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Ethics

: Neuroethics and Law

Out on a Limb: The Ethical Management of Body Integrity Identity Disorder

By Adam Kolber

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From the latest issue of Neuroethics:

Out on a Limb: The Ethical Management of Body Integrity Identity Disorder

Christopher James Ryan1 

(1)  Department of Psychiatry, University of Sydney, Westmead Hospital, Westmead, NSW, 2145, Australia

Abstract: Body integrity identity disorder (BIID), previously called apotemnophilia, is an extremely rare condition where sufferers desire the amputation of a healthy limb because of distress associated with its presence. This paper reviews the medical and philosophical literature on BIID. It proposes an evidenced based and ethically informed approach to its management. Amputation of a healthy limb is an ethically defensible treatment option in BIID and should be offered in some circumstances, but only after clarification of the diagnosis and consideration of other treatment options.

Full post as published by Neuroethics and Law on May 14, 2009 (boomark / email).

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