双性人手术干预知情同意分析与后现代哲学思考  

Analysis of Informed Consent in Intersex Surgical Intervention and Postmodern Philosophical Thinking

作　　者：鲁琳 LU Lin(College of Marxism,Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China)

机构地区：[1]上海中医药大学马克思主义学院,上海201203

出　　处：《医学与哲学》2023年第18期15-19,共5页Medicine and Philosophy

摘　　要：双性人手术干预的知情同意判断存在三种不同立场。肯定立场支持手术由医务人员作出决定,这不符合知情同意原则的基本伦理要求;中间立场支持手术的必要性和重要性,并强调手术应当让父母作出决定,这更符合临床知情同意的伦理规范。但无论中间立场还是肯定立场,都完全忽略了双性人自身对性别判断的感受。否定立场支持医学先给婴幼儿一个建议性别,直到儿童认知能力足够时,自己实行是否接受手术的知情同意判断。支持否定立场观点,并借助后现代哲学倡导多元化及关注弱势群体的思想,给予否定立场更多理论辩护。There are three different stances regarding the assessment of informed consent for intersex surgical intervention.The affirmative stance supports the decision-making authority of medical professionals,which does not align with the fundamental ethical requirements of the principle of informed consent.The middle stance supports the necessity and importance of surgery,and emphasizes that the decision should be left to parents,which is more consistent with the ethical norms for clinical informed consent.But both of them completely overlook the individual feelings of intersex individuals regarding gender judgment.The negative stance supports giving infants and young children a suggested gender by medical professionals until the child is cognitively competent enough to make an informed consent decisions about whether to undergo surgery.The article supports the negative stance,draws on postmodern philosophy advocating for diversity and attention to disadvantaged groups,and provides more theoretical justification for the negative stance.

关 键 词：双性人 知情同意 后现代哲学 

分 类 号：R-05[医药卫生]