Kidney transplantation and liaison psychiatry, part II: A case of dissociative identity disorder |
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| Authors: | ISAO FUKUNISHI MD MAKI OGINO MD JIRO SUZUKI MD AKIRA HASEGAWA MD TAKEHIRO OHARA MD ATSUSHI AIKAWA MD AND MIWAKO SUZAKI RN |
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| Institution: | Tokyo institute of Psychiatry and Departments of Toho University School of Medicine, Tokyo, Japan;Tokyo institute of Psychiatry and Departments of Neuropsychiatry and Toho University School of Medicine, Tokyo, Japan;Tokyo institute of Psychiatry and Departments of Nephirology, Toho University School of Medicine, Tokyo, Japan |
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| Abstract: | 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 ot 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. |
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| Keywords: | dissociative identity disorder kidney liaison psychiatry transplantation |
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