Apotemnophilia

Apotemnophilia is sexual arousal based on the image or fantasy of one's self as an amputee. It can be associated with Body integrity identity disorder (BIID) in which otherwise sane and rational individuals express a strong and specific desire for the amputation of a healthy limb or limbs. Apotemnophilia has features in common with somatoparaphrenia. Some apotemnophiles seek surgeons to perform an amputation or purposefully injure a limb in order to force emergency medical amputation.