female genital mutilation

The Bioethics of Clitoral "Reduction" Alone Is Questionable Enough. Now This?

Mon, 2010-06-21 14:59

Via an email tip from reader HW, Alice Dreger and Ellen K. Feder of The Hastings Center’s Bioethics Forum call out a… peculiar form of aftercare for children who’s parents have subjected them to surgery to correct clitorises that are “too large.” They’re talking about an article in the Journal of Urology from 2007 called “Nerve Sparing Ventral Clitoroplasty: Analysis of Clitoral Sensitivity and Viability” by Jennifer Yang, Diane Felsen, and Dix P. Poppas.

Dreger and Feder say

Writing in the typically dry, quantifying language of modern medicine, the authors report why they believe Poppas, a pediatric urologist at New York Presbyterian Hospital, Weill Medical College of Cornell University, has left a group of girls still able to have sexual sensation after he has removed parts of the girls’ clitorises. With parental consent, these girls’ clitorises have been cut down in size after the physician deemed these clitorises too big.

...

But we are not writing today to again bring attention to the surgeries themselves. Rather, we are writing to express our shock and concern over the follow-up examination techniques described in the 2007 article by Yang, Felsen, and Poppas. Indeed, when a colleague first alerted us to these follow-up exams – which involve Poppas stimulating the girls’ clitorises with vibrators while the girls, aged six and older, are conscious – we were so stunned that we did not believe it until we looked up his publications ourselves.

Read the quote in context here.

They continue

Although we have tried, we have been unable to locate any other pediatric urologist who uses these techniques. Indeed, we doubt many would, because we think most would – as we do – find this technique to be impossible to justify as being in these girls’ best interests. We understand that these tests might produce generalized knowledge that shows whether Poppas’s techniques are better than some other surgeons’, but it isn’t clear to us how this kind of genital touching post-operatively is in individual patients’ best interests. If the testing shows a girl has lost sensation through the surgery, her lost clitoral tissue cannot be put back. However, the tests would seem to expose the girls to significant risk of psychological harm.

In the course of our inquiries, made in preparation for this publication, nearly all clinicians to whom we described Poppas’s “clitoral sensory testing and vibratory sensory testing” practices thought them so outrageous that they told us we must have the facts wrong.

I think that’s about right. Leaving aside the much larger bioethical question of tampering with the genitals of children who are perceived to be intersexed before they themselves are old enough to participate in the decision, let alone before they’re old enough to determine for themselves what their preferred sex, gender, orientation, and identities are there’s the whole question of… how the heck this follow-up experimentation is ethically justified?

(Not-so) Happy Golden Days of Yore

Thu, 2008-12-18 13:18

Anna N. of Jezebel says

If you’re still using Alex Comfort’s 1972 The Joy of Sex as your guide to such topics as “frigidity,” having sex on horseback, and “tactful ways to take a woman’s virginity,” it’s time to update.

British sexologist Susan Quilliam has revised the famous book, putting more focus where you need it most: the clit. In words oddly reminiscent of Obama’s “McCain doesn’t get it” speech, Quilliam says Comfort gave short shrift to the all-important bit of female anatomy “not because he was anti-clitoris, but because he just didn’t know.” Also included now are sections on Internet porn, vulvar care, and a technique called the “Venus butterfly.” [NY Times]

Read the quote in context here.

What’s really scary to contemplate is Comfort was actually fairly state-of-the-art on the clit for 1972! He only started writing the thing a year or two after Masters and Johnson announced their research that it’s all about the clit. And only maybe ten years after “helpful” American gynecologists finally stopped cauterizing** or cutting them out of women who couldn’t stop playing with them(!!!!)

During a trial to shut down a theater for showing the Linda Lovelace movie “Deep Throat” a New York City prosecutor said, with his bare face hanging out, “The movie says it’s perfectly normal to have a clitoral orgasm and THAT IS WRONG.”

Y’ever wonder why old 2nd-wave feminists seem really cranky compared to 3rd-wavers? 3rd-wavers are all too young to remember just how jarringly bad it used to be! It was bad!

The original book is impossibly old-fashioned now in large part because… people back then read it, tried some of the then utterly-unheard-of stuff in it, and took it from there. Some of it’s laugh-out-loud now but compared to everything else available to the general public back then it was light-years ahead.

[** Yes, that J.H. Kellogg. —fl]

Mukasey Makes the Right Call, Plus Second Time Is *Not* the Charm!

Tue, 2008-09-23 16:25

Samhita of Feministe asks an unsurprising question about Attorney General Mukasey putting pressure on the (Monica Goodling-bolloxed) Immigration Appeals Board to reverse their decision to send a refugee back to Mali on the basis that, having already been genitally mutilated once she’s not likely to be mutilated again. (Heck of a job, Bushie!)

Seriously, why? He hasn’t seemed to care about international human rights violations in the past.

She said it here.

While digging deeper into the background of the Immigration Appeals Board (heck of a job, Bushie, revisited) Megan of Jezebel supplies the ominous answer (emphasis mine.)

Mukasey’s order sends the case back to the Board of Immigration Appeals, which, one hopes, will not act like complete assholes the second time around. Mukasey pointed out that female genital mutilation can, indeed, be inflicted more than once — making the ruling factually wrong — and that further persecution need not take the same form as the initial persecution to qualify the woman for asylum. So, the Bush Administration finally did something right… only, actually, it’s all their fault in the first place.

Confirm the quotation here.

