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With case examples and step-by-step frameworks for intervention, the authors illustrate the challenges and solutions in establishing an effective ward-based psychotherapy service for renal dialysis and transplant patients. They describe clinical patterns of presentation and how psychotherapeutic intervention was refined over time in a clinically meaningful and evidence-based manner. Each chapter is focused on specific emotional disorders among renal patients.
The authors introduce the concept of loss of an imagined past' (aspirations and ambitions) never realized, or compromised, as a result of renal disease and as a major cause of post-transplant depression. Emotional issues which have received little prior attention in the literature-including substance abuse, eating disorders, gender disorders and emotional body image-are addressed in depth. Practical advise, including that against referencing the transplanted organ as a gift, is offered.
List of contents
Illustrations
Series Preface by Barbara J. Tinsley
Preface
Emotional Disorders, Psychotherapy, and Organ Transplantation
Medical Noncompliance:A Psychosocial Perspective
Loss, Bereavement, and Grief in Recipients of Kidney Transplants and Dialysis
Anxiety in Patients with Renal Disease and Transplants
Body Image, Phobic States, and Concept of Mind-Body in Patients with Renal Disease and Transplants
Integration of the Newly Acquired Organ and the Reconciliation of Any Newly Emerging Personality Traits
Gender Difference, Femininity, and Homosexuality in Renal Disease and Transplantation
Renal Disease and Eating Disorders
Alcohol Abuse among Dialysis and Transplant Patients
Race, Ethnicity, and Culture in Renal Failure and Kidney Transplantation
Live Organ Donation and the Psychotherapist
Conclusion
Index
About the author
Lyndsay S. Baines, Rahul M. Jindal
