Psychosocial assessment of transplant candidates is a challenging task. Securing adequate information is made more difficult when patients present with fulminant hepatic failure. When the patient cannot be interviewed and the family is reluctant to provide vital information, a comprehensive pretransplant psychosocial evaluation is virtually impossible. However, even the most difficult cases have the potential for a positive result when a good psychosocial profile of the patient is obtained after transplantation, a team treatment plan is developed and carried out which addresses current and anticipated problems, and the patient obtains mental health treatment.

In this study, we examined a theoretical model of self-development and a scale to measure 12 aspects of the self. The theory, called developmental self-theory, proposes a hierarchical arrangement of dimensions of the self. The 12 scales are collectively called the Omnibus Self-Test and measure Self-Esteem, Positive Self-Regard, Moral Self-Concept, Self-Confidence, Self-Reliance, Self-Control, Selfishness, Self-Disclosure, Self-as-Agent, Self-Critical, Self-Identity, and Self-Reflection. Preliminary data on the reliability and validity of the Omnibus Self-Test is reported along with intercorrelations among the scales.

Psychosocial assessment of transplant candidates is a challenging task. Securing adequate information is made more difficult when patients present with fulminant hepatic failure. When the patient cannot be interviewed and the family is reluctant to provide vital information, a comprehensive pretransplant psychosocial evaluation is virtually impossible. However, even the most difficult cases have the potential for a positive result when a good psychosocial profile of the patient is obtained after transplantation, a team treatment plan is developed and carried out which addresses current and anticipated problems, and the patient obtains mental health treatment.

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