Elective Impairment Minus Elective Disability: The Social Model of Disability and Body Integrity Identity Disorder

  title={Elective Impairment Minus Elective Disability: The Social Model of Disability and Body Integrity Identity Disorder},
  author={R. Gibson},
  journal={Journal of Bioethical Inquiry},
  pages={145 - 155}
  • R. Gibson
  • Published 2019
  • Medicine, Psychology
  • Journal of Bioethical Inquiry
Individuals with body integrity identity disorder (BIID) seek to address a non-delusional incongruity between their body image and their physical embodiment, sometimes via the surgical amputation of healthy body parts. Opponents to the provision of therapeutic healthy-limb amputation in cases of BIID make appeals to the envisioned harms that such an intervention would cause, harms such as the creation of a lifelong physical disability where none existed before. However, this concept of harm is… Expand
1 Citations
Cui Bono?
The challenges in the field are diverse and require broad cooperation between scientists, industry, Bioethical Inquiry, as Narcyz Ghinea, Wendy Lipworth, and Ian Kerridge (2020) write in the covering editorial for the symposium on pharmaceutical ethics. Expand


Body Integrity Identity Disorder (BIID)—Is the Amputation of Healthy Limbs Ethically Justified?
  • S. Müller
  • Medicine
  • The American journal of bioethics : AJOB
  • 2009
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
Disfigured anatomies and imperfect analogies: body integrity identity disorder and the supposed right to self-demanded amputation of healthy body parts
  • D. Patrone
  • Psychology, Medicine
  • Journal of Medical Ethics
  • 2009
This paper criticises the appropriateness of the particular analogies that are thought to shed light on the allegedly unproblematical nature of BIIDs demands and argues that a proper understanding of the respect for autonomy in the medical decision-making context prohibits agreeing to BIID demands for amputation. Expand
Body Integrity Identity Disorder (BIID): How Satisfied are Successful Wannabes
Background: People suffering from Body Integrity Identity Disorder feel the intensive wish for an amputation of one limb or another kind of handicap. Due to ethic and juristic reasons, the desiredExpand
Paralyzed by Desire: A New Type of Body Integrity Identity Disorder
It is proposed that sex-related differences in BIID manifestation may relate to sex differences in cerebral lateralization, or to disruption of representation and/or processing of body-related information in right-hemisphere frontoparietal networks. Expand
Body Integrity Identity Disorder
Amputation of the healthy body part appears to result in remission of BIID and an impressive improvement of quality of life, and the amputation variant and paralyzation variant of BIIDs are to be considered as one of the same condition. 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
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
Body Integrity Identity Disorder Beyond Amputation: Consent and Liberty
  • A. White
  • Psychology, Medicine
  • HEC forum : an interdisciplinary journal on hospitals' ethical and legal issues
  • 2014
It is argued that persons suffering from Body Integrity Identity Disorder (BIID) can give informed consent to surgical measures designed to treat this disorder, even if the surgery seems radical or irrational to most people. Expand
Body Integrity Identity Disorder (BIID) is a condition in which people generally desire amputation of healthy limbs but can also desire paralysis, blindness, or other disabilities. The current studyExpand
An Overwhelming Desire to Be Blind: Similarities and Differences between Body Integrity Identity Disorder and the Wish for Blindness
The hypothesis that people with a desire for blindness suffer from a significantly higher visual overload in activities of daily living than visually healthy subjects was confirmed and the significance of visual stress between these groups was p < 0.01. Expand