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Review
, 10, 1255-65
eCollection

Apotemnophilia, Body Integrity Identity Disorder or Xenomelia? Psychiatric and Neurologic Etiologies Face Each Other

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Review

Apotemnophilia, Body Integrity Identity Disorder or Xenomelia? Psychiatric and Neurologic Etiologies Face Each Other

Anna Sedda et al. Neuropsychiatr Dis Treat.

Abstract

This review summarizes the available studies of a rare condition in which individuals seek the amputation of a healthy limb or desire to be paraplegic. Since 1977, case reports and group studies have been produced, trying to understand the cause of this unusual desire. The main etiological hypotheses are presented, from the psychological/psychiatric to the most recent neurologic explanation. The paradigms adopted and the clinical features are compared across studies and analyzed in detail. Finally, future directions and ethical implications are discussed. A proposal is made to adopt a multidisciplinary approach that comprises state-of-the-art technologies and a variety of theoretical models, including both body representation and psychological and sexual components.

Keywords: BIID; body ownership; body representation; limb amputation; somatoparaphrenia.

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Cited by 4 PubMed Central articles

References

    1. Rozin P, Haidt J, Fincher K. Psychology. From oral to moral. Science. 2009;323(5918):1179–1180. - PubMed
    1. First MB. Desire for amputation of a limb: paraphilia, psychosis, or a new type of identity disorder. Psychol Med. 2005;35(6):919–928. - PubMed
    1. McGeoch PD, Brang D, Song T, Lee RR, Huang M, Ramachandran VS. Xenomelia: a new right parietal lobe syndrome. J Neurol Neurosurg Psychiatry. 2011;82(12):1314–1319. - PubMed
    1. Giummarra MJ, Bradshaw JL, Hilti LM, Nicholls ME, Brugger P. Paralyzed by desire: a new type of body integrity identity disorder. Cogn Behav Neurol. 2012;25(1):34–41. - PubMed
    1. First MB, Fisher CE. Body integrity identity disorder: the persistent desire to acquire a physical disability. Psychopathology. 2012;45(1):3–14. - PubMed

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