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body identity integrity disorder

Rianne M Blom, Guido A van Wingen, Sija J van der Wal, Judy Luigjes, Milenna T van Dijk, H Steven Scholte, Damiaan Denys
BACKGROUND: Body Integrity Identity Disorder (BIID) is a condition in which individuals perceive a mismatch between their internal body scheme and physical body shape, resulting in an absolute desire to be either amputated or paralyzed. The condition is hypothesized to be of congenital nature, but evidence for a neuro-anatomical basis is sparse. METHODS: We collected T1-weighted structural magnetic resonance imaging scans on a 3T scanner in eight individuals with BIID and 24 matched healthy controls, and analyzed the data using voxel-based morphometry...
2016: PloS One
Geoffrey M Reed, Jack Drescher, Richard B Krueger, Elham Atalla, Susan D Cochran, Michael B First, Peggy T Cohen-Kettenis, Iván Arango-de Montis, Sharon J Parish, Sara Cottler, Peer Briken, Shekhar Saxena
In the World Health Organization's forthcoming eleventh revision of the International Classification of Diseases and Related Health Problems (ICD-11), substantial changes have been proposed to the ICD-10 classification of mental and behavioural disorders related to sexuality and gender identity. These concern the following ICD-10 disorder groupings: F52 Sexual dysfunctions, not caused by organic disorder or disease; F64 Gender identity disorders; F65 Disorders of sexual preference; and F66 Psychological and behavioural disorders associated with sexual development and orientation...
October 2016: World Psychiatry: Official Journal of the World Psychiatric Association (WPA)
Rianne M Blom, Valeria Guglielmi, Damiaan Denys
Patients with body integrity identity disorder (BIID) experience a strong desire for amputation from very early on. BIID patients are often dismissed when they share their wish for amputation with surgeons. Consequently, patients resort to self-amputation, including complications and sometimes death. BIID patients are not psychotic and are mentally competent to oversee the consequences of an elective amputation. The authors offer arguments in favor of elective amputation.
October 2016: CNS Spectrums
Rianne M Blom, Nienke C Vulink, Sija J van der Wal, Takashi Nakamae, Zhonglin Tan, Eske M Derks, Damiaan Denys
Body integrity identity disorder (BIID) is a condition in which people do not perceive a part of their body as their own, which results in a strong desire for amputation or paralyzation. The disorder is likely to be congenital due to its very early onset. The English literature describes only Western patients with BIID, suggesting that the disorder might be merely prevalent in the West. To scrutinize this assumption, and to extend our knowledge of the etiology of BIID, it is important to trace cases with BIID in non-Western populations...
2016: Neuropsychiatric Disease and Treatment
Karin Eli
After severe illness, there are stories: narrative strands to suture discontinuities of identities, practices, and lives. But within these narratives of illness and recovery, the body's discontinuities stand apart, striking in the materiality of change, in the tangible multiplicity of bodies - healthy, ill, recovering, recovered - that a person can call one's own. Based on longitudinal research interviews with Israeli women who identified as recovered from long-term eating disorders (fieldwork conducted in 2005-2006 and in 2011), this paper explores how these bodily discontinuities are expressed, drawing particular attention to the narrative role of embodied memory in linking past and present-tense bodies and selves...
2016: Anthropology & Medicine
Shalender Bhasin
CONTEXT: Men's health and aging are emerging as important areas of research opportunity because of advances in reproductive biology and the recognition of men's health as a unique and important aspect of public health. EVIDENCE ACQUISITION: A perspective of the evolving landscape in male reproductive medicine. EVIDENCE SYNTHESIS: Remarkable discoveries in reproductive biology have greatly advanced the treatment of erectile dysfunction, androgen deficiency, infertility, hormone sensitive cancers, and prostate diseases...
March 2016: Journal of Clinical Endocrinology and Metabolism
Hamid Rahmanian, Nikoletta A Petrou, M Aamer Sarfraz
Self-amputation, the extreme form of self-mutilation, is uncommon. The vast majority of cases are associated with psychosis, with a small number being assigned the controversial diagnosis of body identity integrity disorder. In this article, we report two cases of non-psychotic self-amputation and their similarities with a view to highlighting the risk factors and formulating an appropriate management plan.
