Article
The American Journal of Psychoanalysis (2008) 68, 237–256. doi:10.1057/ajp.2008.15
Phases of Organ Integration and Conflict in a Transplant Recipient: A Longitudinal Study Using a Diary
Oliver Decker1, Antje Lehmann3, Josef Fangmann4, Burkhard Brosig5 and Merve Winter2
Correspondence: Oliver Decker, Ph.D., Universität Leipzig, Selbst. Abt. f. Medizinische Psychologie, und Medizinische Soziologie, Philipp-Rosenthal-Str. 55, 04103 Leipzig, Germany. e-mail: Oliver.decker@medizin.uni-leipzig.de
1Ph.D., psychologist (diploma). Is a consultant in living organ donation and member of the Department of Medical Psychology and Medical Sociology, University Medical College of Leipzig, Germany; trainee psychoanalytist; editor of "Psychoanalyse—Texte zur Sozialforschung."
2certified psychologist, is participant of the graduate school for gender studies "gender in motion" in Bale, Switzerland. She is psychological consultant in evaluation for living organ donation in Leipzig, Germany.
3psychologist (diploma), is a consultant in psycho-oncology and member of the Department of Social Medicine, University Medical College of Leipzig, Germany. Psychoanalytist, Saxonia Institute of Psychoanalysis and Psychotherapy.
4MD, is Professor of Visceral Surgery and former Vice Chairman of the Surgical Department of the University Hospital of Leipzig, Germany. Currently, Dr. J. Fangmann is Director of the Surgical Department of Karl-Olga-Hospital in Stuttgart, Germany. Dr. J. Fangmann is Fellow of the Royal College of Surgeons of England (FRCS) and Fellow of the American College of Surgeons (FACS).
5MD, Professor of Psychosomatic Medicine at the Justus-Liebig-University of Gie
en, Psychoanalyst (DPV), Training Analyst and Chair of the Institut for Psychoanalysis and Psychotherapie, Gie
en. He specialises in psychoanalytical aspects of Lifestyle-Medicine.
Abstract
In this paper the results from a research project on self-perception and psychological processing following transplantation of solid organs are presented. A diary at the individual case level was introduced to generate a longitudinal analysis. In the following paper we describe an evaluation of the entries of a single patient following a living donor kidney transplant. Conflicts in the relationship between the transplant recipient and the donor, who is also his wife, are clearly evident, and these are interpreted as incorporation conflicts in light of current psychoanalytic theory.
Keywords:
organ transplantation, living donor, intrapsychic conflicts, family
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Phases of Organ Integration and Conflict in a Transplant Recipient: A Longitudinal Study Using a DiaryThe American Journal of Psychoanalysis Article



