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The British Journal of Psychiatry (1967) 113: 1231-1236. doi: 10.1192/bjp.113.504.1231
© 1967 The Royal College of Psychiatrists
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Psychosocial Problems in a Renal Unit

MARGARET MacNAMARA B.A., Dip.Soc.St., A.A.P.S.W.1

1 Senior Tutor in Psychiatric Social Work, Department of Mental Health, The University of Adelaide, Adelaide, South Australia

An account is given of the role of the social worker in a renal unit operating a recurrent dialysis and a renal homotransplantation programme. Over a period of two years, nineteen patients and potential donors were referred to the social worker because of specific psychosocial problems. Eight patients required minimal help, but others had extremely involved social, economic and emotional difficulties which required numerous interviews in the hospital, the home and visits to social agencies. As an example, work with one patient and a donor for the patient involved sixty-three interviews as well as innumerable letters and telephone calls.

The purpose of this paper is to show some-thing of the psychosocial problems involved and what they mean to the patient, to the family and to the treatment team. They can be extremely complex, time-consuming and expensive and require a favourable social worker: patient ratio.

Submitted on September 5, 1966




This article has been cited by other articles:


Home page
 Arch Gen PsychiatryHome page
L. Alexander
The Double-Bind Theory and Hemodialysis
Arch Gen Psychiatry, November 1, 1976; 33(11): 1353 - 1356.
[Abstract] [PDF]


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Copyright © 1967 The Royal College of Psychiatrists.