At minimum, the analogy fails to grasp the complexity of the issue. Tortured individuals are undergoing external corruption of their liberty. Patients are not intentionally subject to external coercive measures. It is an internal defect in which, among other things, the patient’s full awareness of his or her situation limits autonomy. The relationship between autonomy and decision-making capacity, a seemingly necessary, but not sufficient element of autonomy in the authors’ view, is not elucidated.