Quality of Life Research

, Volume 1, Issue 4, pp 251–256

Does changing the heart mean changing personality? A retrospective inquiry on 47 heart transplant patients


  • B. Bunzel
    • Second Department of SurgeryUniversity Hospital Vienna
  • B. Schmidl-Mohl
    • University Hospital of Psychiatry
  • A. Grundböck
    • Second Department of SurgeryUniversity Hospital Vienna
  • G. Wollenek
    • Second Department of SurgeryUniversity Hospital Vienna
Research Papers

DOI: 10.1007/BF00435634

Cite this article as:
Bunzel, B., Schmidl-Mohl, B., Grundböck, A. et al. Qual Life Res (1992) 1: 251. doi:10.1007/BF00435634


Heart transplantation is not simply a question of replacing an organ that no longer functions. The heart is often seen as source of love, emotions, and focus of personality traits. To gain insight into the problem of whether transplant patients themselves feel a change in personality after having received a donor heart, 47 patients who were transplanted over a period of 2 years in Vienna, Austria, were asked for an interview. Three groups of patients could be identified: 79% stated that their personality had not changed at all postoperatively. In this group, patients showed masslve defense and denial reactions, mainly by rapidly changing the subject or making the question ridiculous. Fifteen per cent stated that their personality had indeed changed, but not because of the donor organ, but due to the life-threatening event. Six per cent (three patients) reported a distinct change of personality due to their new hearts. These incorporation fantasies forced them to change feelings and reactions and accept those of the donor. Verbatim statements of these heart transplant recipients show that there seem to be severe problems regarding graft incorporation, which are based on the age-old idea of the heart as a centre that houses feelings and forms the personality.

Key words

Body imagechanges of personalityheart transplantationincorporation

Copyright information

© Rapid Communications of Oxford Ltd 1992