A middle aged man has had since childhood an all-consuming sense that one of his legs does not belong to him. He has long had the desire to “lose” it and is persistent that it is not his. A reputable surgeon considers operating on the patient, and requests a psychiatric assessment of the patient. This assessment concludes that the patient is not psychotic but suffers from “body dysmorphic disorder” and truly believes that his leg does not belong to him. The report, however, does not recommend amputation. The surgeon performs the amputation. Following this the patient describes himself as “complete”. What is the ethical issue in the story? Why? How would you address the situation?
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In this issue the middle man was denied of living fully with his fully developed organ (e.g. legs). The surgeon would have stayed with the psychiatric assessment done on the patient. The issue was "body dysmorphic disorder" that can only be addressed mentally by a professional (e.g. psychologist). The man would need to survive without a leg thus will give him more suffering throughout his life.
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