Genital Cutting and Western Discourses on Sexuality

Introduction

The topic of genital cutting first captured my interest while I was teaching a gender course at a regional university in the United States. During the semester, we explored female circumcision as part of a broader examination of the ways in which gender becomes physically inscribed on human bodies. My goal was to provide students with a more culturally relative perspective on female circumcision and to encourage them to consider similar practices in their own society. To this end, I drew comparisons to male circumcision: the most common surgical procedure in the United States today. Each semester, the reaction of the students was both immediate and hostile. How dare I mention these two entirely different operations in the same breath! How dare I compare the innocuous and beneficial removal of the foreskin with the extreme mutilations enacted against females in other societies! As far as my students were concerned, there was no basis for comparison.¹

In an effort to move beyond the intellectual impasse I seemed to have reached with my students, I discussed the tendency among policy makers to homogenize female genital surgeries and to equate operations diverse in form and function with their most severe manifestations, while simultaneously reducing their meaning to patriarchy. I also pointed out that just as there is a common inclination to consider all female operations under the rubric of mutilation, there is a parallel tendency to collapse the widely variable forms of male genital cutting into a single operation involving the removal of the prepuce of the penis (see Caldwell, Orubuloye, and Caldwell 1997:1184).

I tried to convey that an enormous degree of variation exists between operations. For example, in parts of East Africa not all of the foreskin is removed, while in other regions the foreskin is left largely intact but cut into strips (Caldwell, Orubuloye, and Caldwell 1997:1184). Such ritual circumcisions also take place in Aboriginal Australia, the Philippines, Eastern Indonesia, and Melanesia, with wide variation in procedures.² Similar variation exists in the religious circumcisions conducted among Islamic and Jewish populations. Even the clinical circumcisions familiar to many of my students vary widely, as judgments regarding the amount of skin to be removed from the penis are left to the skill and aesthetic preferences of the individual doctor.³Indeed, while the majority of circumcisions are performed on newborns, a minority undergo the operation after infancy, and some men choose to be recircumcised in later years due to dissatisfaction with the original result (see Altschul 1990).

Moreover, other forms of male genital cutting such as superincision and subincision are also practiced. Superincision, where a dorsal slit is made in the foreskin, is performed in several Pacific island societies (see Firth 1963; Kempf 2002).⁴Subincision, a far more invasive procedure, involves

slitting open the whole or part of the penile urethra along the ventral or under surface of the penis. The initial cut is generally about an inch long, but this may subsequently be enlarged so that the incision extends from the glans to the root of the scrotum, in this way the whole of the under part of the penile urethra is laid open.
~ Montagu 1974:312

This operation was historically widespread among Aboriginal groups in Australias Central Desert (see Berndt and Berndt 1982; Montagu 1974; Roheim 1949),⁵and variations existed in Melanesia (e.g., Hogbin 1970) and Polynesia (e.g., Martin 1981).

Although many of these genital surgeries are less common than the removal of the foreskin, they begin to approach the tenor of female operations such as infibulation in both their degree of physical invasiveness and their potentially damaging health outcomes. Indeed, there are reports of subincision necessitating the adoption of a squatting position to urinate, as males lose the ability to control the direction of their urine flow (Bettelheim 1962:101). Bettelheim (1962:100) also speculates that subincision probably alters the sensations during coitus.

Despite my efforts to reveal the heterogeneity of the practices glossed as male circumcision, the relative equanimity of my students when they learned of these male surgeries was a striking contrast to their sense of outrage and indignation at the female operations. Although it is true that several of the students did perceive that operations such as subincision constitute a form of mutilation, there was little sense that it was of a sexual nature. Indeed, what was striking was how willing students were to relegate such practices to the realm of culture, and how unwilling they were to place female surgeries in the same realm. Importantly, the lack of equivalence many of my students perceived between male and female genital surgeries extended well beyond male circumcision and included an unwillingness to consider any form of male genital surgery in conjunction with the female operations. For the majority of students in the class, the only procedure that they considered at all equivalent to female circumcision was castration, or more than that, full frontal castration—a penectomy.

Over the course of our discussions on this topic, one thing became clear: students did not think that carving up male genitalia had any damaging effects on male sexuality as long as the penis remained largely intact. My students reasoned that as long as the man retained the ability to ejaculate, his sexuality was unimpaired.⁶They were so ready to assert that female sexuality has been totally annihilated by genital surgery of any kind and so reluctant to proclaim that anything short of full frontal castration will affect a mans sexuality in the same way, it seemed clear that something very interesting was being revealed. Importantly, their insistence seemed to have less to do with these practices themselves and more to do with underlying assumptions about the nature of female and male sexuality, assumptions echoed in the dominant discourses on genital cutting.

It is these assumptions that I am interested in exploring in the remainder of this article. Although I look at two very large bodies of literature in this article (that on female and male circumcision), I focus my discussion of male circumcision on the United States where secular, medical circumcision is most pervasive. However, I believe that much of the argument that follows also applies to other countries where secular male circumcision is still relatively common, such as Canada, Australia, New Zealand, and the United Kingdom.

The Literature

In the past few years, a number of books have explored the debates surrounding female circumcision as well as the practices themselves (e.g., Boyle 2002; Gruenbaum 2001; James and Robertson 2002; Shell-Duncan and Hernlund 2000). These works signal a welcome shift toward a wholesale critical reflection on the meanings placed on female genital surgery and seek to problematize Western responses to these operations.⁷However, although passing reference is made to male circumcision, the attention of the authors of these books is directed toward female genital operations. This is true of the majority of studies on female surgeries, where a comparison between male and female circumcisions is generally dismissed altogether, with the qualifier that sunna circumcision bears some equivalence to male circumcision, but that the comparison ends there.⁸

The key activist to make some effort to explore the similarities between female and male genital surgeries is Hanny Lightfoot-Klein (see 1989:183–195, 1994). However, most writers who take up the comparison between male and female genital surgeries are activists opposing male circumcision. Like Lightfoot-Klein (and often drawing explicitly on her work), these writers emphasize that the cultural explanations and justifications for male and female surgeries are similar (see Boyd 1998; Denniston and Milos 1997; Romberg 1985). They also point to the hypocrisy in decrying only those surgeries that are performed in non-Western contexts (see Boyd 1998; Gollaher 2000). This point has also been made by scholars such as Nancy Scheper-Hughes (1991:28), who writes, Where are the passionate voices of our Western, male medical anthropologists—some of them circumcised, some of them not—speaking out on the practice of male genital surgery in the United States? Why isnt male circumcision also one of the places … where we ought to draw the line?

There have also been important moves to consider male and female genital cutting together in an African context (e.g., Caldwell, Orubuloye, and Caldwell 1997; Orubuloye, Caldwell, and Caldwell 2000). As Caldwell, Orubuloye, and Caldwell (1997:1181) convincingly demonstrate, the conceptual separation underlying Western treatments of male and female circumcision is alien to many Africans, who consider these operations to be fundamentally related in both their functions and effects. However, little attempt has been made to explore precisely why international opinion remains largely hostile to female genital cutting and indifferent to the male operations.

