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

John Money, Russell Jobaris and Gregg Furth
The Journal of Sex Research
Vol. 13, No. 2 (May, 1977), pp. 115-125
Published by: Taylor & Francis, Ltd.
Stable URL: http://www.jstor.org/stable/3811894
Page Count: 11
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Apotemnophilia: Two Cases of Self-Demand Amputation as a Paraphilia
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Abstract

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 rather than a paranoid delusion. It may be conceptually related to, though it is not identical with transsexualism, bisexuality, Münchausen syndrome, and masochism. As with most paraphilias it undoubtedly occurs 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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