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Previous Volume 347:615-618 August 22, 2002 Number 8 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: We appreciate the valuable article by Trotter et al. (April 4 issue)¹ on living-donor liver transplantation, but we believe that it underestimates the psychosocial evaluation of donors and conveys an unduly narrow understanding of altruism. The decision to donate emerges from an interplay of developmental and sociocultural factors. Potential donors contemplate an act that is entirely altruistic in terms of their own physiologic health. They are supported or buffeted by diverse interpersonal dynamics; they have unique psychological strengths and burdens, unique personality styles, and unique understandings of their roles vis-à-vis their fellow human beings.² We are skeptical . . . [Full Text of this Article]

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