Maybe I misunderstand (I also don't know anything about anorexia really), but don't people with anorexia have a "body image is not aligned with the actual body" because their body is thin and their body image is fat?
I Googled "BIID DSM" because I didn't know about DSM before (seems I know nothing! )) and found a page about a scientific meeting for BIID.
What is "paraphilia"?
And "erotic target location error"?
It also said "members of the community who attempt self-amputation". People with BIID try to amputation on themselves? Honest? Wow. Do people die?
So does SSRI help? And some with BIID don't want surgery? So BIID can be mild or severe?
do you think that BIID is obsessive compulsive disorder? Or what other "diagnosable disorder"?
Hadn't thought about your point before. Now I need to think more about it.
Seems hard. If I had a kid who wanted to remove a leg, I would struggle about this and try therapy to change him.
I always think a kid should decide on CIs, not parents because CI destroys hearing. Should a kid decide on BIID? I don't know.
BIID destroys lives. My life has been pure hell for as long as I can remember. I could have avoided a LOT of pain and anguish had I been able to become paraplegic earlier in my life.
Should kids decide on BIID? Well, the question is a bit different. Kids (or anyone) don't decide to have BIID, we just do. The question should be "should kids be able to decide to go for surgery?". That is a very tricky question. I do think that children should be forced to wait, at least until their late teens or early twenties. I also think that therapy should be mandatory before surgery. To make sure people understand why they feel the way they do, as much as possible. To ensure that the request for amputation/spinal cord transection/whatever is not a result of something other than BIID (like Munchausen or other disorder). I also think that where possible, a "real life test" should be given. I talk more about treatment protocols here:
Treatment Protocol - BIID-Info.org
Are "wannabes" different than people with BIID or same?
Wannabes is the name that was used to describe people who have BIID, before the term Body Integrity Identity Disorder was suggested by Dr. First. I have never liked that word, as it seems somewhat pejorative, and doesn't describe it well. But it is still in usage a lot. I personally prefer the term "transabled" to describe someone with BIID, like transsexual describes someone with GID.
It is: A man "Joe" wears womans clothing and he finds wearing it sexy? Or a man "Bob" finds Joe wearing womans clothing sexy?
Both, in some cases
You're welcome, and no, you aren't asking too many questions.Thank you for replies. I know I am asking too many questions!
Sean: I will read more later - my roommate too. So fascinating! I don't know if I will understand ever, but it is interesting to learn.
Thank you!
ClaireC: Sorry - I didn't see your post. What is "somatoparaphrenia"? Does the article you quote mean that BIID is from brain damage? Also I had caloric testing I had caloric testing for dizziness - hot or cold water in ears, right? You had caloric testing for 24 hours? How?
Hi, Jillio: For you: "dominant index with fist closed and index finger up - moves hand to forehead - bends index finger"
Jillio, do you think that BIID is obsessive compulsive disorder? Or what other "diagnosable disorder"?
No fair to keep answering questions after I said I was leaving! Just kidding, I'm happy to answer questions, I just feel silly now.
Somatoparaphrenia is caused by a stroke and patients deny that certain body parts belong to them. Somatoparaphrenia - Wikipedia, the free encyclopedia
The "monothematic delusion" part is quite interesting. It means that the patient is otherwise perfectly intelligent and rational.
Ramachandran is hypothesizing that BIID would be a kind of congenital somatoparaphrenia. I say "congenital" because (also in answer to another question of yours) people with BIID have memories of their desires going back to very early childhood. That indicates that it's not brain damage but more of an irregularity of the circuitry of the brain. As for me, it started when I was about 5 years old (or at least, my first memory of it dates back to that time). I used to pretend I was "crippled" all the time. When I played house with my friends I always wanted to be in a wheelchair and they would get exasperated with me because we didn't HAVE a wheelchair to play with, and besides, they didn't see what was so fun about that. lol
The VCS didn't last for 24 hours, just the effects of it did. For 24 hours I experienced a marked lessening in the desire to be paraplegic. Someone with somatoparaphrenia will actually admit that they "own" their disowned body parts for about 24 hours after VCS and then they will revert to denying it. So, basically the VCS is not used to actually cure the condition but to verify the location and nature of the irregularity. I am not quite ready to say that it "worked", because I was extremely ill for much of that time, and one could guess that I was simply too ill to think much about anything else. But if Ramachandran's research finds that the vast majority of BIID sufferers also experience what I experienced that could be proof that his hypothesis is correct. We'll have to wait and see on that one, as the study is ongoing.
