title: Amputee fetishism and genital mutilation: case report and literature review.
abstract: A case is presented of a 49-year-old man who amputated his penis following instructions that he had obtained from the Internet. The patient had a long-standing amputee fetish, which evolved into eroticized genital mutilation. The transformation of the preferred fetish occurred in a setting of depression due to environmental stressors. The literature about amputee fetishism, also called "apotemnophilia," is reviewed, and possible connections with the genital mutilation are discussed.
authors.affiliation: Department of Psychiatry, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
authors.forename: T N
authors.initials: TN
authors.lastname: Wise
authors.forename: R C
authors.initials: RC
authors.lastname: Kalyanam
mesh_terms: D000673:Amputation, Traumatic / Q000523:psychology*; D003863:Depression / Q000523:psychology; D005329:Fetishism, Psychiatric; D005837:Genitalia, Male; D006801:Humans; D008297:Male; D008875:Middle Aged; D012652:Self Mutilation / Q000523:psychology*