To attempt to clear up a few things (not that I think anyone will accept this any better than you already do, but I'd still like to try):
- What we have is called BIID, not Munchausen Syndrome. There are significant differences there.
- You said "The blogger also wrote about being let onto the buses for free, no questions asked. This is nutty even if she has an unlimited pass that she doesn't bother to show to people.". This isn't me *trying* to cheat anyone out of anything, I do posses a valid unlimited-travel bus pass. I just made a comment that while using a wheelchair, none of the transit staff had ever asked to actually see it, which is unusual. The staff waving me through without asking to see it is nothing of my own doing.
- You say "It's also a waste of wheelchairs." Wheelchairs are not a finite resource, if I "use up" one, the company will make another one for the next person that needs one. They aren't an item where there's a waiting list or a shortage, so I don't see how i'm "wasting" one. My use to help with my BIID is no less valid than anyone else's use to help with anything else.
- "The reason that particular deaf wannabe is like that seems to be related to her autistic spectrum condition and the associated oversensitivity to sound" I have a similar autistic spectrum condition and am hypersensitive to light and sound, hence being functionally deafblind at times when around the house. Her having an autistic spectrum condition that is somewhat related to her need to be d/Deaf should make it easier to understand why she needs it, not less. Living with hypersensitive sense(s) would make anyone have similar thoughts, I'd bet.
To attempt to clear up a few things (not that I think anyone will accept this any better than you already do, but I'd still like to try):
- What we have is called BIID, not Munchausen Syndrome. There are significant differences there.
- You said "The blogger also wrote about being let onto the buses for free, no questions asked. This is nutty even if she has an unlimited pass that she doesn't bother to show to people.". This isn't me *trying* to cheat anyone out of anything, I do posses a valid unlimited-travel bus pass. I just made a comment that while using a wheelchair, none of the transit staff had ever asked to actually see it, which is unusual. The staff waving me through without asking to see it is nothing of my own doing.
- You say "It's also a waste of wheelchairs." Wheelchairs are not a finite resource, if I "use up" one, the company will make another one for the next person that needs one. They aren't an item where there's a waiting list or a shortage, so I don't see how i'm "wasting" one. My use to help with my BIID is no less valid than anyone else's use to help with anything else.
- "The reason that particular deaf wannabe is like that seems to be related to her autistic spectrum condition and the associated oversensitivity to sound" I have a similar autistic spectrum condition and am hypersensitive to light and sound, hence being functionally deafblind at times when around the house. Her having an autistic spectrum condition that is somewhat related to her need to be d/Deaf should make it easier to understand why she needs it, not less. Living with hypersensitive sense(s) would make anyone have similar thoughts, I'd bet.
Hello all.
I would like to make a few points that seem to be lost somewhere in this discussion.
Body Identity Integrity Disorder is a real illness. It's not Munchausen's (nor by Proxy) and it's not hypochondria. It's an inexplicable desire for disability that in the vast majority of cases goes back to very young childhood. (see http:/www.biid-info.org )
Someone asked what the medical community "thinks" of BIID and what resources there are. To be quite frank, there are NO resources available to sufferers of BIID because it is so rare that the vast majority of doctors and mental health professionals haven't heard of it.
A lot of people have said "those people are mentally ill, that's disgusting (or creepy, or whatever other derogatory term used), they should go get help." I agree, we are mentally ill.
However, mental illness is not "disgusting." I have a real condition. Having any kind of mental condition (be it BIID, or schizophrenia, or Alzheimers, or depression) doesn't make a person any more disgusting or creepy than you are for being deaf. We all have our issues. I have mine. You have yours. How is one person's health issue "better" than someone else's? Do you subscribe to the disability heiriarchy? It's ok to be deaf, but it's not okay to have some rare neuropsychological condition? Seems hypocritical to me.
Secondly, the vast majority of us have seen shrinks. The three that I've seen had never heard of BIID and basically all told me "I can't help you, there's no treatment protocol for that." That's not just my experience, that's basically the response we all get when we try to get help. It's not that we're not trying to get help. It's there there's no help available. We've exhausted all our resources.
That leaves us in a very difficult place. Feared and reviled and called creepy and disgusting, but nobody can help us. We live with demons in our head and the only way we have to still them is to pretend, or actually try to accomplish our desired disability.
Do a little research online and you'll find that BIID sufferers who have actually acheived their goal are in the vast majority very satisfied with the results and the obsession goes away, allowing them to get on with life.
Those of us who don't want to or can't go that route are left with pretending as the only way to deal with the obsession and feel somewhat mentally normal. I am still in therapy, and my psychologist is very supportive of my pretending. For those of you who have said we should "get help"...I did get help, and the help I got was for my therapist to encourage and support the only way I have ever found to deal with BIID...to use a wheelchair.
