Fox M, Thomson M
School of Law, Keele University, Staffordshire ST5 5BG, UK.
J Med Ethics. 2005 Aug;31(8):463-9. doi: 10.1136/jme.2004.009340.
This article offers a critique of the recently revised BMA guidance on routine neonatal male circumcision and seeks to challenge the assumptions underpinning the guidance which construe this procedure as a matter of parental choice. Our aim is to problematise continued professional willingness to tolerate the non-therapeutic, non-consensual excision of healthy tissue, arguing that in this context both professional guidance and law are uncharacteristically tolerant of risks inflicted on young children, given the absence of clear medical benefits. By interrogating historical medical explanations for this practice, which continue to surface in contemporary justifications of non-consensual male circumcision, we demonstrate how circumcision has long existed as a procedure in need of a justification. We conclude that it is ethically inappropriate to subject children-male or female-to the acknowledged risks of circumcision and contend that there is no compelling legal authority for the common view that male circumcision is lawful.
本文对英国医学协会(BMA)最近修订的关于常规新生儿男性包皮环切术的指南提出了批评,并试图挑战该指南所依据的假设,这些假设将此手术视为父母的选择问题。我们的目的是对专业人士持续愿意容忍对健康组织进行非治疗性、未经同意的切除提出质疑,认为在这种情况下,鉴于缺乏明确的医疗益处,专业指南和法律对强加给幼儿的风险异常宽容。通过审视这种做法的历史医学解释,这些解释在当代未经同意的男性包皮环切术的正当理由中仍然存在,我们展示了包皮环切术长期以来一直是一种需要正当理由的手术。我们得出结论,让儿童——无论男女——承受包皮环切术公认的风险在伦理上是不适当的,并认为对于男性包皮环切术是合法的这一普遍观点,没有令人信服的法律依据。