The Behavioural Responses of Renal Transplant Patients as Seen through their Fantasy Life

Crombez, Jean-Charles; Lefebvre, Paul

doi:10.1177/07067437720176s205

Cited by 9 publications

(5 citation statements)

References 4 publications

(1 reference statement)

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“…A medida que los pacientes evolucionan en el proceso psíquico durante el trasplante, el órgano se integra en su imagen corporal, mientras el donante se representa cada vez más como un objeto extraño. La representación del donante al principio refleja la autorepresentación del receptor, luego se desprende gradualmente y se mueve del núcleo del yo hacia el mundo externo, mientras que el trasplante se mueve en la dirección opuesta, desde la periferia hasta el núcleo del paciente y finalmente se integra en la autoimagen del receptor (Lefebvre & Crombez, 1972;Lefebvre et al, 1973).…”

Section: Discussionunclassified

Percepción de los pacientes trasplantados renales sobre la necesidad de información de sus donantes

Schiavelli

Miranda

Sero

et al. 2021

Vertex Rev Arg Psiquiatr

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Objetivo: Describir las percepciones de pacientes trasplantados renales sobre la necesidad de información acerca del donante y la potencial influencia del sexo y edad del mismo. Materiales y Métodos: Estudio analítico, observacional, transversal y prospectivo de trasplantados renales mayores de 18 años con al menos 1 año de trasplante. Los datos se recolectaron por historia clínica y una encuesta semiestructurada. Resultados: Se analizaron 104 pacientes, 58% fueron mujeres, con una media de edad de 47 años y tiempo de trasplante de 7 años. El porcentaje de pacientes que le interesaba conocer el sexo biológico y la edad del donante fue significativamente superior (76%; n=79; p<0,001). Solo el 13% (n=14) refirió que elegiría el sexo y la edad del donante (p<0,001), aunque una mayor proporción de pacientes (78%) refirió percibir que el sexo y la edad del donante podían influir en ellos (p<0,001). De los 79 pacientes que manifestaron interés en conocer el sexo y edad del donante, el 62% refirió que el motivo era agradecer, observándose diferencias con respecto a otros motivos. (p=0,0025). Conclusión: El agradecimiento dirigido a la persona de la cual solamente conoce el sexo y la edad permitiría al paciente trasplantado poder realizar una construcción imaginaria del donante.

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Section: Discussionunclassified

Percepción de los pacientes trasplantados renales sobre la necesidad de información de sus donantes

Schiavelli

Miranda

Sero

et al. 2021

Vertex Rev Arg Psiquiatr

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“…In contrast to heart and lung transplantation, living organ donations from relatives or strangers are possible in kidney transplantation, an aspect that influences the dynamics of the donor-recipient relationship [27]. In the study by Kärrfelt et al [21], the donorrecipient relationship (mostly close relatives) appeared to improve through the common experience; the hypothetical idea of having a necro-transplant was evaluated negatively [21].…”

Section: Kidney Transplantationmentioning

confidence: 99%

“…Regarding terminology used in the context of DDI, almost all studies in kidney transplantation used the term "fantasies" [21,[26][27][28]38,41]. Basch [26] and Kärrfelt et al [21] generally described "fantasies about the donor", whereas Delmar-McClure [28] used the term "fantasies about the donor's organ", and Crombez and Lefebvre [27] wrote about "fantasies concerning the transplantation".…”

Section: Used Termsmentioning

confidence: 99%

Section: Consequences Of Ddimentioning

confidence: 99%

“…Crombez and Lefebvre [27] reported that distorted fantasies on the recipients' side may lead to a disruption in the relationship between donor and recipient, causing complications for both. For instant, the recipient may wish to have a donor who is different from the intended donor [27]. Two other studies reported that thoughts might depend on the recipient's attitudes and values; if recipients know or imagine that the organ is from a donor whose gender or age group is different from their own, special problems may occur [26,38].…”

Section: Consequences Of Ddimentioning

confidence: 99%

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Donor and Donation Images (DDI)—A Scoping Review of What We Know and What We Don’t

Laskowski

Brandt

Tigges-Limmer

et al. 2023

JCM

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Organ transplantation is associated with significant physical and psychological burden for the recipients. Qualitative reports indicate that organ recipients develop donor and donation images (DDI)—conceptions of the donor and/or the organ. A deeper understanding of DDI is needed in the care of transplant recipients. To present the current state of knowledge, we searched for and identified DDI-related publications in PubMed and Scopus. Inclusion criteria were (1) studies addressing transplant recipients, and (2) English or German language. Twenty-one studies of individuals with transplanted hearts, lungs, or kidneys were included in this scoping review. Prevalence for DDI ranged from 6% to 52.3%. DDI occurs both before and after transplantation and includes ideas about the donor as well as whether and how the recipient’s personality may be altered by the transplanted organ. Some transplant recipients did indeed report personality changes following transplantation due to the adoption of assumed donor characteristics. One study showed a positive association between the presence of DDI and anxiety scores and one described a coping effect. DDI is understudied and should be systematically assessed to improve care for the vulnerable group of individuals undergoing organ transplantation. Current research gaps and future directions are discussed.

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The Life Trajectory of Patients with Long-Term Kidney Transplants

Viederman

1981

Psychonephrology 1

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The Behavioural Responses of Renal Transplant Patients as Seen through their Fantasy Life

Cited by 9 publications

References 4 publications

Percepción de los pacientes trasplantados renales sobre la necesidad de información de sus donantes

Percepción de los pacientes trasplantados renales sobre la necesidad de información de sus donantes

Donor and Donation Images (DDI)—A Scoping Review of What We Know and What We Don’t

The Life Trajectory of Patients with Long-Term Kidney Transplants

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