American Academy of Pediatrics reverses course, no longer accepts "symbolic" female genital mutilation

Good news -- on a subject that should not have been up for any form of compromise in the first place -- but good news, nonetheless, in an update on this story. "Pediatricians now reject all female genital cutting," by Stephanie Chen for CNN (thanks to JG):

(CNN) -- The American Academy of Pediatrics has rescinded a controversial policy statement raising the idea that doctors in some communities should be able to substitute demands for female genital cutting with a harmless clitoral "pricking" procedure.

Harmless? Compared to infibulation or clitoridectomy, but what about the psychological impact of what remains a ritualized sexual assault at the hands of one's community -- and almost with the approval of the AAP?

And then there are the principles that are at stake: Equal protection under the law (where "culture" is not an excuse for trauma), and of course, that tenet of the Hippocratic Oath: "First do no harm." And cutting without a medical reason certainly constitutes "harm."

"We retracted the policy because it is important that the world health community understands the AAP is totally opposed to all forms of female genital cutting, both here in the U.S. and anywhere else in the world," said AAP President Judith S. Palfrey.
The contentious policy statement, issued in April, had condemned the practice of female genital cutting overall. But a small portion of statement suggesting the pricking procedure riled U.S. advocacy groups and survivors of female genital cutting.
In the April statement, the group raised the idea that some physicians should be able to prick or nick a girl's clitoral skin in order to "satisfy cultural requirements." The group likened the nick to an ear piercing.

So, if it's that much of a harmless non-event, did everyone at the AAP who thought that would be okay line up to get their "nick?"

On Thursday the AAP stated the group will not condone doctors to provide any kind of "clitoral nick." The AAP also clarified nicking a girl or woman's genitals is forbidden under a 1996 federal law banning female genital mutilation.
"I cried and told them how grateful I am," said Soraya Mire, a Somali filmmaker and survivor of female genital cutting. "Thank you for understanding us survivors and hearing our voices."
Equality Now, an international advocacy group fighting to end female genital cutting, echoed a similarly appreciative response.
"We welcome the AAP's decision to withdraw its 2010 policy statement on FGM," said Lakshmi Anantnarayan, a spokeswoman at Equality Now. "This is a crucial step forward in the movement to raise awareness about female genital mutilation....
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"We welcome the AAP's decision to withdraw its 2010 policy statement on FGM,"

Me too...The AAP must have read my posts on the subject...

The most absurd aspect of the original AAP policy enunciation was that "ritual nicking" by American pediatricians would help lead to the eradication of FGM?

Question: How?

Answer: By legitimizing and perpetuating it.

Madness!

The Royal Australian New Zealand College of Obstetricians will next month discuss backing "ritual nicks", a modified form of genital mutilation.

http://www.dailytelegraph.com.au/news/unkindest-cut-for-girls-by-doctors/story-e6freuy9-1225872266348

"The Royal Australian New Zealand College of Obstetricians will next month discuss backing "ritual nicks", a modified form of genital mutilation."
----------------
Seems we take three steps forward, then 2.5 steps back.

I wonder what a "modified" form of genital mutilation would be for boys, if that ever became as controversial an issue as FGM is (it ought to be but it isn't)?

Will groups like the AAP someday say:

"We won't amputate the foreskin, we will just pinch and slightly crush said foreskin with clamps -- we'll call it a 'male nicking procedure.' That will allow us to be able to say that at least we did SOMETHING to his genitals in order to please his parents/culture/Rabbi/Imam/whomever/whatever needs to be satisfied by such a medically useless and demonstrably harmful 'procedure' that is, in fact, a sexual assault and mutilation performed on a child by an adult."

IMO circumcision for anyone, female or male, should be outlawed worldwide -- except in cases of REAL medical necessity, which would be exceedingly rare.

It's good to see that these highly educated members of the AAP have exercised some common sense.

But the frightening aspect of this is that it was previously absent in these highly regarded professionals who are entrusted with the medical care of our children. In order to "satisfy cultural requirements" the AAP bowed to political correctness and abandoned the children they are sworn to protect.

