User:Stm278/sandbox

Work I have contributed so far
added this to ISNA page on november 20th.

Patient-Centered Model
The ISNA advocated a move from what is called the Concealment-Centered Model to the Patient-Centered Model. This push was to move away from a model that teaches both that “intersex is a rare anatomical abnormality” and that there need to be immediate surgery to normalize the child’s abnormal genitals, and moved toward the idea that “intersex is a relatively common anatomical variation from the ‘standard’ male and female types”. The attempt is to treat intersex as something that is natural, as to not ostracize the intersex community.

The Patient-Centered Model wants people with intersex to be treated with the same ethical principles doctors show everyone else. One of the main things this implies is that newborn intersex genitals should be operated on, unless there need to be in order to maintain the child’s physical health. People with intersex should be allowed to opt for genital reconstruction, if they want to, when they can fully consent for the operations themselves.

The Patient-Centered Model also believes that “psychological distress is a legitimate concern and should be addressed by properly trained professionals”. This means that both people with intersex and family members who feel burdened in anyway should seek both the help of counselors trained in sex and gender issues and supports form a community of peers experiencing the same situation. This allows a network of support to help everyone through any trying times that might arise.

While some, like Dr. Anne Fausto-Sterling, see this new model that focus mainly on the interests of the patient as a opportunity to move away “from an era of sexual dimorphism to one of variety beyond the number two” (77), the ISNA still believes that “newborns with intersex should be given a gender assignment as boy or girl”. There reasoning is that and they think it would be impossible to know where male ends and intersex begins or where female ends and intersex begins and they want to “make the world a safe place for intersex kids”, and they believe that marking them as a third gender would exile them.

Then I added in two internal wikipedia links to "Anne Fausto-Sterling" and "Sex and Gender distinction"

My section plus a section added by Alexandra was reviewed later that day and the article was changed from a stub to a full article. (only edits made where placing periods in sources or compiling sources used multiple times)

On november 21st

I added a longer publication information to Anne Fausto-Sterling source I used

Added this photo to the INSA page Then I reformatted the "Alphonse Rebière" wikipedia article

Then I added a citation that was asked for to a previous persons work in the heading of the ISNA page

I combined sources used multiple times on the "ISNA" wiki page

added new section about reason why ISNA closed in 2008 on ISNA page

ISNA closes
By 2008, even though ISNA felt that they were able to come to a “consensus on improvements to [medical] care” for people born intersex with a large amount of the medical community, they ran into many problems in implementing these ideas. There was a “concern among many healthcare professionals, parents, and mainstream healthcare system funders that ISNA’s views are biased”, and many of these people feared that they would be shunned by colleagues if they were it was found out they were associated with the ISNA. The ISNA decided its best course of action was to “support a new organization with a mission to promote integrated, comprehensive approaches to care that enhance the overall health and well-being of persons [who are intersex] and their families.” Therefore, in 2008, ISNA closed, transferring all of its left over funds, assets, and copyrights to Accord Alliance, an organization that opened in April of 2008, and that’s goal is to “improve the way health care is made available” to people born intersex.

took a paragraph out of my Patient-Centered Model and added it to make this new section, "Surgery and Intersex". grouped Surgery, Patient-Centered Model, and Alexandra's section on Language as the three main pro-intersex rights that ISNA supported under the Consensus Statement on Management of Intersex Disorders, a statement that included many idea about how to deal with intersex in a way more human way, and the ISNA agreed with many of these ideas. These are the sections I wrote/rewrote

ISNA and the Consensus Statement on Management of Intersex Disorders
Released in August 2006, the Consensus Statement on Management of Intersex Disorders was a document published in Pediatrics! that mapped out a new standard of care for people with intersex. According to the ISNA, it made three ground-breaking changes that advocated a Patient-Centered Model, a cautious approach to surgery, and an attempt to get rid of misleading language, all of which were backed by the ISNA

Patient-Centered Model
The ISNA advocated a move from what is called the Concealment-Centered Model to the Patient-Centered Model. This push was to move away from a model that teaches both that “intersex is a rare anatomical abnormality” and that there needs to be immediate surgery to normalize the child’s abnormal genitals, and moved toward the idea that “intersex is a relatively common anatomical variation from the ‘standard’ male and female types”. The attempt is to treat intersex as something that is natural, as to not ostracize the intersex community and allow people with intersex to be treated with the same ethical principles that doctors show to any other patient.

The Patient-Centered Model believes that “psychological distress is a legitimate concern and should be addressed by properly trained professionals”. This means that both people with intersex and family members who feel burdened in anyway should seek both the help of counselors trained in sex and gender issues and the supports from a community of peers experiencing the same situation. This allows a network of support to help everyone through any trying times that might arise. The model also states that "care should be more focused on addressing stigma, not solely gender assignment and genital appearance." The Model attempts to much more caring toward people with intersex.

While some, like Dr. Anne Fausto-Sterling, see this new model that focus mainly on the interests of the patient as a opportunity to move away “from an era of sexual dimorphism to one of variety beyond the number two” (77), the ISNA still believes that “newborns with intersex should be given a gender assignment as boy or girl”. Their reasoning is that they think it would be impossible to know where male ends and intersex begins or where female ends and intersex begins. They want to “make the world a safe place for intersex kids”, and they believe that marking them as a third gender would exile them.

Surgery and Intersex
With surgery, the ISNA wants to make it abundantly clear that newborn intersex genitals should not be operated on, unless there need to be in order to maintain the child’s physical health. It was (and to some extent still is) a common belief that a child's genitals needed to conform to average genitals of a male or female, so in the first 24 hours after birth, doctor's could undergo "extensive reconstructive surgery in order to avoid damage to the child's mental health” (56). On the other hand, the ISNA claims there is "no evidence that children who grow up with intersex genitals are worse off psychologically than those who are altered" and that there is "no evidence that early surgery relieves parental distress" They believe it to be inhuman to choice someone's genitals for them. This being said, the ISNA doesn't condone surgery in general, and believes that people with intersex should be allowed to opt for genital reconstruction, if they want to, when they can fully consent for the operations themselves.

Photo was removed from wikimedia commons and link was taken down on ISNA page