Pretending: therapy prescribed by psychologist » transabled.org » Blogging about BIID
Yes, that's fine. Maybe that's it. But there's still no way to make the obsession go away, to date. Even if we knew for sure that was the case, we still are stuck with BIID.
Actually, there is treatment that can reduce and control the obsessive thoughts. You simply have not engaged in finding that treatment.
Because every professional I've ever talked to about it had never heard of it. Because on the BIID discussion groups, that is the case for the vast majority of sufferers. Because scholarly articles written on BIID by the few medical professionals who do so, mention that BIID is mostly unknown in the field.
You are using discussion groups for a treatment that should be undertaken by a psychiatrist, or at the best, a psychiatrist and a clinical psychologist working in tandem.
How would other people be able to determine if someone has any one of a myriad of "invisible disabilities" or other mental conditions such as phobias?
That is your problem. Your disorder is one of a mental disorder, and you desire for it to manifest as a physical disorder in order that you be recognized as disabled by the general population, thus putting yourself in the position of receiving attentionand sympathy from others. Generally known as a narcissistic personality disorder.
BIID is determined by an obsessive and irrational desire for disability that goes back to early childhood. If you have that, you have BIID. Like many mental illnesses (such as depression, phobias), you can't "prove" it to anyone. Your behavior and what you say about how you feel is the only proof you can offer to anyone. BIID is not alone in not being provable by objective scientific tests, many common mental conditions are like that. That doesn't make it not real.
The same can be said for any disorder that involves obsession and compulsion. All are treatable. Int he case of this BIID, however, chances are great that you have several concomittant disorders: personality, OCD, and anxiety.
That is precisely the problem. There have been very few, too few. We want more. But it's hard to interest professionals in this topic because it effects such a small number of people and they want their research dollars to go where it can help a greater number of people (understandably). Thus, not much is going on research-wise on BIID. But I wholeheartedly support the concept of independent BIID studies. Bring them on!
Once again, this is a mix on concommittant disorders, not a disorder in and of itself.
I agree, and that is why we want more studies and we SPECIFICALLY want scientific studies done on these people. But so far, no one has conducted such a study. So we rely on anecdotal evidence. That's all we have. But there is something to be said for first-hand accounts.
You want more studies for the same reason that you want to be disabled. Since this is not a diagnosable disorder in an of itself, research dollars will not be spent in researching something that doesn't exist. There has been suffiecient research done on the number of disorders that are comorbind in any such individual, and therefore, there is established protocol for treatment of each of them.
I understand your point. But the issue there is in providing more resources for everyone who needs them. The issue is not that there is a very small population of BIID sufferers whose mental illness requires that they make use of some of these resources. The real issue is providing resources for everyone in the disabled community (and I am including mental illnesses in the disabled community here). Let's not refuse resources to those with mental illnesses, but let's work on improving the availability of those resources for everyone.
Your mental illness does not require that you make use of resourcedc intended for those with a disability of a physical nature. Your disability is of a mental nature, and the resources you need are of the psychiatric variety.
It is not fair to say "a person with Condition X needs a finite resource, so the person with Condition Y just has to suffer." The person with Condition Y also has a right, a real and undeniable right, to aid. People with BIID have a right to therapy. Right now, pretending is about the only therapy that anyone has found. I am open to other therapies that don't include pretending, except that to-date, there are none. Give me some options. Until other therapies are found, we have a right to deal with our condition the best way we can, just like anyone else does.
You do not suffer from a physical disability,therefore, there is no justification for utilizing resources intended for those who do. Simply wanting to suffer from a physical disability as the result of a mental disability is not justification for utilizing these resources. Utilize the resources that can acutally treat your disorder: mental health resources.
That is WAY too simplistic. If BIID were simply a question of self-esteem and a need for attention, it would respond to traditional therapies designed to address these issues. The fact is, it does not. You can work on my self-esteem all day and while I may feel better about myself, my BIID will not go away. If BIID were about self-worth, then explain to me why talk therapy has had so little success with treating BIID.
You need treatment designed to address not just self esteem issues, but the personality disorder,a nd the OCD. You are not neurotic, you a seriously mentally ill.
Besides which, as any person with a disability ought to know, you don't usually get positive, affirming attention from the majority of people who believe you to be disabled. They are either weird with you, or way WAY too sugary sweet, or try to help you when you don't need help, or stare at you like a beast in a cage. If my wanting to use a wheelchair was about self-esteem and attention, I would have abandoned the wheelchair long ago because the attention is far from positive most of the time. At best, it's neutral. But I continue to use the wheelchair, because it's about being myself, and not about how other people treat me.
Being in a wheel chair is not being yourself because you have no physical need for the wheel chair. It is about presenting yourself as someone you are not in order to manipulate others.
Many of us had normal childhoods so I don't think it's about having been abused or neglected as a child. That may be something to do with it but it doesn't explain why their are millions of abused/neglected children that don't grow up with BIID. Something else is afoot that goes beyond that.
