• Fri. Oct 30th, 2020

Speaking in all honesty, I fear physical pain. In fact, I still struggle letting my doctor prescribe inject-able drugs when am unwell. However, there is a mental medical condition that makes the patient desire to cut off parts of their body. I am letting that sink. Apotemnophilia or body integrity identity disorder (BIID) is deļ¬ned by the uncontrollable desire to amputate one or more healthy limbs. According to physicians, BIID is both a neurological and psychiatric disorder. It was first described in a 1977 article by psychologists Gregg Furth and John Money. As of 2014 the cause of Apotemnophilia was not yet clear and was a subject of ongoing research.

BIID is a rare, infrequently studied condition in which there is a mismatch between the mental body image and the physical body, characterized by an intense desire for amputation of a limb, usually a leg, or to become blind or deaf. The person sometimes has a sense of sexual arousal connected with the desire for loss of a limb or sense. Some act out their desires, pretending they are amputees using prostheses and other tools to ease their desire to be one.

People with BIID appear to start to wish for amputation when they are young, between eight and twelve years of age. However, these people tend to seek treatment only when they are much older. People with BIID seem to be predominantly male, and family psychiatric history does not appear to be relevant, and there does not appear to be any strong correlation with the site of the limb or limbs that the person wishes they did not have, nor with any past trauma to the undesired limb.

Sadly, there is no evidence based treatment for Apotemnophilia, but cognitive behavioral therapy have been used over the years.

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