Nonpsychotic, nonparaphilic self-amputation and the internet

Compr Psychiatry. 2005 Sep-Oct;46(5):380-3. doi: 10.1016/j.comppsych.2004.12.003.


The literature suggests that self-amputation is an outgrowth of either psychosis or paraphilia. In the case we present, the patient was neither psychotic at the time of amputation, nor did he ascribe a sexual motivation for his act. Instead, he had a long-standing idea that being an amputee was a critical aspect of his identity. The patient used the internet to research the method for his amputation and sought support from individuals with the same desire via e-mail, web sites, and Usenet news groups.

Publication types

  • Case Reports

MeSH terms

  • Amputation, Surgical*
  • Hospitalization
  • Humans
  • Internet*
  • Male
  • Middle Aged
  • Self-Injurious Behavior / psychology*
  • Self-Injurious Behavior / rehabilitation
  • Transsexualism / psychology