Apotemnophilia: a neurological disorder

被引:66
作者
Brang, David [1 ]
McGeoch, Paul D. [1 ]
Ramachandran, Vilayanur S. [1 ]
机构
[1] Univ Calif San Diego, Ctr Brain & Cognit, La Jolla, CA 92093 USA
关键词
amputee; body image; body integrity image disorder; neurology;
D O I
10.1097/WNR.0b013e32830abc4d
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
Apotemnophilia, a disorder that blurs the distinction between neurology and psychiatry, is characterized by the intense and long-standing desire for amputation of a specific limb. Here we present evidence from two individuals suggestive that this condition, long thought to be entirely psychological in origin, actually has a neurological basis. We found heightened skin conductance response to pinprick below the desired line of amputation. We propose apotemnophilia arises from congenital dysfunction of the right superior parietal lobule and its connection with the insula. NeuroReport 19:1305-1306 (c) 2008 Wolters Kluwer Health vertical bar Lippincott Williams & Wilkins.
引用
收藏
页码:1305 / 1306
页数:2
相关论文
共 11 条
[1]  
Bayne Tim, 2005, J Appl Philos, V22, P75, DOI 10.1111/j.1468-5930.2005.00293.x
[2]   Electrodermal responses: What happens in the brain [J].
Critchley, HD .
NEUROSCIENTIST, 2002, 8 (02) :132-142
[3]  
CRITCHLEY M, 1953, PARIETAL LOBES, P225
[4]   Distributed Hierarchical Processing in the Primate Cerebral Cortex [J].
Felleman, Daniel J. ;
Van Essen, David C. .
CEREBRAL CORTEX, 1991, 1 (01) :1-47
[5]   Desire for amputation of a limb: paraphilia, psychosis, or a new type of identity disorder [J].
First, MB .
PSYCHOLOGICAL MEDICINE, 2005, 35 (06) :919-928
[6]  
FLEISCHL MF, 1960, AM J PSYCHOTHER, V14, P471
[7]  
HAR R, 1999, PHIL T R SEE LOND B, V354, P1145
[8]   APOTEMNOPHILIA - 2 CASES OF SELF-DEMAND AMPUTATION AS A PARAPHILIA [J].
MONEY, J ;
JOBARIS, R ;
FURTH, G .
JOURNAL OF SEX RESEARCH, 1977, 13 (02) :115-125
[9]   CARDIOVASCULAR EFFECTS OF HUMAN INSULAR CORTEX STIMULATION [J].
OPPENHEIMER, SM ;
GELB, A ;
GIRVIN, JP ;
HACHINSKI, VC .
NEUROLOGY, 1992, 42 (09) :1727-1732
[10]   Can vestibular caloric stimulation be used to treat apotemnophilia? [J].
Ramachandran, V. S. ;
McGeoch, Paul .
MEDICAL HYPOTHESES, 2007, 69 (02) :250-252