Three patterns of voluntary consent in the case of adult-to-adult living related liver transplantation in Japan.

Abstract:

:To elucidate the psychosocial aspects of the donors' decisions to engage in adult-to-adult living related liver transplantation, we interviewed a total of five institutional ethics committee members who had experience with reassessing informed consent prior to surgery. Qualitative analysis revealed several nuances of voluntary consent consisting of three patterns: "unconditional consent" is consent from the bottom of one's heart to save a family member's life; "pressured consent" describes a donor who feels implicit pressure to donate despite fear; and "ulterior-motivated consent" defines a donor who has a hidden motive. This study diverges from previous work in that it employs a qualitative approach to deconstructing the psychosocial intricacies of the informed consent process in adult-to-adult LRLT. This initial study raises several questions on the meaning of voluntary informed consent in adult-to-adult living related liver transplantation.

journal_name

Transplant Proc

authors

Fujita M,Slingsby BT,Akabayashi A

doi

10.1016/j.transproceed.2004.04.088

subject

Has Abstract

pub_date

2004-06-01 00:00:00

pages

1425-8

issue

5

eissn

0041-1345

issn

1873-2623

pii

S0041134504005202

journal_volume

36

pub_type

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