PT - JOURNAL ARTICLE AU - Beverle Myers AU - Wolfgang F. Kuhn TI - Informed Consent Issues in the Cardiac Transplantation Evaluation DP - 1988 Mar 01 TA - Journal of the American Academy of Psychiatry and the Law Online PG - 59--66 VI - 16 IP - 1 4099 - http://jaapl.org/content/16/1/59.short 4100 - http://jaapl.org/content/16/1/59.full SO - J Am Acad Psychiatry Law1988 Mar 01; 16 AB - As consultation-liaison psychiatrists to a cardiac transplantation team, we have observed various informed consent issues that are particularly associated with evaluation for cardiac transplantation. We discuss complicating factors that relate to each component of informed consent and present the defense mechanism of denial as a barrier to making the decision to accept or refuse transplantation. Changes in the evaluation protocol could preclude existing impediments to provision of information and patient autonomy; however, certain intrapsychic issues must be recognized as ongoing clinical realities to be addressed as the doctrine of informed consent continues to evolve.