Amputating healthy limbs 'OK, sometimes'

[TheBattler]

see: http://au.news.yahoo.com/a/-/latest/5129206/amputating-healthy-limbs-ok/

People suffering from a bizarre body image disorder where they crave having a limb removed should be able to opt for amputation, a Sydney psychiatrist says.

These so-called "amputee wannabes" have a very rare condition in which they feel one of their limbs is not truly their own, and they become obsessed with cutting it off.

Dr Christopher Ryan, a psychiatrist at the University of Sydney, says there is a good argument for allowing patients with body integrity identity disorder (BIID) to have their unwanted limb removed.

"I am not saying we should unthinkingly cut off people's legs," Dr Ryan said.

"I realise that the idea strikes almost everyone as lunatic when they first hear it. However, there are a small number of people who see themselves, and have always seen themselves, as amputees," he said.

"They are often miserable their whole lives because of their 'extra limb', and we know that at least some of them feel much better if it is removed."

The disorder hit news headlines in 2000 when it was revealed that a surgeon in Scotland had amputated a healthy leg from two patients with the disorder.

At the time, appalled Scottish politicians called the procedure "obscene" and tried to ban such operations.

Dr Ryan has examined the ethics of the issue in the international philosophy journal Neuroethics and says doctors have a moral duty to amputate for the health and safety of the patient.

He said one 30-year-old patient of his lived his whole life feeling he was truly an amputee, but was so ashamed of how he felt he did not tell anyone.

"Eventually he took the only step he thought he had open to him and placed his leg in a bucket of dry ice until it died and had to be removed," Dr Ryan said.

"Now, a year later, he is living happily as an amputee and getting on with his life."

The paper said the operations should be likened to plastic surgery, with elective amputation offered to BIID sufferers only.

"Unless these patients know that doctors will take their concerns seriously, and at least consider their requests, more people will risk their lives trying to remove their own limbs," he said.

Alice

[ColleenW]

Interesting, what about other body parts?

[Luc]

I've seen a lot of shows on this disorder, and I'm really torn between thinking this is just an extreme version of BDD (body dysmorphic disorder) and therefore those with the disorder should be treated with psychotherapy; and that even if it is BDD, maybe it's best for the people to get what they want. Of course, the same argument could easily be made for transsexualism, and if so, perhaps if the individual is so convinced that he/she/whatever needs any surgery possible to feel like him-/her-/what-self, the best course of treatment is probably that which is traditionally proscribed for transsexuals (therapy, then surgery).

In the end, I figure people have a right to do what they choose with their bodies; my philosophy is that if I'm not hurting myself or someone else, what I'm doing is likely fine. If people such as those with BIID seek healthy ways to satisfy their dysphoria, such as surgery, perhaps it would be best to cater to their needs medically before they take matters into their own hands (which most do, from what I know on the subject).