Female and Male Genital Operations: And Never the Twain Shall Meet

Although female genital cutting entered the consciousness of colonial administrations in Africa in the 1930s, the practices did not come to larger attention in the West until the 1970s—in large part due to the work of activists such as Fran Hosken and feminists such as Gloria Steinem, Robin Morgan, and Mary Daly. Although these Western perspectives have subsequently been given a certain degree of legitimacy by the writings of Africans such as Dirie (and Miller 1999), Dorkenoo (1994), El Sadaawi (1980), Koso-Thomas (1987), and Toubia (1995), opinions on female circumcision remain firmly divided—both within Africa and the international arena.

Few topics have polarized opinion as much as female circumcision, and during the past few decades it has generated an onslaught of discussion and debate (Shell-Duncan and Hernlund 2000:1). The 1990s especially saw an unprecedented level of interest in this issue. Events such as Alice Walkers appearance on Oprah (subsequent to the publication of her 1992 novel, Possessing the Secret of Joy) and the publication of excerpts from Waris Diries Desert Flower in Readers Digest in 1999 helped in no small way to dramatically increase public awareness of female genital mutilation (FGM). Female circumcision became such a hot topic it was discussed in womens magazines, the U.S. radio program All Things Considered, and was even featured on a 1997 episode of Law and Order. The 1990s also saw an intensification of eradication efforts, with international health and aid organizations placing political and economic pressure on African governments to legislate against the practices (see Shell-Duncan and Hernlund 2000:32–34).

Over this same period, a parallel body of literature on male circumcision also developed. In 1971, the American Academy of Pediatrics stopped endorsing the routine circumcision of males, concluding that there was no absolute medical indication for routine circumcision. In 1989, they modified their position slightly, stating that neonatal circumcision has potential medical benefits and advantages as well as disadvantages and risks. They have since revisited the issue (AAP 1999) in light of more recent studies–particularly those linking circumcision with lower HIV infection rates⁹and continue to maintain that although male circumcision may have potential benefits, the available studies are inconclusive and insufficient to justify recommending routine male circumcision.

In conjunction with the growing medical debate over male circumcision, the anticircumcision movement began to gain ground in the 1980s, with the publication of Edward Wallersteins (1980) respected Circumcision: An American Health Fallacy.¹⁰Since this period, there has been a subtle groundswell of literature opposing male circumcision. A number of anticircumcision organizations have also been formed over the years such as NOHARRM: the National Organization to Halt the Abuse and Routine Mutilation of Males, NOCIRC: the National Organization of Circumcision Information Resource Centers, BUFF: Brothers United for Future Foreskin, RECAP: Recovery of a Penis, and DOC: Doctors Opposing Circumcision. Many of these organizations have created websites and there is also a journal, Foreskin Quarterly, devoted to similar activist activities.

Despite the proliferation of anticircumcision materials on the Internet, for the most part the profiles of these preservationist¹¹organizations are reasonably low. Thus, while the anti-FGM position has enormous public currency, the male preservationist position is not well known, nor is it taken very seriously. The biomedical debates about male circumcision in the United States do not seem to have infiltrated public attitudes toward the practice to any significant degree.¹²According to a recent article published in USA Today, in many parts of the United States, neonatal circumcision rates have remained steady, and in areas such as the Midwest, they have actually increased (Rubin 2001).

The only region that has seen a reduction in circumcision rates is the West, and this decline seems largely attributable to increasing levels of migration from noncircumcising countries and the increase in Hispanic births in this region—an ethnic group in which circumcision rates are comparatively low. Thus, the claims of sexual mutilation made by opponents of male circumcision are more likely to be met by the public (and the press) with snorts of derision than nods of recognition. Indeed, activists working to eradicate male circumcision tend to be depicted in the press as a small, misguided group of extremists (e.g., Epstein 1997).

Ultimately, the evidence regarding the benefits of male circumcision remains extremely controversial.¹³Yet, while there has certainly been a great deal of hyperbole on both sides of the male circumcision debate, some scholars and activists have argued compellingly about the disputable value of studies claiming health benefits for male circumcision and the tendency to unthinkingly reproduce accepted wisdom regarding these benefits¹⁴(see Boyle et al. 2002; Gollaher 2000; Wallerstein 1980).

Carla Obermeyer (1999, 2003) makes a similar point in relation to the anti-FGM literature.¹⁵She argues that a number of the reports on the health effects of female genital cutting rely on sources that have numerous shortcomings, such as a lack of information about where the data were from and how they were collected, high percentages of nonresponses to questionnaires, inconsistencies in calculations, and biased estimates due to small sample sizes. Recent attempts to link HIV transmission with female circumcision,¹⁶despite the poorly documented and epidemiologically improbable health risks (see Taverne 1994), seem to support Obermeyers claim (2003:81) that despite their deficiencies, some of the published reports have come to acquire an aura of dependability through repeated and uncritical citations.

The tendency to minimize the health effects of male circumcision and maximize the damage caused by female circumcision, particularly in popular representations of the operations, seems to require little justification. The so-called commonsense explanation for the differing reception of male and female genital cutting relates to the specific nature of the female operations, which are seen to be fundamentally more damaging to health (unlike the male operations, which are often seen to be actively health promoting). Thus, the World Health Organization (1997:1) states that female genital mutilation is universally unacceptable because it is an infringement on the physical and psychosexual integrity of women and girls and is a form of violence against them.

Implicit within the WHO position is the assumption that such operations destroy female sexuality. This focus on sexual health becomes even more explicit in labels such as sexual castration (Badawi 1989; Hosken 1994:38) and sexual blinding (Walker 1992) that several writers have used to describe the procedures. Thus, although these organizations claim to be concerned about health generally, they are really concerned specifically with sexual health. This is because the detrimental long-term health consequences seem limited largely to in- fibulation (see Obermeyer 1999, 2003; Shell-Duncan and Hernlund 2000:14–18; Shweder 2000), which accounts for around only 15 percent of cases. Moreover, the short-term health effects can be minimized through the use of trained surgeons, sterile equipment, and anesthetics (i.e., the transfer of surgery to a medical setting). Yet, as Shell-Duncan, Obiero, and Muruli (2000:110) point out, paradoxically, those who emphasize female circumcision as a public health issue at the same time oppose any medical intervention designed to minimize health risks and pain for women being cut. Thus, the opposition of the World Health Organization (1997) and many other international agencies to the medicalization of female operations would reinforce the idea that their key opposition to female genital cutting relates specifically to its impact on female sexual health.

The other key argument against female genital cutting relates to the issue of informed consent. According to Fran Hosken (in Abusharaf 2000:151), Any violation of the physical nature of the human person, for any reason whatsoever, without the informed consent of the person involved, is a violation of human rights. Gerry Mackie (2003:136) similarly states that in general there is an absence of meaningful consent to the irreversible act of FGC [female genital cutting], echoing Nussbaums (1999:123) position that, female genital mutilation is usually performed on children far too young to consent even were consent solicited. In a slightly different vein, Rahman and Toubia (2000:3) take the position that the act of cutting itself—the cutting of healthy genital organs for non-medical reasons—is at its essence a basic violation of girls and womens right to physical integrity. This is true regardless of the degree of cutting or of the extent of the complications that may or may not ensue (emphasis added).

