It will also provide a brief history of the condition as well as its various features. Introduction Some people experience an overwhelming desire to amputate one or more healthy limbs, a condition referred to as Apotemnophilia. This condition to some authorities is regularly sexual in origin. There is a chronic dissatisfaction in a sexual relationships or even complete sexually dysfunctional in a person with true Apotemnophilia until their desire for amputation is carried out. Therefore, there is some sort of obsession in an apotemnophilia about executing a self-planned amputation or getting one in a hospital. Although this condition is similar to Acrotomophilia, the difference is that in Apotemnophilia the desire is for oneself to be an amputee as opposed to one's spouse having an amputation in Acrotomophilia (Depression-guide.com, 2005). According to researchers, this rare condition, also known as the Body Integrity Identity Disorder (BIID), opposes everything known about animal and human intuitions. People suffering from BIID normally keep their condition unknown to their family members and the community they live in, but make up stories about how they lost a limb in a grotesque accident (Gache, 2008). Although such patients are not psychotic or delusional, they do articulate a strange emotional hatred to the limb they wish amputated. Additionally, patients show a left-sided prevalence for their desired amputation (McGeoch & Ramachandran, 2007). Despite the fact that these limbs could be healthy, the patient with Apotemnophilia compulsively wants to change from the discontent state they could be in to that of an amputee (Acosta, 2011). Because of this obsession, there is a great effect on the patients’ social behavior and societal integration. These patients resemble transgendered individuals in some ways and they feel that the body part in question is just “not a part of them”, making them uncomfortable with their own bodies (Dua, 2010). Some of the patients decide on mutilating themselves while others request surgeons for the spinal cord operation or for an amputation. There are different explanations about this phenomenon by both psychologists and physicians but still there is no known successful pharmaceutical or psychotherapeutic therapy (Muller, 2009). In 1977 at Johns Hopkins University, the late sex researcher John Money and his colleagues illustrated about two individuals who desired to become amputees since the idea aroused them sexually. Consequently, Money identified their condition as Apotemnophilia, a paraphilia, or sexual deviation, in which a pair of crutches, a stump, or wheelchair is eroticized. He concluded therefore that some people obtain amputation to accomplish sexual fulfillment. Males especially homosexuals and transsexuals appear to be more affected from BIID as from most paraphilias compared with females (Muller, 2009). Causes and effects of Apotemnophilia This condition may stem from an unsatisfactory sex life or lack thereof because of an inability to perform. An Apotemnophile gets sexual gratification through cutting off limbs and the accompanying pain. According to Ian Gregson, a British author and physically disabled activist, an Apotemnophile relates the pain amputating of their limbs with previous internal pains or unfulfilled sexual desires.