[Body integrity identity disorder--first success in long-term psychotherapy].

Objective: The Body Integrity Identity Disorder (BIID) is a fairly unknown and unexplored psychic illness. Very little cases underwent a psychotherapeutic treatment.
Methods: We report on the two-and-a-half year psychotherapy with a 37 years old man, who wants an amputation of his two legs.
Results: Origin and meaning of the amputation desire were uncovered in psychotherapy.
Conclusions: The psychodynamic oriented therapy with cognitive-behavioral elements can be used to develop further treatment approaches.
(© Georg Thieme Verlag KG Stuttgart · New York.)