[Autoaggressive donation motives in the context of living kidney donation].
BACKGROUND
Which psychodiagnostic criteria indicate artificial donation motives at work in living organ donation?


METHODS
Using a casuistic we investigated self-harmful behaviour with regard to peculiarities in transference as well as countertransference.


RESULTS
Diagnostically of great important is the discrepancy between the difficulty of the examiner to understand the donation request in its psychosocial context and the vehemence with which the donor insists on going through with the transplantation. At the same time, one may notice a lack of reflective ability impeding an ambivalent attitude toward the donation. The doctor/patient relationship is restricted by aggressive affects, and the body of the donor is reduced to an object with exchangeable organs.


CONCLUSIONS
When evaluating donor-recipient pairs who belong into the group of pairs with particular emotional investment according to Article 8.1 of the German Organ Transplantation Law, one should consider the possibility of autoaggressive motives as a background to a living organ donation. Also, when discussing the extension of anonymous and predominantly altruistically motivated living organ donation one should consider the exclusion of autoaggressive motives.
Klinik für Psychotherapie und Psychosomatische Medizin, Asklepios Fachklinikum Stadtroda, Bahnhofstr. 1a, 07646 Stadtroda. u.wutzler@asklepios.com
Uwe
U
Wutzler
Margit
M
Venner
D000328:Adult; D000374:Aggression / Q000523:psychology; D003379:Countertransference; D033001:Directed Tissue Donation; D004644:Emotions; D005162:Factitious Disorders / Q000175:diagnosis / Q000523:psychology; D005260:Female; D006801:Humans; D019520:Living Donors / Q000523:psychology*; D009042:Motivation; D009769:Object Attachment; D010817:Physician-Patient Relations; D011575:Psychoanalytic Therapy; D016728:Self-Injurious Behavior; D014167:Transference, Psychology