Yet, even the most superficial examination of these positions reveals that the particular arguments being produced here to condemn female genital cutting can be used equally to condemn male circumcision.¹⁷Each operation involves an unnecessary bodily violation that entails the removal of healthy tissue without the informed consent of the person involved (see Price 1999; Winkel 2003; Zavales 1996). That a general lack of recognition prevails¹⁸reveals just how conceptually distant the male and female operations are. Indeed, attacks against male circumcision by agencies and health workers in Africa tend to condemn only the conditions under which the operations are performed, rather than the actual procedures themselves.¹⁹

This has led to some rather contradictory policies on the part of international health organizations, which seek to medicalize male circumcision on the one hand, oppose the medicalization of female circumcision on the other, while simultaneously basing their opposition to the female operations on grounds that could legitimately be used to condemn the male operations. Ultimately, the message is clear: genital mutilation is gendered. These male and female genital operations are not merely seen to differ in degree, they are seen to differ in kind. Thus, despite the heterogeneous voices speaking out against female circumcision, a common thread unites many: all forms of female genital cutting are seen to constitute a sexual mutilation and violation of bodily integrity, and male genital operations are dismissed as benign.

Medical Circumcision: An Operation in Search of a Disease?

As numerous scholars have documented, the origins of secular male circumcision are surprisingly recent, dating merely to the late Victorian era, when a number of U.S. and British doctors began to regularly endorse circumcision to cure all manner of physical ailments. Especially interesting are the connections made between male circumcision and hygiene. Although proponents of male circumcision still commonly promote the hygienic benefits of the operation, there is little recognition of the fact that the hygiene of the Victorian imagination conflated physical and moral sanitation much more overtly than the contemporary meaning of the word would suggest.

The best example of this conflation was the attitude toward masturbation, which was considered to be not only morally unclean, but also, by implication, the cause of physical health problems such as asthma, insanity, epilepsy, gout, headaches, rheumatism, curvature of the spine, hip disease, and kidney failure (Boyd 1998:52). Moreover, a number of people have argued that it is precisely such beliefs that go a great way toward explaining the Victorian embrace of medical male circumcision. (See Darby 2003 for an extensive review and discussion of the literature; see also Boyd 1998; Gollaher 1994, 2000.²⁰) Circumcision, it seemed, helped cure the tendency to masturbate, and its hygienic and health benefits stemmed largely from this correlation. Thus, according to American doctor J. M. McGree, writing in 1882, male circumcision is acknowledged to be useful as a preventative to masturbation (in Gollaher 2000:85).

The popular 1896 U.S. parenting manual, All about Baby, also advised that male circumcision was to be preferred in most cases and recommended it largely for preventing the vile habit of masturbation (in Gollaher 2000:104). John Kellogg, cocreator of Kelloggs corn flakes and health reformer obsessed with both regular bowel movements and masturbation, saw similar valuein circumcision. In 1888 he writes,

Tying the hands [to overcome masturbatory tendencies] is also successful in some cases… . Covering the organs with a cage has been practiced with entire success. A remedy which is almost always successful in small boys is circumcision. The operation should be performed by a surgeon without administering an anesthetic, as the brief pain attending the operation will have a salutary effect upon the mind, especially if it be connected with the idea of punishment.
~ Boyd 1998:51

Although the justifications for male circumcision have changed, the continuance of the practice should not merely be understood to reflect more neutral medical appraisals of the operations benefits. As David Gollaher (2000:205) cautions, much as we believe ourselves to be enlightened citizens of the age of science, not superstition, the continuing circumcision of newborn American boys betrays lingering illusions about health and reveals the power of culture in shaping medical practice.

The history of female circumcision in the West sheds light on the way that changing cultural attitudes (as opposed to enlightened medical opinion) may lead to the continuation or cessation of medical practices. As many scholars have noted, during the Victorian era male circumcision was not the lone prophylactic in shielding children from the dangers of masturbation; female circumcisionwas also practiced during this period for very similar reasons (Darby 2003:738; Gollaher 2000:201; Wallerstein 1980).

Perhaps the most public endorsement of female circumcision was provided by Isaac Baker Brown, an eminent obstetrical surgeon who ran a practice in London during the latter half of the 19th century. He worked mainly on diseases of women, and in 1866 he published a book entitled, On the Curability of Certain Forms of Insanity, Epilepsy, Catalepsy, and Hysteria in Females, which advocated clitoridectomy as treatment for the aforementioned medical weaknesses in women (Sheehan 1997). As Elizabeth Sheehan (1997) points out, although Baker Brown was publicly vilified following the publication of this book, the medical reasoning behind clitoridectomy was not discredited. Indeed, in 1936, Holts medical reference text, Diseases of Infancy and Childhood, recommended cauterization or removal of the clitoris for girls as a cure for masturbation (in Lightfoot-Klein 1989:180).

Clitoridectomies were occasionally endorsed in Australia and the United States well into the 1960s as a cure for excessive masturbation. For example, in the popular Christian coming-of-age manual, On Becoming a Woman, first published in 1951 and reprinted in 1968, Dr. Harold Shryock writes,

There are teenage girls who, impelled by an unwholesome curiosity or by the example of unscrupulous girl friends, have fallen into the habit of manipulating these sensitive tissues as a means of excitement. This habit is spoken of as masturbation… . There is an anatomical factor that sometimes causes irritation about the clitoris and thus encourages a manipulation of the delicate reproductive organs… . Oftentimes the remedy for this situation consists of a minor surgical operation spoken of as circumcision. This operation is not hazardous and is much to be preferred to allowing the condition of irritation to continue. [1968:38]

That secular male circumcisionwas taken up while female circumcision never really caught on, except in a limited way, reveals a great deal about the attitudes toward female and male sexuality that were crystallizing over this period.

Sexuality and the Rise and Fall (and Rise) of the Clitoris

As Thomas Laqueur (1999) has shown, before the 18th century, the existence of female sexual pleasure, and its necessity for the successful reproduction of humankind, was taken for granted. Male and female bodies were understood to be fundamentally similar, although a lack of heat caused female genitalia to be inverted (see also Martin 1987). In this period, male and female sexual excitement was seen to be critical to reproduction: the combined orgasmic heat generated by sexual intercourse concocted and commingled the seed of life. Thus, during the Renaissance, the clitoris was routinely described as the organ which makes women lustful and take delight in copulation (Laqueur 1999:220). Seventeenth-century writers insisted that male and female pleasure were located in essentially the same kind of organ: the end of the clitoris was likened to the glans of the penis and was defined as the seat of sexual pleasure in women (Laqueur 1999:220).

However, in 18th-century Europe, a radical reconstitution of female sexuality took place, which Laqueur insists cannot be explained by scientific progress alone. At this time, a new model of human biology emerged, which emphasized both fundamental and immutable differences between the sexes. The female body was no longer understood to be an inversion of the male body with similar organs, functions, and characteristics. It was now of a different order altogether, and in this reconfiguration of the female body sexuality was pushed to the periphery (Laqueur 1999:219). Theodor Bischoffs discovery in 1843 that ovulation in dogs occurs independent of sexual intercourse was taken as proof that the female orgasm serves no reproductive purpose and was therefore unnecessary to the perpetuation of life (Laqueur 1999:233, 239). Thus, the idea that woman was inherently passionate was sacrificed in the effort to assert a fundamental underlying difference in male and female biology.

