157:" and was at least "mildly to moderately developmentally delayed" with learning skills at a limited level. She spent the week at a school for adults with mental disabilities, and went back to her mother's home on the weekends. Administrators at Eve's care facility noticed that she was developing a close relationship with a male resident, also disabled, and became concerned. Mrs. E, also, was concerned that Eve might innocently become pregnant. Her disability prevented her from understanding the concept of marriage or the "consequential relationship between intercourse, pregnancy and birth," and she would be unable to carry out the necessary duties of motherhood.
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constitutes battery, it will be obvious that the onus of proving the need for the procedure is on those who seek to have it performed...In conducting these procedures, it is obvious that a court must proceed with extreme caution; otherwise...it would open the way for abuse of the mentally incompetent, ... would allow the appeal and restore the decision" of the original court, which had rejected the petition.
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The
Supreme Court of Canada, however, ruled in favour of Eve, and unanimously rejected Mrs. E.'s request for authorization to perform a sterilization procedure. The opinion of the Supreme Court of Canada was that "barring emergency situations, a surgical procedure without consent ordinarily
202:, Mrs. E.'s requests were denied. Although the judge had no issue with the first two petitions (i.e. the appointment of Mrs. E. as Eve's formal guardian), he rejected the third, on the basis that substitute decision makers cannot consent to non-therapeutic surgical procedures.
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A major concern of the court was the fact that tubal ligation, in this instance, was non-therapeutic (i.e. not necessary for medical reasons) and that a hysterectomy, which was "authorized by the Appeal
Division", was major surgery.
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powers of the court were to be used for the benefit of the incompetent individual, and that sufficient evidence had been presented to convince them that sterilization was in Eve's best interest.
140:. This was a landmark case which is influential in Canadian legal decisions involving proxy-consented, non-therapeutic medical procedures performed on people of diminished mental capacity.
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was that a court-ordered sterilization of this person of diminished capacity was depriving that person of her right to procreate, infringing on Eve's right to liberty and security.
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On appeal, the original ruling was overturned. The majority of the three judge panel stated that there was sufficient evidence to warrant the sterilization of Eve, and that the
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Eve be declared a mentally incompetent pursuant to the provisions of the Mental Health Act
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Eve, by her
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Eve was a 24-year-old woman suffering from "extreme expressive
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Eve v. Mrs. E. [1987], 3D.L.R. (4th) S.C.C. 388 (S.C.C.)
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