Body Integrity Identity Disorder

Overview

Body integrity identity disorder (BIID), previously called apotemnophilia, is an extremelyrare condition where sufferers desire the amputationof a healthy limb because of distress associated withits presence.

Symptoms

Symptoms of BIID sufferers are often keenly felt. The sufferer feels incomplete with four limbs, but is confident amputation will fix this. The sufferer knows exactly what part of which limb should be amputated to relieve the suffering. The sufferer has intense feelings of envy toward amputees. They often pretend, both in private and in public, that they are an amputee. The sufferer recognizes the above symptoms as being strange and unnatural. They feel alone in having these thoughts, and don't believe anyone could ever understand their urges. They may try to injure themselves to require the amputation of that limb. They generally are ashamed of their thoughts and try to hide them from others, including therapists and health care professionals.

Causes

The majority of BIID sufferers are white middle-aged males, although this discrepancy may not be nearly as large as previously thought. The most common request is an above-the-knee amputation of the left leg.

A sexual motivation for being or looking like an amputee is called apotemnophilia. In addition, apotemnophilia should not be mistaken for acrotomophilia, which describes a person who is sexually attracted to other people who are already missing limbs.[6] However, many of the people who experience one also experience the other.