Machado Paula
Núcleo de Pesquisa em Antropologia do Corpo e da Saúde (NUPACS), Federal University of Rio Grande do Sul, Porto Alegre, Brazil.
Cult Health Sex. 2009 Apr;11(3):237-50. doi: 10.1080/13691050802233454.
This paper reports of the socio-medical management of intersexuality in a teaching hospital in southern Brazil. Findings reveal that the 'search for sex' in the body treats sex as a medical-diagnostic category constructed during decision-making negotiations. In the course of the various bodily 'regulations' and 'corrections' imposed, the insufficiency of a model in which categories are based around a sexual dichotomy is revealed. By questioning this dichotomy, it is possible to examine theoretical and ethical limits circumscribing the field of bioethics and the notion of sexual rights as human rights. The paper also explores the tensions that can arise from the application of sexual rights to health issues in general, and the medical sphere in particular.
本文报告了巴西南部一家教学医院对双性人的社会医学管理情况。研究结果显示，在身体上“寻找性别”将性别视为在决策谈判过程中构建的医学诊断类别。在实施的各种身体“规范”和“矫正”过程中，揭示了一种基于性二分法的类别模型的不足。通过质疑这种二分法，可以审视界定生物伦理领域和性权利作为人权概念的理论和伦理界限。本文还探讨了将性权利应用于一般健康问题，特别是医学领域时可能产生的紧张关系。
