Kidney transplantation and liaison psychiatry, part II: A case of dissociative identity disorder.
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.
Fukunishi
I
I
Tokyo Institute of Psychiatry, Toho University School of Medicine, Japan.
Ogino
M
M
Suzuki
J
J
Hasegawa
A
A
Ohara
T
T
Aikawa
A
A
Suzaki
M
M
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