Three patterns of voluntary consent in the case of adult-to-adult living relatedliver transplantation in Japan.
Journal Title: Transplantation Proceedings - Year 2005, Vol 36, Issue 5
Abstract
To elucidate the psychosocial aspects of the donors' decisions to engagein adult-to-adult living related liver transplantation, we interviewed a total of five institutionalethics committee members who had experience with reassessing informed consent prior to surgery. Qualitativeanalysis 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" describesa donor who feels implicit pressure to donate despite fear; and "ulterior-motivated consent" definesa donor who has a hidden motive. This study diverges from previous work in that it employs a qualitativeapproach to deconstructing the psychosocial intricacies of the informed consent process in adult-to-adultLRLT. This initial study raises several questions on the meaning of voluntary informed consent in adult-to-adultliving related liver transplantation.
Authors and Affiliations
M Fujita, B T Slingsby, A Akabayashi
Keywords
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Three patterns of voluntary consent in the case of adult-to-adult living relatedliver transplantation in Japan.
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