The study of the personality of a potential case of samaritan donation

Abstract

The term Samaritan is used to indicate the choice of a living donor to offer its own organ to save the life of a patient with whom it has no parental or affective relation (article 1, Law of 26 June 1967). It is a gesture of great solidarity, one that promotes life. The purpose of this study has been to analyze a case of potential Samaritan donation.

The investigation consisted of six interviews, on a bi-weekly basis, for a total duration of three months. The clinical interviews allowed us to delve deeper into the motivations for the donation. The following tests were administered: the Rorschach projective test, the Millon Clinical Multiaxial Inventory Personality Test (MCMI-III) and the Symptom Checklist-90-Revised (SCL-90-R).

Some issues regarding age, self-confidence, emotional difficulties and maladjustment to social environment emerged. The analysis of the test results confirmed the “negative” indices that led the authors to decide against the psychological-psychiatric suitability for the Samaritan donation.

The Samaritan donation is a rare and precious donation and understanding in depth the motivations behind this choice is extremely important. The choice to donate, even if freely made, must not make one forget their responsibility towards themselves and towards the integrity of their own body.

 

Keywords: Samaritan donation, psychological evaluation, Rorschach projective test, Millon Clinical Multiaxial Inventory Personality Test (MCMI-III), Symptom Checklist-90-Revised (SCL-90-R)

Sorry, this entry is only available in Italian.

The Good Samaritan Donor Experience

Abstract

The need for patients with a chronic kidney failure and on dialysis to embark on a kidney transplant process, poses the challenge to identify alternative and effective surgical strategies to overcome the insufficient number of deceased donors. The purpose is to allow the considerable number of patients on the kidney transplant waiting lists to receive appropriate treatment in time and under the most favorable clinical conditions. Living donation from a significant other is becoming increasingly widespread, on a national and international level. Furthermore, in the last years clinical experience is showing a special kind of kidney living donation: the Good Samaritan donation, i.e. when the donor has no emotional or blood bond with the recipient and decides to become a donor as a mere act of generosity, with no remuneration or reward in return. This article, after a brief analysis of the phenomenon through data obtained from recent international studies, shares the direct experience of the Clinical Psychology Service at IRCCS – ISMETT with regard to the psychological assessment and support throughout the clinical process of a Good Samaritan kidney donor. Sharing our experience and starting a discussion on this issue is the result of the need to define shared guidelines on the psychological approach to be used with potential Good Samaritan donors.

 

KEYWORDS: Kidney transplantation, living organ donation, good Samaritan donation, psychological assessment, altruism

Sorry, this entry is only available in Italian.