American Journal of Applied Psychology

Submit a Manuscript

Publishing with us to make your research visible to the widest possible audience.

Propose a Special Issue

Building a community of authors and readers to discuss the latest research and develop new ideas.

Body Integrity Identity Disorder and Mancophilia: Similarities and Differences

Body Integrity Identity Disorder (BIID) is characterized by the intense desire for some form of body impairment. Most often sufferers report wanting a healthy limb to be amputated. Currently most professionals classify this strange wish as an identity disturbance, but several BIID affected persons also speak of a sexual component when describing their desire for an amputation. In contrast to BIID, “mancophilia” (also referred to as deformation fetishism, acrotomophilia, or amelotatism) is a form of paraphilia. Those with this condition are sexually aroused by people with a physical impairment as such as an amputation. In this pilot-study we investigated the differences between BIID and mancophilia with a self-report questionnaire, which asked 36 participants (18 with BIID, 18 with mancophilia) about their sexual preferences. The results showed a considerable overlap between the sexual preferences of people with BIID and those of people with mancophilia. BIID-participants self-reported an erotic preference for people with disabilities and, overall, a cluster-analysis resulted in three observable groups: Cluster-I, BIID with a strong sexual component (61.1%); Cluster-II, BIID with a moderate sexual component (16.7%); and Cluster-III, BIID with low or no sexual component (22.2%). However, the erotic fascination for one’s own amputation was only found in BIID afflicted persons and did not occur in people with mancophilia. Only the wish for an own handicap allows a strict differentiation between those two syndromes. In summary, these preliminary findings suggest that an erotic component seems to be a frequent part of the identity disorder BIID.

Mancophilia, Body Integrity Identity Disorder, Amelotatism, Apotemnophilia, Xenomelia, BIID, Paraphilia, Identity Disorder, Deformation Fetishism

APA Style

Lea Pregartbauer, Thomas Schnell, Erich Kasten. (2014). Body Integrity Identity Disorder and Mancophilia: Similarities and Differences. American Journal of Applied Psychology, 3(5), 116-121.

ACS Style

Lea Pregartbauer; Thomas Schnell; Erich Kasten. Body Integrity Identity Disorder and Mancophilia: Similarities and Differences. Am. J. Appl. Psychol. 2014, 3(5), 116-121. doi: 10.11648/j.ajap.20140305.12

AMA Style

Lea Pregartbauer, Thomas Schnell, Erich Kasten. Body Integrity Identity Disorder and Mancophilia: Similarities and Differences. Am J Appl Psychol. 2014;3(5):116-121. doi: 10.11648/j.ajap.20140305.12

1. De Preester, H. (2011). Merleau-Ponty’s sexual schema and the sexual component of body integrity identity disorder. Med Health care and Philos, DOI 0.1007/s11019-011-9367-3.
2. First, M.B. (2005). Desire for amputation of a limp: Paraphilia, psychosis or a new type of identity disorder. Psychological Medicine, 35, 919-928.
3. Kasten, E. (2009). Body Integrity Identity Disorder (BIID): Befragung von Betroffenen und Erklärungsansätze. Fortschr Neurol Psychiatrie, 77, 16-24.
4. Kasten, E. (2012). ICD Antrag: Einführung eines Kodes für die Body Integrity Identity Disorder (BIID) (Körperidentitätsstörung) Abrufdatum: 2.8.13, 14:05
5. Krafft-Ebing, R. (1993). Psychopathia Sexualis. Matthes & Seitz, München.
6. Lawrence, A. A. (2006). Clinical and Theoretical Parallels Between Desire for Limp Amputation and Gender Identity Disorder. Archieves of Sexual Behaviour, 3, 263-278.
7. Martin, I. (2009). Fascination Handicap- A Desire for Differentness. In A. Stirn, A. Thiel, S. Oddo (Hrsg.), Body Integrity Identity Disorder: Psychological, Neurobiological, Ethical and Legal Aspects (S. 175-180). Lengerich: Papst Science Publisher.
8. Martin, I. (2010). Mancophilie Erscheinungsformen und Interaktionen. Maintal: Homo-Mancus Verlag.
9. Money, J., Jobaris, R. & Furth, G. (1977). Apotemnophilia: Two Cases of Self-Demand Amputation as a Paraphilia. The Journal of Sex Research, Vol. 13, No.2, pp. 115.125.
10. Money, J. & Simcoe, K. (1986). Acrotomophilia, Sex and Disability: New Concepts and Case Report. Sexuality and Disability, Volume 7 (1/2), page 43-50, Human Sciences Press.
11. Nattress, L. (1996). Amelotasis Men Attracted To Women Who Are Amputees. A Descriptive Study. Loma Linda University, California.
12. Stirn, A., Thiel, A. & Oddo, S. (2010). Body Integrity Identity Disorder. Störungsbild, Diagnostik, Therapieansätze. Weihnheim: Beltz Verlag.
13. Wenig, H.G. (1979). Amputismus. Sexualmedizin, 8, Seite 280-282.