There is a quiet but persistent confusion at the heart of many legal and service systems.

Support is treated as if it were a softer form of control.

It isn’t.

Support and control are not points on the same spectrum. They are fundamentally different ideas, grounded in different assumptions about people, power, and trust. Yet the law, particularly in guardianship and administration, continues to blur the distinction, with real consequences for those whose lives are most affected.

Most of us rely on others to help us make decisions. We seek advice, test ideas, ask questions, and sometimes lean heavily on people we trust. We do not, however, require their permission to decide.

For many people with a disability, that line is crossed quickly.

Assistance is reframed as supervision. Guidance becomes authorisation. Before long, decision-making is no longer something done with a person, but for them. This shift often happens gradually and without malice, but it is nonetheless profound.

Once support is treated as control, the person receiving it is no longer seen as a decision-maker. They become a risk to be managed.

Legal systems are designed to reduce uncertainty. They value predictability, clarity, and responsibility. Supported decision-making, by contrast, asks the law to tolerate ambiguity.

It accepts that:

  • people may make decisions others disagree with,
  • outcomes may be imperfect,
  • risk cannot always be eliminated.

For the law, this is uncomfortable territory.

Guardianship and administration offer a cleaner solution: identify incapacity, transfer authority, assign responsibility. Control feels safer, not necessarily for the person affected, but for institutions tasked with managing liability, compliance, and reputational risk.

This helps explain why, even as supported decision-making gains rhetorical support, substitute decision-making remains the dominant practice.

Control is often justified in the language of care.

It is framed as acting in someone’s “best interests”, keeping them safe, or preventing harm. These are powerful narratives, and they are rarely questioned. But protection becomes problematic when it requires silencing the very person it claims to serve.

Support, by contrast, does not guarantee good outcomes. It guarantees something else: that the person remains the author of their own decisions.

That distinction matters.

Because a system that prioritises control may prevent certain harms, but it does so by removing choice. A system that prioritises support accepts that dignity includes the possibility of mistakes.

Supported decision-making begins with a simple premise:

Needing support does not mean needing control.

Instead of asking who should decide instead?, it asks:

  • what information is missing?
  • what communication barriers exist?
  • who does the person trust?
  • what supports would make decision-making possible?

The role of supporters is not to approve decisions, but to assist the person to understand, weigh, and communicate their choices. The decision itself remains theirs, even when others would choose differently.

This is not a radical idea in everyday life. It only becomes radical when applied to people the law has historically treated as incapable.

Blurring support and control serves institutional convenience.

Control centralises responsibility. It simplifies processes. It reassures systems that someone is “in charge”. Support, on the other hand, distributes responsibility and requires ongoing engagement. It demands listening, patience, and flexibility.

It also challenges deeply embedded assumptions about vulnerability, particularly the belief that some people are safer when their autonomy is reduced.

The difficulty is that once control is normalised, it becomes invisible. Decisions are made smoothly, efficiently, and without resistance, precisely because the person most affected is no longer empowered to resist.

If supported decision-making is to be more than a label, the distinction between support and control must be taken seriously.

This is not simply a legal issue. It is a governance issue, a cultural issue, and a moral one. Boards, service providers, public authorities, and courts all play a role in deciding whether support will be used to amplify a person’s voice, or to replace it.

The law struggles with this distinction because it requires letting go of certainty. But certainty is not the same as justice, and control is not the same as care.

Support is not control.

Until systems internalise that simple truth, reform will remain superficial, and the promise of supported decision-making will remain unfulfilled.


Discover more from Dr Craig Dent

Subscribe to get the latest posts sent to your email.

Leave a comment

Trending