Body ownership: When feeling and knowing diverge

•Parallelism between somatoparaphrenia and BIID has been investigated.•People with amputation desire show reduced pain anticipation on the unwanted side.•Increased SCR was recorded following real stimulation on the unwanted side.•We provided physiological evidence of impaired body representation in BIID.•Feeling of ownership is related to anticipation of incoming threats.

Individuals with the peculiar disturbance of ‘overcompleteness’ experience an intense desire to amputate one of their healthy limbs, describing a sense of disownership for it (Body Integrity Identity Disorder – BIID). This condition is similar to somatoparaphrenia, the acquired delusion that one’s own limb belongs to someone else. In ten individuals with BIID, we measured skin conductance response to noxious stimuli, delivered to the accepted and non-accepted limb, touching the body part or simulating the contact (stimuli approach the body without contacting it), hypothesizing that these individuals have responses like somatoparaphrenic patients, who previously showed reduced pain anticipation, when the threat was directed to the disowned limb. We found reduced anticipatory response to stimuli approaching, but not contacting, the unwanted limb. Conversely, stimuli contacting the non-accepted body-part, induced stronger SCR than those contacting the healthy parts, suggesting that feeling of ownership is critically related to a proper processing of incoming threats.