Perceptions_of_organ_transplantation_FINAL_ACCEPTED_VERSION.pdf (213.13 kB)
'Double or quits': perceptions and management of organ transplantation by adults with cystic fibrosis
Medical sociologists have often considered lay perceptions of the risks of medical interventions, yet in many empirical studies respondents are people who are not likely to be exposed to a particular intervention. Furthermore, it has been well documented that risk perceptions may change over time and with diminishing health state. This paper explores perceptions and management of the risks of organ transplantation amongst adults with cystic fibrosis (CF), the most common autosomal recessive genetic disease in the UK. Although the focus of medical research is now on providing gene replacement therapy to this group, transplantation is currently the last treatment that an adult with CF can be offered when all other treatment has failed to maintain their health. Thirty-one respondents with varying degrees of health state from a specialist CF centre were interviewed as part of a larger study concerning perceptions of health and risks of treatment. Interviews were audiotaped, transcribed and analysed using ATLAS-ti. During analysis respondents' transcripts were divided into two groups: firstly those who did not anticipate needing a transplant in the near future (if at all) and secondly those who were currently being considered for transplantation, on the transplant list, or who had already received donor organs. The paper focuses on themes arising from interview transcripts and finds that although the focus of risk differs between the two groups, the influence of luck is perceived as strong for both groups and emotion work features heavily in those undergoing the transplant process. Contrary to previous research, fears of inheriting donor characteristics are not found amongst adults with CF, but rather body components are commodified when talking of both giving and receiving organs. © 2002 Elsevier Science Ltd. All rights reserved.
History
Publication status
- Published
File Version
- Accepted version
Journal
Social Science and MedicineISSN
0277-9536Publisher
ElsevierExternal DOI
Issue
6Volume
56Page range
1355-1367Department affiliated with
- Sociology and Criminology Publications
Full text available
- Yes
Peer reviewed?
- Yes
Legacy Posted Date
2015-05-20First Open Access (FOA) Date
2016-03-22First Compliant Deposit (FCD) Date
2015-05-19Usage metrics
Categories
No categories selectedKeywords
Licence
Exports
RefWorks
BibTeX
Ref. manager
Endnote
DataCite
NLM
DC