body integrity identity disorder

Should people with this disorder be allowed to have their body parts amputated to meet their view of how they should be?

People who believe they should be missing a body part, so want to have that body part surgically removed.

No, they may just want a leg or two cut off for no other reason than they believe it should be done. They are not supposed to have legs.

The only body integrity identity disorder I've got is that my body's integrity is heading toward disorder.

FYI, was added to ICD-11 instead of DSM-5.

https://icd.who.int/browse11/l-m/en#/http://id.who.int/icd/entity/256572629

🙄

Ok, but why though?

Oh

Here it's calling religion a mental illness (delusion).

https://icd.who.int/browse11/l-m/en#/http%3A%2F%2Fid.who.int%2Ficd%2Fentity%2F932028588

Oh, but it makes an exception for popular religions, how convenient.

Ask your grandparents about this one

So people here are ok with a person having both legs cut off for no other reason than he feels like it.

No counseling from a psychologists, just chop them off. Says a lot about you people.

Yes, we people. What does it say?

What is the consensus medical professional opinion on the matter?

With gender affirming surgery as a treatment for gender dysphoria, the medical consensus seems to be that it often leads to good outcomes for adults that choose to undergo it after proper consultation and with preliminary therapy work within supportive environments, and that there is no other as successful treatment option for those with persistent dysphoria that is unassuaged by social transition or hormone use alone.

Additionally, those who have undergone such treatment are often able to live lives that are not seriously physically hindered, and so the surgeons are not 'doing harm' in opposition to their Hippocratic oath. As with any other surgery the issue is: is this in the patient's best interests?

So, applying the same therapeutic way of thinking to this issue, one would ask if: a) there is consensus that this treatment method would likely resolve the issue, b) whether there are other equally successful treatment options available, c) whether someone who underwent the treatment could live a life without a disproportionate serious physical disability afterwards, and d) what preliminary work would need to be done first.

I doubt whether surgery for body integrity disorder (or whatever the name) would pass such tests and questions in the same manner that gender affirming treatment does. If nothing else, this should prevent it being used as a simple transphobic weaponised analogy by bigots.

That said, I could imagine a theoretical scenario where the medical consensus in a particular case was that it was the best (or least worst) option for the patient. In such a case I defer judgement to the experts and the preferences of the individual. This also aligns with my libertarian predisposition that generally wants to allow adults to choose to do what they want with their own bodies so long as no one else is harmed.