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Carl H. Fellner, MD; John R. Marshall, MD

JAMA. 1968;206(12):2703-2707.

Abstract
Twelve renal homotransplantation donors were interviewed in depth between five weeks and 18 months after surgery. Unexpected findings were (1) the decision-making process about donorship did not at all follow a pattern compatible with the concept of "informed consent" but occurred as an instantaneous, irrational response which subsequently was justified and maintained with the aid of a number of defensive techniques; and (2) the prevalent idea that the organ donor makes a major sacrifice without getting anything of significance in return was not true for our subjects who looked back upon it not as a disruptive, but as an integrative experience.

Author Affiliations
From the Department of Psychiatry, University of Wisconsin Medical School, Madison.

Footnotes
Reprint requests to 1300 University Ave, Madison, Wis 53706 (Dr. Fellner).

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