The Emotional Response to the Kidney Transplant: The Process of Internalization

Muslin, Hyman L.

doi:10.1177/07067437720176s202

Cited by 23 publications

(28 citation statements)

References 3 publications

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“…This specific type of psychological processing has been described in some case studies (Basch, 1974;Castelnuovo-Tedesco, 1974;Viederman, 1973). Muslin (1972) as well as Lefebvre, Combez, and LeBeufet (1973) suggest that often immediately after transplantation, the donor is experienced as a part of the self, whereas the transplanted organ is seen as a separate object. Psychological processing of the transplantation may be successful, if firstly the new organ is integrated into the self and secondly the donor perceived as a separate person.…”

Section: Discussionmentioning

confidence: 95%

How does psychological processing relate to compliance behaviour after lung transplantation? A content analytical study

Goetzmann

Moser²,

Vetsch

et al. 2007

Psychology, Health & Medicine

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Non-compliance is one of the crucial problems impairing outcome after transplantation. Fourteen lung transplant recipients were interviewed about their thoughts regarding transplant-related topics. Compliance was assessed by doctors. The psychological processing was investigated by content analysis. Highly compliant patients perceived more advantages by transplantation. In contrast, low-compliant patients reported either an emotional distance to the lung or a closer relationship to the donor. Furthermore, they showed a contradictory relationship to the medical staff. There are some indications that perception of advantages by transplantation is crucial to compliance. This experience takes place in the context of a good staff-patient relationship. Emotional distance to the lung or nearness to the donor are further contributing factors of non-compliance.

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Section: Discussionmentioning

confidence: 95%

How does psychological processing relate to compliance behaviour after lung transplantation? A content analytical study

Goetzmann

Moser²,

Vetsch

et al. 2007

Psychology, Health & Medicine

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“…Joy, passion, connection, separation, alienation, guilt and aggression are intimately related. The various constellations of recipient and donor and organ integration, as presented in our model (Muslin, 1971, 1972; Lefebvre and Crombez, 1972; Lefebvre et al ., 1973; Corti, 2007; see also Figure 1), are clearly reproduced in the narratives. In the context of narrative analysis, the psychodynamic model of organ integration has proven helpful and coherent for better understanding the donor–recipient relationship.…”

Section: Discussionmentioning

confidence: 99%

“… Self, donor, and organ representations using the lung in a transplantation‐specific model (following Muslin, 1971, 1972; Lefebvre and Crombez, 1972; Lefebvre et al ., 1973; Corti, 2007) …”

Section: Psychoanalytic Contributions To Organ Integration and The Domentioning

confidence: 99%

“…The feeling of unjust treatment, deploring alienated mankind as a catastrophe, and the anxieties about being outcast are well‐nigh an ideal breeding ground for developing persecutory anxieties or even a psychosis. The described representation of the donor as well as the specific processing of conflict by the self reveal that the narrator is speaking from a paranoid–schizoid position, and also finds himself in the foreign body stage of our transplantation‐specific model (Muslin, 1971, 1972; Lefebvre and Crombez, 1972; Lefebvre et al ., 1973; Corti, 2007). We expect this patient to experience complications while working through the transplantation experience and the process of organ integration.…”

Section: Analysis Of Narrative II (Mr L) the Donor Appears As Part Ofmentioning

confidence: 99%

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Fantasized recipient–donor relationships following lung transplantations: A qualitative case analysis based on patient narratives

Neukom

Corti

Boothe

et al. 2012

The International Journal of Psychoanalysis

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The present study examines the relationships between lung transplant recipients and their unknown, deceased donors. Out of 20 semi-structured interviews, eight narratives, by three female and three male recipients respectively, were identified in which the figure of the donor played a role. These narratives were examined using JAKOB, a qualitative research tool that analyses relational configurations and diagnoses psychodynamic conflicts. Analysis revealed a broad range of varying themes and relationships with equally varying wish and fear themes. All the narrators dealt either explicitly or implicitly with whether and how they are connected to their donors. In five narratives, specific personality traits were attributed to the figure of the donor; in four narratives, latent feelings of guilt concerning the donor's death were expressed. Indeed, the figure of the donor was not always perceived as an independent person, separate from the narrator's self: in two cases, the donor appears as part of the recipient's self, while in another case, the donor is presented as a transitional object for the recipient. The findings of the narrative analysis are discussed within a theoretical model of psychical organ integration.

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“…Muslin (1971Muslin ( , 1972) postulated a gradual internalisation of the transplanted organ. In the first stage of this integration, the transplant is perceived as a foreign object.…”

Section: Organ Integration and The Adoption Of The Donor's Traitsmentioning

confidence: 99%

Psychological processing of transplantation in lung recipients: A quantitative study of organ integration and the relationship to the donor

Goetzmann

Irani

Moser

et al. 2009

British J Health Psychol

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Psychological processing of transplantation in lung recipients: a quantitative study of organ integration and the relationship to the donor Abstract OBJECTIVES: Lung recipients undergo a complex psychological process, including organ integration and processing of attitudes towards the organ donor. DESIGN: Seventy-six lung recipients were asked to participate in a cross-sectional questionnaire study on the psychological processing of lung transplants. METHODS: The questionnaire consisted of statements describing aspects of organ integration and the patient's relationship with the donor. Furthermore, chronic stress/psychological distress (Screening Scale of the Trier Inventory; Symptom Checklist SCL-K-9) and the emotional effects of transplantation/immunosuppression (Transplant Effects Questionnaire; Medication Experience Scale for Immunosuppressants) were assessed. RESULTS: In general, lung recipients perceive the transplant as part of themselves (97.4%) and not as a foreign object (90%). One-third of patients still have frequent thoughts about the donor, whilst the majority (80.3%) do not believe that they have adopted the donor's characteristic traits. Factor analysis reveals the two-dimensional structure of the questionnaire items 'organ integration' (factor 1) and 'relationship to the donor' (factor 2). Poor organ integration predicts low adherence, low disclosure and high feelings of guilt, whilst a close donor relationship predicts chronic stress and psychological distress. CONCLUSIONS: Poor organ integration and a close relationship to the donor should be borne in mind in psychosocial treatment regarding the patient's adherence behaviour and psychological distress. Psychological Processing in Lung RecipientsAbstract Objectives: Lung recipients undergo a complex psychological process, including organ

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The Emotional Response to the Kidney Transplant: The Process of Internalization

Cited by 23 publications

References 3 publications

How does psychological processing relate to compliance behaviour after lung transplantation? A content analytical study

How does psychological processing relate to compliance behaviour after lung transplantation? A content analytical study

Fantasized recipient–donor relationships following lung transplantations: A qualitative case analysis based on patient narratives

Psychological processing of transplantation in lung recipients: A quantitative study of organ integration and the relationship to the donor

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