I was horrified. My initial feeling was that MY country has abandoned ME. This is a horrendous procedure. The US and the UN, the protectors of me, had decided that I was not worth it. This was a very personal act of betrayal, because, for many a decade, they have been the authorities on protection of girls and women. That day, I found myself betrayed. I was betrayed on a personal level. This was not and issue with POLITICS or other countries affairs, this was a betrayal on my very body or the bodies of my girls. My girls. MY GIRLS. ALL the girls in the US, are my girls. We need to understand that. We need to understand that this type of an assault by our officials, is an assault on ALL of us. I don’t come from a country that ALLOWS women and children to have their organs removed. We, in one country, are all connected. WE need to understand that. An assault, or the passive agreement to allow a simulated assault, is UNACCEPTABLE.

OT
Just posted -
National Security Letters (NSLs) have been served by OBAMA to 14 governors, warning that if their actions in attempting to form what are called State Defense Forces are not halted they will face “immediate” arrest for the crime of treason.

http://txlady706.wordpress.com/2010/05/28/national-security-letters-nsls-have-been-served-by-obama-to-14-governors-warning-that-if-their-actions-in-attempting-to-form-what-are-called-state-defense-forces-are-not-halted-they-will-face/

http://newstime.co.nz/female-circumcision-is-allowed-in-islam.html
Female Circumcision is Allowed in Islam
Sunan Abu Dawud Book 41, Number 5251

Dr. Muhammad Al-Mussayar, Al-Azhar University
justified Female Circumcision

http://sheikyermami.com/2010/05/22/horror-u-s-228000-women-have-undergone-or-are-at-risk-for-female-genital-mutilation/
Horror in the U.S.: 228,000 women have undergone or are at risk for female genital mutilation

"IMO circumcision for anyone, female or male, should be outlawed worldwide -- except in cases of REAL medical necessity, which would be exceedingly rare."

I agree, Eleanor ...it is a barbaric practice.

Obama and his entire administration are most likely extremely disappointed with this development. No doubt, the previous decision by the American Academy of Pediatrics, was directly in sync with the Obama administration, and his outreach to the muslim world.

Now that the American Academy of Pediatrics has come to their senses on "symbolic" female genital mutilation, the administration will have to find new ways to appease the muslim masses.

It would be not to hard to imagine the discussions behind their previous decision. No doubt with input from muslim groups and the administration itself. Anything goes to bend the sensibilities of maintream Americans. To place an additional thorn in the American ability to tolerate Muslim ignorance, with never ending demands upon our more civilized way of life.

Glad that they came to their senses.

I agree as well, Eleanor. I wish I had that same understanding 10 to 15 years ago when I allowed the circumcisions of my sons. I regret but cannot undo the mutilation of their penises. Why is male genital mutilation still legal and acceptable in Western society, but FGM becomes an attack against Islamic beliefs?

American Academy of Pediatrics reverses course, no longer accepts "symbolic" female genital mutilation
............

Finally—some sanity. I was looking for us to see the American Medical Association (AMA) next approving "wrist nicks" as an alternative for full amputations, and "throat nicks" as an alternative for full beheadings.

Zulu wrote:

The Royal Australian New Zealand College of Obstetricians will next month discuss backing "ritual nicks", a modified form of genital mutilation.
............

Ahh—the dhimmitude never ends, does it? Zulu, please keep us posted on how this goes.

There are numerous types of depravity in the book of evil, FGM has a whole chapter...'Ritual Nick', evil incarnate, is not a surgical procedure...FGM is a black magic ritual, and 'Ritual Nick' is officiating...Who but 'Nick' would be interested in FGM?

"Old Nick " is an excellent observation, swami.

I hope the resistance to sexual assault disguised as a medical procedure will be consistent when this issue comes up in another context where some people might be attempt to justify its use.

The AAP should never even have entertained the notion of allowing "modified" FGM to deal with the problem of savages who would take their daughters out of the country to have them mutilated. It was a cowardly act of evasion of responsibility that should not be repeated.

"The most absurd aspect of the original AAP policy enunciation was that "ritual nicking" by American pediatricians would help lead to the eradication of FGM?"