These assumptions about passive female sexuality were maintained for much of the 20th century. Early support arrived in the form of Sigmund Freuds 1905 essay entitled Three Contributions to the Theory of Sex (1905/1962). According to Freud, mature female sexuality resided in the vagina, and immature female sexuality resided in the clitoris. As he explains it, puberty in females brings with it the transference of erogenous excitability from the clitoris to the vagina (pp. 78–79). Indeed, it was precisely this focus on the vagina as the source of sexual satisfaction and reproductive action that allowed the clitoris to be desexualized to the extent that Victorian doctors routinely performed clitoral massages on hysterical females as a form of medical treatment. In this conceptual framework, the pretense could be maintained that the resulting orgasms, or hysterical paroxysms, were of a nonsexual nature (see Maines 1999).

And so it was that in the 19th and early 20th centuries, the clitoris, so venerated in previous centuries as the organ most closely resembling the penis, was denigrated to the status of irrelevant anatomical appendage. Nevertheless, it is possible to detect certain contradictory elements in the early 20th-century testimonies on female anatomy. Moore and Clarke (1995) point out that the homology between the penis and the clitoris did not disappear completely at the turn of the 20th century, although the latter was deemed a rudimentary imitation of the former. Furthermore, Freud (1905/1962:77–78) also emphasizes the homology between the clitoris and penis, even though he ultimately dismisses its role in mature female sexuality. Indeed, I would speculate that the disfavor attending the publication of Baker Browns theories on the value of clitoridectomy occurred because he was publicly creating a link between the clitoris and female sexuality that contradicted the prevailing theories of the day, even if it was privately accepted by many physicians. As Sheehan (1997:328) notes, it would appear that the medical profession wanted it both ways: the clitoris was so unimportant to a normal woman as not to be missed if removed, yet lurking in its tissue was the greatest threat to femalewelfare ever known.

The tendency to downplay the clitoris became even more entrenched over the course of the 20th century, and by the late 1940s it was common practice to omit the clitoris from anatomy textbooks altogether (Moore and Clarke 1995:274). However, in the 1970s, the clitoris was taken up once again, this time by feminists intent on sexual liberation. In the mid-1970s, with the publication of The Hite Report (Hite 1976), the clitoris was restored to its former seat of glory. The Hite Report indicated that almost all women achieve orgasm through clitoral, as opposed to vaginal, stimulation.²¹It therefore raised the question of why clitoral stimulation was not seen to be a normal part of sex, when it is so fundamental to a womans sexuality. At the time of its publication, The Hite Report obviously provided an important rebuttal to Freudian theories about immature clitoral sexuality and mature vaginal sexuality.

The findings of The Hite Report were quickly taken up by feminists and helped support the earlier claims made by Anne Koedt in her article, The Myth of the Vaginal Orgasm (1970 [1991]). In language that echoes eerily the Renaissance midwifery texts, Koedt argues, It is the clitoris which is the centre of sexual sensitivity and which is the female equivalent of the penis (1991:326). She continues, Its erection is similar to the male erection, and the head of the clitoris has the same type of structure and function as the head of the penis (p. 329). In Koedts framework, there is no room for females who do not fit this clitoral model. She accuses women who claim the capacity for vaginal orgasms of ignorance and false consciousness. According to Koedt, these women are confused, because they either fail to locate the real center of their orgasm (the clitoris) or they desire to fit their experience into the male-defined idea of sexual normalcy.

The Boston Womens Health Book Collective (1971/1978) made similar assertions regarding the clitoris in Our Bodies Ourselves, as did the 1981 book, A New View of a Womans Body (cited in Moore and Clarke 1995). As Moore and Clarke (1995) note, in these works the clitoris is transformed from minor homologue into the raison dˆetre of other organs. Susann Gage, the illustrator of A New View of a Womans Body, later noted, I think that we were revealing the truth. And how can you argue with anatomy? It is all the same. The erectile tissue of the clitoris functions the same as the penis (in Moore and Clarke 1995:280). Similarly, Our Bodies Ourselves (Boston Womens Health Book Collective 1971/1978:20) describes the shaft and glans of the clitoris, appropriating the anatomical terminology of male genitalia to portray the female organ.

The collective influence of these feminist writings and the findings of The Hite Report were influential, and Koedts (re) equation between the clitoris and the penis is commonplace today. Indeed, it is in the arena of female circumcision that this connection is most explicitly asserted. Thus, the World Health Organization states that almost all types of female genital mutilation involve the removal of part or all of the clitoris, which is the main female sexual organ, equivalent in its anatomy and physiology to the male penis (WHO 1997:8). For Fran Hosken (1994:25), The excision of the penis which is the equivalent of the excision of the clitoris is instantly recognized as a severe physical genital mutilation with permanent consequences and is a criminal offence. Similarly, Rahman and Toubia (2000:4) note that, The male equivalent of clitoridectomy, in which all or part of the clitoris is removed, would be amputation of most of the penis. Finally, according to Nussbaum (1999:119),²²the male equivalent of the clitoridectomy would be amputation of most of the penis. The male equivalent of infibulation would be removal of the entire penis, its roots of soft tissue, and part of the scrotal skin.

Clearly, the argument being put forward echoes precisely the position of my undergraduate students: because the clitoris is the equivalent of the penis, only removal of the penis can parallel the effects of female circumcision. Koedt declares as much in her article, arguing that men fear the clitoris because they recognize that it is almost identical to the penis. Thus, she argues that men either ignore the clitoris or they excise it altogether. As Obermeyer (1999:96) and Shell-Duncan and Hernlund (2000:21–22) point out, in this conceptual framework, clitoridectomy became the symbol par excellence of patriarchal oppression.

However, although the genital equation between clitoris and penis has now become central to the dominant discourses surrounding both male and female genital cutting, how valid are equations of this kind? Although it is important to recognize that second-wave feminists deployed the homology argument to subvert the original biomedical intent to diminish the clitoris (Moore and Clarke 1995:995), the ongoing tendency to define the clitoris as the female penis merely reinvokes androcentric notions of female sexuality first described centuries ago (see Laqueur 1999; Martin 1987). Male physiology is still taken as the norm, and female physiology is still understood in relation to it. Indeed, by defining the clitoris as the female penis, contemporary activist discourses merely phallicize female sexuality instead of attempting to understand it on its own terms. Although the clitoris may play an important role in female sexual response, does it necessarily follow that female anatomy, so radically different in form and function to male anatomy, can be understood through the latter? Yet, in the dominant discourses on genital cutting, male anatomy continues to be the yardstick against which female structures are compared.

Nevertheless, the tendency to condemn female genital operations while remaining indifferent toward their male counterparts cannot simply be understood in terms of the genital equation between clitoris and penis that I have outlined above. There are other dimensions at work here, stemming from the 19th-century disconnection of orgasm from female reproduction. It seems that despite the genital equation between the penis and the clitoris, a difference is also maintained—a difference that feminist revisions were never entirely successful in challenging. As Moore and Clarke (1995:284) note, although narratives centered on discussing female sexual experiences are now acceptable, these sexual experiences are depicted as limited. Thus, although an equivalence is asserted between the clitoris and the penis, a difference is ultimately maintained, largely because of the anatomical structure of the genitals and the perceived relationship between the male and female orgasm.