FWIW, I was forewarned of the effects of VCS and I went willingly to this study, spending a great deal of money to get myself to California, and ended up retching miserably into a bucket in the lab and feeling just about as awful as I ever have in my life. If that's not proof of a desire and willingness to find treatment for this condition, then I don't know what is. *shrug*
Are you going to share with us what your official diagnosis is?
I thought that question was in response to wylz. I'm not sure what the point is since whatever I say, you won't believe me. But you have successfully goaded me into answering, the more fool me.
So fwiw: My psychologist concurs that I have BIID as she did research once I came to her with it, and it fit what she read on the subject. Not being in the DSM was not an issue for her as she knows that the DSM is a guide and not the infallible divinely inspired repository of all there is to know about the human condition. The neurologist that I have seen also concurred that I had BIID and wrote a letter to my GP to explain the situation. My GP took it at face value and says she will do her own research and talk to my psy, but I haven't seen her since then.
The two other mental health professionals that I saw did not diagnose me as they had never heard of the condition/symptoms. They referred me on twice to someone else better qualified to treat a rare condition (and may I add, someone open minded enough to accept the fact that it's possible that they don't know everything and there there is something still yet to learn in this field).
I will answer no further questions from you until you show a willingness to open up your mind or at the very least show a little humanity.
You could start by posting the URLs of the scholarly and research documents that you have read to back up your claims that BIID does not exist and is merely a conglomeration of several concurrent conditions.
I think it is a four or five pronged diagnosis, Presonality Disorder with obsessive compulsive features, body dysmorphic disoder, probably depressive symptoms, and adjustment issues as well. These are all easliy diagnosed within DSM IV TR criterion, and the symptomology described by these indiviudals fits within the parameters needed for diagnosis.
the DSM is a guide and not the infallible divinely inspired repository of all there is to know about the human condition.
I see......so you sought out a psychologist that would validate your self diagnosis.
And my point stands....you cannot be diagnosed with a disorder that for all practical purposes does not exist.
Perhaps if you found a psychologist who treated your primary disorder, rather than the one with which you have diagnosed yourself you would be much more successful in treatment.
I have already posted reference to the DSM IV TR, the manual used by professionals in the field to diagnose mental illness. This is the accepted standard of practice for psycholgists, psychiatrists, and clinical counselors. It is compiled by the top practitioners within the field and is based on the most current research.
I am *so* glad you are not my mental health professional.
Before the DSM IV TR came out, there was the DSM IV, and before that, there was the DSM III, and before that? DSM II. This means that they are continually adding things to the DSM, and continually taking things out. A condition may exist before it goes in the DSM, or it may exist after it's taken out of the DSM. Being in the DSM does not mean it doesn't exist.
Exactly.
Oh but you are an arrogant so and so! You have the response for everything, you are *so* right and we are *so* wrong.
BIID exists. Again, it's not because it's not in the DSM that it does not exist.
many psychologists have treated many people with BIID for "primary disorders", from borderline personality disorder to OCD, to BDD, and many other things. And guess what? To a person, they ALL report that these things don't work, that at the end, BIID is still present.
It's not *me* saying this, although I agree with it. But when the majority of professionals who have written about BIID state that 1)it exists, and 2)there are no form of treatment short of surgery that touches it, I tend to believe them. I'm sorry Jillio, but your credentials just don't match.
Yes, and we have already pointed out that the DSM is not the be all and end all. But that said, I'll emphasise what you wrote: It is compiled by the top practitioners within the field and is based on the most current research. We've already mentionned Doctor Michael First. Several times. Did you chose to ignore it? He's a top practitioner in his field. He also happens to be an editor of the DSM IV TR and of the upcoming DSM V. I think we also mentionned that he is the one who put forward the term Body Integrity Identity Disorder.
This may seem irrevalent - but this is my opinion:
Claire, it more or less sounds like your only looking for a therapist that can justify your behavior. Problem is the only therapist would justify it is one that is unethical.
Ana has nothing to with BIID. Anas and Mias want more to do with PERFECT BODIES rather than a debilitated body that is useless or obessed with a body that is ineffective to do what it was intended to do. BIID has alot more to do with self-pity. I would be very pizzed to find out that the woman in the wheelchair that I held the door was only faking it. Get out of the wormhole, get up, walk, hold your head high. You dont need to fake a disability to find a comfort within yourself.
Ana has nothing to with BIID. Anas and Mias want more to do with PERFECT BODIES rather than a debilitated body that is useless or obessed with a body that is ineffective to do what it was intended to do. BIID has alot more to do with self-pity. I would be very pizzed to find out that the woman in the wheelchair that I held the door was only faking it. Get out of the wormhole, get up, walk, hold your head high. You dont need to fake a disability to find a comfort within yourself.