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Yıl:2015; Cilt: 26; Sayı: 3>> Özet
TAM METİN
Türk Psikiyatri Dergisi; 2015;26(3):204-212
Tedavi Amaçlı Olmayan Erkek Çocuk Sünnetinin Etik Değerlendirmesi
MC İzgi
Akdeniz Üniversitesi, Antalya.
Tedavi amaçlı olmayan sünnet uygulaması, tarihsel açıdan çok eskilere dayanan ve en çok uygulanan cerrahi girişim olarak kabul edilir. Bu uygulamanın gerekliliği, genel olarak dini ve geleneksel nedenlere dayandırılmakla birlikte toplumsal kabulü artırmak için uygulamanın yararlarına yönelik tıbbi temellendirmelere de ağırlık verilmektedir. Tedavi amaçlı olmayan sünnet uygulamasının tıbbi açıdan yararı ve zararı hakkında ortak bir uzlaşının olmaması, konunun değersel boyutuyla da tartışılmasını gerekli hale getirmektedir. Herhangi bir tıbbi uygulamanın hukuksal olarak kabul ölçütleriyle de çelişen sünnet uygulamasındaki temel değer tartışmaları özerklik, vücut bütünlüğünün bozulması, mahremiyet gibi birey olmanın olanağını sağlayan temel kavramlarla ilintilidir. Son yıllarda yaşanan yasal süreçler ile Avrupa Konseyi Parlamenter Meclisi’nin ve Amerikan Pediatri Akademisi’nin konuyu gündemlerine alması, söz konusu etik değerlendirmelerin gerekliliğini artırmaktadır. Hekimlik mesleğinin değer yükü ve aydın olmayı da içeren hekim kimliği, hekimlere sünnetin sağlığın geliştirilmesi ve korunması için gerekli olup olmadığı tartışmaları yanında her sünnet uygulamasında girişimin ahlaki izni hakkında düşünme ve değerlendirme yapma sorumluluğunu da yüklemektedir.
Ethical Evaluation of Non-Therapeutic Male Circumcision
Elective circumcision for nonmedical reasons is a surgical approach which is historically long standing and accepted as the most performed procedure. The necessity of the procedure is usually for religious and traditional reasons alongside some medical ground related benefits to enable its social acceptability. The discussion of the subject from the aspect of ethics becomes necessary as there is no consensus about the benefits or harmfulness of nonmedical circumcision. Fundamental ethical discussions about circumcision, which contradicts legal acceptance criteria of any medical application, are related to the basic concepts of the existence of an individual such as sovereignty, the loss of bodily integrity, and privacy. The recent legal processes and the fact that the European Council and the American Academy of Pediatrics have put the issue on their agenda have increased the necessity of these ethical evaluations. The responsibility of consideration and evaluation of ethical permission of every circumcision procedure, besides discussing the necessity of circumcision for improvement and protection of health rests on the shoulders of the physicians because the dignity and intellectual identity of the profession require so.

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