Three patterns of voluntary consent in the case of adult-to-adult living related liver transplantation in Japan

Transplant Proc. 2004 Jun;36(5):1425-8. doi: 10.1016/j.transproceed.2004.04.088.


To elucidate the psychosocial aspects of the donors' decisions to engage in adult-to-adult living related liver transplantation, we interviewed a total of five institutional ethics committee members who had experience with reassessing informed consent prior to surgery. Qualitative analysis revealed several nuances of voluntary consent consisting of three patterns: "unconditional consent" is consent from the bottom of one's heart to save a family member's life; "pressured consent" describes a donor who feels implicit pressure to donate despite fear; and "ulterior-motivated consent" defines a donor who has a hidden motive. This study diverges from previous work in that it employs a qualitative approach to deconstructing the psychosocial intricacies of the informed consent process in adult-to-adult LRLT. This initial study raises several questions on the meaning of voluntary informed consent in adult-to-adult living related liver transplantation.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Female
  • Humans
  • Informed Consent*
  • Interviews as Topic
  • Japan
  • Liver Transplantation / ethics
  • Liver Transplantation / psychology*
  • Living Donors / ethics
  • Living Donors / psychology*
  • Male
  • Motivation
  • Spouses