Wishing for amputation is easy to dismiss as a fetish, madness, or deviance. But Body Integrity Dysphoria may have a clinical basis: altered body ownership, a powerful internal body image, early witnessing, and embodied rehearsal. #BodyIntegrityDysphoria #Bioethics #Amputation

Are you truly the owner of your own body, or merely its custodian on behalf of society? Body Integrity Dysphoria and the Ethical Demand for On-Demand Amputation is a groundbreaking examination of autonomy, dignity, and bodily self-determination at the limits of modern medicine. tidd.ly/4urUnwz

For much of psychiatric diagnosis—and for many contested somatic conditions—the patient's narrative isn't supplementary to the clinical evidence. It is the clinical evidence. New essay on what that costs the patients whose stories don't yet fit a clinical template.

Is the present era characterised by a substitution of meaning with operational functionality, replacing orientation, judgement, and interior coherence with systems that optimise behaviour without necessarily helping us understand why we act? Code SPRAUT for 20% off Springer page: tidd.ly/3RydWVg

What happens when what we see is already selected for us before we even think? The Sensorial Nexus: algorithmic mediation pre-organising experience, narrowing originality, instinct, self-direction. We no longer prompt the machine; it prompts us. 🔗 tidd.ly/3RydWVg 🌐 leandroloriga.com

'I am a woman' and 'gender is a social construct' aren't opposing claims. They use the same word for different things. What this confusion costs people whose conditions have nowhere to land: leandroloriga.com/identity-is-...

Why does medicine accept one form of bodily incongruence and reject another? My new essay looks at the ethical divide between gender-affirming surgery and Body Integrity Dysphoria, and what it reveals about autonomy, recognition, and the line medicine draws. leandroloriga.com/the-two-surg...