Are individuals living with mental illness and their preferred alternative decision-makers attuned and aligned in their attitudes regarding treatment decisions?
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We surveyed people with schizophrenia or anxiety and mood disorder and their preferred alternative decision-makers.

We examined the attunement and alignment of perspectives between dyads.

Both groups were attuned with respect to the role of the individual and of family in treatment decision making.

Both groups' views were aligned in respect to physical and mental disorders, except in relation to alcohol and substance use.

Both groups were aligned in their views of underlying life values, except the role of spirituality.

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