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Undue Influence: Definitions and Applications - California Courts ...

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APPENDIX C<br />

Literature Review on <strong>Undue</strong> <strong>Influence</strong><br />

Lisa Nerenberg<br />

Since the mid-1990s, interest in the role of undue influence in elder financial abuse has<br />

grown. This can perhaps be accounted for by the fact that undue influence offers a compelling<br />

explanation for situations that are increasingly coming to the attention of adult protective service<br />

workers, law enforcement, <strong>and</strong> others in the field of abuse prevention. These include incidents in<br />

which elders who appear to be acting freely (those with minimal or no cognitive impairment <strong>and</strong><br />

who are not being overtly coerced) consent to exploitative transactions, remain in abusive<br />

relationships, <strong>and</strong> defend those who seek to harm or exploit them. In many cases, victims have<br />

strong emotional attachments to their abusers. Some refuse to believe that abuse has occurred<br />

even in the face of significant losses, impoverishment, or homelessness. Some even defend their<br />

abusers.<br />

Practitioners in the field of elder abuse prevention recognize that elders with cognitive<br />

impairments are often tricked, misled, or intimidated into surrendering money or property by<br />

signing documents like powers of attorney, deeds, or other contracts; <strong>and</strong>, that under these<br />

circumstances, victims are not acting “freely.” They further recognize that abusers may gain<br />

compliance through threats <strong>and</strong> coercion. But cognitive impairment <strong>and</strong> coercion do not explain<br />

those situations in which victims appear to be acting freely.<br />

Most practitioners in the field of elder abuse prevention, including social workers, adult<br />

protective service workers, <strong>and</strong> legal <strong>and</strong> health care professionals, adhere to ethical <strong>and</strong> practice<br />

principles or guidelines that acknowledge clients’ autonomy <strong>and</strong> right to make their own<br />

decisions. This extends to actions or choices that appear eccentric, risky, or even foolish. As a<br />

result, they have been reluctant to call seemingly counterproductive actions into question for fear<br />

of treading on clients’ civil liberties. But as awareness of abuse increases <strong>and</strong> more of these<br />

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