As previously stated, male genital surgeries are deemed unharmful to the male, because as long as the penis is left structurally intact, the man can still have an orgasm, signaled by the ejaculation of semen. However, female orgasm is signaled by no such recognizable emission.²³In this framework, a mans orgasm is both essential to reproduction and accompanied by an objective sign: ejaculation. A womans orgasm, on the other hand, is entirely incidental to reproduction and accompanied by no objective signal. Thus, the homology between penis and clitoris only takes us so far, because this deeper, more fundamental difference is simultaneously recognized and plays an important role in the construction of both female and male sexuality.

Active Men and Passive Women: Contemporary Constructions of Male andFemale Sexuality

Lenore Tiefer (1992) has noted a number of sexual beliefs to which many American men subscribe,²⁴including the perception that mens sexual apparatus and needs are simple and straightforward (unlike womens); that men are ready, willing, and eager for as much sex as they can get; and that sexual prowess is central to masculinity. Implicit within this discourse is a parallel discourse on female sexuality. Because of the seemingly less straightforward nature of female physiology and sexual response, womens sexual needs are presumed to be more complicated and limited than mens.

Susan Bordo (1999) writes at length about the prominence of the hot man thesis, reenergized by popular science, which [has been] busy re-establishing that men are testosterone-driven, promiscuous brutes whom nature wont permit to keep their peckers in their pants (p. 232). This image of the sexually rapacious male pervades popular representations of masculinity, from media advertisements to relationship manuals, such as the immensely successful works of psychologist John Gray. As Bordo (1999:232) notes, for Gray, women need to talk in order to raise their sexual temperature … , because unlike men, we get warmed up not by physical but by mental chemistry… . In contrast, mans blowtorch is ignited by mindless physical attraction to body parts.

The ongoing currency of these ideas is also evident in Smith and Does²⁵1998 bestseller, What Men Dont Want Women to Know: The Secrets, the Lies, the Unspoken Truth. The central premise of their book is that man is a sexual animal (p. 11) who spends his life in one of two basic states: loaded or unloaded (p. 26).²⁶In this discursive framework, genital surgery is far less likely to impair a mans sexuality than a womans because of his highly developed, instinctive, and powerful sexual drive. A womans sexual instincts, being fundamentally more delicate, will be crippled by any form of genital surgery.

This connection between circumcision and male sexuality is most evident in popular perceptions that circumcised menlast longer during sexual intercourse.²⁷Procircumcision websites provide a fascinating source of information regarding this aspect of male circumcision. Unsurprisingly, many of these websites originate in countries where male circumcision is less common (such as the United Kingdom and Australia), just as the bulk of anticircumcision websites come out of the United States.²⁸Nevertheless, I would argue that these sites provide an important source of information regarding the cultural meanings that male circumcision has—meanings that are often only explicitly articulated in contexts where male circumcision is less normalized.

Several procircumcision websites (notably http://www.circlist.com and http://www.circinfo.com)²⁹actively configure male circumcision as a sort of positive sexual restraint stopping the man from jumping the gun during sexual intercourse. According to circlist.com, although an uncircumcised penis may be more sensitive, this same sensitivity can lead to premature ejaculation. Such benefits of male circumcision are a regular focus of discussion, as the following selection of quotes demonstrate:

My husband had a very long, thick foreskin which did not retract automatically when erect… . This provided very little stimulation for me. Consequently, after discussing this for several months (during which time he did not provide me with one orgasm), I convinced him to be circumcised… .My husband and I are very happy with the results. He now has a very tight circumcision with no frenulum remaining… . Sex is much better for both of us.
~ Karen, U.S.A. [Circlist 1999]

I would like to write and express the joy and liberation I too feel about being circumcised. It is a beautifying operation, cosmetic surgery at its best. Its also more comfortable, sex is better and it is so much nicer for your partner. It beats me how any woman consents to sex with a man who still has his foreskin. So it follows that you would expect women to have their male offspring circumcised for the sake of the next generation of females, but then you hit a problem. These males will never have the chance of experiencing the joy of getting circumcised, though hopefully they will be content with their circumcised status once their mothers tell them about what was done to them and why.
~ Anonymous, UK [Circlist 1999]

My girlfriend told me that she preferred the appearance of a circumcised penis, and asked me if I would consider it. At first I gave her only evasive answers, but after thinking it over for a few weeks I decided to go ahead and tell her that I would indeed consider it… . Thoughts and memories of this experience have since enriched our sexlife [sic] beyond description, and although I wouldnt want to go through that again, I am glad that I did and would recommend such an experience for anyone.
~ George, USA [Circlist 1999]

My first circumcision was at the age of 17 being done by a general practicioner [sic]. On my own I requested the surgery without parental knowledge… . The circ was done under local anesthetic in the doctors [sic] office. Unfortunately no stitches were taken which resulted in a 3/16" wide uneven scar. I was recircumcised at the age of 23 to remove the excessive scar tissue. I have no regrets about being circumcised. The somewhat reduced sensitivity of the head is made up for by prolongation of sexual intercourse. My wife approves of the circumcision. I find sex much more prolonged and enjoyable.
~ Rob. [Circinfo 1999]

I was circumcised as a newborn so my perspective is from the point of always being circumcised. . . . Quite a few of my hundred plus partners (not bragging) have made unsolicted [sic] comments about their preference for circumcised partners and that they were pleased to see my penis had been neatly done… . Another advantage to my being circumcised is apparently lasting longer during sex; again commented upon by the ladies. This may come at the expense of some sesensitivty [sic]. But again I cannot speak to that, since I have always been circumcised.
~ Bob. [Circinfo 1999]

Although these commentaries are mostly from men circumcised at a later age, I believe that they articulate constructions of male sexuality that are entrenched and pervasive. Importantly, these anecdotes speak to the role that sexual competence plays in constructions of contemporary masculinity, as many men clearly believe that any loss of sensitivity that accompanies circumcision is compensated by their enhanced sexual performance.³⁰Indeed, what is interesting here is how irrelevant the issue of reduced sensation is for both the men who have this operation and their sexual partners. This poses a striking contrast to the dominant discourses surrounding female genital cutting, where the idea of a woman undergoing genital surgery to enhance her partners sexual pleasure (while concomitantly reducing her own level of sensation) strikes most observers as barbaric and misogynistic. The differing reaction these operations evoke is hardly surprising in light of the assumptions regarding instinctive, active male sexuality and fragile, passive female sexuality that I have detailed above. Thus, as Bordo points out, when it comes to sex, mostly, mens bodies are presented like action-hero toys—wind them up and watch them perform (1999:191).

Genital Surgeries and the Natural Body

It is clear that popular discourses on genital cutting are infused with cultural assumptions about male and female sexuality. Yet, these same discourses display a tendency to essentialize and universalize human sexuality in rather disturbing ways. As Fuambai Ahmadu (2000:284) notes,

The aversion of some writers to the practice of female circumcision has more to do with deeply embedded Western cultural assumptions regarding womens bodies and their sexuality than with disputable health effects of genital operations on African women… . One universalized assumption is that human bodies are complete and that sex is given at birth. A second assumption is that the clitoris represents an integral aspect of femininity and has a central erotic function in womens sexuality.

