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 ot three components: visual hallucinations and delusions as a psychological defense against the anxiety of a...

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Bibliographic Details
Published in:Psychiatry and clinical neurosciences 1997-10, Vol.51 (5), p.305-308
Main Authors: FUKUNISHI, ISAO, OGINO, MAKI, SUZUKI, JIRO, HASEGAWA, AKIRA, OHARA, TAKEHIRO, AIKAWA, ATSUSHI, SUZAKI, AND MIWAKO
Format: Article
Language:English
Subjects:
Adolescent
Adult and adolescent clinical studies
Biological and medical sciences
Delusions - etiology
Delusions - psychology
Dissociative disorders
Dissociative Disorders - etiology
Dissociative Disorders - psychology
dissociative identity disorder
Graft Rejection - psychology
Hallucinations - etiology
Hallucinations - psychology
Humans
Japan
kidney
Kidney Transplantation - psychology
Kidneys
liaison psychiatry
Male
Medical sciences
Miscellaneous
Patients
Personality
Postoperative Complications - epidemiology
Postoperative Complications - psychology
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Reoperation
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the urinary system
transplantation
Transplants
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Summary: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.
ISSN:1323-1316
1440-1819
DOI:10.1111/j.1440-1819.1997.tb03203.x