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Elective amputation of a "healthy limb".
Rianne M Blom1, Valeria Guglielmi1, Damiaan Denys1
11Department of Psychiatry,Academic Medical Centre,University of Amsterdam,Amsterdam,The Netherlands.
CNS Spectrums
|September 14, 2016
Summary
Individuals with body integrity identity disorder (BIID) have a persistent desire for amputation. This research supports elective amputation for mentally competent BIID patients, arguing against dismissal by surgeons.
Area of Science:
- Psychiatry
- Medical Ethics
- Surgical Consultation
Background:
- Body integrity identity disorder (BIID) is characterized by a profound desire for limb amputation from an early age.
- Patients with BIID are frequently dismissed by surgeons when expressing their wish for amputation.
- This dismissal can lead to dangerous self-amputation attempts, resulting in severe complications or death.
Discussion:
- BIID patients are not psychotic and possess the mental capacity to understand the implications of elective amputation.
- The study argues for the ethical consideration and potential acceptance of elective amputation in specific BIID cases.
- Dismissal of BIID patients' requests can have life-threatening consequences, highlighting the need for alternative approaches.
Key Insights:
- BIID patients are mentally competent and aware of amputation consequences.
- Self-amputation due to dismissal poses significant health risks.
- Elective amputation is presented as a viable, albeit controversial, option.
Outlook:
- Further research into the neurobiological underpinnings of BIID is warranted.
- Development of ethical guidelines for managing BIID patients seeking amputation is crucial.
- Exploring patient-centered care models that address BIID desires may reduce harm.
