Amputation as a treatment for BIID

The tragedy seems to me that we do have a treatment that's been shown to help some BIID sufferers, including probably ones like Wylz.

But we're trapped in a loop of claiming we don't have enough amputees to study, but we can't allow amputations until we have more amputees to study.

That would not be my idea at all, I would just point out that prior to concluding that amputation is the best option, the other should be explored. The questions I have are about the actual nature of the disorder, as I said I met many people in great distress, who engaged in extreme behaviors of self harm and perisuicidal behaviors.

So without dealing with what options other than surgery are possible, and what outcomes they might have, it id difficult to asses what is going on. If someone is a raging alcoholic for example, or if they abuse many and varied sorts of substances, and so on...

Now just as in gastric bypass and gender reassignment, if someone goes through the process, and they are comfortable with the choices that they make, then that is different. So if neurological work ups are done, mental health assessments are considered, and then just as in gender reassignment a consideration is given to a long term preparation, I see no problem with this.

However if it is the result of other confounding factors, then I would consider the idea of doing an unreversible surgery to have consequences that may be regretted by the individual to be part of the equation. Just as with other surgical interventions there should be a careful assessment of the cost/benefit and alternate treatments.
 
Last edited:
Now, when I look at your arguments, I see the same thing. I see arguments that you claim are valid for BIID sufferers, but not for other groups. To re-state a previous question to illustrate this, "If at some point in the future it were discovered that at least some transgenders had identifiable neurological conditions that could be 'cured' (ie. they're gender and sex identification would be the same) through brain surgery, rather than through gender reassignment surgery, would you thereupon conclude that it was wrong for them to get transgender surgery, and that they should instead be required to get brain surgery?" Here is your own statement in regards to BIID sufferers:In the case of transgenders, there obviously is some kind of malfunction, in that their gender and their sex are mis-matched...so, if it can be demonstrated that the problem actually does originate in the brain, and that it can be 'treated' so as to change them to the 'right' gender orientation...would you continue to hold this argument as valid?

We already know what causes TG, it's not a brain malfunction, it's that the brain that developed in the fetus did so under conditions that rendered it structually identical to one of the opposing gender rather than that of its own body. The only way to "fix" this is to change out the patient's brain with a correctly sexed one. There is no way to alter it without changing huge parts of the structure of the brain. In reality, a TGs brain is operating perfectly normally, it is just in the wrong body. This is why there is a major difference between TG and BIID. There is no "normal" right body for a BIID sufferer. Their right body is one that is maimed and not fully functional. TGs right body is a fully functional one of the opposite sex. Why is it so hard to see this difference?
 
Last edited:
When someone is on the verge of literally taking their own life because of the suffering caused by BIID,

Have you ever done a crisis assessment? You may want to reconsider these black and white pronouncements that you make.

There are three primary factors in doing the risk assessment, other than the standard SLAP (specific, lethality, availability, proximity) factors of immediate risk. The other three are

-impulse control
-judgement
-insight

And it can not be assessed that the person's view of 'what would solve the problem' is always accurate, which is why you have to asses for judgement and insight, as both can be severely impaired.

The standard idea is that the individual is responding to pain, but that they may not be using careful consideration in how to deal with it. So often people do change their minds about wanting to end their life, and often there are less drastic way to deal with the situation.


So again I would just say that prior to amputation, other options would likely be a wise thing to consider.
 
Now just as in gastric bypass and gender reassignment, if someone goes through the process, and they are comfortable with the choices that they make, then that is different. So if neurological work ups are done, mental health assessments are considered, and then just as in gender reassignment a consideration is given to a long term preparation, I see no problem with this.

Let's take a specific case: Mine.

In the last 20 years I have spent 15 of those in psychotherapy of one sort of another. I have been on a wide range of meds. I have met with leading psychiatrists in the field of BIID. I have discussed my case with several neurologists. I have lived my life as a wheelchair user for a very long time (comparing to SRS, this would be as close to "real life test" as one can get). I *have* exhausted all possible avenues currently known. Several medical practitioners have stated that they would recommend surgery if there was a surgeon willing to do the procedure.

So you'd see no problem with a surgeon doing a spinal cord transection for me?
 
So often people do change their minds about wanting to end their life, and often there are less drastic way to deal with the situation.

I don't want to die. I just can't continue living in pain like I have for the last 4 decades.

I don't want to die, but the longer it goes, the more afraid I am for myself - afraid I *will* do something impulsive. And calling the crisis line, or going to local health mental health clinic has been... less than useful. "Take a cup of hot chocolate", "We'll call you in a couple hours to check on you", "Sorry we can't check you in, go home, take it easy", "We can't help you" - all things I've been told by the *professionals* while I was in crisis. Forgive me for not trusting them anymore.

The thing is, if I were thinking that surgery is an option only when I'm in crisis, I'd say my perception is kewed. But regardless of my state of depression and suicidal ideations, one thing is clear - surgery is the only option left to me.

