Psychosocial Issues in Composite Tissue Allotransplantation

  • Barckley Storey
  • Allen Furr
  • Joseph C. Banis
  • Michael Cunningham
  • Dalibor Vasilic
  • Osborne Wiggins
  • Serge Martinez
  • Christopher C. Reynolds
  • Rachael R. Ashcraft
  • John H. Barker

On December 23, 1954, a team of doctors in Boston led by Dr. Joseph Murray, a plastic surgeon, transplanted a kidney into a dying, 23-year-old man in the first successful long-term transplant of a human organ. At the time, some hailed this revolutionary medical advancement as “a miracle of medicine” while others accused Dr. Murray and his team of “playing God,” saying the surgery should not have been done. Ethical debates have accompanied medical advancements throughout history and this is particularly true for transplantation medicine. In the 50 years that have passed since that first successful kidney transplant, organ transplantation has improved extensively and saved the lives of more than 400,000 people in the United States alone. Murray's work is celebrated today as one of the greatest advancements in modern medicine.


Risk Acceptance Psychosocial Issue Transplantation Medicine Composite Tissue Face Transplantation 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. 1.
    J. E. Murray, Surgery of the Soul: Reflections on a Curious Career. Portland OR: Watson Publishing International, Book News. Inc., 2004.Google Scholar
  2. 2.
    M. Cunningham, R. Majzoub, P. C. R. Brouha, L. A. Laurentin-Perez, D. K. Naidu, C. Maldonado, J. C. Banis, F. Grossi, J. M. Frank, J. H. Barker, Risk acceptance in composite tissue allotransplantation reconstructive procedures: Instrument design and validation, Eur J Trauma 30, 12–16 (2004).CrossRefGoogle Scholar
  3. 3.
    P. Brouha, D. Naidu, M. Cunningham, A. Furr, R. Majzoub, F. V. Grossi, C. G. Francois, C. Maldonado, J. C. Banis, S. Martinez, G. Perez-Abadia, O. Wiggins, M. Kon, J. H. Barker, Risk acceptance in composite tissue allotransplantation reconstructive procedures. Microsurgery (In Press) (2005).Google Scholar
  4. 4.
    R. K. Majzoub, M. Cunningham, F. Grossi, C. Maldonado, J. C. Banis, J. H. Barker, Investigation of risk acceptance in hand transplantation, J Hand Surgery (In Press) (2005).Google Scholar
  5. 5.
    A. Lefebvre, S. Barclay, Psychosocial impact of craniofacial deformities before and after reconstructive surgery, Can J Psychiatry 27, 579–583 (1992).Google Scholar
  6. 6.
    F. C. McGregor, Facial disfigurement: Problems and management of social interaction and implications for mental health, Aesth Plast Surg 14, 249–257 (1990).CrossRefGoogle Scholar
  7. 7.
    L. Grealy, Autobiography of a Face. New York: Harper Collins Publishers, 1995.Google Scholar
  8. 8.
    E. Langer, S. Fiske, S. Taylor, B. Chanowitz, Stigma, staring and discomfort: A novel-stimulus hyptotheses, J Exp Soc Psychol, 12, 451–463 (1976).CrossRefGoogle Scholar
  9. 9.
    N. Rumsey, R. Bull, The effects of facial disfigurement on social interaction, Hum Learn, 5, 203–208 (1986).Google Scholar
  10. 10.
    E. Robinson, Psychological research on visible differences in adults. In Lansdown, R., Rumsey, N., Bradbury, E., Carr, A., and Partridge, J. (eds.), Visibly Different: Copying with Disfigurement, pp. 104–111. Boston: Butterworth-Heinemann, 1997.Google Scholar
  11. 11.
    E. Robinson, N. Rumsey, J. Partridge, An evaluation of the impact of social interaction skills training for facially disfigured people, Br J Plast Surg 49, 281–289 (1996).PubMedCrossRefGoogle Scholar
  12. 12.
    E. M. Ye, Psychological morbidity in patients with facial and neck burns, Burns 24, 646–648 (1998).PubMedCrossRefGoogle Scholar
  13. 13.
    T. Pruzinsky, Social and psychological effects of major craniofacial deformity, Cleft Palate Craniofac J 29(6), 578–584; discussion 570 (1992).PubMedCrossRefGoogle Scholar
  14. 14.
    N. Rumsey, A. Clarke, P. White, M. Wyn-Williams, W. Garlick, Altered body image: appearance-related concerns of people with visible disfigurement, J Adv Nurs 48(5), 443–453 (2004).PubMedCrossRefGoogle Scholar
  15. 15.
    T. Moss, Individual variation in adjusting to visible differences. In Lansdown, R., Rumsey, N., Bradbury, E., Carr, A., and Partridge, J. (eds.), Visibly Different: Copying with Disfigurement, pp. 121–130. Boston: Butterworth-Heinemann.Google Scholar
  16. 16.
    J. H. Barker, M. Vossen, J. C. Banis, The technical, immunological and ethical feasibility of face transplantation, Editorial, Int J Surg 2, 8–12. 2004.CrossRefGoogle Scholar
  17. 17.
    O. P. Wiggins, J. H. Barker, S. Martinez, M. Vossen, C. Maldonado, F. Grossi, C. G. Francois, M. Cunningham, G. Perez-Abadia, M. Kon, J. C. Banis, On the ethics of facial transplantation research, Am J Bioeth 4(3), 1–12 (2004).PubMedCrossRefGoogle Scholar

Copyright information

© Springer 2008

Authors and Affiliations

  • Barckley Storey
    • 1
  • Allen Furr
    • 2
  • Joseph C. Banis
    • 3
  • Michael Cunningham
    • 4
  • Dalibor Vasilic
    • 5
  • Osborne Wiggins
    • 6
  • Serge Martinez
    • 7
  • Christopher C. Reynolds
    • 1
  • Rachael R. Ashcraft
    • 1
  • John H. Barker
    • 8
  1. 1.Division of Plastic Surgery ResearchUniversity of LouisvilleLouisville
  2. 2.Department ChairUniversity of LouisvilleLouisville
  3. 3.Division of Plastic and Reconstructive Surgery, Department of SurgeryUniversity of LouisvilleLouisville
  4. 4.Department of CommunicationsUniversity of LouisvilleLouisville
  5. 5.University of LouisvilleLouisville
  6. 6.Department of PhilosophyUniversity of LouisvilleLouisville
  7. 7.Division of Otolaryngology-Head and Neck Surgery, Department of SurgeryUniversity of Louisville School of MedicineLouisville
  8. 8.Director, Plastic Surgery ResearchUniversity of Louisville School of MedicineLouisville

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