The test consists of twelve subscales: abasement, achievement, affiliation, aggression, autonomy, change, dominance, endurance, exhibition, nurturance, order, and succorance.
Hans Driesch, the arch twentieth-century vitalist, defined vitalism in 1914 as "the theory of the autonomy of the process of life," and in certain respects he was right.
Ms Martin's dementia interferes with her insight and it may be considered acceptable to override her autonomy by reference to the principle of non-maleficence - the requirement to prevent harm.