Ahmadu argues that many women (herself included) who had sexual experiences prior to excision perceive either no difference or increased sexual satisfaction. She also points out that many Western women who have clitorises are unable to achieve orgasms. Similarly, Rogaia Abusharaf (2000:152) points out that Western women overemphasize the effects of female circumcision on sexual pleasure and that the specificity of African womens experience is overlooked.

Ellen Gruenbaum (2001:133–157) also questions the generalization that female sexual response is destroyed in circumcised women, pointing out that these perspectives are, in part, the result of ethnocentrism. Discussing her Sudanese experiences, she documents the changes in her own perceptions of female sexuality, as they were challenged over the course of her fieldwork. Gruenbaum (2001:140– 141) writes,

I knew that men have orgasms (finish) in sex, but do women also? Yes, I was told, women finish. I wanted to ascertain that what they were talking about was a true orgasm and not some vague conceptualization by women who had never personally experienced them. I pressed for a clearer description. Somewhat exasperated that I didnt seem to understand plain Arabic, a visiting midwife named Miriam grabbed by hand, squeezed by fingers, and said, Look, Ellen, some of us do finish. It feels like electricity, like this, and she flicked her finger sharply and rhythmically against my constricted fingers. Iwas convinced we were talking about the same thing.³¹

Vicki Kirby (1987:44), in an early article on female circumcision, cuts to the heart of the problem with applying Western understandings of sexuality to other cultural contexts. She writes,

Although a whole battery of disciplinary practices (medical, pedagogical, familial, architectural, etc.) have produced what we take to be this essence of our personhood, we have reclaimed this cultural effect as a biological fact. Consequently, what has come to secure the truth of Western bodies becomes problematic when it is used as a universal, explanatory grid: the pleasures and desires of a body situated in other histories and other cultures, may not be so readily comprehended.

Obermeyer (1999:95) concurs, pointing out that while studies that systematically investigate the effects of genital cutting on female sexuality are rare, the available evidence raises important questions about whether the link between an intact clitoris and orgasm represents an indisputable physiological reality. Although scholars such as Mackie (2003:151–153) are critical of approaches that question the causal connection between anatomy and orgasmic sexual response, a wealth of literature from disciplines as diverse as anthropology, cultural studies, literary studies, and feminist philosophy support such attempts to denaturalize the human body and sexuality.

It is worth noting that questions can also be raised about the parallel tendency to reduce human sexuality to physiology in the literature opposing male circumcision,³²where a great deal of attention is paid to the structure and sensitivity of the foreskin and its role in determining sexual response. Many activists tend to equate the reduced sensation accompanying the removal of the foreskin with a corresponding reduction in sexual pleasure. According to this logic, the more of the penile skin removed, the greater the decline in sexual satisfaction. However, as discussed, for many men, reduced sensation cannot be unproblematically linked with reduced sexual pleasure—hardly surprising when pleasure and performance are so inextricably linked in the minds of most men (and women). Once again, this demonstrates the fundamental problems in attempting to separate the physiological from the cultural dimensions of sexuality or, worse still, ignoring the cultural elements altogether.

Let me be clear that I am not suggesting that sexuality bears no relation to physiology; however, it certainly cannot be reduced to it. My point is that sexual pleasure and desire are impossible to quantify and measure, and they are certainly not reducible to observable biological response.³³Clearly, many circumcised women feel that the operation constitutes a sexual mutilation that has greatly diminished their capacity to experience sexual pleasure (e.g., Dirie and Miller 1999). And a growing number of men similarly feel that they have been sexually impaired by a medically unnecessary operation. However, some circumcised African women do not feel that their sexual capacities have been reduced through the operation, and countless men make similar claims. Thus, attempts to condemn genital cutting on these grounds alone (whether they be operations performed on females or males) seem doomed to failure, because the resulting discourse of sexual mutilation and incapacitation can be so far removed from peoples personal experiences and daily lives. Ultimately, I do not endorse an extreme cultural relativism that denies the possibility of questioning the efficacy and value of female genital cutting; my key concern is with the asymmetry in discussions of genital cutting and the problematic assumptions they perpetuate.

Conclusions

Given the wide range of literature on genital cutting and the fact that research on this topic spans a variety of disciplines, including the medical sciences, anthropology, history, womens studies, psychology, social work, political science, law, literature, and the humanities (Obermeyer 2003:81; Shell-Duncan and Hernlund 2000:1), I recognize the problems in attempting to discuss dominant discourses, when a plurality of opinions clearly exists. However, despite the heterogeneous voices speaking on this topic, I believe that many of these perspectives share common reductionist tendencies. Therefore, I think that policy makers err in assuming that their readiness to condemn female circumcision and condone male circumcision stems merely from the natural attributes and effects of these practices. Medical and commonsense constructions of the human body are not divorced from cultural beliefs and values, and such assumptions about the nature of the male and female body need to be critically interrogated in all of their complexity.

It is my view that genital operations become tied into much larger discourses about the nature of sexuality. As I have shown, in the context of genital cutting, assumptions are regularly invoked that are readily challenged elsewhere. These assumptions include the idea that the male body provides the basis for understanding the female body; that men are ruled by their penises and that females are sexually passive; and that human sexuality is reducible to anatomyand physiology.

Unsurprisingly, this framework results in a widespread inability to conceptualize male circumcision as anything other than beneficial and a similar inability to conceptualize female circumcision as anything other than a form of sexual mutilation tied directly to patriarchal domination. However, I suggest that the terms under which female circumcision is presently condemned by international agencies such as the World Health Organization deserve close scrutiny. This scrutiny must be accompanied by a similar willingness to scrutinize male circumcision and a recognition that perceptions of one are fundamentally implicated in understandings of the other. Ultimately, it is only by examining why people react to male and female genital cutting in the way that they do that consideration of these issues can start to move beyond this limiting conceptual framework.

Acknowledgments. Although the views expressed in this article are my own, I have benefited from extensive discussions with Dr. Darlene McNaughton and Professor Sally McBeth. Dr. Alex Edmonds also provided useful feedback that forced me to sharpen and clarify my arguments.

