Revisiting the Claims of Past Medical Innocence and Good Intentions

IF 1.7 Q2 SOCIAL SCIENCES, INTERDISCIPLINARY Social Sciences Pub Date : 2024-05-22 DOI:10.3390/socsci13060279
Janik Bastien Charlebois
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Abstract

Medical professionals usually reject critiques of deferrable treatments that alter the sex characteristics of infants and children without personal informed consent on the grounds that intersex adults’ experiences reflect ‘obsolete’ practice. However, past practice is also protected from criticism by claiming ‘good intentions’, a commitment to the child’s best interest and context-dictated constraints on medical practice. I first examine foundational literature of the Optimal Gender Policy to verify the presence of statements of interests or motives, I then collect affect displays to identify motives, and I observe attitudes to clitoridectomy. Affect displays point to motives that are relevant in interpretive sociology, as they allow access to cultural or institutional dispositions when justification talk has not been provided. While a statement of interest is absent from the foundational literature, I identify the following affect displays: (1) unease and disgust; (2) attachment to heteronormativity, as well as three kinds of gratification or pleasure rewards; (3) power pleasure; (4) surgical pleasure; (5) and cosmetic pleasure. As surgical action appeases some of these affects and nourish others, previous medical professionals had interests that were their own and not centred on the children. Examination of attitudes to clitoridectomy reveals that clinicians were aware of the (phallo)clitoris’ importance to sexual pleasure but dismissed it, further invalidating claims that past practice was based on children’s best interest.
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重新审视过去医学无罪和善意的说法
医疗专业人员通常会以双性成人的经历反映了 "过时 "的做法为由,拒绝接受对未经个人知情同意而改变婴幼儿性别特征的可延缓治疗的批评。然而,过去的做法也会受到保护,不会受到批评,理由是 "用心良苦"、对儿童最大利益的承诺以及医疗实践中受环境制约的因素。我首先研究了 "最佳性别政策 "的基础文献,以核实是否存在利益或动机声明,然后收集情感显示以确定动机,并观察人们对阴蒂切除术的态度。情感显示指出了与解释性社会学相关的动机,因为在没有提供正当理由的情况下,情感显示允许获取文化或制度处置。虽然基础文献中没有相关声明,但我确定了以下情感表现:(1) 不安和厌恶;(2) 对异性恋的依恋,以及三种满足或愉悦奖励;(3) 权力愉悦;(4) 手术愉悦;(5) 美容愉悦。由于外科手术可以安抚其中的一些情绪,并滋养另一些情绪,以往的医务人员都有自己的兴趣爱好,而不是以儿童为中心。对阴蒂切除术态度的研究表明,临床医生意识到(阴蒂)对性快感的重要性,但却对此不屑一顾,这进一步否定了过去的做法是以儿童的最佳利益为基础的说法。
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来源期刊
Social Sciences
Social Sciences Social Sciences-Social Sciences (all)
CiteScore
2.60
自引率
5.90%
发文量
494
审稿时长
11 weeks
期刊介绍: Social Sciences (ISSN 2076-0760) is an international, peer-reviewed, quick-refereeing open access journal published online monthly by MDPI. The journal seeks to appeal to an interdisciplinary audience and authorship which focuses upon real world research. It attracts papers from a wide range of fields, including anthropology, criminology, geography, history, political science, psychology, social policy, social work, sociology, and more. With its efficient and qualified double-blind peer review process, Social Sciences aims to present the newest relevant and emerging scholarship in the field to both academia and the broader public alike, thereby maintaining its place as a dynamic platform for engaging in social sciences research and academic debate. Subject Areas: Anthropology, Criminology, Economics, Education, Geography, History, Law, Linguistics, Political science, Psychology, Social policy, Social work, Sociology, Other related areas.
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