{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,20]],"date-time":"2026-02-20T21:35:10Z","timestamp":1771623310792,"version":"3.50.1"},"reference-count":15,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,3,27]],"date-time":"2024-03-27T00:00:00Z","timestamp":1711497600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:sec>\n                    <jats:title>Key Clinical Message<\/jats:title>\n                    <jats:p>In select cases of body integrity identity disorder or body integrity dysphoria where noninvasive treatments prove ineffective and the patient's distress is substantial, elective amputation may serve as a viable and highly satisfying intervention, aligning the individual's physical self with their perceived identity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Abstract<\/jats:title>\n                    <jats:p>This case report presents an illustration of body integrity identity disorder (BIID), wherein a 20\u2009years old ambidextrous male experiencing profound distress over his left hand's fourth and fifth fingers sought elective amputation after noninvasive treatments proved unsuccessful. Despite ethical concerns and limited literature on BIID, the decision to proceed with elective surgery was based on the patient's sustained desire, potential risks of self\u2010harm, and the distinct presentation involving two fingers rather than a complete limb. Following amputation, the patient experienced immediate relief, with nightmares ceasing, emotional distress subsiding, and improved functionality. This case highlights the potential efficacy and patient satisfaction associated with elective amputation in specific BIID presentations, shedding light on the unique challenges faced by affected individuals and emphasizing the importance of understanding, support, and inclusive healthcare practices.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ccr3.8720","type":"journal-article","created":{"date-parts":[[2024,3,27]],"date-time":"2024-03-27T08:14:33Z","timestamp":1711527273000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Successful treatment of body integrity dysphoria with amputation: A case report"],"prefix":"10.1002","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-7873-1521","authenticated-orcid":false,"given":"Nadia","family":"Nadeau","sequence":"first","affiliation":[{"name":"CISSS du Bas\u2010Saint\u2010Laurent, H\u00f4pital de Rimouski Universit\u00e9 Laval D\u00e9partement de Psychiatrie  Quebec Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,3,27]]},"reference":[{"key":"e_1_2_16_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2020-238554"},{"key":"e_1_2_16_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/00224497709550967"},{"key":"e_1_2_16_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/1534734612464714"},{"key":"e_1_2_16_5_1","doi-asserted-by":"publisher","DOI":"10.3389\/fnhum.2021.699830"},{"key":"e_1_2_16_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-5930.2005.00293.x"},{"key":"e_1_2_16_7_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0034702"},{"key":"e_1_2_16_8_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1092852916000456"},{"key":"e_1_2_16_9_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0165789"},{"key":"e_1_2_16_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/mds.23671"},{"key":"e_1_2_16_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cortex.2021.11.016"},{"key":"e_1_2_16_12_1","doi-asserted-by":"publisher","DOI":"10.2147\/NDT.S102932"},{"key":"e_1_2_16_13_1","doi-asserted-by":"publisher","DOI":"10.1093\/jmp\/jhac027"},{"key":"e_1_2_16_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/14777509231160398"},{"key":"e_1_2_16_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11673-019-09959-5"},{"key":"e_1_2_16_16_1","doi-asserted-by":"publisher","DOI":"10.11648\/j.pbs.20140306.17"}],"container-title":["Clinical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.8720","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,27]],"date-time":"2025-11-27T14:28:08Z","timestamp":1764253688000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccr3.8720"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,3,27]]},"references-count":15,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2024,4]]}},"alternative-id":["10.1002\/ccr3.8720"],"URL":"https:\/\/doi.org\/10.1002\/ccr3.8720","archive":["Portico"],"relation":{},"ISSN":["2050-0904","2050-0904"],"issn-type":[{"value":"2050-0904","type":"print"},{"value":"2050-0904","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,3,27]]},"assertion":[{"value":"2024-02-20","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-03-15","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-03-27","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e8720"}}