title: A kidney donor's dilemma: the sibling who can donate--but doesn't.
abstract: The decision making process undertaken by a sibling who chooses not to donate a kidney to a brother or sister who needs a transplant is the subject of this article. Presented from the perspective of the potential donor client, the paper focuses on the moral and ethical concerns indicated when there are two equal but competing rights involved in the decision. It also addresses pertinent attitudinal dimensions and social and health issues that affect all parties--the client, the marital partner, the family of origin, and the patient's immediate family. The article concludes by addressing "what" and "how" social workers assist clients after the difficult decision not to donate has been made.
authors.affiliation: School of Social Work, East Carolina University, Greenville, NC 27858-4353, USA.
authors.forename: L B
authors.initials: LB
authors.lastname: Bratton
authors.forename: L W
authors.initials: LW
authors.lastname: Griffin
mesh_terms: D000328:Adult; D003657:Decision Making; D033001:Directed Tissue Donation; D004992:Ethics, Medical; D005190:Family / Q000523:psychology; D005260:Female; D006650:Histocompatibility Testing; D006801:Humans; D007389:Internal-External Control; D007676:Kidney Failure, Chronic / Q000523:psychology / Q000601:surgery; D016030:Kidney Transplantation / Q000523:psychology*; D008297:Male; D028681:Moral Obligations; D009014:Morals; D010342:Patient Acceptance of Health Care; D026684:Personal Autonomy; D006435:Renal Dialysis / Q000523:psychology; D018570:Risk Assessment; D012801:Sibling Relations; D035781:Siblings; D012803:Sick Role; D012945:Social Values; D012947:Social Work; D014019:Tissue Donors / Q000523:psychology*; D009927:Tissue and Organ Procurement