Clinical and Theoretical Parallels Between Desire for Limb Amputation and Gender Identity Disorder

  title={Clinical and Theoretical Parallels Between Desire for Limb Amputation and Gender Identity Disorder},
  author={Anne A. Lawrence},
  journal={Archives of Sexual Behavior},
  • A. Lawrence
  • Published 2006
  • Psychology, Medicine
  • Archives of Sexual Behavior
Desire for amputation of a healthy limb has usually been regarded as a paraphilia (apotemnophilia), but some researchers propose that it may be a disorder of identity, similar to Gender Identity Disorder (GID) or transsexualism. Similarities between the desire for limb amputation and nonhomosexual male-to-female (MtF) transsexualism include profound dissatisfaction with embodiment, related paraphilias from which the conditions plausibly derive (apotemnophilia and autogynephilia), sexual arousal… Expand
Body Integrity Identity Disorder and Mancophilia: Similarities and Differences
Body Integrity Identity Disorder (BIID) is characterized by the intense desire for some form of body impairment. Most often sufferers report wanting a healthy limb to be amputated. Currently mostExpand
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  • Medicine
  • The American journal of bioethics : AJOB
  • 2009
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Merleau-Ponty's sexual schema and the sexual component of body integrity identity disorder.
The history of BIID highlighting the vicissitudes of its sexual component, the justification for distinguishing BIID from apotemnophilia and thus for omitting the sexual component as essential are outlined, and the sexual schema from Maurice Merleau-Ponty's Phenomenology of Perception is explained. Expand
Merleau-Ponty’s sexual schema and the sexual component of body integrity identity disorder
Body integrity identity disorder (BIID), formerly also known as apotemnophilia, is characterized by a desire for amputation of a healthy limb and is claimed to straddle or to even blur the boundaryExpand
Dis-orienting Paraphilias? Disability, Desire, and the Question of (Bio)Ethics
In 1977 John Money published the first modern case histories of what he called ‘apotemnophilia’, literally meaning ‘amputation love’ [Money et al., The Journal of Sex Research, 13(2):115–12523,Expand
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This Review integrates research findings about the desire for a major limb amputation or paralysis (xenomelia) and suggests that disability desires are accompanied by a disabling bodily dysphoria, in many respects similar to gender dysphoria and should be considered a mental disorder. Expand
Body Integrity Identity Disorder: The Persistent Desire to Acquire a Physical Disability
BIID is a unique nosological entity with significant consequences for its sufferers and as such may warrant inclusion in some form in the forthcoming DSM-5 and ICD-11. Expand
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Theory and Case Histories
After proposing in 1989 that some MtF transsexuals experienced autogynephilia—the propensity to be sexually aroused by the thought or image of oneself as a female—Blanchard continued to conductExpand


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
Two clinically discrete syndromes of transsexualism.
  • N. Buhrich, N. Mcconaghy
  • Psychology, Medicine
  • The British journal of psychiatry : the journal of mental science
  • 1978
It was found that those who had experienced fetishistic arousal were significantly more likely to be older, to have experienced heterosexual intercourse, to be married and to show penile responses to pictures of men and women indicative of a more heterosexual orientation. Expand
Transsexualism: a review of etiology, diagnosis and treatment.
There is little doubt that sex reassignment substantially alleviates the suffering of transsexuals, however, SRS is no panacea and psychotherapy may be needed to help transsexuals in adapting to the new situation or in dealing with issues that could not be addressed before treatment. Expand
Clinical patterns among male transsexual candidates with erotic interest in males
Male-to-female transsexuals who reported an erotic interest in males showed different patterns of sexual activity and displayed more masculinity in development and more evidence of emotional disturbance. Expand
A test of the dsm‐III‐R'S implicit assumption that fetishistic arousal and gender dysphoria are mutually exclusive
This study sought to determine the proportion of adult, male, hetero? sexual cross-dressers who acknowledge both gender dysphoria and at least occasional fetishistic response to cross-dressing.Expand
The concept of autogynephilia and the typology of male gender dysphoria.
  • R. Blanchard
  • Psychology, Medicine
  • The Journal of nervous and mental disease
  • 1989
The hypothesis that the major types of nonhomosexual gender dysphoria constitute variant forms of one underlying disorder, which may be characterized as autogynephilicGender dysphoria is supported. Expand
Autogynephilia: A Paraphilic Model of Gender Identity Disorder
SUMMARY Autogynephilia is defined as a male's propensity to be sexually aroused by the thought or image of himself as female. Autogynephilia explains the desire for sex reassignment of someExpand
Sexuality as the Mainstay of Identity: Psychoanalytic Perspectives
  • E. Person
  • Signs: Journal of Women in Culture and Society
  • 1980
It has long been recognized that certain conventions-the double standard, the cult of virginity, and the requirement that female sexuality find expression solely within monogamous heterosexualExpand
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
Social desirability response set and systematic distortion in the self-report of adult male gender patients
This study showed that the “socially desirable” presentation for a heterosexual male gender dysphoric is one that emphasizes traits and behaviors characteristic of “classic” transsexualism, and suggested caution in interpreting the self-report data that have been used in comparing them. Expand