Body Integrity Identity Disorder: The Persistent Desire to Acquire a Physical Disability

@article{First2011BodyII,
  title={Body Integrity Identity Disorder: The Persistent Desire to Acquire a Physical Disability},
  author={Michael First and Carl Erik Fisher},
  journal={Psychopathology},
  year={2011},
  volume={45},
  pages={3 - 14}
}
Background: Body integrity identity disorder (BIID) is a rare and unusual psychiatric condition characterized by a persistent desire to acquire a physical disability (e.g., amputation, paraplegia) since childhood that to date has not been formally described in the psychiatric nosology. Most BIID sufferers experience a chronic and dysphoric sense of inappropriateness regarding their being able-bodied, and many have been driven to actualize their desired disability through surreptitious surgical… Expand
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References

SHOWING 1-10 OF 85 REFERENCES
[Body Integrity Identity Disorder (BIID): interrogation of patients and theories for explanation].
  • E. Kasten
  • Psychology, Medicine
  • Fortschritte der Neurologie-Psychiatrie
  • 2009
TLDR
The article disputes the question of matching personality characteristics of these subjects and asks for motives, and investigates whether the concerned limb showed more affections after amputation of a limb. Expand
Body Integrity Identity Disorder (BIID)—Is the Amputation of Healthy Limbs Ethically Justified?
  • S. Müller
  • Medicine
  • The American journal of bioethics : AJOB
  • 2009
TLDR
If BIID were a neuropsychological disturbance, which includes missing insight into the illness and a specific lack of autonomy, then amputations would be contraindicated and must be evaluated as bodily injuries of mentally disordered patients. Expand
Desire for amputation of a limb: paraphilia, psychosis, or a new type of identity disorder
  • M. First
  • Psychology, Medicine
  • Psychological Medicine
  • 2004
TLDR
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
Out on a Limb: The Ethical Management of Body Integrity Identity Disorder
Body integrity identity disorder (BIID), previously called apotemnophilia, is an extremely rare condition where sufferers desire the amputation of a healthy limb because of distress associated withExpand
From Mental Disorder to Iatrogenic Hypogonadism: Dilemmas in Conceptualizing Gender Identity Variants as Psychiatric Conditions
TLDR
It is concluded that the decision on the categorization of GIVs cannot be achieved on a purely scientific basis, and that a consensus for a pragmatic compromise needs to be arrived at that accommodates both scientific considerations and the service needs of persons with GIV. Expand
Investigation of the Syndrome of Apotemnophilia and Course of a Cognitive-Behavioural Therapy
TLDR
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
Clinical and Theoretical Parallels Between Desire for Limb Amputation and Gender Identity Disorder
  • A. Lawrence
  • Psychology, Medicine
  • Archives of sexual behavior
  • 2006
TLDR
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
[Apotemnophilia as a contemporary frame for psychological suffering].
TLDR
The idea that BIID can be considered as a culture-bound syndrome, a contemporary frame for psychological suffering is supported, despite the fact that it does not have neither intrinsic nor unequivocal psychopathological meaning. Expand
Apotemnophilia – the Neurological Basis of a ‘Psychological’ Disorder
TLDR
Functional brain imaging is shown to show that the unusual medical condition of apotemnophilia, in which otherwise mentally normal individuals express the strong and persistent desire for the amputation of a specific healthy limb, is caused by a failure to represent one or more limbs in the right SPL. Expand
Preliminary evidence for a fronto-parietal dysfunction in able-bodied participants with a desire for limb amputation.
TLDR
Left-sidedness, limb specificity and somatosensory disturbances of the affected limb are suggestive of abnormal brain mechanisms in right fronto-parietal cortex, and desire for limb amputation may be conceptualized as asomatognosia due to disturbed integration of multi-sensory information of theaffected body parts into a coherent cerebral representation of the own body. Expand
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