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      Diagnosing sex: Intersex surgery and ‘sex change’ in Britain 1930–1955

      research-article
      Sexualities
      SAGE Publications
      history, intersex, medicine, surgery, trans

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          Abstract

          The medical ‘management’ of individuals with atypical sex characteristics, or intersex variations, has been under scrutiny since the beginnings of intersex activism in the 1990s. This article explores a history of intersex surgeries in Britain and the interaction with medical and popular discourses around ‘sex-change’ between 1930 and 1955. A focus on this period in Britain helps to critically elaborate on debates in intersex scholarship; provides historical context for the introduction of approaches and protocols based on John Money and colleagues’ work in the USA in the mid-century; and analyses a long history of tension and intersection between trans and intersex experiences, treatments, politics and popular representations that continue into the present.

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          Most cited references22

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          The Medical Construction of Gender: Case Management of Intersexed Infants

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            Ethical principles and recommendations for the medical management of differences of sex development (DSD)/intersex in children and adolescents

            Abstract The medical management of differences of sex development (DSD)/intersex in early childhood has been criticized by patients’ advocates as well as bioethicists from an ethical point of view. Some call for a moratorium of any feminizing or masculinizing operations before the age of consent except for medical emergencies. No exhaustive ethical guidelines have been published until now. In particular, the role of the parents as legal representatives of the child is controversial. In the article, we develop, discuss, and present ethical principles and recommendations for the medical management of intersex/DSD in children and adolescents. We specify three basic ethical principles that have to be respected and substantiate them. The article includes a critical discussion of the best interest of the child and of family privacy. The argumentation draws upon recommendations by the working group “Bioethics and Intersex” within the German Network DSD/Intersex, which are presented in detail. Unlike other recommendations with regard to intersex, these guidelines represent a comprehensive view of the perspectives of clinicians, patients, and their families. Conclusion The working group identified three leading ethical principles that apply to DSD management: (1) to foster the well-being of the child and the future adult, (2) to uphold the rights of children and adolescents to participate in and/or self-determine decisions that affect them now or later, and (3) to respect the family and parent–child relationships. Nine recommendations for the management of DSD indicate how these ethical principles can spelled out and balanced against each other in the clinical setting.
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              Hermaphroditism: recommendations concerning assignment of sex, change of sex and psychologic management.

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                Author and article information

                Journal
                Sexualities
                Sexualities
                SEX
                spsex
                Sexualities
                SAGE Publications (Sage UK: London, England )
                1363-4607
                1461-7382
                17 January 2018
                March 2018
                : 21
                : 3 , Special Issue: Disability and sexuality: Desires and pleasures
                : 476-495
                Affiliations
                [1-1363460717740339]University of Surrey, UK
                Author notes
                [*]David Andrew Griffiths, University of Surrey Stag Hill Campus Guildford Surrey, GU2 7XH, UK. Email: d.a.griffiths@ 123456surrey.ac.uk
                Article
                10.1177_1363460717740339
                10.1177/1363460717740339
                5836525
                436c4da6-1180-49e5-bc0c-8d0b79400bb4
                © The Author(s) 2018

                This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License ( http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages ( https://us.sagepub.com/en-us/nam/open-access-at-sage).

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                history,intersex,medicine,surgery,trans
                history, intersex, medicine, surgery, trans

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