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Chapter 9 - Choosing “Normalizing” Genital Surgery

from Section 4 - Working Psychologically

Published online by Cambridge University Press:  18 November 2022

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Summary

Chapter 9 tackles the theme of choosing “normalizing” interventions, which applies to children and adults with variations. It explores the limits of choice regarding invasive and irrevocable “normalizing” interventions in the field of sex development. It considers the role of emotion in decision-making and the complexities of obtaining informed consent. In the practice vignette, demand for surgery by a young person (with CAH) is a foregone conclusion – a familiar scenario in DSD services and one that places the psychological care provider (PCP) in an ambiguous position. The service user also has clear psychosocial care needs. She brings a unique suite of intersecting social circumstances that place demand on the PCP to be fluid and responsive to the dynamic and challenging referral context. The PCP in the vignette does not have the answers, but it is hoped that the story opens up conversations on the theme.

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Variations in Sex Development
Medicine, Culture and Psychological Practice
, pp. 147 - 165
Publisher: Cambridge University Press
Print publication year: 2022

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