Examining Autonomy and Consent in Gender Assignment Decisions on Intersex People in India

  • Chapter
  • First Online:
Interdisciplinary and Global Perspectives on Intersex

Abstract

Intersexuality, particularly in the Global South, remains under-researched. In this chapter, I explore the cultural, social and medical discourses that guide how key stakeholders, including medical professionals, make decisions about gender assignment of intersex children in India. Autonomy is a key idea explored within trans discourses including “cosmetic” surgeries or gender reassignment surgeries for trans people. For intersex people, autonomy and consent have been contested with different stakeholders often making these decisions for them. This chapter explores ideas of consent, autonomy and participation of intersex people and children in decisions related to gender assignment. How do doctors understand ideas of consent and participation? Is the consent of the individual a significant part of the decision-making process? I tease out different layers of consent and participation in relation to bodily autonomy for intersex people and for doctors through qualitative interviews with doctors from different specialisations across India.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Subscribe and save

Springer+ Basic
EUR 32.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or Ebook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 109.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 139.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free ship** worldwide - see info
Hardcover Book
USD 139.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free ship** worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  • Beauchamp, T. L., & Childress, J. F. (2013). Principles of Biomedical Ethics. Oxford University Press.

    Google Scholar 

  • Bhat, R. (1996). Regulating the Private Health Care Sector: The Case of the Indian Consumer Protection Act. Health Policy and Planning, 11(3), 265–279.

    Article  Google Scholar 

  • Fine, M., Weis, L., Weseen, S., & Wong, L. (2000). For Whom? Qualitative Research, Representations, and Social Responsibilities. In N. Denzin & Y. Lincoln (Eds.), Handbook of Qualitative Research (2nd ed., pp. 167–207). Sage Publications.

    Google Scholar 

  • Jensen, R., & Thornton, R. (2003). Early Female Marriage in the Develo** World. Gender and Development, 11(2), 9–19.

    Article  Google Scholar 

  • Karkazis, K. (2008). Fixing Sex: Intersex, Medical Authority, and Lived Experience. Duke University Press.

    Book  Google Scholar 

  • Kaushik, J. S., Narang, M., & Agarwal, N. (2010). Informed Consent in Pediatric Practice. Indian Pediatric, 47, 1039–1046.

    Article  Google Scholar 

  • Mocherla, S., Raman, U., & Holden, B. (2012). Expressions of Equity: Imbalances in the Patient-Clinician Interaction. Indian Journal of Medical Ethics, IX(2), 87–93.

    Google Scholar 

  • Nandimath, O. V. (2009). Consent and Medical Treatment: The Legal Paradigm in India. Indian Journal of Urology, 25(3), 343–347.

    Article  Google Scholar 

  • Rao, M., Rao, K. D., Shiva Kumar, A. K., Chatterjee, M., & Sundararaman, T. (2011). Human Resources for Health in India. The Lancet, 377(9765), 587–598.

    Article  Google Scholar 

  • Sanwal, A. K., Kumar, S., Sahni, P., & Nundy, S. (1996). Informed Consent in Indian Patients. Journal of the Royal Society of Medicine, 89, 196–198.

    Article  Google Scholar 

  • Smith, L. T. (2006). Researching in the Margins: Issues for Maori Researchers – A Discussion Paper. Alternative, 2(1), 4–27.

    Article  Google Scholar 

  • The Indian Penal Code, section 89. https://indiankanoon.org/doc/1858333/

  • The Indian Penal Code, section 90. https://indiankanoon.org/doc/1742535/

  • The Indian Penal Code, section 92. https://indiankanoon.org/doc/870189/

  • Waites, M. (2005). The Age of Consent: Young People, Sexuality and Citizenship. Palgrave Macmillan.

    Book  Google Scholar 

  • Woodsong, C., & Karim, Q. A. (2005). A Model Designed to Enhance Informed Consent: Experiences from the HIV Prevention Trials Network. American Journal of Public Health, 95(3), 412–419.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Arpita Das .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2022 The Author(s), under exclusive license to Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Das, A. (2022). Examining Autonomy and Consent in Gender Assignment Decisions on Intersex People in India. In: Walker, M. (eds) Interdisciplinary and Global Perspectives on Intersex. Palgrave Macmillan, Cham. https://doi.org/10.1007/978-3-030-91475-2_9

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-91475-2_9

  • Published:

  • Publisher Name: Palgrave Macmillan, Cham

  • Print ISBN: 978-3-030-91474-5

  • Online ISBN: 978-3-030-91475-2

  • eBook Packages: Social SciencesSocial Sciences (R0)

Publish with us

Policies and ethics

Navigation