The experience of transplantation as reflected in dream life: A case study illustrating the mental processing of a lung transplant.
Lutz Goetzmann, Christian Benden, Barbara Ruettner, Uwe Wutzler, Annette Boehler, Lutz Wittmann
The International Journal of Psychoanalysis June 1, 2019 DOI: 10.1080/00207578.2019.1589378 (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Case study Case report Peer reviewed |
|---|---|
| Sample size | 1 |
| Population | A single lung-transplant patient |
| Duration | Interviews at two weeks, three months, and six months after surgery |
| Measures | Zurich Dream Process Coding System |
| Keywords | Incorporation Lung transplant Unconscious processing Dream analysis Transplantation complex |
| Key findings | The authors argue that a "transplantation complex" reconstructed from one patient's dream and waking narratives centered on an oral-sadistic phantasy that the donor had been killed and his lung, or soul, violently incorporated. They contend that the main unconscious themes of processing the transplant were already laid down in the dream as visual analogues, and that powerful cannibalistic phantasies and death wishes played an important part, possibly actualized by the transplant. |
Abstract
Although it is well known that a lung transplant enhances the recipient's quality of life, our knowledge of how it is processed mentally is limited. In this study, interviews were conducted with a lung-transplant patient two weeks, three months, and six months after surgery so as to investigate the relevant unconscious processing mechanisms. A dream reported in the first interview was analysed in accordance withapplying the Zurich Dream Process Coding System. A 'transplantation complex' was reconstructed on the basis of various sources of information (the dream and the waking narratives). The principal aspects of the transplantation complex that emerged from both the dream and the waking narratives concerned the oral-sadistic phantasy that the donor had been killed and that his lung, or soul, had been violently incorporated in the patient. The main unconscious themes involved in the processing of the transplant were found to have been already laid down in the dream and to have been presented in it in the form of visual analogues. According to our interpretation of the data analysed, powerful cannibalistic phantasies and death wishes played an important part in the processing of the transplant. These archaic phantasies may have been actualized by the transplant.