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Article

The Actualization of the Transplantation Complex on the Axis of Psychosomatic Totality—Results of a Qualitative Study

1
Department of Psychology, Medical School Hamburg MSH, 20457 Hamburg, Germany
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Department of Radiation Oncology and Competence Center for Palliative Care and Department of Consultation-Liaison Psychiatry and Psychosomatic Medicine, University Hospital Zurich and University of Zurich, 8091 Zurich, Switzerland
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Department of Medical Psychology and Psychotherapy, University Hospital of Graz, 8036 Graz, Austria
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University of Zurich, 8006 Zurich, Switzerland
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Faculty of Medicine, University of Zurich, 8006 Zurich, Switzerland
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Clinic for Psychosomatic Medicine and Psychotherapy, Asklepios Fachklinikum Stadtroda, 07646 Stadtroda, Germany
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Institute of Philosophy, Psychoanalysis and Cultural Studies (IPPK), 12047 Berlin, Germany
*
Author to whom correspondence should be addressed.
Academic Editor: Ilaria Baiardini
Healthcare 2021, 9(4), 455; https://doi.org/10.3390/healthcare9040455
Received: 24 February 2021 / Revised: 31 March 2021 / Accepted: 9 April 2021 / Published: 12 April 2021
(This article belongs to the Special Issue Somatopsychology: When Madness Arises from the Body)
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. View Full-Text
Keywords: 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
MDPI and ACS Style

Eichenlaub, M.; Ruettner, B.; Seiler, A.; Jenewein, J.; Boehler, A.; Benden, C.; Wutzler, U.; Goetzmann, L. The Actualization of the Transplantation Complex on the Axis of Psychosomatic Totality—Results of a Qualitative Study. Healthcare 2021, 9, 455. https://doi.org/10.3390/healthcare9040455

AMA Style

Eichenlaub M, Ruettner B, Seiler A, Jenewein J, Boehler A, Benden C, Wutzler U, Goetzmann L. The Actualization of the Transplantation Complex on the Axis of Psychosomatic Totality—Results of a Qualitative Study. Healthcare. 2021; 9(4):455. https://doi.org/10.3390/healthcare9040455

Chicago/Turabian Style

Eichenlaub, Marie, Barbara Ruettner, Annina Seiler, Josef Jenewein, Annette Boehler, Christian Benden, Uwe Wutzler, and Lutz Goetzmann. 2021. "The Actualization of the Transplantation Complex on the Axis of Psychosomatic Totality—Results of a Qualitative Study" Healthcare 9, no. 4: 455. https://doi.org/10.3390/healthcare9040455

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