The authors studied the multiplicity of responses to renal transplants. These responses followed patterns which have already been described by Engel and others, but differed according to the individual patient. The fantasies fell into three areas: life and death, sexual impulses, and body image. The phenomenon of 'accorporation' is described. The authors introduce this term to designate the complex process of internalization of the transplanted organ, a process involving incorporation, introjection, and the progressive internalization of the kidney along with the progressive effacement of the self-object distinction concerning the organ. Previous experiences, especially the pattern established in the acceptance of the mother's breast and milk, are important in this process. The