*Coupling and Deviating of Altruism-Voluntariness Relationship in Organ Transplantation DOI: http://dx.doi.org/10.5772/intechopen.95895*

Stating that the action of a voluntary person is the product of the will of the person acting in the light of the concepts of knowledge, freedom, and volunteering, Babor divides volunteering into thirteen types or degrees. In terms of organ transplantation, it is necessary to examine perfect/imperfect, direct/indirect, and positive/negative volunteering concepts. Perfect volunteering is defined as an action taken with full knowledge and consent. Imperfect volunteering is the opposite of this concept, and there are flaws in both knowledge and consent. Direct volunteering expresses a voluntary action that is desired as an end in itself. In indirect volunteering, on the other hand, the action is not an end in itself but is desired as an anticipated result or sequence of action. Positive volunteering mentions the volunteering present in performing an action, while in negative volunteering, the person avoids the action [27]. For the person's action to be considered voluntary in organ donation, it should be an action that includes all characteristics of perfect, direct, and positive volunteering.

In an ethical guide prepared for the assessment of living organ donors, the evaluation of whether the person is a volunteer or not is checked from 10 different angles. The guide addresses issues, such as potential donor's psycho-social status, financial status, relationship with the transplant candidate, the reason for donation, the conditions under which the decision has been made and by whom the potential donor is asked to donate, the convenience of the potential donor to refuse the donation request, the comfort of the potential donor near other family members, proof of material reward for the donation, willingness and motivation of the potential donor, and the imbalance of power between the potential living donor and the recipient [28].

The concept of volunteering may be affected by some positive and negative factors. In this sense, it is useful to look at these factors.
