Body integrity dysphoria
Body Integrity Dysphoria (BID)

Body Integrity Dysphoria (BID), also known as body integrity identity disorder, amputee identity disorder, and xenomelia (formerly apotemnophilia), is a psychological disorder characterized by a persistent desire to be disabled or a profound discomfort with being able-bodied. This condition typically begins in early adolescence and can lead to harmful consequences if not managed properly.
Terminology
BID has been known by various terms over the years, reflecting the evolving understanding of the condition. The term "transabled" is sometimes used by individuals with BID to describe themselves.
Symptoms and Manifestations
Symptoms of BID include:
- Intense and persistent desire to become disabled, often focusing on limb amputation or paralysis
- Discomfort or distress with one's able-bodied status
- Emotional and psychological distress impacting daily functioning
Related Conditions
BID appears to be related to conditions like somatoparaphrenia, a disorder involving the denial of ownership of parts of one’s body.
Management and Treatment
Currently, there is no standard treatment for BID, but approaches may include:
- Psychological counseling and therapy
- Cognitive-behavioral therapy (CBT)
- Medication for associated symptoms like depression or anxiety
Ethical and Social Considerations
BID raises various ethical, medical, and social considerations, particularly regarding the desire for elective disability and the support systems available for individuals with BID.
External Links
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