Body Integrity Dysphoria and

J 2024

Body Integrity Dysphoria and "Just" Amputation: State-of-the-Art and Beyond

LORIGA, Leandro

Základní údaje

Originální název

Body Integrity Dysphoria and "Just" Amputation: State-of-the-Art and Beyond

Autoři

LORIGA, Leandro (380 Itálie, garant, domácí)

Vydání

HUMAN AFFAIRS-POSTDISCIPLINARY HUMANITIES & SOCIAL SCIENCES QUARTERLY, BERLIN, WALTER DE GRUYTER GMBH, 2024, 1210-3055

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30311 Medical ethics

Stát vydavatele

Německo

Utajení

není předmětem státního či obchodního tajemství

Odkazy

URL

Impakt faktor

Impact factor: 0.400 v roce 2022

Organizační jednotka

Lékařská fakulta

DOI

http://dx.doi.org/10.1515/humaff-2022-1005

UT WoS

000958307000001

Klíčová slova anglicky

body integrity dysphoria (BID); amputation; limb amputation; gender incongruence; gender dysphoria; bioethics; justice; sex reassignment surgery

Štítky

14110522, rivok

Příznaky

Mezinárodní význam, Recenzováno

Změněno: 9. 2. 2024 14:09, Mgr. Tereza Miškechová

Anotace

V originále

This paper presents the foundation upon which the contemporary knowledge of body integrity dysphoria (BID) is built. According to the World Health Organisation's International Classification of Diseases, 11th edition (ICD-11), the main feature of BID is an intense and persistent desire to become physically disabled in a significant way. Three putative aetiologies that are considered to explain the insurgence of the condition are discussed: neurological, psychological and postmodern theories. The concept of bodily representation within the medical context is highlighted, with the concept of dysphoria, which was brought to the fore with the introduction of the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-5), and the ICD-11. Contemporary issues of "justice" are addressed to identify ethically relevant distinctions between BID and sex reassignment surgery. It is argued that there is no ethically relevant difference between the BID actor's desire for invasive surgical intervention and the wish of gender dysphoric individuals to undergo sex reassignment surgery procedures. Some BID actors self-mutilate, and this presents medical professionals with difficult choices regarding whether or not to intervene in order to satisfy the BID patient's desire. Both abstention and intervention may lead to severe ethical complications for doctors and patients despite the positive outcomes in terms of quality of life for BID individuals who manage to undergo such procedures.

Citovat

LORIGA, Leandro. Body Integrity Dysphoria and "Just" Amputation: State-of-the-Art and Beyond. HUMAN AFFAIRS-POSTDISCIPLINARY HUMANITIES & SOCIAL SCIENCES QUARTERLY. BERLIN: WALTER DE GRUYTER GMBH, 2024, roč. 34, č. 1, s. 71-93. ISSN 1210-3055. Dostupné z: https://dx.doi.org/10.1515/humaff-2022-1005.

@article{2278164,
   author = {Loriga, Leandro},
   article_location = {BERLIN},
   article_number = {1},
   doi = {http://dx.doi.org/10.1515/humaff-2022-1005},
   keywords = {body integrity dysphoria (BID); amputation; limb amputation; gender incongruence; gender dysphoria; bioethics; justice; sex reassignment surgery},
   language = {eng},
   issn = {1210-3055},
   journal = {HUMAN AFFAIRS-POSTDISCIPLINARY HUMANITIES & SOCIAL SCIENCES QUARTERLY},
   title = {Body Integrity Dysphoria and "Just" Amputation: State-of-the-Art and Beyond},
   url = {https://www.degruyter.com/document/doi/10.1515/humaff-2022-1005/html},
   volume = {34},
   year = {2024}
}

TY  - JOUR
ID  - 2278164
AU  - Loriga, Leandro
PY  - 2024
TI  - Body Integrity Dysphoria and "Just" Amputation: State-of-the-Art and Beyond
JF  - HUMAN AFFAIRS-POSTDISCIPLINARY HUMANITIES & SOCIAL SCIENCES QUARTERLY
VL  - 34
IS  - 1
SP  - 71-93
EP  - 71-93
PB  - WALTER DE GRUYTER GMBH
SN  - 12103055
KW  - body integrity dysphoria (BID)
KW  - amputation
KW  - limb amputation
KW  - gender incongruence
KW  - gender dysphoria
KW  - bioethics
KW  - justice
KW  - sex reassignment surgery
UR  - https://www.degruyter.com/document/doi/10.1515/humaff-2022-1005/html
N2  - This paper presents the foundation upon which the contemporary knowledge of body integrity dysphoria (BID) is built. According to the World Health Organisation's International Classification of Diseases, 11th edition (ICD-11), the main feature of BID is an intense and persistent desire to become physically disabled in a significant way. Three putative aetiologies that are considered to explain the insurgence of the condition are discussed: neurological, psychological and postmodern theories. The concept of bodily representation within the medical context is highlighted, with the concept of dysphoria, which was brought to the fore with the introduction of the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-5), and the ICD-11. Contemporary issues of "justice" are addressed to identify ethically relevant distinctions between BID and sex reassignment surgery. It is argued that there is no ethically relevant difference between the BID actor's desire for invasive surgical intervention and the wish of gender dysphoric individuals to undergo sex reassignment surgery procedures. Some BID actors self-mutilate, and this presents medical professionals with difficult choices regarding whether or not to intervene in order to satisfy the BID patient's desire. Both abstention and intervention may lead to severe ethical complications for doctors and patients despite the positive outcomes in terms of quality of life for BID individuals who manage to undergo such procedures.
ER  -

LORIGA, Leandro. Body Integrity Dysphoria and ''Just'' Amputation: State-of-the-Art and Beyond. \textit{HUMAN AFFAIRS-POSTDISCIPLINARY HUMANITIES \&{} SOCIAL SCIENCES QUARTERLY}. BERLIN: WALTER DE GRUYTER GMBH, 2024, roč.~34, č.~1, s.~71-93. ISSN~1210-3055. Dostupné z: https://dx.doi.org/10.1515/humaff-2022-1005.

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