穆斯林“净礼”和“割礼”的预防保健作用刍议

了解农村男性穆斯林行净礼和割礼对尿路感染及炎症所致的尿路刺激征的保护作用。采用义诊现场问卷,对甘肃省临夏回族自治州回族聚居地区360名20～60岁男性穆斯林农村居民进行调查研究发现,割礼和净礼对防治尿路刺激征的发生起到了积极作用。     

The relevance of castration and circumcision to the origins of psychoanalysis: 1. The medical context1

In this paper the author outlines and discusses the origins and the decline of castration and circumcision as a cure for the nervous and psychic disturbances in women and little girls between 1875 and 1905. The author argues that the opposition to this medical practice affected the conception of hysteria, promoting a distinction between sexuality and the genital organs, and the emergence of an enlarged notion of sexuality, during the period from Freud’s medical education to the publication of the Three Essays on the Theory of Sexuality. The hypothesis is put forward that Freud came directly in contact with the genital theory of the neurosis at the time of his training on the nervous disturbances in children with the paediatrician, Adolf Baginsky, in Berlin, in March 1886. It is hypothesized that this experience provoked in Freud an abhorrence of circumcision ‘as a cure or punishment for masturbation’, prompting an inner confrontation which resulted in a radical reorganization of the way of thinking about sexuality. It is also suggested that this contributed to Freud developing a capacity to stay with contradictions, something which would become a central quality of the psychoanalytic attitude.     

Suspicious circumcisions: a psychoanalytic exploration of the connection between Antisemitism and Misogyny

The historical dominance of Classical Greek attitudes, beliefs, and meaning structures has directly contributed to the “otherness” status of women, establishing an implicit misogynistic undercurrent in the history of Western society. The privileging of certain Greek ethos within the foundation of Christendom has likewise amplified and institutionalised Antisemitism, solidifying the Jew as an “other”, atavistic and vestigial nation of people. The biblical world view, in contradistinction, offers an important reappraisal of masculine and feminine ideals, undercutting misogynistic attitudes and in so doing delimiting space for an authentic feminine other to find expression. The alternative gender conceptualizations endorsed by the Bible and more generally embodied in Hebraic thought render Jews a target for displaced misogynistic rage. Particular attention is given to the domains of rationality vs. irrationality, activity vs. passivity, and the dramatically different ways that the Graeco-Roman, psychoanalytic, and Jewish traditions understand ritual circumcision, specifically how after being filtered through a Hebraic lens ritual circumcision, can be psychoanalytically re-conceptualised as a potent mechanism for forging intergenerational connectedness.     

Freud's Jewish identity,circumcision, and the theory of castration anxiety: problem or pride?

In this work the author reflects on the Jewish identity of Sigmund Freud. It is acknowledged that Freud, even though he seemed ambivalent towards Jewishness and even though anti-Semitism was omnipresent, not necessarily perceived his Jewish identity as problematic. Rather, it seems as if Freud had a positive Jewish identity, which was connected to profound knowledge in Jewish religion and tradition, even though he declared himself as a Godless Jew. Both his Jewish identity and his knowledge in Judaism seemed to have contributed to some of his insights into the human psyche. The impact of the traditional Jewish circumcision and the insights connected to the theory of castration anxiety are specifically discussed. The author suggests that Freud's positive Jewish identity, and the significance of circumcision, contributed to his insights into the prerequisites of human development and how we as individuals are shaped both by our interpersonal relationships and by the cultural context.     

包皮环切术的历史与宗教

探讨包皮环切术的历史与宗教起源。对包皮环切术的历史文献进行分析整理,归纳总结它们的历史。对于包皮环切术的起源肯定是在史前开始的。6000年以前的埃及木乃伊和浮雕上记录了最早的包皮环切术的过程。很多宗教都与包皮环切术有关系。包皮环切术有着很长的传统,与各民族和宗教的发展息息相关。     

HIV voluntary counselling and testing among recently initiated and traditionally circumcised men in the Eastern Cape Province of South Africa

