Apotemnophilia: Difference between revisions

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	'''Apotemnophilia''' is a neurological disorder in which otherwise sane and rational individuals express a strong and specific desire for the amputation of a healthy limb or limbs<ref>http://cbc.ucsd.edu/pdf/apotem.pdf</ref>. It is due to hypothesised damage to the right parietal lobe, as the disorder has features in common with ] <ref>http://cbc.ucsd.edu/pdf/apotem.pdf</ref>. When experienced very strongly, some people with apotemnophilia come to feel discontented with their bodies and want to actually remove an otherwise healthy limb, a condition called ]. Some apotemnophiles seek surgeons to perform an amputation or purposefully injure a limb in order to force emergency medical amputation.<ref>Bensler, J. M., & Paauw, D. S. (2003). Apotemnophilia masquerading as medical morbidity. ''Southern Medical Journal, 96,'' 674–676.</ref><ref>Berger, B. D., Lehrmann, J. A., Larson, G., Alverno, L., & Tsao, C. I. (2005). Nonpsychotic, nonparaphilic self-amputation and the internet. ''Comprehensive Psychiatry, 46,'' 380–383.</ref>
	A separate, though occasionally comorbid, definition of Apotemnophilia is erotic interest in being or looking like an amputee. <ref>Money, J., Jobaris, R., & Furth, G. (1977). Apotemnophilia: Two cases of self demand amputation as a sexual preference. ''The Journal of Sex Research, 13,'' 115–124.</ref><ref>Everaerd, W. (1983). A case of apotemnophilia: A handicap as sexual preference. ''American Journal of Psychotherapy, 37,'' 285–293.</ref> This separate definition should not be confused with ], which is the erotic interest in people who ''are'' amputees.<ref>Dixon, D. (1983). An erotic attraction to amputees. ''Sexuality and Disability, 6,'' 3–19.</ref>
	==Research Studies==
	Apotemnophiles are three times more likely to want removal of a left limb than right, in accordance with damage to the right parietal lobe, and also in concordance with sufferers of ]; in addition, skin conductance response is significantly different above and below the line of desired amputation, and the line of desired amputation remains stable over time, with the desire often beginning in early childhood <ref>http://cbc.ucsd.edu/pdf/apotem.pdf</ref>. Among a convenience sample of 52 apotemnophiles recruited from internet groups, the great majority wanted a single leg removed, cut above the knee.<ref>First, M. B. (2005). Desire for amputation of a limb: Paraphilia, psychosis, or a new type of identity disorder. ''Psychological Medicine, 35,'' 919–928.</ref> There are parallels between apotemnophilia as a motivation for ] and ] as a motivation for some cases of male-to-female ].<ref>Lawrence, A. A. (2006). Clinical and theoretical parallels between desire for limb amputation and gender identity disorder. ''Archives of Sexual Behavior, 35,'' 263–278.</ref><ref>Lawrence, A. A. (2009). Erotic (Penis-vagina-ANUS!) target location errors: An underappreciated paraphilic dimension. They like amputation of penis or other sexual parts ''Journal of Sex Research, 46,'' 194-215.</ref>

	==See also==
	* ], those who behave as if they are disabled
	* ]

	==References==
	{{reflist}}

	{{Paraphilia}}
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