The Transplant Patient: Biological, Psychiatric and Ethical Issues in Organ Transplantation / Edition 1

by Paula T. Trzepacz, Andrea F. DiMartini

Overview

Over the past forty years transplantation has developed from a laboratory based experimental procedure to a clinical commonplace. Transplantation raises issues of patient screening and selection, quality of life for recipients, living donors and their families, cognitive changes associated with transplantation, ethical considerations, and the impact of immunological and pharmacological changes associated with the procedure. This complex of issues affects clinicians from a wide range of disciplines and is the focus of consultation-liaison psychiatry and this book. Pittsburgh, where many of the contributors are based, was and is still a pioneering center for organ transplantation. Dr. Thomas Starzl, who gives an overview of the field, is one of the founding fathers of transplantation surgery.

Product Details

ISBN-13:	9780521553544
Publisher:	Cambridge University Press
Publication date:	03/16/2000
Series:	Psychiatry and Medicine Series
Edition description:	New Edition
Pages:	324
Sales rank:	729,705
Product dimensions:	6.18(w) x 9.29(h) x 0.91(d)

About the Author

Trzepacz, Paula T. (Univ of Mississippi); DiMartini, Andrea F. (Univ of Pittsburgh)

Table of Contents

1. The mystique of transplantation: biologic and psychiatric considerations Thomas E. Starzl; 2. Psychosocial screening and selection of candidates for organ transplantation James L. Levenson and Mary Ellen Olbrisch; 3. Psychosocial issues in living organ donation Galen E. Switzer, Mary Amanda Dew and Robert K. Twillman; 4. Quality of life in organ transplantation: effects on adult recipients and their families Mary Amanda Dew, Jean M. Goycoolea, Galen E. Switzer and Aishe S. Allen; 5. Quality of life of geriatric patients following transplantation: short and long term outcomes Maria Paz Gonzalez, Abraham Sudilovsky, Julio Bobes and Andrea F. DiMartini; 6. Pharmacologic issues in organ transplantation: psychopharmacology and neuropsychiatric medication side effects Paula T. Trzepacz, Babu Gupta and Andrea F. DiMartini; 7. Alcoholism and organ transplantation Andrea F. DiMartini and Paula T. Trzepacz; 8. Ethics and images in organ transplantation Grant Gillett; 9. Psychoneuroimmunology and organ transplantation: theory and practice Richard Kradin and Owen Surman; 10. Pediatric transplantation Robert D. Canning and Margaret L. Stuber; 11. Current trends and new developments in transplantation Maureen Martin; Index.

Editorial Reviews

Reviewer: Barry A. Hong, PhD (Washington University School of Medicine)
Description: The selection, evaluation, and follow-up of transplant patients is comprehensively covered in this book, with special emphasis on biological, psychiatric, and ethical issues.
Purpose: The editors discuss the many psychological and emotional challenges transplant patients face as a result of disease progression, treatment, and the transplant process. In each chapter the link between biology and psychology on health is emphasized. As in any collected work, the discussion of those relationships varies by author and topic. However, the contributors present the known data and form judgments. In general, the review of existing data is conservative and objective. The editors and contributors adequately cover the areas presented and provide important reading for experienced clinicians and researchers and a solid introduction for new clinicians and investigators.
Audience: It is difficult to tell the specific audience for this volume. It is a very comprehensive consideration of the transplant patient from a psychological and ethical point of view, and the editors assume some understanding of transplant biology, physiology, immunology, and pharmacology. Specific members of the transplant team may have greater difficulties with some chapters than others. New professionals from mental health, nurses, and some physicians may need additional information. Experienced clinicians will gain much from reading this volume and will gain insight to current thinking and potential research.
Features: The topics covered are quite comprehensive and a review of references gives attention to older, important papers from a historic viewpoint, as well as current literature. The chapter contributors have compiled critical reviews of substantive areas and in some instances have summarized their own work. In general, this is an excellent single source on the topic.
Assessment: The editors have provided an important resource for the transplant community, particularly for psychiatrists and psychologists who work in this area. This book should be of interest to transplant surgeons and other medical specialists. This is not a how-to book, but a careful, balanced presentation of the existing literature and data. This volume is an expansion of and supplement to Shanteau's Organ Donation and Transplantation: Psychological and Behavioral Facts (American Psychological Association, 1990). This volume is an excellent contribution to the existing literature.

Doody's Review Service

"Overall, this book is a convenient, comprehensive, accessible presentation of many societal and psychological issues affecting the practice of organ transplantation...As a transplantation specialist with a keen interest in psychodynamics, I am sure that this book will hold an important place on my reference shelf." New England Journal of Medicine

"The value of this book is not only in its scholarly and practical contribution to understanding the transplant but also because it offers a window into a new world..." Mac MacLachlan, Journal of Health Psychology

"This volume is an excellent contribution to the existing literature." Doody's Review Service ®

"It should be very useful for the doctors who select patients for organ transplantation or who are involved in the follow-up of these patients. It should be of great interest for psychiatrists and also for psychologists, both of whom, increasingly, are part of organ-transplantation teams." The Lancet

"The editors should be commended for attempting such an ambitious review of transplantation." Practical Gastroenterology

From the Publisher

3 Stars from Doody

The selection, evaluation, and follow-up of transplant patients is comprehensively covered in this book, with special emphasis on biological, psychiatric, and ethical issues. The editors discuss the many psychological and emotional challenges transplant patients face as a result of disease progression, treatment, and the transplant process. In each chapter the link between biology and psychology on health is emphasized. As in any collected work, the discussion of those relationships varies by author and topic. However, the contributors present the known data and form judgments. In general, the review of existing data is conservative and objective. The editors and contributors adequately cover the areas presented and provide important reading for experienced clinicians and researchers and a solid introduction for new clinicians and investigators. It is difficult to tell the specific audience for this volume. It is a very comprehensive consideration of the transplant patient from a psychological and ethical point of view, and the editors assume some understanding of transplant biology, physiology, immunology, and pharmacology. Specific members of the transplant team may have greater difficulties with some chapters than others. New professionals from mental health, nurses, and some physicians may need additional information. Experienced clinicians will gain much from reading this volume and will gain insight to current thinking and potential research. The topics covered are quite comprehensive and a review of references gives attention to older, important papers from a historic viewpoint, as well as current literature. The chapter contributors have compiled critical reviews ofsubstantive areas and in some instances have summarized their own work. In general, this is an excellent single source on the topic. The editors have provided an important resource for the transplant community, particularly for psychiatrists and psychologists who work in this area. This book should be of interest to transplant surgeons and other medical specialists. This is not a how-to book, but a careful, balanced presentation of the existing literature and data. This volume is an expansion of and supplement to Shanteau's Organ Donation and Transplantation: Psychological and Behavioral Facts (American Psychological Association, 1990). This volume is an excellent contribution to the existing literature.

Barry A. Hong

In the first of 12 chapters, Thomas Starzl (distinguished pioneer of liver transplantation) traces the history of immunological barriers that were overcome in order to allow orthotopic organ transplantation and describes graft/host confrontation and the important discovery of donor leukocyte chimerism in solid organ transplantation. Other contributions address specialty populations (pediatric and geriatric age groups and patients with alcoholism); psychoneuroimmunology, including psychosomatic issues related to graft survival; psychopharmacology, including neuropsychiatric side effects of each major immunosuppressive agent; assessment of psychiatric characteristics of transplant patients; psychosocial issues in organ donation; post-transplantation quality of life; and new approaches to clinical immunosuppression. Annotation c. Book News, Inc., Portland, OR (booknews.com)

Booknews