September 2015: Iranian Journal of Psychiatry and Behavioral Sciences
Michail Doumas, Roisin McKenna, Blain Murphy
We investigated the nature of sensory integration deficits in postural control of young adults with ASD. Postural control was assessed in a fixed environment, and in three environments in which sensory information about body sway from visual, proprioceptive or both channels was inaccurate. Furthermore, two levels of inaccurate information were used within each channel (gain 1 and 1.6). ASD participants showed greater postural sway when information from both channels was inaccurate. In addition, control participants' ellipse area at gain 1...
March 2016: Journal of Autism and Developmental Disorders
Katie Greenfield, Danielle Ropar, Alastair D Smith, Mark Carey, Roger Newport
BACKGROUND: Evidence indicates that social functioning deficits and sensory sensitivities in autism spectrum disorder (ASD) are related to atypical sensory integration. The exact mechanisms underlying these integration difficulties are unknown; however, two leading accounts are (1) an over-reliance on proprioception and (2) atypical visuo-tactile temporal binding. We directly tested these theories by selectively manipulating proprioceptive alignment and visuo-tactile synchrony to assess the extent that these impact upon body ownership...
2015: Molecular Autism
Judit Faludy
The Psychiatric Institutes have supported the different forms of self-expression from the very beginning, sometimes realizing therapeutic goals as well. Under this point theatrical phenomenon was held too. Physicians often created such scenic actions themselves. The visual, pictorial expressions have begun to be shown parallel to the representation of such scenic world. That was the context to create a number of psychiatric art collections. By this kind of theatre based on esthetical judgment visual creations have been shown to the greater public promoting the representation of integral, intact and differing body image...
2015: Psychiatria Hungarica: A Magyar Pszichiátriai Társaság Tudományos Folyóirata
Daniele Romano, Anna Sedda, Peter Brugger, Gabriella Bottini
Individuals with the peculiar disturbance of 'overcompleteness' experience an intense desire to amputate one of their healthy limbs, describing a sense of disownership for it (Body Integrity Identity Disorder - BIID). This condition is similar to somatoparaphrenia, the acquired delusion that one's own limb belongs to someone else. In ten individuals with BIID, we measured skin conductance response to noxious stimuli, delivered to the accepted and non-accepted limb, touching the body part or simulating the contact (stimuli approach the body without contacting it), hypothesizing that these individuals have responses like somatoparaphrenic patients, who previously showed reduced pain anticipation, when the threat was directed to the disowned limb...
July 2015: Consciousness and Cognition
Peter Brugger, Bigna Lenggenhager
PURPOSE OF REVIEW: The experience of ourselves as an embodied agent with a first-person perspective is referred to as 'bodily self'. We present a selective overview of relevant clinical and experimental studies. RECENT FINDINGS: Sharing multisensory body space with others can be observed in patients with structurally altered bodies (amputations, congenital absence of limbs), with altered functionality after hemiplegia, such as denial of limb ownership (somatoparaphrenia) and with alterations in bodily self-consciousness on the level of the entire body (e...
December 2014: Current Opinion in Neurology
Yan-Bo Yu, Yan-Qing Li
The intestinal epithelium constitutes a physical and functional barrier between the external environment and the host organism. It is formed by a continuous monolayer of intestinal epithelial cells maintained together by intercellular junctional complex, limiting access of pathogens, toxins and xenobiotics to host tissues. Once this barrier integrity is disrupted, inflammatory disorders and tissue injury are initiated and perpetuated. Beneath the intestinal epithelial cells lies a population of astrocyte-like cells that are known as enteric glia...
August 28, 2014: World Journal of Gastroenterology: WJG
Amy White
In this article, I argue that persons suffering from Body Integrity Identity Disorder (BIID) can give informed consent to surgical measures designed to treat this disorder. This is true even if the surgery seems radical or irrational to most people. The decision to have surgery made by a BIID patient is not necessarily coerced, incompetent or uninformed. If surgery for BIID is offered, there should certainly be a screening process in place to insure informed consent. It is beyond the scope of this work, however, to define all the conditions that should be placed on the availability of surgery...