Another example of magical thinking by dhimmi doctors. We probably should feel lucky that AAP did not propose the eradication of peadophilia by legalizing marriage to Pree- matured girls. That would have made the dickheads in the cult of Mo overexcited with joy and caused dancing in the streets. And more raped children of course.

Eleanor, I just wanted to express my thanks. It hasn't happened on this particular thread yet (and I'll pray that trend continues), but when I read horror and indignation at the thought of FGM in the same breath as endorsement or even praise for male cutting, I nearly throw up.

There might be a benefit for male circumcision:

Studies have shown less human papillomavirus - HPV in circed men and less cervical cancer in ther partners.

So, if it's that much of a harmless non-event, did everyone at the AAP who thought that would be okay line up to get their "nick?"

My guess is that a lot of the males at the AAP have already endured a lot worse than a "ritual nick" on their genitals.

Ugh. Apologies in advance for maybe getting off topic, but case in point from Atlas Shrugs......

"This was one of the most outrageous things I seen [sic] the Medical community do. My son's pediatrician wouldn't circumcise him when he was born, the obstetrian had to do it, but they want to perform this barbarity on little girls."

So, as long as it's barbarity on our boys, then it's all good? Where's that bucket.......?

I do not consider circumcision to be "barbaric." I was circumcised as an infant in an American hospital. As an adult convert to traditional Judaism, I underwent a procedure called "tipat dam" in place of the traditional brit milah. I did not feel any pain. I was not traumatized. There may actually be medical and other benefits to male circumcision. It is an essential and indisposible component of traditional Judaism. If people do not wish to be circumcized, then they should not do it.

Once Islam become the majority religion in America they will change they polcy again.

"If people do not wish to be circumcized, then they should not do it."

Respectfully, Hillel--that's just the problem. When you're a matter of hours old and can't tell the Torah from a phonebook, it's oftentimes difficult to express that no, my genitals are not in fact public domain, and you're just too helpless to break the restraints and stuff the blades into their eyes. So if you're truly satisfied with your cutting, I'm genuinely happy for you. Still, isn't there at least some small part of you that wishes it was YOUR call?

Be that as it may, if we're going to justify it as a religious requirement, that may be too close for comfort from the very thing we're vocalizing against on this thread than we'd probably care to admit. And as I've commented once before, if we're supposed to be made in His image, well...... isn't cutting off the best part of the male sex organ blasphemous, then?

You'll have to pardon me for putting it like this, but to defend genital mutilation for either gender and deny any child their birthright of intact, functional genitals is like trying to argue FOR rape. There simply aren't "two sides to the story" when it's a matter of what's right versus what's wrong.

What amazes me is how ignorant these medical associations are. The idea that a "ritual nick" might satisfy believers in female genital mutilation presupposes that the mutilation is merely symbolic, like Jewish male circumcision. when in fact it has a practical purpose, that of denying sexual pleasure to women. It is shocking that otherwise respectable organizations would propose policies without the most elementary investigation of the problem.

The good news here is that they are still more afraid of the American public than of the mohammedans or their creatures in gov't.

Do not mistake this for an assertion of ethics or honor. If it were ethics or honor the issue would never have arisen in the first place.

It's fear. Happily it is fear of the good guys.

Keep up the pressure. Never give in. Never let down!

I myself have issues on this-As both someone who was raised a Jew AND the parent of both a son AND daughter.

I CANNOT tell you the amount of soul searching I went through both before and after my son was born,concerning the bris.My husband,though circumcized is not a Jew---My father,long deceased,was raised about as religious as you can get.....I was originally against circ for my son---then while pregnant kept having thoughts of him(my father) haunting me-were I not to do it.

Ultimately my husband decided the question.He thought it might be quite traumatic for a little boy to see that his Dad's penis was "different" from his.Now,not possessing said member-I don't know if this is true or not-

It ultimately turned out that my OB-GYN was ALSO a reform mohel,so my son DID end up having a "kosher-bris".He was not restrained in any way(I've seen those circ/restraining boards and would not have allowed it in any case)My son did not cry or show any discomfort either during the procedure or the the slight healing that took place after--and he was a baby who would ALWAYS let US KNOW IF HE WAS IN DISCOMFORT-no matter how small.........