I remember reading… somewhere… this summer that FGM victims are often able to masturbate by rubbing their scar tissue — which makes sense given what we know now about the actual size and structure of the clitoris. The idea that adherents of the practice might keep doing it till their victims are rendered completely compliant with “no-sex” class ideology is pretty, um, discouraging.

I’m not at all a fan of circumcision period but anybody out there still want to debate whether male circumcision is identical to female “circumcision?”

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As Megan points out, Mukasey was only doing his actual job of cleaning up after the disgraceful behavior of the Bush DOJ, but give credit where credit’s due. Good for him.

Yeah, Well We'd Suppress "Sects" That Practiced Child Sacrifice Too

Thu, 2008-04-10 07:30

The AP’s Michelle Roberts, via The Seattle Post-Intelligencer, has an update on the recently raided pedophilia/polygamy “compound” in El Dorado, Texas.

SAN ANGELO, Texas — Lawyers for a polygamist sect that is the subject of a massive child-abuse investigation argued in court Wednesday that although its members’ multiple marriages and cloistered ways may be unusual, they have a right to their faith and privacy.

Gerry Goldstein, a San Antonio lawyer representing the Fundamentalist Church of Jesus Christ of Latter Day Saints, also told a judge that the search of the temple in the sect’s West Texas compound is analogous to a law enforcement search of the Vatican or other holy places.

...

Prosecutor Allison Palmer countered that the purpose in seizing the documents was to uncover evidence of criminal activity, not to malign a religion.

State troopers and child welfare officials began a search of the FLDS compound in Eldorado last Thursday after a 16-year-old girl there called a local family violence shelter to report her 50-year-old husband beat and raped her. The search warrant covered all documents related to marriages among sect members, including photos and entries possibly written in family Bibles.

Rest of the article here.

Look. Here’s the deal. First of all it’s fine with me if people want to practice polygamy. It’s even fine for me if they want to do power-gradient role playing if that’s what floats you and your partner’s and your friend’s boats. Freedom of religion, freedom of expression, and freedom of sexual self-determination all demand that I tolerate that whether or not it floats my boat.

But nothing in church doctrine (even, as far as I know, LDS doctrine) dictates that girls under age 18 are obliged to participate. And, sorry, too bad for doctrine if it did. (Which, remember, it doesn’t) Worshipers of the (Biblical version) of Baal might argue their doctrine required live cremation of all first-born children before age three, and claim that their “compound” be treated like the Vatican too. And that would be tough shit for them too.

And just to be clear it wouldn’t be tough shit for child sacrificers because children are God’s little angels. No more than it’s not tough shit for the child molesters in El Dorado because children are holy innocents. It’s because in the 21st Century, in all but the most thoroughly regressive cultures, children are recognized as distinct civil, moral, ethical, and spiritual entities from their parents and therefore children are not their parents to dispose of or consume in ways that subtract from the child’s ability to take up the reins of the world upon reaching adulthood!

As Hannah Arendt said back in Between Past and Future (paraphrasing since my copy is in storage), we can train dogs because we know we’ll be here to train their offspring and their offspring’s offspring as well. With humans, though, we cannot train children. We must instead educate them because we know we will not be there to train their children and certainly not to train their children’s children. And this is the fallacy of all claims (conservative and liberal) that society may have no say in what custodial adults choose to do with their children because they’re only “their” children for 18 years. After that they become our fellow citizens and our children’s fellow future colleagues, partners, friends… or — if their parents have self-indulgently fucked them up enough — they become burdens on ours and our children’s society.

Children grow up. They outlive their parents. And until they’re old enough to give full, informed, and legal adult consent that’s why no matter how religiously, culturally, or socially tolerant we otherwise might be, it’s a problem letting even passionately, sincerely religious adults buy, sell, “marry,” or just slake their pedophilic lust into the bodies of theirs or other people’s children. It’s why the more tolerant our society the less we could tolerate infant sacrifice, no matter how religiously justified. It’s why we can’t tolerate “honor killings.” It’s the real reason why surgical genital alteration on children is intolerable as well. It’s even why we can’t just let these fuckers yank girls out of 5th grade for fear that they might learn enough to get themselves and their own children away from the nightmare cultural-not-religious cycle of female child-sexual and child-labor slavery.

It also happens to be why I call this blog Real Adult Sex. Just in case anyone ever wondered.

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Oh, and just for the record, from another AP story on the same “sect” (emphasis mine)

Church leaders have kept a strict hold on every aspect of FLDS life – from the modest prairie-style clothes worn by members, to amount of time their kids stay in school and which house a family calls home.

Marriages, which sometimes have included unions between teenage girls and older men, are arranged through the church’s prophet and leader. Sect dissidents say the rules got even tighter in 2002, when Warren Jeffs took over the church.

Jeffs, now 52, demanded more from followers, asking for steep increases in the 10 percent monthly tithe. Dozens of men were excommunicated. Their wives and children were given to other men deemed more worthy.

Source: Seattle P-I

Sorry, it’s possible for adult men to consent to a system whereby they can be excommunicated for failing to sufficiently obey the whims of their leader. And it’s possible for adult women to consent to a system whereby they obey the same leaders no matter how loathsomely he dehumanizes them. (Do I even need to say that in all cases one would always be ready at the drop of a penny to, um, aggressively support and defend men or women participants’ right to withdraw from their self-imposed agreements at any time.) But neither the men nor the women have the right to consent to the sale or “gift” of their children to anyone else in the course of their role playing. Because, no that it needs saying, children are first and always people.

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