Body Integrity Identity Disorder also known as BIID,
has recently become a phenomena many psychologists and neurologists have taken
interest in. Although the disorder may have existed for centuries, the vocalization
and advocacy of the condition has brought more attention to the community and research
for possible psychological or neurological causes.
Jesse
Ellison defines BIID in the article “Cutting Desire” as “…an exceedingly rare
condition characterized by an overwhelming desire to amputate one or more
healthy limbs or become paraplegic.” The
overwhelming concern with the condition is the procedures many people will perform
on their own bodies to amputee or paralyze themselves. Ellison mentions a few
of the practices people have done which include sawing ones hand off, freezing
a leg off with dry ice and blowing a leg out with a shotgun. These
self-inflicted mutilations can result in a number of health issues such as
infection and even death. However many of those with the condition feel this is
the only way to feel relief from their obsessive thoughts. Sean
O’Connor, of transabled.org and biid-info.org states “Nothing touches it, other
than surgery. Psychotherapy doesn’t work. Psychiatry doesn’t work. Medication
doesn’t work. I’m a pretty typical example of someone who’s attempted a
[number] of ways to address the problem, done years of therapy of many types,
including cognitive-behavioral therapy, and nothing helps.”
Although
it seems ineffective, I believe people with BIID should go through
Cognitive-Behavioral therapy to refrain from inflecting any harm upon themselves.
Similar to other body image disorders, psychologist should approach this
condition in a way that doesn’t discount any of their thoughts and feelings on
their body but should find ways to help people live as normal as possible with
their disorder. Cognition, or thoughts have a direct relationship with our
behavior, or our actions. If one can control these thoughts of being an amputee
or a paraplegic, they can resist the urges to handicap themselves using
dangerous methods. I believe the goal as of now should be to uncover the causes
of BIID, whether it be a physical deformity in the brain or a psychological
disorder. The disorder resembles gender identity, where many people feel they
were not intended to be the sex they were born as, people with BIID feel they
were not meant to have certain limbs. This choice of becoming disabled seems to
more complex than that. Without proper research it’s difficult to accuse people
with BIID with wanting something they shouldn’t want. It seems as if they are
already suffering from a mental disability, which is difficult enough on its
own.
In “Cutting Desire,” Elllison
asserts that many people with BIID are “…white middle-aged males.” I find this
extremely interesting as the majority of people who suffer from any body image
disorder are overwhelmingly women. A plausible cause of this might be the
standards set for males when it comes to their physical strength and ability.
Males are pressured to be physically strong and have bigger, muscular physiques.
A man’s inability to reach this ideal body might lead to developing any body
image disorder but a man deemed in capable of any physical strength might specially
develop BIID. This is in contrast to women who are pressured to have slimmer bodies
and as a result are more likely to become bulimic or anorexic.