Department of Philosophy and Education Science, University of Turin, Via Sant'Ottavio 20, 10124, Turin, Italy.
Pediatric Pneumology, Regina Margherita Children's Hospital, Città della Salute e della Scienza, Piazza Polonia 94, 10126, Turin, Italy.
J Bioeth Inq. 2018 Dec;15(4):557-568. doi: 10.1007/s11673-018-9880-7. Epub 2018 Oct 26.
This article aims to analyse a possible manner of approaching the birth of intersexual children. We start out by summing up what intersexuality is and how it is faced in the dominant clinical practice (the "treatment paradigm"). We then argue against this paradigm, in favour of a postponement of genital surgery. In the second part of this paper, we take into consideration the general question of whether only two existing sexes are to be recognized, arguing in favour of an expansion of sex categories. In the third part, we illustrate the reasons supporting provisional sex attribution: the child's best interest and respect for their developing moral autonomy. This position aims to increase the child's well-being and self-determination, limiting parents' freedom to take decisions on behalf of others, in particular, those decisions concerning basic aspects of their children's personal identity.
本文旨在分析一种可能的方法来处理两性畸形儿童的出生问题。我们首先总结了什么是两性畸形以及在主流临床实践中(“治疗范式”)如何面对它。然后,我们反对这种范式,主张推迟生殖器手术。在本文的第二部分,我们考虑了是否只承认两种现有性别的一般问题,主张扩大性别的类别。在第三部分,我们阐述了支持临时性别分配的理由:儿童的最大利益和对其发展中的道德自主性的尊重。这一立场旨在增加儿童的幸福感和自我决定能力,限制父母代表他人做出决定的自由,特别是那些涉及儿童个人身份基本方面的决定。