Dreger Alice D, Chase Cheryl, Sousa Aron, Gruppuso Philip A, Frader Joel
Program in Medical Humanities and Bioethics, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA.
J Pediatr Endocrinol Metab. 2005 Aug;18(8):729-33. doi: 10.1515/jpem.2005.18.8.729.
We explain here why the standard division of many intersex types into true hermaphroditism, male pseudohermaphroditism, and female pseudohermaphroditism is scientifically specious and clinically problematic. First we provide the history of this tripartite taxonomy and note how the taxonomy predates and largely ignores the modern sciences of genetics and endocrinology. We then note the numerous ways that the existing taxonomy confuses and sometimes harms clinicians, researchers, patients, and parents. Finally, we make six specific suggestions regarding what a replacement taxonomy and nomenclature for intersex should do and not do, and we call for the abandonment of all terms based on the root "hermaphrodite".
我们在此解释，为何将许多间性类型标准划分为真性雌雄同体、男性假两性畸形和女性假两性畸形在科学上是似是而非的，在临床上是有问题的。首先，我们介绍这种三方分类法的历史，并指出该分类法早于现代遗传学和内分泌学，且在很大程度上忽视了它们。然后，我们指出现有分类法在诸多方面给临床医生、研究人员、患者和家长造成了困惑，有时甚至带来了伤害。最后，我们就间性的替代分类法和命名法应做之事与不应做之事提出六项具体建议，并呼吁摒弃所有基于“雌雄同体”词根的术语。
