Psychological Factors Affecting Acceptance or Rejection of Kidney Transplants

  • Jorge Steinberg
  • Norman B. Levy
  • Andreas Radvila


The Downstate Medical Center has had continuing interest in behavioral observations of patients with end-stage renal disease.1 With the development of an active renal transplant program here four years ago, members of the Medical Psychiatric Liaison Service extended their activity to the study of the issues facing both transplant recipients and donors. Initially, we met regularly to listen to and to discuss the tape-recorded interviews that one of us (J.S.) had with these patients. From these weekly meetings, a more formal study ensued in which we addressed ourselves to investigating several issues: How do recipients and donors perceive the transplanted organ? What are the major stresses facing these patients? Do psychological factors affect the success or failure of renal transplantation?


Psychological Factor Mixed Lymphocyte Culture Cadaveric Kidney Downstate Medical Cadaveric Kidney Transplant 
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.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Levy, N. B. Psychological studies at the Downstate Medical Center of patients on dialysis. Medical Clinics of North America, 1977, 61, 759–769.PubMedGoogle Scholar
  2. 2.
    Castelnuovo-Tedesco, P. (Ed.) Psychiatric aspects of organ transplantation. New York: Grune and Stratton, 1971.Google Scholar
  3. 3.
    Viederman, M. Psychogenic factors in kidney transplant rejection. American Journal of Psychiatry, 1975, 132, 957–959.PubMedGoogle Scholar
  4. 4.
    Eisendrath, R. M. The role of grief and fear in the death of kidney transplant patients. American Journal of Psychiatry, 1969, 126, 381–387.PubMedGoogle Scholar
  5. 5.
    Basch, S. H. The intrapsychic integration of a new organ. A clinical study of kidney transplantation, Psychoanalytic Quarterly, 1973, 41, 364–384.Google Scholar
  6. 6.
    Castelnuovo-Tedesco, P. Organ transplant, body image, psychosis. Psychoanalytic Quarterly, 1973, 42, 349–363.PubMedGoogle Scholar
  7. 7.
    Fellner, C. H., and Marshall, J. R. Kidney donors: the myth of informed consent. American Journal of Psychiatry, 1970, 126, 1245–1251.PubMedGoogle Scholar
  8. 8.
    Marshall, J. R., and Fellner, C. H. Kidney donors revisited. American Journal of Psychiatry, 1977, 134, 575–576.PubMedGoogle Scholar
  9. 9.
    Simmons, R. G. and Simmons, R. L. Organ-transplantation: a societal problem. Social Problems, 1971, 19, 36–57.CrossRefGoogle Scholar
  10. 10.
    Bernstein, D. M. After transplantation—the child’s emotional reactions. American Journal of Psychiatry, 1971, 127, 1189–1193.PubMedGoogle Scholar
  11. 11.
    Reichsman, F., and Levy, N. B. Problems in adaptation to maintenance hemodialysis a four-year study of 25 patients. Archives of International Medicine, 1972, 130, 859–865.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 1981

Authors and Affiliations

  • Jorge Steinberg
    • 1
  • Norman B. Levy
    • 1
    • 2
  • Andreas Radvila
    • 1
  1. 1.Downstate Medical CenterState University of New YorkBrooklynUSA
  2. 2.Department of PsychiatryNew York Medical CollegeNew YorkUSA

Personalised recommendations