Newsweek has a fascinating article on ‘body integrity identity disorder’, a condition where people feel they need to have a limb amputated to become normal and often go to extreme lengths to have their arm or leg removed.
BIID, otherwise known as apotemnophilia, is often confused with amputee fetishism, where sexual gratification is linked to ideas of amputation. However, they seem quite distinct in most cases.
Although its not widely studied, the desire seems to be much more about the feeling of being comfortable in one’s body rather than anything explicitly sexual.
The Newsweek article discusses the condition and looks at some of the latest scientific research on this seemingly strange desire, but suffers from some rather sloppy thinking about the mind and brain. For example:
BIID is attracting the attention of researchers who suspect that the condition may be related to other body image disorders—including anorexia, body dysmorphic disorder, and gender identity disorder—that at first glance may seem entirely psychological, but may be linked to physical differences in the brain.
All psychological changes are related to physical differences in the brain, so this is a completely bogus distinction.
Whenever you read a sentence like this translate it into the language of theories and evidence.
In other words, ‘[conditions] that might seem better explained by solely psychological theories now need to be updated as evidence on biological brain changes becomes available’.
The piece then goes on to repeat a common but trashy fallacy that you can describe any brain difference as something that is ‘hard wired’.
Despite these disastrous misunderstandings of the fundamentals of neuroscience, the piece is actually quite good.
It’s interesting that while the medical viewpoint is that BIID is linked to other body image disorders, the people who have these desires do not feel it is a disorder at all.
I was struck by the fact that a couple of people who have acquired amputations anecdotally report that they feel much better afterwards.
This is in marked contrast to people with body dysmorphic disorder who after plastic surgery to ‘fix’ their self-perceived distorted body part typically do not feel ‘cured’. Or those with anorexia who do not feel satisfied even when they are at a near-fatal point of emaciation.
It would be fascinating to follow-up people who have BIID after they’ve acquired a successful amputation to see how they fare.
If their desires disappear, they do not become newly fixated on amputating another limb, or experience improved mental health and life-satisfaction as a result, how far can we go in saying its a mental illness?
I’ve had a search and, sadly, found no such studies.
Link to Newsweek article ‘Cutting Desire’.
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