Journal ArticleDOI
Desire for amputation of a limb: paraphilia, psychosis, or a new type of identity disorder.
TLDR
The preliminary results suggest the existence of an extremely unusual clinically distinct condition characterized by a lifelong desire to have an amputation of a particular limb associated with serious negative consequences: amputation attempts, impairment and marked distress.Abstract:
Background. The objective of this paper is to describe and conceptualize an unusual and probably rare condition : the intense longstanding desire to have an amputation. Method. Structured interviews were conducted by telephone of 52 subjects (mean age: 48 . 6, range 23–77 years ; 47 male, 4 female, 1 intersexed) self-identified as having had a desire to have an amputation. Results. Seventeen per cent (n=9) had an arm or leg amputated with two-thirds using methods that put the subject at risk of death and one-third enlisting a surgeon to amputate their healthy limb. The most common reported reason for wanting an amputation was the subject’s feeling that it would correct a mismatch between the person’s anatomy and sense of his or her ‘true ’ self (identity). None were delusional. For all but one subject age at onset was during childhood or early adolescence. For those who had psychotherapy or medication there was no change in the intensity of the desire for amputation. The six subjects who had an amputation at their desired site reported that following the amputation they felt better than they ever had and no longer had a desire for an amputation. Conclusions. These preliminary results suggest the existence of an extremely unusual clinically distinct condition characterized by a lifelong desire to have an amputation of a particular limb. The condition is associated with serious negative consequences : amputation attempts, impairment and marked distress. Reflecting similarities between Gender Identity Disorder and this condition, the author suggests that it may be conceptualized as an unusual dysfunction in the development one’s fundamental sense of anatomical (body) identity.read more
Citations
More filters
Journal ArticleDOI
Endocrine Treatment of Gender-Dysphoric/Gender-Incongruent Persons: An Endocrine Society Clinical Practice Guideline
Wylie C. Hembree,Peggy T. Cohen-Kettenis,Louis J. G. Gooren,Sabine E. Hannema,Walter J. Meyer,M. Hassan Murad,Stephen M. Rosenthal,Joshua D. Safer,Vin Tangpricha,Guy T'Sjoen +9 more
TL;DR: This evidence‐based guideline recommends treating gender‐dysphoric/gender‐incongruent adolescents who have entered puberty at Tanner Stage G2/B2 by suppression with gonadotropin‐releasing hormone agonists and recommends adding gender‐affirming hormones after a multidisciplinary team has confirmed the persistence of gender dysphoria/gender incongruence.
Book
Pedophilia and Sexual Offending Against Children: Theory, Assessment, and Intervention
TL;DR: Seto et al. as mentioned in this paper discussed the relationship between pedophilia and sexual offending against children, and how to assess risk to sexually offend and what do we know about intervention and prevention to reduce the occurrence of sexual offenses against children.
Journal ArticleDOI
More than skin deep: Body representation beyond primary somatosensory cortex
TL;DR: A wide range of neuropsychological, neuroimaging and neurophysiological data is reviewed to explore the dissociation between these different aspects of higher somatosensory function.
Journal ArticleDOI
Endocrine Treatment of Gender-Dysphoric/Gender-Incongruent Persons: An Endocrine Society * Clinical Practice Guideline
Wylie C. Hembree,Peggy T. Cohen-Kettenis,Louis J. G. Gooren,Sabine E. Hannema,Walter J. Meyer,M. Hassan Murad,Stephen M. Rosenthal,Joshua D. Safer,Vin Tangpricha,Guy T'Sjoen +9 more
TL;DR: This research presents a novel and scalable approach called “evidence-based informed decision-making” that aims to provide real-time information about the impact of adverse events on children’s health and how they are measured and treated.
Journal ArticleDOI
Embodiment, ownership and disownership.
TL;DR: In this paper, the authors investigate the conditions of embodiment for an object to be experienced as one's own and the deficits in patients who experience a body part as alien. And they argue that the sense of disownership experienced by patients towards their body part cannot be reduced to the mere lack of ownership.
References
More filters
Book
Structured clinical interview for DSM-IV axis I disorders : SCID-I : clinical version : scoresheet
TL;DR: The SCID-I is an efficient, user-friendly instrument that covers those DSM-IV diagnoses most commonly seen by clinicians and includes the diagnostic criteria for these disorders with corresponding interview questions and provides extensive documentation of the diagnostic process.
Book
Structured Clinical Interview for DSM-IV Axis I Disorders
Abstract: The reusable Administration Booklet contains interview questions and DSM-IV diagnostic criteria. It is designed to be used with the Scoresheet during a 45- to 90-minute session and is tabbed to help the clinician move from one section to another.
Book
Structured clinical interview for DSM-IV axis I disorders : SCID-I: clinical version : administration booklet
TL;DR: The reusable Administration Booklet contains interview questions and DSM-IV diagnostic criteria as discussed by the authors, which is designed to be used with the Scoresheet during a 45- to 90-minute session and is tabbed to help the clinician move from one section to another.
Journal ArticleDOI
Apotemnophilia: Two cases of self‐demand amputation as a paraphilia
TL;DR: The authors found that self-demand amputation (apotemnophilia) is related to erotization of the stump and to overachievement despite a handicap in men.
Journal ArticleDOI
Clinical observations and systematic studies of autogynephilia.
TL;DR: It is concluded that the concept of autogynephilia is needed to fill a gap in the current battery of concepts and categories for thinking about gender identity disorders.
Related Papers (5)
Apotemnophilia: Two cases of self‐demand amputation as a paraphilia
Amputees By Choice: Body Integrity Identity Disorder and the Ethics of Amputation
Tim Bayne,Neil Levy +1 more