References Cited

• Abusharaf, Rogaia Mustafa
  2000 Revisiting Feminist Discourses on Infibulation: Responses from Sudanese Feminists. In Female Circumcision in Africa: Culture, Controversy and Change. Bettina Shell-Duncan and Yvla Hernlund, eds. Pp. 151–166. Boulder, CO: Lynne Reiner.
• Ahmadu, Fuambai
  2000 Rites and Wrongs: An Insider/Outsider Reflects on Power and Excision. In Female Circumcision in Africa: Culture, Controversy and Change. Bettina Shell-Duncan and Yvla Hernlund, eds. Pp. 283–312. Boulder, CO: Lynne Reiner.
• Altschul, Martin S.
  1990 The Circumcision Controversy. American Family Physician 41(3):817– 820. Retrieved online December 18, 2004, at https://www.cirp.org/library/disease/UTI/altschul1990/. American Academy of Pediatrics
• 1999 AAP Task Force on Circumcision: Circumcision Policy Statement RE9850). Pediatrics 103(3):686–693. Retrieved online December 18, 2003, at  http://www.aap.org/policy/re9850.html.
• Badawi, Mohamed
  1989 Epidemiology of Female Sexual Castration in Cairo, Egypt. First International Symposium on Circumcision, Anaheim, California, March 1–2, 1989. Retrieved online November 27, 2003, at  http://www.nocirc.org/symposia/first/badawi.html.
  Berndt, Ronald M., and Catherine H. Berndt
  1982 The World of the First Australians. Sydney, Australia: Lansdowne.
• Bettelheim, Bruno
  1962 Symbolic Wounds: Puberty Rites and the Envious Male. New York: Collier.
• Bordo, Susan
  1999 The Male Body: A New Look at Men in Public and in Private. New York: Farrar, Straus & Giroux.
• Boston Womens Health Collective
  1971/1978 Our Bodies Ourselves: A Health Book by and for Women. British Edition. A. Phillips and J. Rakusen, eds. Middlesex: Penguin.
• Boyd, Billy Ray
  1998 Circumcision Exposed: Rethinking a Medical and Cultural Tradition. Freedom, CA: Crossing.
• Boyle, Elizabeth
  2002 Female Genital Cutting: Cultural Conflict in the International Community. Baltimore: Johns Hopkins University Press.
• Boyle, Gregory, J., Ronald Goldman, J. Steven Svoboda, and Ephrem Ferndandez
  2002 Male Circumcision: Pain, Trauma and Psychosexual Sequelae. Journal of Health Pyschology 7(3):329–343. Retrieved online July 15, 2003, at https://www.cirp.org/library/psych/boyle6/.
• Caldwell, John C., I. O. Orubuloye, and Pat Caldwell
  1997 Male and Female Circumcision in Africa from a Regional to a Specific Nigerian Examination. Social Science and Medicine 44(8):1181–1193.
• Chase, Cheryl
  2002 Cultural Practice or Reconstructive Surgery? U.S. Genital Cutting, the Intersex Movement, and Medical Double Standards. In Genital Cutting and the Transnational Sisterhood. S. James and C. Robertson, eds. Pp. 126–151.Urbana: University of Illinois Press.
• Circinfo
  1999 Personal Experiences. Retrieved online December, 19, 2003, at  http://www.circinfo.com/experiences/experiences.html.
• Circlist
  1999 Preferences. Retrieved online December 19, 2003, at  http://www.circlist.com/preferences/preferences.html.
• Darby, Robert
  2003 The Masturbation Taboo and the Rise of Routine Male Circumcision: A Review of the Historiography. Journal of Social History 26(3):737–757.
• Denniston, George, and Marilyn F. Milos, eds.
  1997 Sexual Mutilations: A Human Tragedy. New York: Plenum.
• Dirie, Waris, and Cathleen Miller
  1999 Desert Flower: The Extraordinary Journey of a Desert Nomad. London: Virago.
• Dorkenoo, Efua
  1994 Cutting the Rose: Female Genital Mutilation—The Practice and Its Prevention. London: Minority Rights Group.
• El Sadaawi, Nawal
  1980 The Hidden Face of Eve: Women in the Arab World. London: Zed.
• Epstein, Randi Hutter
  1997 Circumcision Controversy: Doctors Debate the Benefits and Risks of This Common Procedure, but for Most Parents the Decision Is Personal. Washington Post, October 7:Z14. Retrieved online December 19, 2003, at  http://www.geocities.com/ HotSprings/2754/washington.html.
• Firth, Raymond
  1963 We the Tikopia: A Sociological Study of Kinship in Primitive Polynesia. Boston: Beacon.
• Freud, Sigmund
  1905/1962 Three Contributions to the Theory of Sex. New York: E. P. Dutton.
• Gollaher, David L.
  1994 From Ritual to Science: The Medical Transformation of Circumcision. Journal of Social History 28(1):5–36.
  2000 Circumcision: A History of theWorlds Most Controversial Surgery. New York: Basic Books.
• Gruenbaum, Ellen
  2001 The Female Circumcision Controversy. Philadelphia: University of Pennsylvania Press.
• Hite, Shere
  1976 The Hite Report: ANationwide Study on Female Sexuality. NewYork: Macmillan.
• Hogbin, Ian
  1970 The Island of Menstruating Men: Religion in Wogeo, New Guinea. Prospect Heights, IL: Waveland.
• Hosken, Fran
  1994 The Hosken Report: Genital and Sexual Mutilation of Females. 4th rev. ed. Lexington, MA: Womens International Network News.
• Hull, Terence H., and Meiwita Budiharsana
  2001 Putting Men in the Picture: Problems of Male Reproductive Health in Southeast Asia. IUSSP XXIV Congress, Salvador, Brazil, August 18–24, 2001. Retrieved online December 19, 2003, at  http://www.iussp.org/Brazil2001/s20/S22_02_Hull.pdf .
• International Planned Parenthood Federation
  2000 IMAP highlights: Thirty-eighth meeting of IPPF International Medical Advisory Panel (IMAP), October 5–6, 2000, London. Retrieved online December 19, 2003, at  http://www.ippf.org/medical/imap/meetings/0010.htm.
• James, Stanlie, and Claire Robertson, eds.
  2002 Genital Cutting and the Transnational Sisterhood. Urbana: University of Illinois Press.
• Kempf, Wolfgang
  2002 The Politics of Incorporation: Masculinity, Spatiality and Modernity among the Ngaing of Papua New Guinea. Oceania 73(1):56–78.
• Kirby, Vicki
  1987 On the Cutting Edge: Feminism and Clitoridectomy. Australian Feminist Studies 5:35–55.
• Koedt, Anna
  1970 [1991] The Myth of the Vaginal Orgasm. In A Reader in Feminist Knowledge. S. Gunew, ed. Pp. 326–334. London: Routledge.
• Koso-Thomas, Olayinka
  1987 The Circumcision of Women: A Strategy for Eradication. London: Zed.
• Lacquer, Thomas
  1999 Orgasm, Generation, and the Politics of Reproductive Biology. In The Gender/ Sexuality Reader. R. N. Lancaster and M. di Leonardo, eds. Pp. 219–243. New York: Routledge.
• Lewis, Joseph
  1949 In the Name of Humanity. New York: Eugenics.
• Lightfoot-Klein, Hanny
  1989 Prisoners of Ritual: An Odyssey into Female Genital Circumcision in Africa. New York: Harrington.
  1994 Erroneous Belief Systems Underlying Female Genital Mutilation in Sub- Saharan Africa and Male Neonatal Circumcision in the United States: A Brief Report Updated. Presented at the Third International Symposium on Circumcision, University of Maryland, College Park, MD, May 22–25, 1994. Retrieved online November 27, 2003, at  http://www.nocirc.org/symposia/third/hanny3.html.
• Mackie, Gerry
