{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T09:23:35Z","timestamp":1777713815994,"version":"3.51.4"},"reference-count":12,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[1984,6,1]],"date-time":"1984-06-01T00:00:00Z","timestamp":454896000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int J Psychiatry Med"],"published-print":{"date-parts":[[1984,6]]},"abstract":"<jats:p>A major drawback to kidney transplantation as a treatment for end stage renal disease is the common occurrence of rejection and failure of the transplanted kidney. We evaluated twenty-five dialysis patients, all of whom had suffered transplant failure during a ten year period. Of these, twenty-four had good psychological readjustment to chronic dialysis. Fourteen patients successfully grieved the loss of their kidneys. Ten denied any psychological difficulty in returning to dialysis and did not manifest the usual signs of grief. We suggest that the effectiveness of denial as a coping mechanism should be recognized and supported when present; in contrast, \u201cgrievers\u201d should be helped through the grieving process and followed up to ensure resolution and proper readjustment to dialysis.<\/jats:p>","DOI":"10.2190\/b8hd-e5qa-6vk0-v15a","type":"journal-article","created":{"date-parts":[[2005,5,3]],"date-time":"2005-05-03T21:34:00Z","timestamp":1115156040000},"page":"97-106","source":"Crossref","is-referenced-by-count":21,"title":["Coping with Transplant Failure: Grief vs. Denial"],"prefix":"10.1177","volume":"13","author":[{"given":"Jon","family":"Streltzer","sequence":"first","affiliation":[{"name":"Associate Professor, Department of Psychiatry, University of Hawaii, John A. Burns School of Medicine, Honolulu, Hawaii"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marilyn","family":"Moe","sequence":"additional","affiliation":[{"name":"Psychiatric Nurse Clinical Specialist, St. Francis Hospital, Honolulu, Hawaii"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Evelyn","family":"Yanagida","sequence":"additional","affiliation":[{"name":"Clinical Instructor, Department of Psychiatry, University of Hawaii, John A. Burns School of Medicine, Honolulu, Hawaii"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arnold","family":"Siemsen","sequence":"additional","affiliation":[{"name":"Associate Professor, Department of Medicine, University of Hawaii, John A. Burns School of Medicine, Honolulu, Hawaii"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[1984,6,1]]},"reference":[{"key":"bibr1-B8HD-E5QA-6VK0-V15A","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1977.03270500084041"},{"key":"bibr2-B8HD-E5QA-6VK0-V15A","doi-asserted-by":"publisher","DOI":"10.2190\/GHWC-HXQG-6FCU-3N2J"},{"key":"bibr3-B8HD-E5QA-6VK0-V15A","volume-title":"Gift of Life: The Social and Psychological Impact of Organ Transplantation","author":"Simmons R. G.","year":"1977"},{"key":"bibr4-B8HD-E5QA-6VK0-V15A","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.126.3.381"},{"key":"bibr5-B8HD-E5QA-6VK0-V15A","first-page":"393","volume":"39","author":"McCabe M. S.","year":"1978","journal-title":"J. Clin. 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