A restrainer for rat immobilization.
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Biomedical subjects
Publications and source records attributed to D C Buchanan.
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A patient treated with hemodialysis developed psychotic episodes, including visual hallucinations and delusions, as well as symptoms similar to the fatal dialysis dementia. His hospital course seems to demonstrate an original organic dysfunction with behavioral sequelae that were perpetuated by psychological difficulties. His tendency to overdramatize his disability and to adopt an excessively helpless and passive role made treatment difficult. A one-year followup is provided along with a discussion of the relationship of his case to dialysis dementia.
The literature on psychological reactions to renal transplantation in adult donors and recipients is reviewed. Although the psychiatric complications of kidney transplantation appear to be fewer than in renal dialysis, the operation represents a threat to the donor, recipient and extended family. Donors, despite altruistic motivations for offering their kidney, often harbor resentment toward the recipient and commonly experience depression in the early postoperative period. Recipients often unrealistically expect the homograft to be a panacea for their emotional stresses. Anxiety and depression are common reactions when a physical complication, particularly rejection, does occur. It has been proposed that psychological acceptance is related to a patient's psychological acceptance of the organ.