Week 11 Flashcards

1
Q

What is Intersex

A

-Intersex people may have external genitalia which do not closely resemble typical male or female genitalia, or which have the appearance of both male and female genitalia; the genitalia of one sex and the secondary sex characteristics of another sex; or a chromosomal make-up that is neither XX or XY but may be a combination of both.
-Term is used to describe an individual whose chromosomes, hormones, or sexual organs are not in line with the perceived male/female sex binary.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Aphallia

A

Where the first two sections of the genitals sent develop equally common in both genders

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Clitormegaly

A

found in females, the clit is usually ‘reduced’ to an ‘acceptable female standard’

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Chordee

A

where the head of the penis formed as if it were female while the other parts continued on as male.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Ovotestis

A

-occurs very rarely in humans and considered an intersex condition
-individual has both ovarian and testicular tissue present

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Deviation from typical sexual dimorphism according to 3 classes

A

-One or more reproductive organs are classified as ambiguous or unusual as a result of underlying mechanisms involving sex chromosomes or sex hormone production or reception
-Reproductive organs are classified as ambiguous or unusual but there are no underlying sex chromosomes or hormone irregularities.
-Sex chromosome or hormones are irregular, but the reproductive organs are not particularly ambiguous or unusual.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Sex=?

A

chromosomes, anatomy, and hormones (not just the sex organs)
-Whichever one is the source of the deviation will determine often the intervention path chosen if one is required

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Born with mixed genitalia

A

-Was said to require intervention via surgical gender (permanent) assignment, & hormone therapy at puberty.
-Very large failure rate for gender reassignments; Often parents are pressured to do it & told things that are untrue or without evidence
-Human rights groups now deem these surgeries abuse since they result in physical, psychological, & emotional harm.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Fausto-Sterling

A

-Argued in 1993 for 5 human sex categories:
male, female, male pseudoherm (terms), female pseudoherm (ferms), & true herm (herms)
-Dismorphic system does not adequately encompass the full spectrum of human sexuality
-The boundaries separating masculine & feminine are difficult to define with absolute clarity
-F-S wants intersexuality to not be considered a disease or a condition, but as normal.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Critiques of Fausto-Sterling

A

-Kessler pointed out that her limitation was giving primacy to the genitals, & not enough attention to the social construction of gender or other ways we identify gender daily without genital inspection
-People come in a wide assortment of gender & sexual identities that genitals alone cannot capture
Social Gender- what Kessler calls ‘Cultural Genitals’, is the gender someone projects in their daily life.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Kessler Argues

A

-For a development theory of gender our gender identity develops over time, in ways affected by various psycho-social factors rather than built-in at birth
-Has pros & many cons
-Still holds that someone must belong to one sex or the other, not both; Freudian roots give primacy to the penis
-Conservatives often use this model to justify their idea of ‘curing’ trans & gay people.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Intersex- Elders, Satcher, Carmona

A

-Children with ‘atypical genitals’ should be left alone; They cause too much trauma, they have lasting effects physically & emotionally.
-Physicians are recommending unnecessary surgeries to parents pressure without evidence.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Elders, Satcher, Carmona/ 3 reasons they give to cease surgeries

A
  1. insufficient evidence that growing up with atypical genitals leads to psychosocial distress
  2. Little evidence exists that genitoplasty is necessary to reduce psychological damage but these surgeries can cause irreversible harm to the body and emotional distress
  3. These surgeries violate an individuals rights to personal autonomy over their own future defer it until they are old enough to make decisions.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Breakdown of LGBTQI+

A

Sexuality= LGB
Gender= TQ
Biology= I

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Why add the I? LgbtQI+ breakdown

A

Increase visibility and awareness; Recognize homophobia & sexism as at the root of the problematic “treatment” of intersex; Create a safer place for intersex people

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Why not add the I? LGBTQI+ breakdown

A

Suggests biology is identity & it’s not; Placing it with LGBTQ+ is a problem for doctors & paediatricians; It gets confused with Trans; It gets confused with Queer & not all Intersex people are queer.

17
Q

Take aways

A

1) ‘Normal’ and ‘Healthy’ are 2 different categories; Clinicians should focus on healthy outcomes
2) A person’s health & wellbeing should come before standards of social convention & normatively
3) Consent (informed) is absolutely crucial here