Body integrity identity disorder.

<h4>Introduction</h4>Body Integrity Identity Disorder (BIID) is a rare, infrequently studied and highly secretive condition in which there is a mismatch between the mental body image and the physical body. Subjects suffering from BIID have an intense desire to amputate a major limb or se...

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Autores principales:	Rianne M Blom, Raoul C Hennekam, Damiaan Denys
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2012
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/15a7574f9963476e8998715759bd266f
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spelling	oai:doaj.org-article:15a7574f9963476e8998715759bd266f2021-11-18T07:22:17ZBody integrity identity disorder.1932-620310.1371/journal.pone.0034702https://doaj.org/article/15a7574f9963476e8998715759bd266f2012-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/22514657/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Introduction</h4>Body Integrity Identity Disorder (BIID) is a rare, infrequently studied and highly secretive condition in which there is a mismatch between the mental body image and the physical body. Subjects suffering from BIID have an intense desire to amputate a major limb or severe the spinal cord in order to become paralyzed. Aim of the study is to broaden the knowledge of BIID amongst medical professionals, by describing all who deal with BIID.<h4>Methods</h4>Somatic, psychiatric and BIID characteristic data were collected from 54 BIID individuals using a detailed questionnaire. Subsequently, data of different subtypes of BIID (i.e. wish for amputation or paralyzation) were evaluated. Finally, disruption in work, social and family life due to BIID in subjects with and without amputation were compared.<h4>Results</h4>Based on the subjects' reports we found that BIID has an onset in early childhood. The main rationale given for their desire for body modification is to feel complete or to feel satisfied inside. Somatic and severe psychiatric co-morbidity is unusual, but depressive symptoms and mood disorders can be present, possibly secondary to the enormous distress BIID puts upon a person. Amputation and paralyzation variant do not differ in any clinical variable. Surgery is found helpful in all subjects who underwent amputation and those subjects score significantly lower on a disability scale than BIID subjects without body modification.<h4>Conclusions</h4>The amputation variant and paralyzation variant of BIID are to be considered as one of the same condition. Amputation of the healthy body part appears to result in remission of BIID and an impressive improvement of quality of life. Knowledge of and respect for the desires of BIID individuals are the first steps in providing care and may decrease the huge burden they experience.Rianne M BlomRaoul C HennekamDamiaan DenysPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 7, Iss 4, p e34702 (2012)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Rianne M Blom Raoul C Hennekam Damiaan Denys Body integrity identity disorder.
description	<h4>Introduction</h4>Body Integrity Identity Disorder (BIID) is a rare, infrequently studied and highly secretive condition in which there is a mismatch between the mental body image and the physical body. Subjects suffering from BIID have an intense desire to amputate a major limb or severe the spinal cord in order to become paralyzed. Aim of the study is to broaden the knowledge of BIID amongst medical professionals, by describing all who deal with BIID.<h4>Methods</h4>Somatic, psychiatric and BIID characteristic data were collected from 54 BIID individuals using a detailed questionnaire. Subsequently, data of different subtypes of BIID (i.e. wish for amputation or paralyzation) were evaluated. Finally, disruption in work, social and family life due to BIID in subjects with and without amputation were compared.<h4>Results</h4>Based on the subjects' reports we found that BIID has an onset in early childhood. The main rationale given for their desire for body modification is to feel complete or to feel satisfied inside. Somatic and severe psychiatric co-morbidity is unusual, but depressive symptoms and mood disorders can be present, possibly secondary to the enormous distress BIID puts upon a person. Amputation and paralyzation variant do not differ in any clinical variable. Surgery is found helpful in all subjects who underwent amputation and those subjects score significantly lower on a disability scale than BIID subjects without body modification.<h4>Conclusions</h4>The amputation variant and paralyzation variant of BIID are to be considered as one of the same condition. Amputation of the healthy body part appears to result in remission of BIID and an impressive improvement of quality of life. Knowledge of and respect for the desires of BIID individuals are the first steps in providing care and may decrease the huge burden they experience.
format	article
author	Rianne M Blom Raoul C Hennekam Damiaan Denys
author_facet	Rianne M Blom Raoul C Hennekam Damiaan Denys
author_sort	Rianne M Blom
title	Body integrity identity disorder.
title_short	Body integrity identity disorder.
title_full	Body integrity identity disorder.
title_fullStr	Body integrity identity disorder.
title_full_unstemmed	Body integrity identity disorder.
title_sort	body integrity identity disorder.
publisher	Public Library of Science (PLoS)
publishDate	2012
url	https://doaj.org/article/15a7574f9963476e8998715759bd266f
work_keys_str_mv	AT riannemblom bodyintegrityidentitydisorder AT raoulchennekam bodyintegrityidentitydisorder AT damiaandenys bodyintegrityidentitydisorder
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Body integrity identity disorder.

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