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Description: In rare cases, people with this paraphilia actually arrange elective surgery to have limbs removed. The Editors of Encyclopaedia Britannica Encyclopaedia Britannica's editors oversee subject areas in which they have extensive knowledge, whether from years of experience gained by working on that content or via study for an advanced degree Play Video. This paraphilia is called apotemnophilia. Sadism is often linked to masochism q.