Victoria University of Wellington, New Zealand.
Health (London). 2012 May;16(3):298-313. doi: 10.1177/1363459311411167. Epub 2011 Jun 27.
Organ donation and transplantation has been extensively addressed in the biomedical and bioethics literature in relation to debates around organ allocation and procurement strategies, and concerns about consent, coercion and commodification. This article addresses the topic sociologically, drawing on data from face-to-face in-depth interviews undertaken between 2008 and 2010 with organ and tissue recipients, anonymous altruistic donors and donor family members to discuss questions of reciprocity and intercorporeality that arise in the course of tissue exchange. In particular, the article examines the place of anonymity protocol for organ donors and transplantation recipients in New Zealand and their responses to conventions and scripts surrounding this rule. The article concludes by calling for discussion to re-examine anonymity protocol and rituals around organ donation and transplantation, citing lessons from gamete donation policies and recent law in New Zealand as productive for thinking through matters of personhood and identity relating to organ transfer.
器官捐赠和移植在生物医学和生命伦理学文献中得到了广泛的探讨,涉及器官分配和获取策略的争论,以及对同意、强制和商品化的关注。本文从社会学的角度探讨了这个问题,利用了 2008 年至 2010 年期间与器官和组织接受者、匿名利他捐赠者和捐赠者家属进行的面对面深入访谈的数据,讨论了在组织交换过程中出现的互惠和异体性问题。特别是,本文考察了新西兰器官捐赠者和移植接受者的匿名协议及其对这一规则的公约和脚本的反应。文章最后呼吁重新讨论器官捐赠和移植的匿名协议和仪式,引用配子捐赠政策和新西兰最近法律的经验教训,为思考与器官转移有关的人格和身份问题提供有益的参考。