It has been observed that "well put-together" people do not find the consideration of, nor events associated with, renal homotransplantation excessively stressful. One inadequate and one adequate patient did decompensate under the stress while on large doses of steroids. Education and socioeconomic status do not seem to exert an influence on motivation to participate. Motivation is based on consideration of kinship, duty, or altruism, or some or all of these. Spouses, while often unenthusiastic, rarely stand in the way of the donor's participation. All recipients and donors have been fully informed of the potential risks and benefits related to the procedures.
Wilson WP, Stickel DL, Hayes CP, Harris NL. Psychiatric Considerations of Renal Transplantation. Arch Intern Med. 1968;122(6):502–506. doi:10.1001/archinte.1968.00300100036008