Let the Child Decide: Surgical Intervention After Parental Consent Should No Longer Be Considered the Best Option for Children with Intersex Conditions
Bibliographic record
Abstract
Not that I would have necessarily kept my phalloclit 1 … But I would have liked to have been able to choose for myself.I would have liked to have grown up in the body I was born with… But physically, someone else made the decision of what and who I would be "be" before I even knew who and what I "was"… .[The doctors] used surgical force to make my appearance coincide with the medical and societal standards of a "normal" female body, thereby attempting to permanently jettison any trace of intersexuality.2Each year, a small number of infants are born with conditions that cause them to have reproductive anatomy (external or internal) that is not clearly identified as male or female.Currently in most of these situations, the child's parents decide soon after birth if they would like their child to undergo surgery to make his genitals appear more like "normal" male or female genitals.Since the early 1970's, it has been widely accepted in the United States that early surgical intervention to normalize the child's genitals is the best option for an intersexed child and that the child's parents should be able to consent to such a procedure since the young child is obviously not able to consent to surgery himself.This paper will examine the current standard of 1 M. Morgan Holmes, the Director of the Canadian Chapter of Intersex Society of North America and author of this quote defines the term "phalloclit" in his 1995 paper Queer Cut Bodies: Intersexuality & Homophobia in Medical Practice: "I have created this term to describe tissue which is not exactly a penis but also not a 'proper' clitoris.As a penis it will be considered too small, as a clitoris, too large.Doctor's usually refer to such an organ as a phallus until it has been pared down to be an acceptable clitoris.Even when present on an 'XY' individual with no endocrine, gonadal or karyotype disorders, doctors will not call it a penis for fear that the parents will resist its reconstruction (amputation) as a clitoris which is its likely destiny."http://www.usc.edu/libraries/archives/queerfrontiers/queer/papers/holmes.long.html
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.002 | 0.015 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.003 | 0.003 |
| Scholarly communication | 0.001 | 0.002 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.005 | 0.008 |
| Insufficient payload (model declined to judge) | 0.009 | 0.002 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".