Martin Klapheke, University of Central Florida, Orlando, FL, USA.

Outline:

1. Body image, and the physical and psychological trauma of amputation.
2. The consultant role of the Transplant Psychiatrist: How to evaluate potential candidates for composite tissue allotransplantation (CTA).
3. Based on our clinical experience with hand transplant recipients to date, what have we learned about its benefits and risks, and how can this knowledge further inform the psychiatric assessment of candidates for CTA?

Learning Objectives:

1. Participants will learn the potential psychiatric benefits and risks of hand transplantation.
2. Participants will be able to summarize the key components of the Transplant Psychiatry consultation for candidates for hand transplantation.

References:

1. Klapheke M. The role of the psychiatrist in organ transplantation. Bulletin of the Menninger Clinic 1999a; 63:13-39.
2. Klapheke, M. Transplantation of the human hand: Psychiatric considerations. Bulletin of the Menninger Clinic 1999b; 63:159-173.
3. Schuind, F., Abramawicz D., Schneeberger S. Hand transplantation: the state-of-the-art. J Hand Surg Eur Vol 2007; 32:2-17.
4. Petruzzo P., Lanzetta M., Dubernard J. et. al. The International Registry on Hand and Composite Tissue Transplantation. Transplantation 2008; 86:487-492.
5. Klapheke M., Marcell C., Taliaferro G. et. al. Psychiatric assessment of candidates for hand transplantation. Microsurgery 2000; 20:453-457.
6. Convertino C., Cornaggia C. Psychological investigation protocol of candidates for hand transplantation. Transplantation Proceedings 2001; 33:621-622.
7. Klapheke, M. “Psychological Considerations in Hand Transplantation”, in Hand Transplantation, ed. V. Gorantla and W. Breidenbach. Landes Bioscience. 2011 (in press).