  2003 Female Genital Cutting: A Harmless Practice? Medical Anthropology Quarterly 17(2):135–158.
• Maines, Rachel
  1999 The Technology of Orgasm: Hysteria, the Vibrator and Womens Sexual Satisfaction. Baltimore: Johns Hopkins University Press.
• Martin, Emily
  1987 The Woman in the Body: A Cultural Analysis of Reproduction. Boston: Beacon.
• Martin, John
  1981 Tonga Islands: William Mariners Account. Tonga: Vavau Press.
• Montagu, Ashley
  1974 Coming into Being among the Australian Aborigines: The Procreative Beliefs of the Australian Aborigines. 2nd ed. London: Routledge and Kegan Paul.
• Moore, Lisa Jean, and Adele E. Clarke
  1995 Clitoral Conventions and Transgressions: Graphic Representations in Anatomy Texts, c1900–1991. Feminist Studies 21(2):255–301.
• Nussbaum, Martha C.
  1999 Sex and Social Justice. New York: Oxford University Press.
• Obermeyer, Carla Maklouf
  1999 Female Genital Surgeries: The Known, the Unknown and the Unknowable. Medical Anthropology Quarterly 13(1):79–106.
  2003 The Health Consequences of Female Circumcision: Science, Advocacy, and Standards of Evidence. Medical Anthropology Quarterly 17(3):394–412.
• Orubuloye, I. O., Pat Caldwell, and John C. Caldwell
  2000 Female Circumcision among the Yoruba of Southwestern Nigeria: The Beginning of Change. In Female Circumcision in Africa: Culture, Controversy and Change. Bettina Shell-Duncan and Yvla Hernlund, eds. Pp. 73–94. Boulder, CO: Lynne Reiner.
• Peterson, Nicholas
  2000 An Expanding Aboriginal Domain: Mobility and the Initiation Journey. Oceania 70(3):205–219.
• Population Council
  2000 Horizons: Male Circumcision and HIV Prevention. Retrieved online on December 17, 2003, at  http://www.popcouncil.org/pdfs/horizons/rs/Re_male_circ.pdf .
• Pounder, Derrick, J.
  1983 Ritual Mutilation: Subincision of the Penis among Australian Aborigines. American Journal of Forensic Medicine and Pathology 4(3):227–229.
• Price, Christopher
  1999 Non-therapeutic Circumcision: The Legal and Ethical Issues. In Male and Female Circumcision, Medical, Legal, and Ethical Considerations in Pediatric Practice. G. C. Denniston, F. M. Hodges, and M. F. Milos, eds. Pp. 425–454. New York: Kluwer Academic/Plenum. Retrieved online on December 19, 2003, at https://www.cirp.org/library/legal/price2/.
• Rahman, Anika, and Nahid Toubia
  2000 Female Genital Mutilation: A Guide to Laws and Policies Worldwide. London: Zed.
• Roheim, Gáesa
  1949 The Symbolism of Subincision. The American Iago 6:321–328.
• Romberg, Rosemary
  1985 Circumcision: The Painful Dilemma. Westport, CT: Greenwood.
• Rubin, Rita
  2001 Circumcision Rate Increases in Midwest. USA Today, August 1. Retrieved online December 18, 2004, at https://www.cirp.org/news/2001/2001-08-01_USAToday.php
• Scheper-Hughes, Nancy
  1991 Virgin Territory: The Male Discovery of the Clitoris. Medical Anthropology Quarterly 5:25–28.
• Sheehan, Elizabeth
  1997 Victorian Clitoridectomy: Isaac Baker Brown and His Harmless Operative Procedure. In The Gender/Sexuality Reader. R. N. Lancaster and M. di Leonardo, eds. Pp. 325–334. New York: Routledge.
• Shell-Duncan, Bettina, and Yvla Hernlund, eds.
  2000 Female Circumcision in Africa: Culture, Controversy and Change. Boulder, CO: Lynne Reiner.
• Shell-Duncan, Bettina, Walter Obungu Obiero, and Leunita Auko Muruli
  2000 Women without Choices: The Debate over Medicalization of Female Genital Cutting and Its Impact on a Northern Kenyan community. In Female Circumcision in Africa: Culture, Controversy and Change. Bettina Shell-Duncan and Yvla Hernlund, eds. Pp. 109–128. Boulder, CO: Lynne Reiner.
• Shingleton H., and C. W. Heath
  1996 Letter to Peter Rappo, M.D., February 16, 1996. Retrieved online on December 19, 2003, at https://www.cirp.org/library/statements/letters/1996-02_ACS/.
• Shryock, Harold
  1968 On Becoming a Woman: A Book for Teen-Age Girls. Victoria, Australia: Signs.
• Shweder, Richard
  2000 What About Female Genital Mutilation? And Why Understanding Culture Matters in the First Place. Daedalus 129(4):209–232.
• Skatsson, Judy, and Geesche Jacobsen
  2003 Cruellest Cut May Be Kind after All. Sydney Morning Herald, November 4.
• Smith, and Doe
  1998 What Men Dont Want Women to Know: The Secrets, the Lies, the Unspoken Truth. New York: St. Martins.
• Taverne, B.
  1994 Ethics and Communication Strategy: Female Circumcision and AIDS in Burkina Faso. Soci´et´es dAfrique et Sida 6:5–6. Retrieved online on November 18, 2003, at  http://www.ird.bf/prog/sida/btarang1.htm.
• Taylor, Paul
  1995 Circumcision Rituals Cause Illness, Death: Traditionalists Disregard Pleas to Sterilize Knives. Seattle Times, February 6. Retrieved online on December 23, 2003, at  http://www.nocirc.org/symposia/second/montagu.html.
• Tiefer, Lenore
  1992 In Pursuit of the Perfect Penis: The Medicalization of Male Sexuality. In Mens Lives. M. Kimmel, ed. Pp. 450–465. New York: Macmillan.
• Toubia, Nahid
  1995 Female Genital Mutilation. In Womens Rights,HumanRights: International Feminist Perspectives. J. S. Peters and A.Wolper, eds. Pp. 224–237. New York: Routledge.
• UNFPA
  2001 Advances in New Technologies and Issues: Male Circumcision. Retrieved online on December 17, 2003, at  http://www.unfpa.org/hiv/strategic/annex2.htm.
• USAID
  2003 Research: Male Circumcision and HIV Prevention. Retrieved online on December 17, 2003, at  http://www.usaid.gov/pop_health/aids/TechAreas/research/mcfactsheet.html.
• Walker, Alice
  1992 Possessing the Secret of Joy. Boston: Compass.
• Wallerstein, Edward
  1980 Circumcision: An American Health Fallacy. New York: Springer.
• Winkel, Rich
  2003 Male Circumcision in the USA: A Human Rights Primer. Retrieved online on July 15, 2003, at  http://www.math.missouri.edu/~rich/MGM/primer.html.
• World Health Organization
  1997 Female Genital Mutilation: A Joint WHO/UNICEF/UNFPA Statement. Geneva: WHO.
  2004 Media Centre: Female Genital Mutilation. Retrieved online on December 18, 2004, at  http://www.who.int/mediacentre/factsheets/fs241/en/.
• Zavales, Anastasios
  1996 Genital Mutilation and the United Nations: Male and Female Circumcision, Human Rights, and the Restoration of Spiritual Integrity and Freedom. Fourth International Symposium on Sexual Mutilations, University of Lausanne, Lausanne, Switzerland, August 9–11. Retrieved online on December 19, 2003, at  http://www.nocirc.org/symposia/fourth/zavales4.html.

MEDICAL ANTHROPOLOGY QUARTERLY, Vol. 19, Issue 2, pp. 125–148, ISSN 0745-5194, electronic ISSN 1548-1387. © 2005 by the American Anthropological Association. All rights reserved. Please direct all requests for permission to photocopy or reproduce article content through the University of California Presss Rights and Permissions website,  http://www.ucpress.edu/journals/rights.htm.

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