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      Sterilization of those with intellectual disability: Evolution from non-consensual interventions to strict safeguards

      1 , 2
      Journal of Intellectual Disabilities
      SAGE Publications

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          ‘The silence is roaring’: sterilization, reproductive rights and women with intellectual disabilities

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            ‘I have the jab so I can't be blamed for getting pregnant’: Contraception and women with learning disabilities

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              The sterilisation of people with intellectual disabilities in England and Wales during the period 1988 to 1999.

              In England and Wales, if a person is thought to lack capacity to make a decision to undergo a sterilisation operation, a specific process occurs. A Judge sitting in the Family Division of the High Court receives evidence from relevant parties including psychiatric and gynaecological experts and subsequently decides on the lawfulness of the sterilisation operation. We have investigated who was referred and by whom, the reasons given, and the outcomes of the legal process during an 11-year period. A retrospective case note study was undertaken of all referrals to the Official Solicitor's Office for sterilisation between 1988 and 1999. Using an established protocol, information was obtained from legal and clinical notes relating to the initial referral to the Official Solicitor, the opinions of experts, the court proceedings and the outcome. Seventy-three people, only three (5%) of whom were men, were referred over the 11 years. They were aged between 12 and 41 years. All but one had an intellectual disability (ID). Seventy-five per cent were living at home and did not have partners. Full applications were made for 50 of the 73 (68.5%), 39 proceeding to a court hearing. For 31 of the 39 (79.5%) cases, the court ruled that sterilisation would be in the person's 'best interests'. An additional six women probably had operations resulting in sterilisation without court authorization. Referrals for sterilisation are almost always for people with IDs. In the case of the majority, it was thought that it was unlikely that they had had or will have in the future a sexual relationship. Care needs to be taken in interpreting the results in this case note study. We hypothesize that the request for sterilisation is the consequence of a complex process reflecting concerns about the future, but in the context of other family issues. The relationship between lacking the capacity to consent to sterilisation and the capacity to consent to sexual intercourse needs further exploration. Future studies including interviews with those involved are required.
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                Author and article information

                Journal
                Journal of Intellectual Disabilities
                J Intellect Disabil
                SAGE Publications
                1744-6295
                1744-6309
                June 26 2017
                June 2019
                December 11 2017
                June 2019
                : 23
                : 2
                : 233-249
                Affiliations
                [1 ]Bournemouth University, UK
                [2 ]Vrije Universiteit Brussel, Belgium
                Article
                10.1177/1744629517747162
                f18df6a8-6b1c-4348-a86a-bac87ec79863
                © 2019

                http://journals.sagepub.com/page/policies/text-and-data-mining-license


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