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隐匿中的衰老:关于年长的双性人患者的批判性文献综述

Ageing in obscurity: a critical literature review regarding older intersex people.

作者信息

Berry Adeline W, Monro Surya

机构信息

Marie Curie Research Fellow, University of Huddersfield, Huddersfield, UK. Correspondence:

Professor of Sociology and Social Policy, University of Huddersfield, Huddersfield, UK.

出版信息

Sex Reprod Health Matters. 2022 Dec;30(1):2136027. doi: 10.1080/26410397.2022.2136027.

Abstract

Intersex people experience a range of human rights abuses, including non-consensual, irreversible medical interventions on minors. These abuses have lifelong effects, yet little is known about older intersex people. People in this diverse group face multiple marginalisations and erasures across different policy and practice arenas. This article reviews literature about intersex issues, drawing out materials relevant to older intersex people using an historically grounded approach. It focuses on the key issues affecting older intersex people living in a range of countries in the global North, as harmful medical practices originated in this region. Based on existing evidence, we found a pressing need for medical reform including a cessation of harmful medical practices and the development of appropriate healthcare that centres the needs and wishes of each intersex person. As intersex issues are currently heavily erased in most countries, research, cross-sectoral policy and practice work, and awareness-raising are all needed.

摘要

双性人遭受一系列侵犯人权行为,包括对未成年人进行未经同意的、不可逆转的医学干预。这些侵犯行为会产生终身影响,但对于年长的双性人却知之甚少。这个多样化群体中的人们在不同的政策和实践领域面临多重边缘化和被忽视的情况。本文回顾了有关双性人问题的文献,采用基于历史的方法提炼出与年长双性人相关的资料。它聚焦于影响生活在全球北方一系列国家的年长双性人的关键问题,因为有害的医疗行为起源于该地区。基于现有证据,我们发现迫切需要进行医学改革,包括停止有害的医疗行为,并制定以每个双性人的需求和意愿为核心的适当医疗保健措施。由于双性人问题目前在大多数国家都被严重忽视,因此需要开展研究、跨部门政策和实践工作以及提高认识。

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本文引用的文献

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Intersex: cultural and social perspectives.双性人:文化与社会视角
Cult Health Sex. 2021 Apr;23(4):431-440. doi: 10.1080/13691058.2021.1899529. Epub 2021 Mar 30.
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The impact of torture on interpersonal threat and reward neurocircuitry.酷刑对人际威胁和奖赏神经回路的影响。
Aust N Z J Psychiatry. 2021 Feb;55(2):153-166. doi: 10.1177/0004867420950819. Epub 2020 Sep 11.
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Long-term consequences of androgen insensitivity syndrome.雄激素不敏感综合征的长期后果。
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