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[Body Integrity Identity Disorder (BIID): interrogation of patients and theories for explanation].

Abstract

Apotemnophilia, Amputee Identity Disorder or Body Integrity Identity Disorder (BIID) is the intensive feeling that the body will be "more complete" after amputation of a limb. The article disputes the question of matching personality characteristics of these subjects and asks for motives. Based on reports of nine individuals, triggering experiences are referred. In contrast to other children, often these subjects were fascinated by the sight of a handicapped person. In the article is investigated, whether the concerned limb showed more affections. Described is typical pretending behavior. Parallels to body dysmorphic disorder (BDD), fetishism, or delusions are investigated. These were minor, in most cases the wish was fixated on a specific limb, the subjects were aware of the abnormity of their desire and quarreled with the pros and cons. Sexual motives were found in one third. Some of the interviewed persons were in medical or psychological therapy; this did not let the desire disappear. In several BIID sufferers the wish for amputation changed, e. g. from the left to the right leg. This finding is not in accordance with the brain-dysfunction-theory. These people rather have an ideal of a "perfect" body minus one arm or leg. Most admire the beauty of a stump, and see amputees as "heroes" who still master their life in spite of their handicap. BIID is not a homogenous disturbance, one should separate three axes: 1. Strength of neuronal dysfunction, 2. Psychic components (e. g. secondary morbid gain) and 3. Intensity of sexual interests.

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  • Publisher Full Text
  • Authors+Show Affiliations

    Institut für Medizinische Psychologie, Universität zu Lübeck, Lübeck, Germany. erikasten@aol.com

    Source

    MeSH

    Adolescent
    Amputation
    Amputation Stumps
    Body Image
    Child
    Delusions
    Female
    Humans
    Male
    Personality
    Sexual Behavior

    Pub Type(s)

    English Abstract
    Journal Article
    Review

    Language

    ger

    PubMed ID

    19101876

    Citation

    Kasten, E. "[Body Integrity Identity Disorder (BIID): Interrogation of Patients and Theories for Explanation]." Fortschritte Der Neurologie-Psychiatrie, vol. 77, no. 1, 2009, pp. 16-24.
    Kasten E. [Body Integrity Identity Disorder (BIID): interrogation of patients and theories for explanation]. Fortschr Neurol Psychiatr. 2009;77(1):16-24.
    Kasten, E. (2009). [Body Integrity Identity Disorder (BIID): interrogation of patients and theories for explanation]. Fortschritte Der Neurologie-Psychiatrie, 77(1), pp. 16-24. doi:10.1055/s-0028-1100837.
    Kasten E. [Body Integrity Identity Disorder (BIID): Interrogation of Patients and Theories for Explanation]. Fortschr Neurol Psychiatr. 2009;77(1):16-24. PubMed PMID: 19101876.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - [Body Integrity Identity Disorder (BIID): interrogation of patients and theories for explanation]. A1 - Kasten,E, Y1 - 2008/12/19/ PY - 2008/12/23/entrez PY - 2008/12/23/pubmed PY - 2009/5/12/medline SP - 16 EP - 24 JF - Fortschritte der Neurologie-Psychiatrie JO - Fortschr Neurol Psychiatr VL - 77 IS - 1 N2 - Apotemnophilia, Amputee Identity Disorder or Body Integrity Identity Disorder (BIID) is the intensive feeling that the body will be "more complete" after amputation of a limb. The article disputes the question of matching personality characteristics of these subjects and asks for motives. Based on reports of nine individuals, triggering experiences are referred. In contrast to other children, often these subjects were fascinated by the sight of a handicapped person. In the article is investigated, whether the concerned limb showed more affections. Described is typical pretending behavior. Parallels to body dysmorphic disorder (BDD), fetishism, or delusions are investigated. These were minor, in most cases the wish was fixated on a specific limb, the subjects were aware of the abnormity of their desire and quarreled with the pros and cons. Sexual motives were found in one third. Some of the interviewed persons were in medical or psychological therapy; this did not let the desire disappear. In several BIID sufferers the wish for amputation changed, e. g. from the left to the right leg. This finding is not in accordance with the brain-dysfunction-theory. These people rather have an ideal of a "perfect" body minus one arm or leg. Most admire the beauty of a stump, and see amputees as "heroes" who still master their life in spite of their handicap. BIID is not a homogenous disturbance, one should separate three axes: 1. Strength of neuronal dysfunction, 2. Psychic components (e. g. secondary morbid gain) and 3. Intensity of sexual interests. SN - 1439-3522 UR - https://www.unboundmedicine.com/medline/citation/19101876/abstract/[Body_Integrity_Identity_Disorder__BIID_:_Interrogation_of_Patients_and_Theories_for_Explanation_] L2 - http://www.thieme-connect.com/DOI/DOI?10.1055/s-0028-1100837 DB - PRIME DP - Unbound Medicine ER -