September 2014: HEC Forum: An Interdisciplinary Journal on Hospitals' Ethical and Legal Issues
Anna Sedda, Gabriella Bottini
This review summarizes the available studies of a rare condition in which individuals seek the amputation of a healthy limb or desire to be paraplegic. Since 1977, case reports and group studies have been produced, trying to understand the cause of this unusual desire. The main etiological hypotheses are presented, from the psychological/psychiatric to the most recent neurologic explanation. The paradigms adopted and the clinical features are compared across studies and analyzed in detail. Finally, future directions and ethical implications are discussed...
2014: Neuropsychiatric Disease and Treatment
Henning Teismann, Heike Wersching, Maren Nagel, Volker Arolt, Walter Heindel, Bernhard T Baune, Jürgen Wellmann, Hans-Werner Hense, Klaus Berger
BACKGROUND: Depression and cardiovascular diseases due to arteriosclerosis are both frequent and impairing conditions. Depression and (subclinical) arteriosclerosis appear to be related in a bidirectional way, and it is plausible to assume a partly joint causal relationship. However, the biological mechanisms and the behavioral pathways that lead from depression to arteriosclerosis and vice versa remain to be exactly determined. METHODS/DESIGN: This study protocol describes the rationale and design of the prospective BiDirect Study that aims at investigating the mutual relationship between depression and (subclinical) arteriosclerosis...
2014: BMC Psychiatry
Giuseppe Riva
Clinical psychology is starting to explain eating disorders (ED) as the outcome of the interaction among cognitive, socio-emotional and interpersonal elements. In particular two influential models-the revised cognitive-interpersonal maintenance model and the transdiagnostic cognitive behavioral theory-identified possible key predisposing and maintaining factors. These models, even if very influential and able to provide clear suggestions for therapy, still are not able to provide answers to several critical questions: why do not all the individuals with obsessive compulsive features, anxious avoidance or with a dysfunctional scheme for self-evaluation develop an ED? What is the role of the body experience in the etiology of these disorders? In this paper we suggest that the path to a meaningful answer requires the integration of these models with the recent outcomes of cognitive neuroscience...
2014: Frontiers in Human Neuroscience
S Oddo, J Möller, S Skoruppa, A Stirn
BACKGROUND: In BIID a disorder of body identity, concerned subjects desire an amputation of a healthy limb. So far, no psychiatric comorbidity was found in the few studies on BIID-subjects. PATIENTS AND METHODS: This study explored clinical symptoms, personality characteristics, interpersonal aspects and coping strategies in 15 BIID persons. Psychometric testing on the topics (1) clinical symptoms, (2) personality and interpersonal aspects, (3) coping strategies, (4) attitudes towards the body were used and statistically evaluated with the T-test for one sample...
May 2014: Fortschritte der Neurologie-Psychiatrie
Randi Sviland, Kari Martinsen, Målfrid Råheim
This study elaborates on narrative resources emerging in the treatment of longlasting musculoskeletal and psychosomatic disorders in Norwegian psychomotor physiotherapy (NPMP). Patients' experiences produced in focus group interviews were analyzed from a narrative perspective, combining common themes across groups with in depth analysis of selected particular stories. NPMP theory expanded by Løgstrup's and Ricoeur's philosophy, and Mattingly's and Frank's narrative approach provided the theoretical perspective...
November 2014: Medicine, Health Care, and Philosophy
Damiaan Denys
A recent article in the Dutch Journal of Medicine describes two cases of patients with body integrity identity disorder (BIID), a disorder in which patients might resort to self-amputation in order to create the body they wish for. The authors wonder if medical professionals should provide elective amputations in BIID patients in order to prevent them from harm and death. The amputation of a healthy limb in BIID in a medical context is currently under discussion. Doctors struggle to proceed to elective amputation of a healthy body part in BIID...
2014: Nederlands Tijdschrift Voor Geneeskunde
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