Quote:
Originally Posted by wylz
There are many differences between anorexia, which is generally accepted as a form of Body Dysmorphic Disorder and BIID. One of them, as I explained earlier, that someone with anorexia perceives their body as being "wrong", when in fact their body is fine. People with BIID know their body is "normal", but the mental "body map", or body image is not aligned with the actual body. In a perfect world, we'd be able to align the mental map to the reality, but it doesn't work. While some treatment works for people who have anorexia (although very few actually do work, it's always an exercise in management), there are no non-surgical treatment that works for BIID.
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Maybe I misunderstand (I also don't know anything about anorexia really), but don't people with anorexia have a "body image is not aligned with the actual body" because their body is thin and their body image is fat?
I Googled "BIID DSM" because I didn't know about DSM before (seems I know nothing!

)) and found a page about a scientific meeting for BIID. It said
"
Dr. Lawrence defined the term "paraphilia" using the DSM-IV criteria, and discussed the interaction of paraphilia and identity in Gender Identity Disorder. Dr. Lawrence posed the question "Is the desire for amputation a paraphilia?" She also covered objections to the idea that the paraphilia model applies to BIID.
Dr. Lawrence discussed a paradigm referred to as the "Erotic Target Location Error" model (developed by Drs. Freund and Blanchard)."
More questions!

What is "paraphilia"? Is that the need to be paralyzed? And "erotic target location error"? (Again, don't want to start adult-only conversation.) This sounds like a wrong love bomb!
It also said "
members of the community who attempt self-amputation". People with BIID try to amputation on themselves? Honest? Wow. Do people die?
Last, it said "
Require that reversible measures be tried first: e.g.-high dose sustained trial of SSRI (e.g. Prozac, Zoloft, etc.), and psychotherapy
# Insure that some sort of assistance is available to the full-spectrum of people with BIID, including those not seeking surgery at this time". So does SSRI help? And some with BIID don't want surgery? So BIID can be mild or severe?