Literature DB >> 30367362

Intersexual Births: The Epistemology of Sex and Ethics of Sex Assignment.

Matteo Cresti1, Elena Nave2, Roberto Lala3.   

Abstract

This article aims to analyse a possible manner of approaching the birth of intersexual children. We start out by summing up what intersexuality is and how it is faced in the dominant clinical practice (the "treatment paradigm"). We then argue against this paradigm, in favour of a postponement of genital surgery. In the second part of this paper, we take into consideration the general question of whether only two existing sexes are to be recognized, arguing in favour of an expansion of sex categories. In the third part, we illustrate the reasons supporting provisional sex attribution: the child's best interest and respect for their developing moral autonomy. This position aims to increase the child's well-being and self-determination, limiting parents' freedom to take decisions on behalf of others, in particular, those decisions concerning basic aspects of their children's personal identity.

Entities:  

Keywords:  Autonomy; Epistemology of sex; Genital surgery; Intersexuality; Proxy consent; Sex assignment

Mesh:

Year:  2018        PMID: 30367362     DOI: 10.1007/s11673-018-9880-7

Source DB:  PubMed          Journal:  J Bioeth Inq        ISSN: 1176-7529            Impact factor:   1.352


  19 in total

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Journal:  Pediatrics       Date:  2000-07       Impact factor: 7.124

Review 2.  A framework for the ethically justified clinical management of intersex conditions.

Authors:  Laurence B McCullough
Journal:  Adv Exp Med Biol       Date:  2002       Impact factor: 2.622

3.  (Almost) everything you ever wanted to know about informed consent. [Review of: Faden, RR and Beauchamp, TL. A history and theory of informed concsent. New York and Oxford: Oxford University Press, 1986].

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Journal:  AMA Arch Neurol Psychiatry       Date:  1957-03

5.  Health care professionals and intersex conditions.

Authors:  Joel Frader; Priscilla Alderson; Adrienne Asch; Cassandra Aspinall; Dena Davis; Alice Dreger; James Edwards; Ellen K Feder; Arthur Frank; Lisa Abelow Hedley; Eva Kittay; Jeffrey Marsh; Paul Steven Miller; Wendy Mouradian; Hilde Nelson; Erik Parens
Journal:  Arch Pediatr Adolesc Med       Date:  2004-05

6.  Consensus statement on management of intersex disorders.

Authors:  I A Hughes; C Houk; S F Ahmed; P A Lee
Journal:  Arch Dis Child       Date:  2006-04-19       Impact factor: 3.791

Review 7.  Gender identity outcome in female-raised 46,XY persons with penile agenesis, cloacal exstrophy of the bladder, or penile ablation.

Authors:  Heino F L Meyer-Bahlburg
Journal:  Arch Sex Behav       Date:  2005-08

Review 8.  Ethics and the management of the patient with intersex: a middle way.

Authors:  J Daaboul; J Frader
Journal:  J Pediatr Endocrinol Metab       Date:  2001 Nov-Dec       Impact factor: 1.634

Review 9.  Intersex(es) and informed consent: how physicians' rhetoric constrains choice.

Authors:  J David Hester
Journal:  Theor Med Bioeth       Date:  2004

10.  Consensus statement on management of intersex disorders. International Consensus Conference on Intersex.

Authors:  Peter A Lee; Christopher P Houk; S Faisal Ahmed; Ieuan A Hughes
Journal:  Pediatrics       Date:  2006-08       Impact factor: 7.124

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  4 in total

1.  To the Barricades or the Blackboard: Bioethical Activism and the "Stance of Neutrality".

Authors:  Michael A Ashby; Bronwen Morrell
Journal:  J Bioeth Inq       Date:  2018-12       Impact factor: 1.352

Review 2.  What does the best interests principle of the convention on the rights of the child mean for paediatric healthcare?

Authors:  Julian W März
Journal:  Eur J Pediatr       Date:  2022-09-09       Impact factor: 3.860

3.  Factors associated with the informal use of HIV pre-exposure prophylaxis in Germany: a cross-sectional study.

Authors:  Uwe Koppe; Ulrich Marcus; Stefan Albrecht; Klaus Jansen; Heiko Jessen; Barbara Gunsenheimer-Bartmeyer; Viviane Bremer
Journal:  J Int AIDS Soc       Date:  2019-10       Impact factor: 5.396

4.  A principled ethical approach to intersex paediatric surgeries.

Authors:  Kevin G Behrens
Journal:  BMC Med Ethics       Date:  2020-10-29       Impact factor: 2.652

  4 in total

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