Out on a Limb: The Ethical Management of Body Integrity Identity Disorder

@article{Ryan2009OutOA,
  title={Out on a Limb: The Ethical Management of Body Integrity Identity Disorder},
  author={Chris Ryan},
  journal={Neuroethics},
  year={2009},
  volume={2},
  pages={21-33}
}
  • C. Ryan
  • Published 1 April 2009
  • Medicine
  • Neuroethics
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 with its presence. This paper reviews the medical and philosophical literature on BIID. It proposes an evidenced based and ethically informed approach to its management. Amputation of a healthy limb is an ethically defensible treatment option in BIID and should be offered in some circumstances, but only… 
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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.
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  • 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.
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  • Medicine
    HEC forum : an interdisciplinary journal on hospitals' ethical and legal issues
  • 2014
TLDR
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.
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TLDR
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.
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TLDR
Preliminary results suggest the existence of a possible therapeutic and diagnostic potential that AR possesses, which warrants further consideration within clinical healthcare settings.
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TLDR
Three separate contemporary models of harm are sought to clarify: the counter-temporal, the counterfactual, and the non-comparative, which will be applied to the scenario of a BIID-induced, therapeutic, healthy limb amputation and in each, how harm may be understood to have been caused will be explored.
Elective Impairment Minus Elective Disability: The Social Model of Disability and Body Integrity Identity Disorder
  • R. Gibson
  • Medicine
    Journal of Bioethical Inquiry
  • 2019
TLDR
This article challenges the prima facie harms assumed to be inherent in limb amputation and argues in favour of a potential treatment option for those with BIID, using the social model of disability as a means to separate the concept of impairment and disability.
Consent, Autonomy, and the Benefits of Healthy Limb Amputation: Examining the Legality of Surgically Managing Body Integrity Identity Disorder in New Zealand
Upon first consideration, the desire of an individual to amputate a seemingly healthy limb is a foreign, perhaps unsettling, concept. It is, however, a reality faced by those who suffer from body
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