01Personhood
Amina wants control over who handles her papers and who speaks for her. She takes pride in memory as a craft, not a test she must pass to deserve autonomy.
- Public role
- Patient / Geriatric Neuropsychiatric Referral
- Primary function
- Patient / Witness
- Current status
- Medical hold with supported decision-making
02Need & self-story
- Dominant need
- Retain authority over her records and decisions as cognition fluctuates
- Self-narrative
- Memory is a craft I practiced, not a test I must pass to remain a person.
- Motivational pressure
- Legacy duty
04Reasoning & defense
- Cognitive style
- Legacy key association and historical pattern recall
- Defenses
- Formality, humor, selective silence, reliance on practiced routines
- Evidence caution
- This formulation preserves ordinary competence, relationships, preferences, contradiction, and future goals beyond crisis or operational utility.
08Recovery & agency
- What restores choice
- Medical treatment, orientation support, familiar objects, supported decision-making, and respectful repetition
- Agency rule
- This character remains present, capable of refusal, and able to pursue goals after the player’s immediate objective ends.
- Player obligation
- Protect the distinction between helping the person and using the person.