Psychological Aspects of Chronic Renal Failure and Haemodialysis

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Abstract
69 children with chronic renal failure have been observed, along with their families and the medical staff. Psychological problems in the end-stage of renal disease are dominated by anxiety, unconscious guilt feelings and the need for everyone to build-up some defense mechanism against these emotions. 39 children have been accepted on a kidney transplant programme and been haemodialysed. The overall consequence of this treatment is to apparently brush aside psychological problems, while socio-economic problems appear as quite important. Psychological investigations, however, show important flaws in children’s personality patterns. Doctors must remain constantly aware of their role as physicians and not merely as technical agents, in order not to let haemodialysis have these destructive effects.

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