However,I fullly understand the anti-male circ arguments.BUT---that is why hubby and I ALWAYS recomend that if a mother-or couple are insistant on male circumcision,always use a mohel-from both my research and personal experience(talking w/others etc)it seems to be much less traumatic.

However,I still have issues w/male circ....

That's interesting.

Since male circumcision is under discussion, I have to say that - being married to a Gentile Christian male who (like many of his generation in the early 1960s) underwent the procedure in infancy, just like his Jewish fellow-citizens, only in his case done by a doctor not a mohel - it does not appear to me to be in any way equivalent to FGM.

It does not appear to affect male sexual response in any obvious way, let alone having any appreciable effect on the man's ability to urinate, or his general health.

Whereas all forms of FGM covered by the Shafii school of sharia, involve *total excision of the clitoris*. A circumcised man can climax; a woman who has had her clitoris sliced out, right down to its root, simply cannot. The additional mutilations that are usually combined with the sadistic, permanent destruction of the woman's centre of pleasure, damage or wholly destroy the rest of the woman's external genitalia, rendering intercourse painful and difficult; they make childbirth far more dangerous (with increased risk of severe injury, such as fistulas); and often cause the woman to suffer from retention of urine and menses, which in turn inflicts pain and promotes nasty chronic pelvic, bladder and kidney infections (I doubt that any normally-circumcised male has any difficulty urinating nor suffers increased frequency of UTIs; my husband certainly has never suffered from anything of the sort).

In terms of the scale and nature of the physical trauma involved, the percentage of those undergoing the procedure who die as a result of it either at the time or because of the damage done to their system, and the long-term major negative effects on sexual function and general health, I think FGM is far, far more destructive than male circumcision.


DDA, for the record, I've enjoyed reading your thoughts for a quite a long time now (long time lurker, and it takes something like this to get me to sign up, it seems). I respect you as a brilliant woman, and as such, I would IMPLORE you to please re-examine your position on male cutting. We simply know better in America these days, and thankfully fewer and fewer parents are buying the outdated myths, half-truths and outright lies of male mutilation. And it IS mutilation, and it's really getting my goat to see this fact denied--to mutilate is to damage or remove a normal, healthy, functioning part of a penis. It leaves a scar, a sign left after the wound has "healed." Therefore, this is a form of mutilation.

If you would humor me on this, here is a very brief yet to the point place to look for an overview:

http://www.doctorsopposingcircumcision.org/DOC/circumcision_quiz.htm

Perhaps male cutting is indeed lesser of an evil than FGM. However, to condemn one yet let the other slide is a cop-out. In both cases, the procedure is unnecessary and extremely painful. They both can (and DO) have adverse sexual and psychological effects. They're both generally performed by force on kids with no anesthesia. The practices tend to both be supported by local docs. Pertinent biological facts are denied in both cases. They're both defended with reasons such as tradition, religion, aesthetics, cleanliness and health ("that's just how we've always done it"--some traditions need to be pissed on from a great height). The rationale in both started from the need to control sexual pleasure. They're both believed to have no effect on normal sexual function. The practices both tend to be accepted and supported by their victims. The decisions for both tend to come from men. Critical public discussion is generally taboo where they're done. They can both lead to death, and the short and long term effects are kept repressed and denied.

While I know I'm probably getting off topic by this point, I have to include this quote from Paul to the Galatians when it comes to the notion that ripping, crushing and cutting the most sensitive part of a boy is somehow a "Christian" thing to do.

Gal. 5:6: "For in Christ Jesus neither circumcision nor uncircumcision avails anything, but faith working through love."

WoW! I never knew before that the great "DDA" is a woman! I am heartened by this revelation!

Now, on to bizzness:

I agree that FGM is far, far worse and more destructive than MGM, but the bottom line, for me, is that NO CIRCUMSCISION would be the ideal policy.

A little boy is born perfect -- except for that highly erogenus and sensitive appendage that serves to protect his penis...?

