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Apotemnophilia, body integrity identity disorder or xenomelia? Psychiatric and neurologic etiologies face each other

Authors Sedda A, Bottini G

Received 4 April 2014

Accepted for publication 29 April 2014

Published 7 July 2014 Volume 2014:10 Pages 1255—1265

DOI https://doi.org/10.2147/NDT.S53385

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 2

Anna Sedda,1,2 Gabriella Bottini1,2

1Department of Behavioral and Brain Sciences, University of Pavia, Pavia, 2Cognitive Neuropsychology Laboratory, Niguarda Ca’ Granda Hospital, Milan, Italy

Abstract: 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. A proposal is made to adopt a multidisciplinary approach that comprises state-of-the-art technologies and a variety of theoretical models, including both body representation and psychological and sexual components.

Keywords: BIID, limb amputation, somatoparaphrenia, body representation, body ownership

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