Apotemnophilia: Two Cases of Self-Demand Amputation as a Paraphilia


[edit] Original article

[edit] Author(s)

Money, John, Jobaris, Russell, and Furth, Gregg

[edit] Source

The Journal of Sex Research. Vol. 13, No2, pp.115-125 May, 1977

[edit] Abstract/Overview

The findings in two cases show that self-demand amputation (apotemnophilia) is related to erotization of the stump and to overachievement despite a handicap. The apotemnophiliac obsession represents an idée fixe ratehr than a paranoid delusion. It may be conceptually related to, though it is not identical with transsexualism, bisexuality, Munchausen syndrome, and masochism. As with most paraphilias it undoubtedlyoccurs more frequently, if not exclusively, in men. The two patients related apotemnophilia to recalled experiences of childhood which were necessary but not sufficient for a causal explanation. The precise etiology of the condition is not known, and there is no agreed-upon method of treatment.

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