I think you're bringing up another really good point. We're often told something like "I'm a paraplegic and I've learned to deal with it. Why can't you just learn to deal with BIID?"
That's an EXCELLENT and fair question. It think the difference is twofold. First, BIID is a mental illness, and paraplegia (or deafness, or whatever) isn't. Since our mental health is compromised and we're dealing with an untreatable pathological obsession, our ability to "deal with it" is also compromised.
Actually, you are incorrect. Mental disorders are treatable.
Secondly, there is no "cure" for paraplegia (or other disabilities that are untreatable). But there is a very easy cure for BIID. All it takes is a surgeon's willgness to help and a rather simple, short, uncomplicted operation. So relief from our condition is JUST out of our reach, tempting us.
Jillo, you must have missed the part where I stated I've seen three mental health professionals, all of whom told me that there was no treatment for BIID. I have also seen a neurologist who believes it has a neurological cause: a problem in the parietal lobe of the brain concerned with body image. I have also been in email contact with two other mental health professionals who have done studies on BIID who have no treatments to suggest. Your suggestion to find help is great - please give me the name and phone number of the mental health professional that you recommend who has had success treating this condition.
I am sorry but BIID does exist. Do some research. When it shows up in the DSM-V you'll know. The editor of the next version of the DSM, Dr. Michael First, was the person who actually coined the term Body Integrity Identity Disorder and has done one study on it and is about to conduct a second. You can Google that and find out in 1-minute's research to see that it's true. I'm afraid I'll have to take Dr. First's word over yours, until you at least provide your credentials.
What you are referring to is not diagnosable under DSM-IV (TR) criteria. The closes the DMS comes to diagnositic criteria for a disorder such as the one you describe is body dysmorphic disorder. However, the disorder,as described does not meet all of the criteria necessary. Thee is also conversion disorder, but neither does this meet the criteria for conversion disorder. Actually, this would fall more into the category of unsepcified personality disorder. If an individual truly want to be disabled, then having a mental illness certainly puts them into the category of disabled. However, as mental illness is also an invisable disability, these individuals seem to be more concerned with having a disablility that it visable and recognizable as a way to manipulate others and gain attention for themselves. These are very disturbed individuals. Threatening harm to oneself by creating a disability in oneself is sufficient grounds to commit.
BIID will likely be in the DSM-V when it is released. Beyond that... There is no help out there. We all try meds, we all try therapy, often with multiple different therapists over the years, multiple therapy modalities, lots of different meds. Few people have found anything that helps. If you know something that helps, I'm listening. Other than that, we do the only things that each of us can find that helps (and therapists are supportive of this more than you seem to think, given the options available).
Any threapist that supports amputation is in violation of ethical guidelines.
Exactly what therapies and meds have you tried?
Not amputation for me, given my specific need, that's not what I was talking about. I was referring to pretending, which many therapists support (given that it's often the only thing to help at all, I think this makes sense). Have tried CBT and a number of 'talk therapy' therapists (don't know if there's a technical term for that...). Meds-wise have tried a number of antidepressants in various categories, and a number of antianxiety meds. None have been helpful BIID-wise.
Many of us had normal childhoods so I don't think it's about having been abused or neglected as a child. That may be something to do with it but it doesn't explain why their are millions of abused/neglected children that don't grow up with BIID. Something else is afoot that goes beyond that.
I think you're bringing up another really good point. We're often told something like "I'm a paraplegic and I've learned to deal with it. Why can't you just learn to deal with BIID?"
That's an EXCELLENT and fair question. It think the difference is twofold. First, BIID is a mental illness, and paraplegia (or deafness, or whatever) isn't. Since our mental health is compromised and we're dealing with an untreatable pathological obsession, our ability to "deal with it" is also compromised.
Secondly, there is no "cure" for paraplegia (or other disabilities that are untreatable). But there is a very easy cure for BIID. All it takes is a surgeon's willgness to help and a rather simple, short, uncomplicted operation. So relief from our condition is JUST out of our reach, tempting us.
You could find you a shade tree surgeon in Mexico and then sell all your unwanted body parts to the black market research for cold hard cash.
Pretending,as well, does not treat the mental illness, but only gives the client permission to continue in the pathology. This is not an accepted treatment for any form of mental illness.
jillio said:Any threapist that supports amputation is in violation of ethical guidelines.
jillio said:I find it extremely difficult to believe that these health profssionals recognize this disorder, yet have no recommendations for treatment.
Honest, I don't understand. Can someone please explain more why you want to be disabled? Or need - as the first page said? I don't mean to be arguing, offensive, or negative, but I am confused. What is the need? Attention? Low expectation? Help? Pity? Being different than others? Something about wheelchairs? Again - sincere questions and without meaning to be unfriendly.