Effects of Psychotherapy on Patients Suffering from Body Integrity Identity Disorder (BIID)
Katharina Kröger,
Thomas Schnell,
Erich Kasten
Issue:
Volume 3, Issue 5, September 2014
Pages:
110-115
Received:
28 July 2014
Accepted:
18 August 2014
Published:
30 August 2014
DOI:
10.11648/j.ajap.20140305.11
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Abstract: People suffering from Body Integrity Identity Disorder (BIID) feel the intense desire for a physical disability (e.g. amputation or palsy of a limb). The suffering is caused by a divergence between their intact real body and their desired mental self-image of a disabled person. Aim of this pilot-study was to answer the question, whether psychotherapy can help to prevent the desire for amputation or palsy. Methods: A questionnaire was developed to investigate experiences with psychotherapy in BIID-patients. These people were asked about the success of different psychological and psychopharmacological types of therapy. Respondents stated whether they experienced an increase or decrease of their desire for amputation or palsy due to the specific kind of therapy and to what extent their psychological strain had been changed after therapy. Results: BIID is a very rare disturbance; still 25 people were investigated in this study. 32% had psychopharmacological treatment, 24% had cognitive behavioral therapy, 20% psychodynamic therapy, 20% had trained a relaxation technique, 8% had counseling therapy and 4% had experiences with art- and body-centered exercise therapies. In contrast to our hypothesis, all therapy-methods tended to cause an increase of the desire for obtaining a disability. A higher number of therapy sessions was positively correlated with an increased desire for an amputation, paralysis or other disability. On the other hand, the psychological strain in relation to BIID was reduced by all types of therapies; the highest reduction could be reached with psychodynamic therapy. Conclusion: Psychotherapy can reduce the psychological strain in BIID affected persons. The fact that the desire to obtain a disability increases during the therapy is explained as a result of an intense exchange about BIID with the therapist.
Abstract: People suffering from Body Integrity Identity Disorder (BIID) feel the intense desire for a physical disability (e.g. amputation or palsy of a limb). The suffering is caused by a divergence between their intact real body and their desired mental self-image of a disabled person. Aim of this pilot-study was to answer the question, whether psychothera...
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Body Integrity Identity Disorder and Mancophilia: Similarities and Differences
Lea Pregartbauer,
Thomas Schnell,
Erich Kasten
Issue:
Volume 3, Issue 5, September 2014
Pages:
116-121
Received:
5 October 2014
Accepted:
20 October 2014
Published:
30 October 2014
DOI:
10.11648/j.ajap.20140305.12
Downloads:
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Abstract: Body Integrity Identity Disorder (BIID) is characterized by the intense desire for some form of body impairment. Most often sufferers report wanting a healthy limb to be amputated. Currently most professionals classify this strange wish as an identity disturbance, but several BIID affected persons also speak of a sexual component when describing their desire for an amputation. In contrast to BIID, “mancophilia” (also referred to as deformation fetishism, acrotomophilia, or amelotatism) is a form of paraphilia. Those with this condition are sexually aroused by people with a physical impairment as such as an amputation. In this pilot-study we investigated the differences between BIID and mancophilia with a self-report questionnaire, which asked 36 participants (18 with BIID, 18 with mancophilia) about their sexual preferences. The results showed a considerable overlap between the sexual preferences of people with BIID and those of people with mancophilia. BIID-participants self-reported an erotic preference for people with disabilities and, overall, a cluster-analysis resulted in three observable groups: Cluster-I, BIID with a strong sexual component (61.1%); Cluster-II, BIID with a moderate sexual component (16.7%); and Cluster-III, BIID with low or no sexual component (22.2%). However, the erotic fascination for one’s own amputation was only found in BIID afflicted persons and did not occur in people with mancophilia. Only the wish for an own handicap allows a strict differentiation between those two syndromes. In summary, these preliminary findings suggest that an erotic component seems to be a frequent part of the identity disorder BIID.
Abstract: Body Integrity Identity Disorder (BIID) is characterized by the intense desire for some form of body impairment. Most often sufferers report wanting a healthy limb to be amputated. Currently most professionals classify this strange wish as an identity disturbance, but several BIID affected persons also speak of a sexual component when describing th...
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