Prophylactic Desexualizing Mastectomy for an Intellectually Disabled Woman: Protective Measure or Disregard for Autonomy?
Prophylactic Desexualizing Mastectomy for an Intellectually Disabled Woman: Protective Measure or Disregard for Autonomy?
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DOI：
10.1097/gox.0000000000004347
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发表时间：
2022-05
影响因子：
1.5
通讯作者：
Avraham, Tomer
中科院分区：
文献类型：
--
作者：
Allam, Omar;Gudbranson, Emily;Long, Aaron S.;Alperovich, Michael;Avraham, Tomer
从历史上看，所谓弱智的绝育一直以优生学的名义提倡。影响智力残疾者性行为的代理人决策提出了重大的伦理困境。我们描述一位19岁的智障女性，她向法律的决策者提出手术矫正她的不对称胸部和乳房发育不全。决策者要求进行乳房切除术，以使患者的乳房尽可能不显眼，并减少性侵犯和怀孕的风险。这个案例涵盖了关于是否对一个智力残疾的妇女进行性别歧视的伦理考虑。
Historically, sterilization of the so-called feeble-minded has been advocated in the name of eugenics. Surrogate decision-making that impacts sexuality of the intellectually disabled presents significant ethical dilemmas. We describe a 19-year-old intellectually disabled woman who presented with her legal decision-maker for surgical correction of her asymmetric chest and hypoplastic breast. The decision-maker requested a mastectomy to make the patient’s breasts as inconspicuous as possible, and to reduce the risk of sexual assault and pregnancy. This case covers the ethical considerations on whether or not to prophylactically desexualize an intellectually disabled woman.