Bone marrow transplantation is a relatively new and aggressive procedure used in the treatment of leukemia, aplastic anemia, and severe immunodeficient diseases. This paper addresses specifically the psychological impact of the procedure on the relationship between the donor and the recipient. The donor — patient relationship is viewed in the context of the family system, with particular emphasis on the sibling relationships. Cases are presented to demonstrate some salient aspects of the relationship: developmental tasks, sexual identity, twinship and family role alteration. Concern is expressed for potential long — term psychological sequelae in the patient, donor, and other family members.
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