Deinfibulation Contextualized: Delicacies of Shared Decision-Making in the Clinic.
Deinfibulation Contextualized: Delicacies of Shared Decision-Making in the Clinic.
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DOI：
10.1007/s10508-020-01676-0
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发表时间：
2021-07
影响因子：
3.8
通讯作者：
Essén B
中科院分区：
文献类型：
--
作者：
Johnsdotter S;Essén B
布雷迪，康纳，Chaisson，Mohamed和罗宾逊（2019）在其目标文章中提出的关于抑制的临床对话的拟议模型包括一种令人耳目一新的非判断性方法，将去抑制作为一种临床现象和研究对象。他们的方法的优点是多方面的：他们建议对女性生殖器切割（FGC）的妇女采取真正敏感和尊重的态度，他们强调了看到可能影响妇女选择的更广泛背景的紧迫性，以促进临床接触中的共同决策。他们缺乏偏见，甚至认为生殖器外观的多样性应该被定义为健康和美丽。这是一个至关重要的信息，因为在西方东道国无处不在的全球反女性生殖器切割活动发出信息，告诉移民女孩和女性女性生殖器切割，他们被“肢解”，毁容，不完全女性化（关于这种事态的关键讨论，参见Ahmadu，2007; Catania，Abdulcadir，Puppo，Verde，Abdulcadir，& Abdulcadir，2007; Johnsdotter，2020; Johnsdotter & Jumén，2015; Johnson-Agbakwu & Warren，2017; Malmström，2013; Villani，2009）。因此，我们的总体观点是非常积极的：我们赞同努力建立一个框架，以这种细微差别和尊重受影响的女孩和妇女的方式处理解除监禁问题。我们对布雷迪等人的主要担忧s（2019）目标文章关注女性生殖器切割的医疗后果是如何形成的，以及他们的模型和讨论如何忽视移民后文化变革的重要性和西方国家反女性生殖器切割政策的影响。
The proposed model for clinical conversations about infibulation that Brady, Connor, Chaisson, Mohamed, and Robinson (2019) present in their Target Article encompasses a refreshingly nonjudgmental approach to dealing with deinfibulation as a clinical phenomenon and as an object of study. The merits of their approach are manifold: They recommend a truly sensitive and respectful attitude toward women with female genital cutting (FGC), and they highlight the urgency of seeing the wider context that may impact women’s choices in order to promote shared decision making in clinical encounters. Their lack of prejudice even makes them suggest that the diversity of genital appearance should be framed as healthy and beautiful. This is a crucial message in a time when global anti-FGM activism, ubiquitous in Western host countries, sends messages telling migrated girls and women with FGC that they are “mutilated,” disfigured, and not fully feminine (for critical discussions of this state of affairs, see, eg, Ahmadu, 2007; Catania, Abdulcadir, Puppo, Verde, Abdulcadir, & Abdulcadir, 2007; Johnsdotter, 2020; Johnsdotter & Essén, 2015; Johnson-Agbakwu & Warren, 2017; Malmström, 2013; Villani, 2009). Our overall point of view is thus very positive: We endorse the effort to create a framework that handles the question of deinfibulation with such nuance and respect for the affected girls and women. Our main concerns with Brady et al.’s (2019) Target Article regard how medical consequences of FGC are framed, as well as how their model and discussion disregard the importance of cultural change after migration and the effects of anti-FGM policies in Western countries.
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DOI：
10.1016/j.ejogrb.2004.12.010
发表时间：
2005-08-01
期刊：
EUROPEAN JOURNAL OF OBSTETRICS GYNECOLOGY AND REPRODUCTIVE BIOLOGY
影响因子：
--
作者：
Essén, B;Sjöberg, NO;Lindqvist, PG
通讯作者：
Lindqvist, PG
影响因子：
2.2
作者：
Gruenbaum, E
通讯作者：
Gruenbaum, E
影响因子：
3.5
作者：
Catania, Lucrezia;Abdulcadir, Omar;Abdulcadir, Dalmar
通讯作者：
Abdulcadir, Dalmar
影响因子：
3.3
作者：
通讯作者：
--
影响因子：
2.3
作者：
Gele, Abdi A.;Sagbakken, Mette;Kumar, Bernadette
通讯作者：
Kumar, Bernadette