deeper and doesn’t communication much how she feels. A behaviour seen by professionals as highly reactive and unstable may actually be really the build up from being dismissed as a liar by a psychiatrist three years earlier who thought she didn’t even pick up on the insinuation.
What I’m saying is I’m uncomfortable that professionals always know and can judge, or have time to. If she’s still living with her mother the woman clearly is deemed as able to care for her and not a danger. I think her judgement has great weight. A social worker also seems to agree. Professionals probably see her infrequently or at crisis. I’m not saying she can raise the baby, but many are adopted each years and not aborted even though we know this will happen in pregnancy. If her mum and SW think at this stage birth is less traumatic, it’s a factor. Also it is a life, and not irrelevant in the picture. I’m not pro-life but I’m pro-choice. Not pro-abortion , I simply believe in respecting bodily autonomy of women. I’m uncomfortable with a court ordered what I think should only be a woman’s choice, the ending of a late stage pregnancy.