Apotemnophilia: ethical considerations of amputating a healthy limb

  title={Apotemnophilia: ethical considerations of amputating a healthy limb},
  author={Anjuman Preet Kaur Dua},
  journal={Journal of Medical Ethics},
  pages={75 - 78}
  • A. Dua
  • Published 1 February 2010
  • Psychology, Medicine
  • Journal of Medical Ethics
Apotemnophilia is a condition that causes those who have it to not feel “correct” in their own bodies. As a result, an intense obsession develops with removing the limb; this obsession hinders tremendously the patients' social behaviour and societal integration. These patients, in some respects resembling transgendered individuals, feel that the body part (limb) in question is simply “not a part of themselves”, causing them to feel uncomfortable in their own bodies. Whether amputations should… Expand
Apotemnophilia or Body Integrity Identity Disorder
More investigations are needed in this domain in order to develop noninvasive treatment strategies that approach this aspect of the patient’s distress within a globalist perspective. Expand
Apotemnophilia, body integrity identity disorder or xenomelia? Psychiatric and neurologic etiologies face each other
This review summarizes the available studies of a rare condition in which individuals seek the amputation of a healthy limb or desire to be paraplegic, and proposes a multidisciplinary approach that comprises state-of-the-art technologies and a variety of theoretical models, including both body representation and psychological and sexual components. Expand
Prioritization for Plastic Surgery Procedures Aimed to Improve Quality of Life: Moral Considerations
Moral principles that can be used as a guide for health professionals to revise and create policies for plastic surgery patients presenting with non–life-threatening conditions and patient's informed preferences might be implemented in the process of prioritizing health. Expand
Body integrity identity disorder crosses culture: case reports in the Japanese and Chinese literature
Some preliminary evidence is reported that BIID is also present in non-Western countries, however, making general statements about the biological background of the disorder is hampered by the extremely low number of cases found. Expand
Body Integrity Identity Disorder and Gender Dysphoria: A Pilot Study to Investigate Similarities and Differences
Objective: Body Integrity Identity Disorder (BIID) describes a phenomenon in which physically healthy people feel the constant desire for an impairment of their body. M. First [4] suggested toExpand
A Feminist Contestation of Ableist Assumptions: Implications for Biomedical Ethics, Disability Theory, and Phenomenology
This dissertation contributes to the development of philosophy of disability by drawing on disability studies, feminist philosophy, phenomenology, and philosophy of biology in order to contestExpand
Coming-out in Body Integrity Dysphoria
1 Department of Psychology, Medical School Hamburg, University of Applied Sciences, Am Kaiserkai 1, D-20457 Hamburg, Germany. 2 Department of Psychosomatics & Psychotherapy,Expand
La normativité corporelle sous le bistouri : (re)penser l’intersectionnalité et les solidarités entre les études féministes, trans et sur le handicap à travers la transsexualité et la transcapacité
Cette recherche se situe a la jonction des etudes feministes, trans et sur la production du handicap. Elle s’interesse aux limites des analyses feministes intersectionnelles et leurs difficultes aExpand
Représentation du corps et anorexie mentale : de l’intégration sensorielle à l’action : approche neurocognitive du phénomène de distorsion corporelle
La capacite de juger ses propres actions se trouve etre perturbee dans l'anorexie mentale (AM). Les patientes souffrant d’anorexie mentale surestime notamment le seuil de passabilite d’une ouvertureExpand


Can vestibular caloric stimulation be used to treat apotemnophilia?
It is suggested that there are clear similarities to be drawn between BIID and somatoparaphrenia and that a dysfunction of the right parietal lobe is also the cause of BIID. Expand
Investigation of the Syndrome of Apotemnophilia and Course of a Cognitive-Behavioural Therapy
The model designed in the current cognitive behavioural approach may serve as a starting point for further development of intervention protocols for this rare disorder. Expand
Amputees by choice: body integrity identity disorder and the ethics of amputation.
It is argued that if patients are experiencing significant distress as a consequence of the rare psychological disorder named Body Integrity Identity Disorder, such operations might be permissible, and surgeons ought to be allowed to accede to their requests. Expand
Exploring ethical justification for self-demand amputation.
  • F. Tomasini
  • Psychology, Medicine
  • Ethics & medicine : a Christian perspective on issues in bioethics
  • 2006
It is concluded that neither normative tradition can fully incorporate an understanding of what it is like to be a self-demand amputee, and ethical justification, it is argued, falls short of the recognition that there may be a problem. Expand
Apotemnophilia Masquerading as Medical Morbidity
A case of apotemnophilia, or “love of amputation,” in a man in his mid-20s, defined as self-desired amputation driven by the patient's erotic fantasy of possessing an amputated limb and overachieving despite being handicapped is reported. Expand
Healthy limb amputation: ethical and legal aspects.
Surgeons should exercise great caution before complying with a request to amputate a healthy limb, as long as there is no established body of medical opinion as to the diagnosis and treatment of such a condition. Expand
Apotemnophilia: Two cases of self‐demand amputation as a paraphilia
The findings in two cases show that self‐demand amputation (apotemnophilia) is related to erotization of the stump and to overachievement despite a handicap. The apotemnophiliac obsession representsExpand
Desire for amputation of a limb: paraphilia, psychosis, or a new type of identity disorder
  • M. First
  • Psychology, Medicine
  • Psychological Medicine
  • 2004
The preliminary results suggest the existence of an extremely unusual clinically distinct condition characterized by a lifelong desire to have an amputation of a particular limb associated with serious negative consequences: amputation attempts, impairment and marked distress. Expand
Surgeon defends decision to amputate healthy legs of patients
A surgeon in Scotland amputated the legs of two psychologically disturbed men who had nothing physically wrong with them but felt a “desperate” need to be amputees, it emerged this week. Both men,Expand
Clinical and Theoretical Parallels Between Desire for Limb Amputation and Gender Identity Disorder
  • A. Lawrence
  • Psychology, Medicine
  • Archives of sexual behavior
  • 2006
This model predicts that persons who desire limb amputation would almost always be attracted to amputees and would display an increased prevalence of gender identity problems, both of which have been observed. Expand