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[Body integrity identity disorder--first success in long-term psychotherapy].

OBJECTIVE: The Body Integrity Identity Disorder (BIID) is a fairly unknown and unexplored psychic illness. Very little cases underwent a psychotherapeutic treatment.

METHODS: We report on the two-and-a-half year psychotherapy with a 37 years old man, who wants an amputation of his two legs.

RESULTS: Origin and meaning of the amputation desire were uncovered in psychotherapy.

CONCLUSIONS: The psychodynamic oriented therapy with cognitive-behavioral elements can be used to develop further treatment approaches.

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