Human rights violations in normalizing procedures on intersex children
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | por eng |
Título da fonte: | Cadernos de Saúde Pública |
Texto Completo: | https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/8291 |
Resumo: | Intersex children in Brazil are still subjected to “normalizing” surgical procedures and subsequent bodily interventions to make their bodies conform to binary views of sex. Resolution n. 1,664/2003 of the Brazilian Federal Council of Medicine legitimizes interventions upon intersex bodies, being the only national normative instrument that address the subject. However, the demands of international intersex political activism have denounced how early childhood interventions for sex designation mutilate children’s bodies and violate a number of human rights. This research discusses how early, irreversible, and normalizing procedures performed without the intersex person’s consent are human rights violations. Based on the concept of epistemic (in)justice, we first look at the disputes surrounding the evidence that underpin medical practices. We demonstrate how such procedures violate human rights to health, body integrity, autonomy, and sexual and reproductive rights, analyzing which strategies were put into place to prevent them. We propose that intersex people be at the center of decisions regarding their bodies, that non-surgical paths be discussed with patients and their family members, and that early, invasive, mutilating, harmful, cosmetic, and unconsented surgical interventions on intersex children be prohibited. Guiding tools must introduce changes into its regulatory bias to, from an interdisciplinary perspective, include bioethical and human rights bodies, as well as intersex activists. |
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Human rights violations in normalizing procedures on intersex childrenViolaciones de derechos humanos en procedimientos de normalización de niños intersexualesViolações de direitos humanos nos procedimentos normalizadores em crianças intersexoPessoas IntersexoCriançaDireitos HumanosBioéticaPersonas IntersexualesNiñoDerechos HumanosBioéticaIntersex PersonsChildHuman RightsBioethicsIntersex children in Brazil are still subjected to “normalizing” surgical procedures and subsequent bodily interventions to make their bodies conform to binary views of sex. Resolution n. 1,664/2003 of the Brazilian Federal Council of Medicine legitimizes interventions upon intersex bodies, being the only national normative instrument that address the subject. However, the demands of international intersex political activism have denounced how early childhood interventions for sex designation mutilate children’s bodies and violate a number of human rights. This research discusses how early, irreversible, and normalizing procedures performed without the intersex person’s consent are human rights violations. Based on the concept of epistemic (in)justice, we first look at the disputes surrounding the evidence that underpin medical practices. We demonstrate how such procedures violate human rights to health, body integrity, autonomy, and sexual and reproductive rights, analyzing which strategies were put into place to prevent them. We propose that intersex people be at the center of decisions regarding their bodies, that non-surgical paths be discussed with patients and their family members, and that early, invasive, mutilating, harmful, cosmetic, and unconsented surgical interventions on intersex children be prohibited. Guiding tools must introduce changes into its regulatory bias to, from an interdisciplinary perspective, include bioethical and human rights bodies, as well as intersex activists.En Brasil, los niños intersexuales todavía están sujetos a procedimientos de asignación de sexo binario al nacer y a intervenciones corporales posteriores. La Resolución nº 1.664/2003, del Consejo Federal de Medicina, asegura las intervenciones sobre corporalidades intersexuales y es el único instrumento normativo nacional sobre el tema. Sin embargo, las demandas que surgieron desde el activismo político internacional intersexual plantean cómo las intervenciones tempranas en la infancia para la asignación de género binario mutilan el cuerpo de los niños y vulneran una serie de derechos humanos. Esta investigación tiene por objetivo identificar cómo los procedimientos tempranos, irreversibles y normalizadores, realizados sin el consentimiento de la persona intersexual producen violadores de los derechos humanos. Con base en el concepto de (in)justicia epistémica, partimos de las disputas en torno a la producción de evidencia que subyace a las prácticas médicas. Demostramos cómo estos procedimientos vulneran los derechos humanos a la salud, la integridad y autonomía corporales, y los derechos sexuales y reproductivos, además, analizamos qué estrategias se han utilizado para evitarlos. Debatimos que las personas intersexuales deben estar en el centro de las decisiones sobre sus propios cuerpos y que se discutan con pacientes y familiares formas no quirúrgicas e intervenciones tempranas, invasivas, mutiladoras, dañinas, cosméticas y no consensuales en los cuerpos de los niños intersexuales. Los cambios en los instrumentos rectores para que dejen de regular estos cuerpos son necesarios para que, desde una perspectiva interdisciplinaria, se incluyan instancias de bioética y derechos humanos, así como a personas del activismo político intersexual.No Brasil, crianças intersexo ainda são submetidas a procedimentos para designação de sexo binário no nascimento e a intervenções corporais subsequentes. A Resolução nº 1.664/2003, do Conselho Federal de Medicina, legitima intervenções sobre as corporalidades intersexo, se constituindo como o único instrumento normativo nacional que trata sobre o tema. No entanto, as demandas advindas do ativismo político internacional intersexo vêm expondo o quanto as intervenções precoces na infância para a designação de um sexo binário mutilam os corpos das crianças e violam uma série de direitos humanos. Esta pesquisa visa identificar como os procedimentos precoces, irreversíveis e normalizadores, realizados sem o consentimento da pessoa intersexo, revelam-se violadores de direitos humanos. Sob as lentes do conceito de (in)justiça epistêmica, partimos das disputas em torno da produção de evidências que embasam as práticas médicas. Demonstramos como esses procedimentos violam os direitos humanos à saúde, à integridade corporal e à autonomia e os direitos sexuais e reprodutivos, e analisamos quais têm sido as estratégias para evitar essas violações. Propomos que pessoas intersexo estejam no centro das decisões sobre o próprio corpo e que sejam debatidos, junto a pacientes e familiares, caminhos não cirúrgicos e proibidas intervenções