文章基本信息

标题：The Actualization of the Transplantation Complex on the Axis of Psychosomatic Totality—Results of a Qualitative Study
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作者：Marie Eichenlaub ; Barbara Ruettner ; Annina Seiler 等
期刊名称：Healthcare
电子版ISSN：2227-9032
出版年度：2021
卷号：9
期号：4
页码：455
DOI：10.3390/healthcare9040455
出版社：MDPI Publishing
摘要：Although transplantation medicine is not new, there is a clinically justified gap in the existing literature with respect to the psychological processing of lung transplants. The present study aims to examine whether lung transplantation leads to an actualization of psychological, e.g., oral-sadistic fantasies. Following a qualitative approach, 38 lung transplant patients were interviewed three times within the first six months after transplantation. Data analysis focused on identifying unconscious and conscious material. The inter-rater reliability for all codes was calculated using Krippendorff’s Alpha (c-α-binary = 0.94). Direct and implicit evidence of a so-called transplantation complex was detected e.g., regarding the “incorporation” of the dead donor and his lungs. These processes occur predominantly at an imaginary level and are related to the body. Our findings emphasize that such psychological aspects should be borne in mind in the psychological treatment of lung-transplant patients in order to improve the processing of lung transplants, and that this might have a positive effect on patient adherence.
关键词：lung transplantation; unconscious processing; transplantation complex; axis of psychosomatic totality; imaginary zone; grounded theory; depth-hermeneutic method lung transplantation ; unconscious processing ; transplantation complex ; axis of psychosomatic totality ; imaginary zone ; grounded theory ; depth-hermeneutic method