Brian D. Earp, Ph.D. Profile picture
Aug 30, 2020 11 tweets 5 min read Read on X
New paper: "Zero Tolerance for Genital Mutilation: Review of Moral Justifications" (in press with Current Sexual Health Reports). Analyzes culturally biased, unscientific, ethically incoherent position of @WHO on child genital cutting practices. Thread 1/ researchgate.net/publication/34… Image
Paper analyzes 2 main positions that have emerged in bioethics literature: equal opportunity defenders of parental/religious rights to cut children's genitals irrespective of sex/gender, & equal opportunity defenders of children's rights to be protected from genital cutting. 2/ Image
But there is 3rd, incoherent, discriminatory & biased position held by @WHO: "selective zero tolerance" 4 medically unnecessary genital cutting -regardless of severity/motivation- of non-Western ppl w/ female-typical genitals only, yet tolerating comparable Western practices. 3/ Image
Can such selective tolerance be justified in morally principled way that also accounts 4 real-world diversity of genital cutting (and motivations) affecting non-consenting ppl of different sexes? The paper argues "No." Are there categorical diffs in consent or harm? No. 4/ Image
Is there categorical difference in health benefits? This is clearly not basis for WHO position, b/c it opposes medicalization of FGC & would consider it a human rights violation *even if* there were minor benefits that could be achieved w/o genital cutting (or w/ consent). 5/ Image
What about different symbolic meanings? One claim is that "FGM" is "not religious" whereas (at least some forms of) male genital cutting are. Can this justify a categorical difference in treatment between the two? No, it is false empirically and confused conceptually. 6/ Image
What about the idea that one is a form of sex discrimination while the other is not? Am working on a longer paper showing why this claim is anthropologically ignorant, but as discussed briefly in this paper, things are not so simple. 7/ ImageImage
But even supposing that gender inequality were at issue in the way that is commonly supposed, could this justify the categorically different treatment of vulnerable, non-consenting children on the basis of their sex? The legal theorist Kai Moller argues "No" (see below). 8/ Image
The paper concludes that only 1 moral principle - the equal protection of children from medically unnecessary genital cutting, regardless of sex or gender, can explain why even 'ritual nicking' of the clitoral hood that does not remove tissue is a human rights violation. 9/ Image
And as I shared yesterday, this brilliant discussion by Egyptian feminist Seham Abd el Salam explains why "bargaining" w/ patriarchy 2 allow non-consensual MGC so as to fight FGC upholds very structures of power that are problem in the first place noharmm.org/muted5.htm 10/ Image
With colleagues, there are several more papers in pipeline analyzing WHO bias, hypocrisy, cultural imperialism, lack of moral integrity, & selective engagement w/ the research literature when it comes to protecting children from genital cutting. Stay tuned. 11/11

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More from @briandavidearp

Jun 5, 2022
On the failure of academics to concern themselves with the essential questions of human existence, meaning, value, instead tending to their “little farms” of specialisms. “Other teachers will emerge and will be followed.” — Wolfgang Köhler
And the counterpoint (in Köhler’s own voice), “When asked to choose between writing badly about the greatest questions and well about more modest topics we prefer the second alternative.”
To which the interlocutor responds:
Read 5 tweets
Jun 3, 2022
Followers who consider themselves straight males - does this resonate with your experience growing up? 🤔
From Sexual Revolution by Laurie Penny. I don’t know how much ‘straight boy’ accurately describes my childhood self, but must confess that I, too, do not recall experiencing anything remotely like this (mostly, premarital sex meant going to hell; certainly not an entitlement)
And to the extent that sexual feelings or desires weren’t just repressed or associated with shame, I would say that connotations of gentleness, exploration, awe - almost unworthiness - and mutuality would have been the prevailing themes or attitudes I had toward sex
Read 17 tweets
Aug 18, 2021
Pretty horrifying. This should be a major concern. "A Drug Addiction Risk Algorithm and Its Grim Toll on Chronic Pain Sufferers" buff.ly/3sdSwvS - excerpts below
Secret 'credit score' for controlled substances based on opaque, often biased algorithm
Algorithm not validated by peer-reviewed research
Read 8 tweets
Jul 5, 2021
Okay, finally back at my computer so adding these refs now - someone asked whether there are post-colonial critiques of tendency to think of African child genital cutting as 'barbaric' while white Western/US child genital cutting is 'civilized/respectable' - yes. Some highlights:
Among many other excellent discussions of this issue, I recommend "Dualisms and female bodies in representations of African female circumcision: a feminist critique" by Wairimũ Ngaruiya Njambi journals.sagepub.com/doi/10.1177/14… 1/
"Female Genital Cutting (FGC): Who Defines Whose Culture as Unethical?" by Naomi Onsongo utpjournals.press/doi/abs/10.313… 2/
Read 30 tweets
Jul 1, 2021
There is a lot of work on this; much of it is cited in this review article by Sara Johnsdotter and myself nature.com/articles/s4144… … I’ll add refs to individual papers by (eg) post colonial and African studies scholars below
(When I’m back at my computer :)
One example passage nature.com/articles/s4144… Image
Read 4 tweets
Dec 17, 2020
Take this chapter by Birgitte Essén, perhaps the most senior gynecologist & medical expert who has extensive clinical experience working directly w. women affected by FGC. She notes that for over 50 years, the @WHO has published guidelines on FGC re: health consequences ... 6/ Image
& other empirical claims concerning different types of FGC, but "without the usual concern" for high quality evidence, based on "uncritical" thinking re: causes & consequences, "skewed or insufficient data" & "misleading conclusions." This has v. bad real-world implications 7/ Image
Focusing on a Danish case for which she served as an expert witness, Essén notes that trial doctors -- whose testimony led to conviction & more than a year of imprisonment of 2 parents of Somali origin, separating them from their children -- had *NO EXPERTISE* in FGC 8/ Image
Read 16 tweets

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