Body Integrity Dysphoria and

J 2024

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

LORIGA, Leandro

Basic information

Original name

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

Authors

LORIGA, Leandro (380 Italy, guarantor, belonging to the institution)

Edition

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

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30311 Medical ethics

Country of publisher

Germany

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

URL

Impact factor

Impact factor: 0.400 in 2022

Organization unit

Faculty of Medicine

DOI

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

UT WoS

000958307000001

Keywords in English

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

Abstract

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, vol. 34, No 1, p. 71-93. ISSN 1210-3055. Available from: 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}
}

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KW  - body integrity dysphoria (BID)
KW  - amputation
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KW  - gender dysphoria
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KW  - sex reassignment surgery
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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, vol.~34, No~1, p.~71-93. ISSN~1210-3055. Available from: https://dx.doi.org/10.1515/humaff-2022-1005.

Detailed Information on Publication Record