Survival by Machine: The Psychological Stress of Chronic Hemodialysis
Abram H S
This paper discusses the stresses, losses & restrictions which renal dialysis imposes on the patient, his family & other caretakers. Dependency & independence in chronic illness, the use of denial as a defense mechanism, alterations in body image, attitudes toward life & death are all discussed in terms of the psychological reactions to the stress of hemodialysis. The problem of suicide is illustrated with a variety of forms it takes in these patients who are dependent on mechanical devices.