HIV voluntary counselling and testing (VCT) is a cornerstone of the national strategic plan for HIV/AIDS treatment, care and support in South Africa. However, research shows that the utilisation of VCT services is disappointingly low, particular among males. This article focuses on the factors associated with the intention to test for HIV-infection among recently initiated and traditionally circumcised men in the rural areas of Eastern Cape Province, South Africa. Individual face-to-face interviews were conducted among 1656 sexually active men. Logistic regression analyses were used to explore the association between intention to test for HIV and psychosocial factors. Overall, 35.1% of the participants reported ever having tested for HIV. Intention to test for HIV was positively associated with perceived probability of getting an STI, positive attitudes towards gender-based violence, received general teachings about being a responsible man and highest grade passed. These findings provide specific information that can be used in the development of a focused cultural sensitive STI/HIV prevention programme aimed to increase VCT uptake among sexually active young men, which can be integrated into initiation and health education practices.     

‘Should I Circumcise My Daughter?’ Exploring Diversity and Ambivalence in Egyptian Parents' Social Representations of Female Circumcision

Female circumcision is still practiced in different parts of Egypt, impacting women's health and well‐being. Existing studies often portray parents' representations of the practice as positive and homogeneous, with little attention paid to the true diversity of views within a community. This study draws on social representations theory to highlight such nuances, while identifying the psychosocial factors that shape parents' decisions to circumcise or not circumcise their daughters. In‐depth interviews with 11 mothers and five fathers were conducted in rural communities in the Al Qalyoubeya and Benisweif governorates. Thematic analysis revealed the co‐existence of positive, negative and ambivalent representations of female circumcision amongst parents and within the individuals themselves. Although some parents positively represent female circumcision as ensuring the daughter's chastity, safeguarding her femininity and preserving community identity, they feel distress about its potential harms, such as pain, bleeding and terrifying experience on the daughter. Fathers further acknowledge its negative impact on marital sexual relationships. In some cases, parents challenge the ritual and refuse to circumcise their daughters. In light of a theory of change that emphasises the role of community dialogue in renegotiating health‐damaging social practices, along with evidence of diverse views amongst parents, this study argues that sensitively facilitated ‘community conversations’ might provide parents with opportunities to debate their opposing views and allow for the construction of health‐enabling social representations. Copyright © 2014 John Wiley & Sons, Ltd.     

Ritual Male Infant Circumcision and Human Rights

Opponents of male circumcision have increasingly used human rights positions to articulate their viewpoint. We characterize the meaning of the term “human rights.” We discuss these human rights arguments with special attention to the claims of rights to an open future and to bodily integrity. We offer a three-part test under which a parental decision might be considered an unacceptable violation of a child's right. The test considers the impact of the practice on society, the impact of the practice on the individual, and the likelihood of adverse impact. Infant circumcision is permissible under this test. We conclude that infant circumcision may be proscribed as violating local norms, even though it does not violate human rights.     

La responsabilité médicale des accidents de la circoncision en Tunisie : à propos de trois affaires judiciaires

Circumcision is the most frequently performed surgical procedure worldwide, mainly as part of religious rituals. It may lead to serious complications. Although there is no specific law relative to circumcision accidents in Tunisia, the occurrence of complications of this act is likely to engage the penal, civil and disciplinary liability of the doctor. Prevention involves respecting the principles of the Medical Deontology Code, raising awareness about the need to practice circumcision in a medical environment and the promulgation of specific legislation regulating this act. The new Tunisian law on medical liability seems to offer a solution to solve the legal complaints concerning circumcision accidents by providing more opportunities for amicable settlement and at the same time guaranteeing adequate and rapid compensation of the prejudice. In this article, we discuss the medical liability of circumcision accidents through three medicolegal cases carried out at the Department of Legal Medicine of Ibn El Jazzar University Hospital, Kairouan, Tunisia.     

正确看待新生儿包皮环切术

新生儿包皮环切术通常被认为能减少尿路感染、成人阴茎癌甚至艾滋病毒感染危险,许多国家和地区常规为新生儿行包皮环切术。但近年来许多学者从医学和伦理等角度对此提出疑问,主张慎重对待新生儿包皮环切术。