For what it's worth, I didn't use to think that way. For a very very long time, I thought I'd try other options, I'd resolve the issue in other ways. But after exhausting one avenue after the other, I reluctantly arrived at the conclusion that surgery is the only thing that might help me.

Yes, perhaps in 10, 15, or 20 years they'll find a "cure", pop a pill and BIID troubles you no more. Hey! I'm all for that. But that does not help me HERE and NOW.
 
Let's take a specific case: Mine.

In the last 20 years I have spent 15 of those in psychotherapy of one sort of another. I have been on a wide range of meds. I have met with leading psychiatrists in the field of BIID. I have discussed my case with several neurologists. I have lived my life as a wheelchair user for a very long time (comparing to SRS, this would be as close to "real life test" as one can get). I *have* exhausted all possible avenues currently known. Several medical practitioners have stated that they would recommend surgery if there was a surgeon willing to do the procedure.

So you'd see no problem with a surgeon doing a spinal cord transection for me?

I could not say, without a very long talk with you. I trust what you are saying, and I believe you. So if you tried courses of adequate dosage and time with CBT, avoid all substance abuse, I would say that is your choice.

However I do not have your treatment history in front of me, nor should I.
 
I don't want to die. I just can't continue living in pain like I have for the last 4 decades.

I don't want to die, but the longer it goes, the more afraid I am for myself - afraid I *will* do something impulsive. And calling the crisis line, or going to local health mental health clinic has been... less than useful. "Take a cup of hot chocolate", "We'll call you in a couple hours to check on you", "Sorry we can't check you in, go home, take it easy", "We can't help you" - all things I've been told by the *professionals* while I was in crisis. Forgive me for not trusting them anymore.
I was not addressing those issues, I was addressing what is involved in crisis intervention. Crisis lines are not designed to provide relief for long term emotional pain. Had I taken your call, as I did many, my goal would have been to asses your risk of harming yourself and providing intervention as warranted.

Your choice to participate or not in long term cognitive therapy would be yours. Crisis counseling is about preventing suicide and providing linkage to services.
The thing is, if I were thinking that surgery is an option only when I'm in crisis, I'd say my perception is kewed. But regardless of my state of depression and suicidal ideations, one thing is clear - surgery is the only option left to me.

For what it's worth, I didn't use to think that way. For a very very long time, I thought I'd try other options, I'd resolve the issue in other ways. But after exhausting one avenue after the other, I reluctantly arrived at the conclusion that surgery is the only thing that might help me.
And as someone who is not a treatment provider at this time (I am working in education now and getting a computer certification), my goal would have been to listen to you and establish a relationship. That may have led to a point of understanding. It may be that you and I would disagree as to what options were open to you and what 'exhausted' means. I however do strongly believe in your right to pursue the life you want as you envision it.
Yes, perhaps in 10, 15, or 20 years they'll find a "cure", pop a pill and BIID troubles you no more. Hey! I'm all for that. But that does not help me HERE and NOW.

Usually there are no cures in mental health or neurology. Sometimes symptom reduction is the best that can happen. I was frequently unable to link people to services that might have benefited them
 
Last edited:
I really am sorry, I wasn't ignoring you. I noticed this morning that your post got lost in the shuffle, last night.

Do ho narm. That's an argument that is used all too often. I suggest that a surgeon standing idly by and knowing someone is suffering is in fact doing harm. Harm by ommission.

It's not surgery or nothing. I understand in your case, your therapy experience was horrific, but that is a special case. All therapists aren't like that and there have been people who had success with therapy. That is not standing idly by and doing nothing.

We have to look at "health" from a holistic perspective - the idea that health is solely physical is a huge issue here.

Absolutely, removing "normal" functions of the body is a negative. It has to be balanced agains the positive and the emotional relief of being "whole" (yes, it is contradictory that to feel whole we have to be "maimed").

I am sorry, but I have a hard time accepting that removing a limb or severing a spinal chord is considered treating the mind and body, especially when it's the mind that is having the problem.

You are comparing apples and oranges. You use the example of anorexia, severe dysmorphia and you speak of delusion to say that surgery shouldn't be offered. BIID is not BDD. BIID researchers have repeatedlly found that transabled individuals are not delusional.

I should not have used the word delusional and I will apologize and refrain from using that word again. I will say that quite a lot of the literature draws parallels between BIID and BDD. Nothing is exactly like BIID, nothing is exactly like BDD, nothing is exactly like GID or any other initialed disorder.

Again, apples and oranges.

Not counting the fact that there is psychological treatment available to people with eating disorders. Yet neither psychotherapy not pharmacotherapy have done anything to help with BIID.

The only thing that does help is surgery. So until there is a psychotherapy or pharmacotherapy course of action, please don't keep on denying us the only thing that works.

Okay, there is no cure for cutters or anorexic either, the urge never goes away. There is therapy. That's not the only thing that works, though. The second link in post #26 mentions a person who had successful therapy.I found link to someone who had success with drug therapy.