I myself have no sons and so I've not been faced with the decision, but I've heard mothers say: "I want him to look just like his daddy."

That's been the excuse in my family, at least.

Well, if his daddy has multiple piercings and tatoos all up and down his trunk, arms and legs (think Jesse James), would it be okay to pierce and tat the newborn boy as well, so that he continues to "look" like his daddy?

Or, should a decision involving the amputation of a significant portion of the skin on his penis -- many times for purely cosmetic purposes -- be left to the boy himself when he's old enough to understand and make his own decision?

I also understand, though I cannot find the link to the article I read, that male circumcision and foreskin "production" is a very lucrative business for hospitals, and that could be a reason its still so commonplace and not actively discouraged (yet).

Anyway, back to FGM: It is horribly destructive in any form whatsoever, and really should have been abandoned long ago as an embarassingly barbaric practice of primitive peoples in ancient times.

I don't know if there are intelligent aliens out there somewhere, but if there are and they ever visit earth wanting to learn all about all the things our species does, I surely wouldn't want to be the human who has to explain Genital Mutilation (in any form) to them.

As Hugh might say,

Errata sheet:

"erogenous" not "erogenus"

Hi again, Eleanor. Would this happen to be the article you were thinking of?

http://www.drmomma.org/2009/10/foreskins-in-oprahs-facecream.html

Maybe I'm supposed to feel honored that perhaps it's MY foreskin that someone decided I didn't deserve to have that's keeping Ms. Winfrey's face "beautiful" and youthful. Guess that's the closest to cold comfort boys of my generation can hope for. 100% "cruelty free."

And once again, I thank you for calling out the BS on the notion that the father wants the child to "look like them." Papas, check your ego at the nursery door. Frankly, I'm pleased to report that I got most of my looks from mom's side anyway, thank God for small favors.

"Or, should a decision involving the amputation of a significant portion of the skin on his penis -- many times for purely cosmetic purposes -- be left to the boy himself when he's old enough to understand and make his own decision?"

Well put. I hope to see this garbage made illegal within my lifetime, at least. As I've already told the long suffering woman that I love, if she puts up with me long enough for her to have a son from me, I will personally stand guard over him at the nursery until it's time to come home. I'm not even entirely sure how I'm going to react if they even dare ask (just in case I've been too subtle thus far, this and Islam are two major hot buttons for me).

I had just heard the other day from a pet shop proprietor that I chat with that it seems it's now illegal to dock the ears and tails of dogs for purely cosmetic purposes, and there are stiff penalties for vets caught doing so. Charming, I thought. Now that's a warm and fuzzy knowing that dogs, much as I do love them, are more protected than infant males in my country. There are just times I'm ashamed of us all.

(Thank you all for bearing with me.)

There is no comparison between male circumcision and female genital mutilation.

There are many benifits medically to the procedure:

http://www.medicinenet.com/circumcision_the_medical_pros_and_cons/page4.htm

Earlier posters commented on adverse psychological effects of the procedure; but there is no empirical evidence of such reactions.

This reminds me of the same people who hysterically attack kosher dietary laws, claiming that the practice of shechitah is inhumane.

One of the first things the Nazis did was ban shechitah, claiming it was inhumane. One of the first steps the Soviets took was to prohibit circumcision, claiming it was "barbaric."

One final word: The non-Jewish Australian author of the following site does an amazing job of gathering together scientific and medical evidence to refute the hysterical and unscientific arguments against the ancient and widespread practice of male circumcision:

http://www.circinfo.net/pain_and_memory.html


His information is a good and revealing read.

As always, that graphic of the banana at the top of you link is simply charming. Seems to me if I were trying to argue the case for male cutting, I'd leave that kind of stuff off my page. Then again, I suppose it does help lighten the mood and further trivializes things. After all, whatever we can laugh at, we can keep doing.

All trauma related to circumcision is purely anecdotal and must be discounted? This Aussie clown needs to join the 21st century already (or the 20th, for that matter). So childhood by its very nature is stressful and traumatic, fine--I'll buy that. So why do have to go and throw gasoline on the fire in the case of American sons? Would the author of this story similarly invite himself into a rape victims support group and inform them all that they weren't really victimized, either?

