Ethics and Intersex

Overview

This collection of 21 articles is designed to serve as a state-of-the art reference book for intersexuals, their parents, health care professionals, ethics committee members, and anyone interested in problems associated with intersexuality. It fills an important need because of its uniqueness as an interdisciplinary effort, bringing together not just urologists and endocrinologists, but gynecologists, psychiatrists, psychologists, lawyers, theologians, gender theorists, medical historians, and philosophers. Most ...
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Hardcover (2006)
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Overview

This collection of 21 articles is designed to serve as a state-of-the art reference book for intersexuals, their parents, health care professionals, ethics committee members, and anyone interested in problems associated with intersexuality. It fills an important need because of its uniqueness as an interdisciplinary effort, bringing together not just urologists and endocrinologists, but gynecologists, psychiatrists, psychologists, lawyers, theologians, gender theorists, medical historians, and philosophers. Most contributors are well-known experts on intersexuality in their respective fields. The book is also unique in that it is also an international effort, including authors from England, the Netherlands, Germany Australia, India, Canada and the United States.

The book begins with introductory chapters on the etiology of intersex conditions, conceptual clarification, legal issues, and reflections about the inherent characteristics of medical care that have led up to the issues we face today and explain the resistance to change in traditional practices. Researchers provide recent data on gender identity, surgical outcomes, and appropriate clinical care. Issues never having been addressed are introduced. The significance of intersexuality for Christianity and for philosophical concerns with authenticity add further depth to the collection. The final chapters deal with future possibilities in the treatment of intersex and for intersex advocacy.

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Editorial Reviews

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"This book is a bold attempt to address the vexed question of ethics and intersex. Sharon Sytsma has brought together 20 contributions from a range of professionals. … Some chapters include useful facts and are essential reading for professionals involved in the intricacies of managing intersex conditions. … Several chapters in this book are a positive contribution to knowledge of the complexity of managing intersex conditions. To that end, it is a useful resource … ." (Ieuan Hughes, The New England Journal of Medicine, Vol. 356 (23), 2007)

"This edited volume is an exceptional biopsychosocial account of modern day intersexuality. … In conclusion, this volume has delivered the goods! … This book is a successful attempt at assessing global ethical practice. … As an excellent academic and humanistic read, it has disseminated the facts and helped to break the silence. … The journey has only just begun and this book has definitely helped to pave an ethical way forward." (Erasmo Tacconelli, Archives of Sexual Behavior, Vol. 36, 2007)

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Product Details

Table of Contents

Ch. 1 The role of genes and hormones in sexual differentiation 1
Ch. 2 Towards a more inclusive conception of gender-diversity for intersex advocacy and ethics 17
Ch. 3 Intersex and the rhetorics of healing 47
Ch. 4 Intersex and human rights : the long view 73
Ch. 5 International legal developments protecting the autonomy rights of sexual minorities : who should determine the appropriate treatment for an intersex infant? 87
Ch. 6 The right to be wrong : sex and gender decisions 103
Ch. 7 Advances in treating (or not treating) intersexed persons : understanding resistance to change 115
Ch. 8 Experiments in gender : ethics at the boundaries of clinical practice and research 139
Ch. 9 Prenatal gender imprinting and medical decision-making : genetic male neonates with severely inadequate penises 153
Ch. 10 Gender identity and intersexuality 165
Ch. 11 Intersex, east and west 183
Ch. 12 Adult outcomes of feminizing surgery 207
Ch. 13 Clinical management of children and adolescents with intersex conditions 215
Ch. 14 Psychology and clinical management of vaginal hypoplasia 225
Ch. 15 The ethics of using dexamethasone to prevent virilization of female fetuses 241
Ch. 16 Intersexuality, cultural influences, and cultural relativism 259
Ch. 17 Authenticity and intersexuality 271
Ch. 18 Christianity and human sexual polymorphism : are they compatible? 293
Ch. 19 Ethics and futuristic scientific developments concerning genitoplasty 311
Ch. 20 Postmodern intersex 319
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