Transabled individuals who have managed to lose a limb through surgery or self-injury and achieved their required body have not suddenly wanted more. Once the correct body is achieved, there's no need for more. Note that the need for an impairment, in the case of BIID, develops and shows up at a young age. In most cases, it's pretty much set and doesn't move.
If you do enough research, you'll come across stories of people who cut off a toe or finger, then another one, and another. It would be easy to interpret that as "proof" that there is a high risk of repeat request for surgery. What people aren't looking at is the fact that the people who do these things to themselves either don't have BIID, or trying to appease their BIID by doing something less drastic - for example, hoping that removing a toe will diminish their anguish rather than removing the entire leg.

I've found them. I am not trying to prove that amputation doesn't have positive effects on individuals suffering from the disorder.

I can understand your inability to comprehend that aspect. But are you able to accept that your inability to comprehend it doesn't mean it isn't real?

I never said it isn't real. Is there any way you can help me comprehend?

I refer you to the published academic writings of Dr. First, Dr. Ryan, and many other noted psychiatrists and neurologists and medical professionals who ALL state that people with BIID are not delusional. Even those who are opposed to surgery for BIID agree that we aren't delusional. Are you a licensed psychiatrist with experience in diagnosing delusions and psychosis, and have you worked with people with BIID?

I apologized for using the word delusion. I wasn't calling the condition, itself, a delusion though. I was talking about romantacizing the experience of disabled people. I was specifically referring to the blogs I was reading. No, I am not a doctor. I don't think anyone participating in this thread have such experience, we are still allowed to discuss our interpretations.

Might I suggest: Cancer?

Cancer tends to be in the part of the body that's being removed. If the cancer was in the brain and they were removing a leg, I would question that too.

Which clinical diagnosis? There is no such thing at the moment. There is no official definition of BIID, it's not in any diagnostic books

I am sorry, I was using clinical diagnosis as a diagnosis in the absence of a definitive test. A few of the personal stories actually use the term diagnosis so I figured perhaps their doctors at least had a set of criteria to work with.

In as much as there is no official definition of BIID, I'm curious to see where you found those people clinically diagnosed with BIID?

Further, as you have probably seen already, I write a lot about my experience of living with BIID. I blog about it and often write about how emotionally distressing it is. This doesn't mean that I don't have a disconnect with my legs - in fact, feeling my legs and knowing they are there, ALL THE TIME, is a major cause of the emotional distress. And FWIW, I've been told by leading psychiatrists that "yes, you have BIID" - even though it's not officially codified. *shrug*

That's what I am talking about. The studies refer to patients with BIID. I read two stories of people who said they were diagnosed with BIID. If there is not even a clinical diagnosis than how do they know they are studying people with BIID?
 
Last edited:
All therapists aren't like that and there have been people who had success with therapy.
Ummm...quick question...do you mean:

1) There are people with conditions entirely unrelated to BIID who have had success with therapy

or

2) There are people with BIID who have had success with therapy?

If the former, then it is less than meaningless. If the latter, please provide evidence, and preferably give wylz info on how to contact such people. Can you provide any evidence to support a claim that therapy produces positive results for BIID sufferers? I've checked out wylz's website, which has not just his own story, but that of other BIID sufferers...and personally, I haven't seen anyone talk about the brilliant success they've had in therapy for their BIID.

Again, you seem to express a very strong preference for entirely imaginary solutions.
 
Ummm...quick question...do you mean:

1) There are people with conditions entirely unrelated to BIID who have had success with therapy

or

2) There are people with BIID who have had success with therapy?

If the former, then it is less than meaningless. If the latter, please provide evidence, and preferably give wylz info on how to contact such people. Can you provide any evidence to support a claim that therapy produces positive results for BIID sufferers? I've checked out wylz's website, which has not just his own story, but that of other BIID sufferers...and personally, I haven't seen anyone talk about the brilliant success they've had in therapy for their BIID.

Again, you seem to express a very strong preference for entirely imaginary solutions.

I also know of someone who has succesfully managed her transability just through therapy, and went from needing to be a DAK to being quite happy being AB and not have a disability.
http://transabled.org/thoughts/cure-vs-treatment-protocol.htm
That's from the link you posted on the first page.

I've read about Body Talk therapy but it sounds a bit woo, to me. Either way, another woman from that site says it helped her.
http://transabled.org/thoughts/other-thoughts/elisabeths-thoughts/body-talk-and-biid.htm
 
Last edited:
sgtbaker and I have had some communication via PM, and both come to realize that we were guilty of the old "arguing to prove that I'm right" thing. We still don't entirely agree on some issues, but I think that it's fair to say that both of us are in 100% agreement of the need to have further research and study into BIID.
 
FWIW, I believe there will be a segment on BIID on the Anderson Cooper talkshow on Monday 27 February. As I'm not in the USA, I won't get a chance to see it, but some of you might want to watch it.
 
FWIW, I believe there will be a segment on BIID on the Anderson Cooper talkshow on Monday 27 February. As I'm not in the USA, I won't get a chance to see it, but some of you might want to watch it.

Unlikely.

Thanks for your response to me, up there. :)
 

Back
Top Bottom