Human rights violations in normalizing procedures on intersex children

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 th...

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Detalles Bibliográficos
Autores: Gilberto Cogo Leivas, Paulo, de Almeida Schiavon, Amanda, Hertzog Resadori, Alice, Aver Vanin, Aline, do Nascimento Almeida, Alexandre, Sandrine Machado, Paula
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2023
País:Brasil
Institución:Fundação Oswaldo Cruz (FIOCRUZ)
Repositorio:Cadernos de Saúde Pública
Idioma:portugués
inglés
OAI Identifier:oai:ojs.teste-cadernos.ensp.fiocruz.br:article/8291
Acceso en línea:https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/8291
Access Level:acceso abierto
Palabra clave:Pessoas Intersexo
Criança
Direitos Humanos
Bioética
Personas Intersexuales
Niño
Derechos Humanos
Intersex Persons
Child
Human Rights
Bioethics
Descripción
Sumario: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.