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Validation of a Psychosocial Intervention on Body Image in Older People: An Experimental Design
07:40

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Published on: May 31, 2021

Body integrity identity disorder.

Rianne M Blom1, Raoul C Hennekam, Damiaan Denys

  • 1Department of Psychiatry, Academic Medical Centre, University of Amsterdam, Amsterdam, The Netherlands.

Plos One
|April 20, 2012
PubMed
Summary
This summary is machine-generated.

Body Integrity Identity Disorder (BIID) involves a desire for limb amputation or paralysis. Amputation surgery appears to resolve BIID, significantly improving quality of life for affected individuals.

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Area of Science:

  • Psychiatry
  • Psychology
  • Medical research

Background:

  • Body Integrity Identity Disorder (BIID) is a rare condition characterized by a discrepancy between an individual's mental body image and physical body.
  • Individuals with BIID experience an intense urge to amputate a limb or become paralyzed to align their physical form with their internal sense of self.

Purpose of the Study:

  • To enhance understanding of BIID among medical professionals.
  • To describe the characteristics and experiences of individuals with BIID.

Main Methods:

  • Data collected from 54 individuals with BIID via a detailed questionnaire.
  • Evaluation of distinct BIID subtypes (amputation vs. paralysis desire).
  • Comparison of life disruption in subjects with and without amputation.

Main Results:

  • BIID typically manifests in early childhood, with individuals seeking to "feel complete."
  • Co-occurring severe psychiatric conditions are uncommon, though depression can occur due to distress.
  • Amputation and paralysis subtypes show no clinical differences; surgery improves outcomes and reduces disability.

Conclusions:

  • The amputation and paralysis variants of BIID represent a single condition.
  • Amputation of a healthy limb leads to BIID remission and enhanced quality of life.
  • Acknowledging and respecting BIID individuals' desires is crucial for effective care and reducing suffering.