intersexuality what is intersex? contemporary medical model ethical and activist critiques...
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IntersexualityWhat Is Intersex?
Contemporary Medical ModelEthical and Activist CritiquesPost-Consensus Statement
IntersexualityWhat Is Intersex?
Contemporary Medical ModelEthical and Activist CritiquesPost-Consensus Statement
KEY CONCEPTS• What Is Intersex
• Reproductive or sexual anatomy different from typically male or female• Most common diagnoses
• Congenital Adrenal Hyperplasia – mostly a problem for girls• Androgen Insensitivity Syndrome – a problem for boys• Klinefelter Syndrome (XXY chromosomes) – a problem for boys
• Considered both a medical and social emergency
• Contemporary Medical Model• Optimal gender of rearing (Money et al, 1955)• Small window of gender malleability (18 mo)• The David Reimer “John/Joan” case• Medical Teams: Endocrinologist, Urologist, and
Psychologist
• Ethical and Activist Critiques• Sexist treatment model – mainly about female sexual functioning• Heteronormative model – mainly about heterosexual sexual functioning• Medically unnecessary interventions
• Surgery usually presented as the only option• No cases to answer “what if surgery isn’t done” questions• Surgery is not “irreversible”
• “Informed” consent• Deception and partial truth-telling• M.C. vs. Aaronson
• Post-Consensus Statement• No longer referred to as “hermaphrodites”• Considered “disorders of sex development” (DSD)
KEY CONCEPTS