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性別人權與陰陽兒的醫療介入

Gender Human Rights and Medical Intervention in Children with Intersex

摘要


本文將從甫通過的馬爾他性別人權法「性別認同、性別表現與性別特徵法」禁止對出生時性別不明的陰陽兒進行性別指定與生殖器手術談起,說明性別人權與陰陽兒醫療介入的關餘,簡述陰陽人醫療與陰陽人人權運動產生的歷史脈絡,期望作為一個溝通的橋樑,幫助台灣醫界暸解,到底是什麼樣的生命歷程讓陰陽人需要走出原本被醫生幫忙保護隱形的處境中站出來發聲呢?陰陽兒醫療又與性別人權運動有什麼關條呢?醫療的幫助違反了什麼樣的陰陽人人權呢?陰陽兒的性別到底出了什麼問題?他/她們到底發出了什麼樣的聲音呢?陰陽兒醫療典範與觀點或許可以開始傾聽與納入當代陰陽人人權運動的心聲。

並列摘要


This paper would like to talk about the issues of gender assignment and genital surgery of intersex infants from the Malta's newly-passed gender human rights law "Gender Identity Gender Expression and Sex Characteristics Act", to state the relationships between gender human rights and intersex management protocol, briefly depict the historical context of intersex management protocol and intersex human rights movement, expect to help communicate these with medical profession here in Taiwan to understand: why on earth and what life experiences made intersex people want to come out from being protected and covered by doctors and to be visible and speak? What's the relationship of intersex management protocol and gender human rights movement? What medical help violates what intersex human rights? What's wrong with intersexed sex and gender? What do they want to express? Maybe it's time to listen and involve the voices of contemporary intersex human rights movement to adjust the modern medical treatment and perspective toward intersex infants.

參考文獻


黃燦瑜:從「性別認同障礙」到「性別不安」。臺灣精神醫學會DSM-5通訊2013;3:9-11。[Huang TY: From gender identity disorder to gender dysphoria: rethinking gender. Taiwanese Society of Psychiatry DSM-5. 2013;3:9-11"
Karkazis KA: Fixing sex : intersex, medical authority, and lived experience. Durham: Duke University Press, 2008:365."
Colapinto J: As nature made him: the boy who was raised as a girl, 1st ed. New York: HarperCollins Publishers, 2000:279."
Hughes IA, Houk C, Ahmed SF, et al: Consensus statement on management of intersex disorders. J Pediatr Urol 2006;2:148-62."
Meyerowitz JJ: How sex changed: a history of transsexuality in the United States. Cambridge, Mass, Harvard University Press, 2002:363p."

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