The transplant team’s role with regard to establishing contact between an organ recipient and the family of a cadaver organ donor

Azuri, Pazit; Tabak, Nili

doi:10.1111/j.1365-2702.2011.03822.x

Cited by 13 publications

(18 citation statements)

References 17 publications

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“…The typical human practices of giving and receiving are reflected in the desire of many transplant patients to contact the donor family in some form (Dicks et al 2018). Although some organ recipients prefer anonymity, others want contact with the donor family (Sharp 1995;Politoski, Coolican, and Casey 1996;Dobbels et al 2009;Azuri and Tabak 2012). Some recipients and donor family members believe that an anonymous thank-you letter to the donor family is a sufficient form of contact (Maloney 1998;Kaba et al 2005), whereas others want (also) a meeting in person (Albert 1998;Maloney 1998;Ono et al 2008;Annema et al 2014).…”

Section: The Impossibility Of the Pure Altruistic Gift-givingmentioning

confidence: 99%

Pure Altruistic Gift and the Ethics of Transplant Medicine

Łuków

2019

Bioethical Inquiry

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The article argues that altruistic giving based on anonymity, which is expected to promote social solidarity and block trade in human body parts, is conceptually defective and practically unproductive. It needs to be replaced by a more adequate notion which responds to the human practices of giving and receiving. The argument starts with identification of the main characteristics of the anonymous altruistic donation: social separation of the organ donor (or donor family) from the recipient, their mutual replaceability, non-obligatoriness of donation, and non-obligatoriness of reciprocation on the recipient's part. Since these characteristics are also central to typical market relations, anonymous altruistic donation not only cannot promote solidarity but may encourage proposals for (regulated) markets of transplantable organs. Thus, transplant ethics needs to be reframed. It needs to be rooted in, rather than promote, the practices of giving and receiving known to human societies. As the basis for such reframing, the idea of sharing in another's misfortune is proposed. It relies on the human practices of giving and receiving and, with appropriate regulatory safeguards, can provide a better conceptual basis for blocking commercial exchanges of human body parts.

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Section: The Impossibility Of the Pure Altruistic Gift-givingmentioning

confidence: 99%

Pure Altruistic Gift and the Ethics of Transplant Medicine

Łuków

2019

Bioethical Inquiry

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“…Most donor family members think about the recipients at some point (Fulton et al, 1977) and appreciate receiving de-identified information or a letter which confirms that transplantation has taken place (Albert, 1998;Azuri and Tabak, 2012;Bartucci andSeller, 1986, 1988;López Martínez et al, 2008;Mehakovic and Bell, 2015;Ono et al, 2008;Pelletier, 1993;Sanner, 2001).…”

Section: Section 1: the Perspective Of The Bereaved Donor Familymentioning

confidence: 99%

An exploration of the relationship between families of deceased organ donors and transplant recipients: A systematic review and qualitative synthesis

Dicks

Northam

Haren

et al. 2018

Health Psychology Open

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Following deceased organ donation and transplantation, the narratives of families of donors and organ recipients become connected. This is acknowledged when parties receive anonymous information from donation agencies and transplant centres, when they exchange correspondence or when they meet in person. This article reviews literature describing the experience from the points of view of donor families, recipients, and other stakeholders to explore the dynamic system that evolves around this relationship. Findings highlight a link between identity development and ongoing adjustment and will assist those supporting donor families and recipients to make decisions that fit meaningfully.

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“…In some countries where cadaveric organ donations are anonymous, only a minority of recipients stated that they would like to know their donor's family to express their gratitude,11 12 although in other countries––where donations were also anonymous––they were more numerous 13 14. In countries where contact between donor families and recipients is legal after cadaveric organ donation, recipients reported that the feeling to owe a ‘return’ to the family was problematic 15. In live organ donation, the donor is usually known to the recipient and in a position to request personal returns 6.…”

Section: Gratitude In Organ Donationmentioning

confidence: 99%

Should gratitude be a requirement for access to live organ donation?

et al. 2017

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Gratitude is both expected and problematic in live organ donation. Are there grounds to require it, and to forbid access to live donor transplantation to a recipient who fails to signal that he feels any form of gratitude? Recipient gratitude is not currently required for organ donation, but it is expected and may be a moral requirement. Despite this, we argue that making it a condition for live organ transplantation would be unjustified. It would constitute a problematic and disproportionate punishment for perceived immoral behaviour on the part of the recipient. It would also bar the donor from positive aspects of organ donation that remain even in the absence of recipient gratitude. A potential recipient's lack of gratitude should be explored as a possible symptom of other morally problematic issues and integrated into the information provided to the potential donor. Recognition of the donor's gift and gratitude for it may also need to be expressed in part by others. This last aspect is relevant even in cases where the recipient feels and expresses gratitude.

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The transplant team’s role with regard to establishing contact between an organ recipient and the family of a cadaver organ donor

Abstract: Transplant coordinators are given convincing backing for taking the initiative in promoting contact between donor families and organ recipients. The coordinator's intervention, information and guidance are needed to make a success of such contact.

Cited by 13 publications

References 17 publications

Pure Altruistic Gift and the Ethics of Transplant Medicine

Pure Altruistic Gift and the Ethics of Transplant Medicine

An exploration of the relationship between families of deceased organ donors and transplant recipients: A systematic review and qualitative synthesis

Should gratitude be a requirement for access to live organ donation?

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