While I can't provide a handy link to it at this very moment, and since links are only so valuable to begin with (case in point, the "circinfo.net" conveniently provided above, which is page after page of the bullsh*t I was lamenting earlier), it seems there have indeed been attempts to study the short and long term effects of routine male cutting, and the results were predictably horrifying. However, the researching doctors were ordered to cease, and were reprimanded. Basically, what the hospital was saying was that we're going to just go ahead and continue to perform this atrocity despite the fact that there are no proven benefits--none, zero, zilch, nada, niente, but to look at it with enough of a critical eye to study the effects? Now THAT we simply can't have. And unfortunately, as long as this thinking goes unchallenged, seems it's all up to the parents to do what's right. And there really shouldn't be any question about what that is. Whose body is this? I really don't believe this is any different of a case from any other matter of basic human rights.

Just a Concerned Citizen:

I thought this was an interesting article about how infant pain was dealt with from the 19th century until about the mid 1970's. The standard medical thought was, apparently, that neonates were incapable of feeling pain (not "developed" enough). I talked to a retired doctor friend of my fathers once and he said that train of thought was standard years ago, and that even though he never performed circumcisions, he had colleagues who did, and they wonderded why the infants alway screamed bloody murder if they couldn't feel pain? (and that was when there was absolutely NO attempt to anesthetize anything)

http://www.tranquility.net/~rwinkel/MGM/blog/chamberlain.html

Thanks, Eleanor. Yes, it seems that for the longest time, American docs out to make that extra grand a week by skinning infants told us that the only reason for their "fussiness" was the restraints. Now while I'm sure that was no picnic, I'm appalled that it's taken this long for anyone to really call them on this obvious flat-out lie. While I really hate thinking of it in these terms (since believe it or not, I'm a actually more of a feminist than most of the XX-choromosomed I chat with), it seems that the underlying attitude in western society is that any amount of pain and violence is okay, just so long as it's boys who are the receivers. And after reading the book "Circumcision: The Hidden Trauma--How an American Cultural Practice Affects Infants and Ultimately Us All" by Ronald Goldman, Ph.D., I am convinced that it's been biting us on the collective behind the last century.

From your article: "Another 'medical' argument for circumcision is that it lowers the rate of cervical cancer in future sexual partners. the fact that nuns have a higher rate of cervical cancer than wives and other sexually-active women makes circumcision irrelevant." Now there's one I would love being able to throw back at the misguided, idiotic, or just plain sadistic individuals who still support this practice and want to play the 'hygienic' card. A shame that I wouldn't have anything else to back this up with, though........

Since male circumcision is under discussion, I have to say that - being married to a Gentile Christian male who (like many of his generation in the early 1960s) underwent the procedure in infancy, just like his Jewish fellow-citizens, only in his case done by a doctor not a mohel - it does not appear to me to be in any way equivalent to FGM.

The question under discussion is not FGM per se, but the "clitoral 'pricking' procedure" that is being proposed as a substitute for FGM. We need to have a comparison between male circumcision and *that*. I suspect we'll find that male circumcision, as generally practiced, involves a lot more "mutilation" (and thus is a lot more deserving of being described as "a ritualized sexual assault at the hands of one's community") than the "ritual nick" under discussion.

Ugh, spare me all the histrionic anti-circumcision rhetoric. You're all just plain wrong. Of course if you want to add yourselves to the list of well known anti-circumcision people like Stalin, Hitler, the Romans (who banned it as well) be my guest.

Heh. Charming, Mike. Why not call me a "poopy face" while you're at it? Maybe it's just my paranoid nature, but seems you may be protesting a little too much?

So, standing up in defense of human beings who can't defend themselves nor their basic human rights means I'm going to be equated to the Nazis and the Commies. You'll have to pardon me for saying so, but I'd dare say that's kind of a stretch, but whatever, okey dokey. Been called worse, anyway. Because you know what, Mike? It's worth it. Chalk those right up there with "racist" and "islamophobe" for me.

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