title: Kidney transplantation and liaison psychiatry, part II: A case of dissociative identity disorder.
abstract: The authors examined the case of an adolescent patient with dissociative identity disorder secondary to psychological shock of a transplant rejection response. Psychiatric symptoms consisted of three components: visual hallucinations and delusions as a psychological defense against the anxiety of a transplant rejection; appearance of three personalities including proper self, the dead child (donor), and a prophet with strong predicting power; and a twilight state. These psychiatric symptoms may have been related to two psychological factors: immature personality characteristics formed during hemodialysis, and post-traumatic stress caused by a chronic rejection reaction from the patient's first transplant.
authors.affiliation: Tokyo Institute of Psychiatry, Toho University School of Medicine, Japan.
authors.forename: I
authors.initials: I
authors.lastname: Fukunishi
authors.forename: M
authors.initials: M
authors.lastname: Ogino
authors.forename: J
authors.initials: J
authors.lastname: Suzuki
authors.forename: A
authors.initials: A
authors.lastname: Hasegawa
authors.forename: T
authors.initials: T
authors.lastname: Ohara
authors.forename: A
authors.initials: A
authors.lastname: Aikawa
authors.forename: M
authors.initials: M
authors.lastname: Suzaki
mesh_terms: D000293:Adolescent; D003702:Delusions / Q000209:etiology / Q000523:psychology; D004213:Dissociative Disorders / Q000209:etiology / Q000523:psychology*; D006084:Graft Rejection / Q000523:psychology; D006212:Hallucinations / Q000209:etiology / Q000523:psychology; D006801:Humans; D016030:Kidney Transplantation / Q000523:psychology*; D008297:Male; D010551:Personality; D011183:Postoperative Complications / Q000453:epidemiology* / Q000523:psychology; D012086:Reoperation