Summary:ney transplantation between genetically or emotionally related persons, and bone marrow transplantation between relatives and between unrelated strangers has become As living organ, tissue, and bone marrow donation become increasingly prevalent treatments for a variety almost routine. [1][2][3][4] Furthermore, improvements in medical capabilities and immunosuppressive drugs have now made of diseases, better understanding of living donors' experiences, especially when the recipient does not sureven complex operations such as lung and liver lobe transplantation possible between relatives. 5,6 As ever growing vive after the transplant, also becomes more critical. Although some psychological outcome data exist connumbers of living donors provide relatives and strangers with opportunities to achieve longer, more fulfilling lives cerning living donation, there have been no systematic prospective investigations, to date, of the psychological at considerable sacrifice to themselves, it becomes increasingly critical to understand how such donors experience the impact of bereavement among sibling bone marrow donors. Studies of bereavement effects in other donation donation process, especially in cases where the recipient does not survive after the transplant. settings such as unrelated bone marrow donation and related kidney donation, suggest that bereavement mayTo date, studies that have examined psychological issues among bone marrow donors (for example see Refs 7-11) have a significant impact on donors' reactions. The present investigation studied a panel of sibling bone have focused primarily on unrelated donation -which involves little or no contact between donor and recipientmarrow donors at three key points in the donation process in order to (1) examine donor psychological welland thus have not been able to fully examine the additional effects of bereavement on donors' psychological wellbeing across time, and (2) investigate the effect of the sibling recipient's death on donor well-being. We surbeing. The failure of prior research to adequately address donor psychological issues including bereavement within veyed sibling donors by mail 1-2 weeks prior to donation, 1-2 weeks following donation, and again 1 the framework of related bone marrow donation led us in the current study to investigate such donation experiences year after their donation. In general, all donors reported high levels of predonation self-esteem, masin siblings. We were specifically interested in determining whether the death of a sibling bone marrow recipient affectery, happiness and life satisfaction. As might be expected, bereaved donors felt less as if their donation ted donor psychological well-being and adjustment assessed prospectively from predonation to 1 year posthad really helped their sibling as time passed. However, despite such donation-specific perceptions, bereaved donation. Although all living donations involve distinct sets of donors experienced global psychological gains following bereavement including enhanced self-es...
This article describes a unique format for graduate education in professional ethics that integrated doctoral-and master's-level instruction in "ethics laboratory" activities for the mutual benefit of both groups of graduate psychology students. Students enrolled in concurrently offered sections of doctoraland master's-level professional ethics courses participated in periodic small group discussions facilitated by the doctoral students. A mixed quantitative and qualitative outcome evaluation provided preliminary support for this instructional method as an effective supplement to traditional classroom pedagogy in providing students with knowledge of ethics codes and models of ethical reasoning. The method was not effective in increasing students' self-reported confidence in their ability to resolve ethical dilemmas. The significance of these findings is discussed.
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