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J Bioeth Inq ; 15(4): 557-568, 2018 Dec.
Article in English | MEDLINE | ID: mdl-30367362

ABSTRACT

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.


Subject(s)
Child Advocacy/ethics , Decision Making/ethics , Disorders of Sex Development/surgery , Genitalia/surgery , Parental Consent/ethics , Urogenital Surgical Procedures/ethics , Bioethical Issues , Child Welfare , Child, Preschool , Disorders of Sex Development/psychology , Female , Genitalia/abnormalities , Humans , Infant , Infant, Newborn , Male , Parents , Personal Autonomy , Pregnancy
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