Summary of consensus statement on intersex disorders and their management
| Autor: | Olaf Hiort, Polly Carmichael, Leendert H. J. Looijenga, John C. Achermann, Norman P. Spack, Ute Thyen, Claude J. Migeon, Sylvano Bertelloni, Erica A. Eugster, John W. Brock, Vincent R. Harley, Jay N. Giedd, Kenneth J. Zucker, Peggy T. Cohen-Kettenis, Jean D. Wilson, Peter A. Lee, Justine M. Schober, Eric Vilain, William G. Reiner, Anna Nordenström, Melvin Grumbach, Kenji Fujieda, Paul Saenger, Pierre Mouriquand, Chris Driver, Hertha Richter-Appelt, Felix A. Conte, Patricia A. Donohoue, Robert Rapaport, Ken Copeland, Barbara Thomas, Emilie F. Rissman, Christopher P. Houk, Bernadice Mendoca, Garry L. Warne, Laurence S. Baskin, Christopher Woodhouse, Sheri A. Berenbaum, Stenvert L. S. Drop, S Faisal Ahmed, Ieuan A. Hughes, Yves Morel, Heino F. L. Meyer-Bahlburg, Cheryl Chase, David E. Sandberg, Amy B. Wisniewski, Melissa Hines, Richard C. Rink, P.G. Ransley |
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| Přispěvatelé: | Medical psychology |
| Jazyk: | angličtina |
| Rok vydání: | 2006 |
| Předmět: |
education.field_of_study
Pediatrics medicine.medical_specialty Medical terminology business.industry Population medicine.disease Terminology Intersex Persons Psychosexual development Pediatrics Perinatology and Child Health Sexual orientation Medicine Disorders of sex development Gender role business education Clinical psychology |
| Zdroj: | Houk, C P, Hughes, I A, Ahmed, S F, Lee, P A, Hiort, O, Vilain, E, Hines, M, Berenbaum, S, Copeland, K, Donohoue, P, Baskin, L, Mouriquand, P, Meyer-Bahlburg, H, Carmichael, P, Drop, S, Warne, G, Achermann, J, Eugster, E, Harley, V, Morel, Y, Rapaport, R, Wilson, J, Cohen-Kettenis, P, Giedd, J, Nordenström, A, Reiner, W, Rissman, E, Bertelloni, S, Conte, F, Migeon, C, Driver, C, Fujieda, K, Brock, J, Grumbach, M, Ransley, P, Rink, R, Woodhouse, C, Richter-Appelt, H, Sandberg, D, Spack, N, Thomas, B, Zucker, K, Looijenga, L, Mendoca, B, Saenger, P, Schober, J, Thyen, U, Wisniewski, A & Chase, C 2006, ' Summary of consensus statement on intersex disorders and their management ', Pediatrics, vol. 118, no. 2, pp. 753-757 . https://doi.org/10.1542/peds.2006-0737 Pediatrics, 118(2), 753-757. American Academy of Pediatrics |
| ISSN: | 0031-4005 |
| DOI: | 10.1542/peds.2006-0737 |
| Popis: | Advances in understanding of genetic control of sexual determination and differentiation, improvements in diagnostic testing and surgical genital repair, and the persistent controversies inherent to clinical management were all compelling factors that led to the organization of an international consensus conference. The goals were to acknowledge and discuss the more controversial issues in intersex management, provide management guidelines for intersex patients, and identify and prioritize questions that need additional investigation. This is a summary statement. Advances in molecular genetic causes of abnormal sexual development and heightened awareness of the ethical and patient-advocacy issues mandate reexamination of existing nomenclature for patients with intersex.1 Terminology such as “pseudohermaphroditism” is controversial, potentially pejorative to patients,2 and inherently confusing. Therefore, the term “disorders of sex development” (DSD) is proposed to indicate congenital conditions with atypical development of chromosomal, gonadal, or anatomic sex. Additional rationale for new classification is the need for modern categorization to integrate the modern molecular genetic aspects, to maximize precision when applying definitions and diagnostic labels,3 and to meet the need for psychologically sensitive yet descriptive medical terminology. Nomenclature should be flexible enough to incorporate new information, robust enough to maintain a consistent framework, use descriptive terms, reflect genetic etiology, accommodate phenotypic variation spectrum, and be useful for clinicians, scientists, patients, and families. Hence, we propose a new classification (see “Consensus Statement on Management of Intersex Disorders”4 in this month's issue of Pediatrics Electronic Edition ). Three traditionally conceptualized domains of psychosexual development are gender identity (one's self-representation [ie, male or female]), gender role (sexually dimorphic behaviors within the general population, such as toy preferences, aggression, and spatial ability), and sexual orientation (direction[s] of erotic interest). Gender dissatisfaction denotes unhappiness with assigned sex and may result in gender self-reassignment. Psychosexual developmental factors relate to parental psychopathology, parent-child … Address correspondence to Peter A. Lee, MD, PhD, Department of Pediatrics, MC-H085, Penn State College of Medicine, Milton S. Hershey Medical Center, Box 850, 500 University Dr, Hershey, PA 17033-0850. E-mail: plee{at}psu.edu |
| Databáze: | OpenAIRE |
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