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An analysis of the cultural and economic drivers of the growing phenomenon of FGCS, written by cross-disciplinary experts, this book challenges the concept of individual consumer choice in FGCS: a decision that is rarely exercised in a socio-cultural vacuum. Four distinct aspects of FGCS are covered: variations in female genital anatomy; surgical techniques and evidence; historical contexts and ethical dilemmas; norm-critical understandings to inform professional responses. Rendering philosophical critiques accessible, and exposing dubious social values that underpin the practice, this text is crucial in driving a broader understanding of FGCS as a cultural phenomenon of our times. Only with a fuller understanding of the multiple perspectives of FGCS, can there be sensible alternatives for women and girls psychologically troubled by their natural, healthy form. Offering explanations and interventions at individual, institutional and societal levels, this text will be valued by both professional and non-professional audiences.
Pediatric and adolescent gynecology (PAG) is recognized as a specialist area and clinicians working in PAG need specific expertise. A wide spectrum of conditions needs to be addressed, ranging from simple disorders which respond to basic treatment to complex congenital anomalies with a genetic origin and life-long health consequences. Investigations must be appropriate and treatment should reduce symptoms and distress whilst optimizing gynecological and reproductive potential. Centered upon a series of common clinical presentations, this book includes stepwise guidance on the initial investigations, management, and treatment options. Guidance is supported by the most up-to-date evidence-base, written by clinicians with dedicated clinical and research experience in PAG. New techniques - such as laparoscopic surgery - are included and the importance of the psychological assessment of children with specific PAG disorders is highlighted. The book also includes an authoritative chapter on safeguarding - recognizing the unique opportunity for gynecologists in child protection.
In biomedicine, there are morphological and biochemical characteristics that can be measured with varying degrees of accuracy, rendering it more possible to describe variations in physical development and to define typical ranges. Sexuality dimensions, by comparison, afford no such luxury. “Normal” sexuality is contentious — in psychology and in society — and is destined to remain so.
What do psychologists have to say about human sexuality and its development? Why do some psychologists test children for “gender-appropriate” toy preferences, while others “un-define sex differences”? The simple answer is that they subscribe to different theoretical viewpoints, ask different questions and use different research methods to address their questions. The aim of this chapter is to describe and discuss key psychological perspectives in sexuality development. It is not possible to be a neutral presenter of rival positions, so I should make explicit my own biases. While I have come from a positivist framework and still apply that knowledge in selective projects, I have found that this framework alone is not adequate for examining and addressing sexuality events that are presented to me in clinical settings. My current view is that individual sexuality events cannot be understood without reference to cultural representations of such events. I hope it becomes clear why many psychologists now find it important to integrate discursive analysis in sexuality studies.
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