Bone marrow transplantation (BMT) is the last resort for children with
leukemia for whom conventional treatments have failed. The case prese
nted herein is one of an adolescent girl whose parents were unable to
cope with the extreme challenge of BMT. Couple- and family-related dat
a collected prior to the BMT showed this family was at risk. Indeed, t
hroughout the ordeal the patient seriously regressed and her parents'
reactions appeared to exacerbate her condition. At discharge, when lef
t alone, the patient manifested somatic symptoms which required her pa
rents to attend to her needs. How family factors may influence BMT out
come is discussed.