Intersex Society of North America (ISNA), fautrice del rinvio in età adulta degli interventi medici e chirurgici sui genitali, nel 2006 ha proposto delle linee guida per un nuovo modello di trattamento dei DDS. Il presente lavoro offre una review della letteratura scientifica di riferimento, con lo scopo di descrivere come si sono modificate nel tempo le decisioni circa l’attribuzione medica del sesso dei pazienti e analizzare lo sviluppo dell’identità di genere in tali condizioni cliniche, evidenziando gli elementi principali di un adeguato management psico-medico.)" />
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Disorders of sexual development and gender identity: guidelines for psycho-medical management
Author/s:  Adele Fabrizi, Emanuela Napoli, Gaetano Gambino 
Year:  2011 Issue: Language: Italian 
Pages:  20 Pg. 35-54 FullText PDF:  141 KB
DOI:  10.3280/RSC2011-001003
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The term "Disorders of sexual differentiation" (DSDs) indicates a series of clinical conditions in which chromosome, gonadal and/or phenotypical sex development is atypical. Sex assignment to newborns with ambiguous genitalia may raise important bioethical issues in physicians, surgeons and parents and may often influence the structuring of sex identity and gender identification. In 2006 the Intersex Society of North America (ISNA) proposed new guidelines for the treatment of DSDs. Differently from previously recommended procedures, the ISNA is in favour of delaying medical and surgical interventions on genitalia until adulthood. Furthermore, the ISNA underlines that such interventions should be performed only in the case of real and imminent threats to the physical health of the individual and provided there are definite evidence-based or predictive indices. The present work reviews the scientific literature on the topic in order to describe how positions on medical sex-assignment have changed over time, to analyze gender identity development in such clinical conditions and to highlight the main factors necessary for an adequate psycho-medical management of DSDs.
Keywords: Disorders of sex development, intersex, management, genital surgery, gender identity, clinical guidelines

Adele Fabrizi, Emanuela Napoli, Gaetano Gambino, Disorders of sexual development and gender identity: guidelines for psycho-medical management in "RIVISTA DI SESSUOLOGIA CLINICA" 1/2011, pp. 35-54, DOI:10.3280/RSC2011-001003


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