Narrative type interviews were carried out with a purposive sample of
24 relatives of organ donors. Relatives were recruited through 3 Regio
nal transplant co-ordinating centres in England. The study examined in
-depth the relatives': emotional reactions to the death and donation,
perceptions of the decision-making process, assessment of the problems
donation caused for them, as well as the benefits it provided. An und
erstanding of what the experience meant to them was elicited, as was t
he identification of their needs. The interviews were audiotaped and t
ranscribed. The transcripts were analysed using a grounded theory appr
oach, based on the constant comparative method. Themes emerging from t
he data were named to form categories. Categories were defined and int
egrated around the central theme of the research to form an analytical
version of the story. Donor relatives' experiences were found to revo
lve around a process of conflict and resolution. Their experience is e
xplained as a theory of ''Dissonant Loss''. Copyright (C) 1996 Elsevie
r Science Ltd.