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Kidney transplantation and liaison psychiatry, part II: A case of dissociative identity disorder
Author(s) -
FUKUNISHI ISAO,
OGINO MAKI,
SUZUKI JIRO,
HASEGAWA AKIRA,
OHARA TAKEHIRO,
AIKAWA ATSUSHI,
SUZAKI AND MIWAKO
Publication year - 1997
Publication title -
psychiatry and clinical neurosciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.609
H-Index - 74
eISSN - 1440-1819
pISSN - 1323-1316
DOI - 10.1111/j.1440-1819.1997.tb03203.x
Subject(s) - dissociative identity disorder , dissociative , personality psychology , anxiety , psychiatry , psychology , personality , multiple personality disorder , transplantation , identity (music) , dissociative disorders , clinical psychology , medicine , psychoanalysis , surgery , physics , acoustics
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.