precoces, invasivas, mutilatórias, prejudiciais, cosméticas e não consentidas nos corpos de crianças intersexo. A proposição de mudanças em instrumentos norteadores que deixem de regular esses corpos é necessária para, a partir de uma perspectiva interdisciplinar, incluir instâncias bioéticas e de direitos humanos, assim como pessoas do ativismo político intersexo.Reports in Public HealthCadernos de Saúde Pública2023-07-02info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/xmlapplication/pdfapplication/pdfhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/8291Reports in Public Health; Vol. 39 No. 1 (2023): JanuaryCadernos de Saúde Pública; v. 39 n. 1 (2023): Janeiro1678-44640102-311Xreponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZporenghttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/8291/18519https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/8291/18520https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/8291/18521Copyright (c) 2023 Cadernos de Saúde Públicainfo:eu-repo/semantics/openAccessGilberto Cogo Leivas, Paulode Almeida Schiavon, AmandaHertzog Resadori, AliceAver Vanin, Alinedo Nascimento Almeida, AlexandreSandrine Machado, Paula2023-07-19T12:53:24Zoai:ojs.teste-cadernos.ensp.fiocruz.br:article/8291Revistahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csphttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/oaicadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2024-03-06T13:09:27.995793Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)true |
dc.title.none.fl_str_mv |
Human rights violations in normalizing procedures on intersex children Violaciones de derechos humanos en procedimientos de normalización de niños intersexuales Violações de direitos humanos nos procedimentos normalizadores em crianças intersexo |
title |
Human rights violations in normalizing procedures on intersex children |
spellingShingle |
Human rights violations in normalizing procedures on intersex children Gilberto Cogo Leivas, Paulo Pessoas Intersexo Criança Direitos Humanos Bioética Personas Intersexuales Niño Derechos Humanos Bioética Intersex Persons Child Human Rights Bioethics |
title_short |
Human rights violations in normalizing procedures on intersex children |
title_full |
Human rights violations in normalizing procedures on intersex children |
title_fullStr |
Human rights violations in normalizing procedures on intersex children |
title_full_unstemmed |
Human rights violations in normalizing procedures on intersex children |
title_sort |
Human rights violations in normalizing procedures on intersex children |
author |
Gilberto Cogo Leivas, Paulo |
author_facet |
Gilberto Cogo Leivas, Paulo de Almeida Schiavon, Amanda Hertzog Resadori, Alice Aver Vanin, Aline do Nascimento Almeida, Alexandre Sandrine Machado, Paula |
author_role |
author |
author2 |
de Almeida Schiavon, Amanda Hertzog Resadori, Alice Aver Vanin, Aline do Nascimento Almeida, Alexandre Sandrine Machado, Paula |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Gilberto Cogo Leivas, Paulo de Almeida Schiavon, Amanda Hertzog Resadori, Alice Aver Vanin, Aline do Nascimento Almeida, Alexandre Sandrine Machado, Paula |
dc.subject.por.fl_str_mv |
Pessoas Intersexo Criança Direitos Humanos Bioética Personas Intersexuales Niño Derechos Humanos Bioética Intersex Persons Child Human Rights Bioethics |
topic |
Pessoas Intersexo Criança Direitos Humanos Bioética Personas Intersexuales Niño Derechos Humanos Bioética Intersex Persons Child Human Rights Bioethics |
description |
Intersex children in Brazil are still subjected to “normalizing” surgical procedures and subsequent bodily interventions to make their bodies conform to binary views of sex. Resolution n. 1,664/2003 of the Brazilian Federal Council of Medicine legitimizes interventions upon intersex bodies, being the only national normative instrument that address the subject. However, the demands of international intersex political activism have denounced how early childhood interventions for sex designation mutilate children’s bodies and violate a number of human rights. This research discusses how early, irreversible, and normalizing procedures performed without the intersex person’s consent are human rights violations. Based on the concept of epistemic (in)justice, we first look at the disputes surrounding the evidence that underpin medical practices. We demonstrate how such procedures violate human rights to health, body integrity, autonomy, and sexual and reproductive rights, analyzing which strategies were put into place to prevent them. We propose that intersex people be at the center of decisions regarding their bodies, that non-surgical paths be discussed with patients and their family members, and that early, invasive, mutilating, harmful, cosmetic, and unconsented surgical interventions on intersex children be prohibited. Guiding tools must introduce changes into its regulatory bias to, from an interdisciplinary perspective, include bioethical and human rights bodies, as well as intersex activists. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-07-02 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/8291 |
url |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/8291 |
dc.language.iso.fl_str_mv |
por eng |
language |
por eng |
dc.relation.none.fl_str_mv |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/8291/18519 https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/8291/18520 https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/8291/18521 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2023 Cadernos de Saúde Pública info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2023 Cadernos de Saúde Pública |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/xml application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
Reports in Public Health Cadernos de Saúde Pública |
publisher.none.fl_str_mv |
Reports in Public Health Cadernos de Saúde Pública |
dc.source.none.fl_str_mv |
Reports in Public Health; Vol. 39 No. 1 (2023): January Cadernos de Saúde Pública; v. 39 n. 1 (2023): Janeiro 1678-4464 0102-311X reponame:Cadernos de Saúde Pública instname:Fundação Oswaldo Cruz (FIOCRUZ) instacron:FIOCRUZ |
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Fundação Oswaldo Cruz (FIOCRUZ) |
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FIOCRUZ |
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FIOCRUZ |
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Cadernos de Saúde Pública |
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Cadernos de Saúde Pública |
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Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ) |
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cadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br |
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