This book represents the proceedings from a conference that took place in Dallas in the spring of 1999 which was entitled "Pediatric Gender Assignment - A Critical Reappraisal". Some participants rightfully argued that the conference really focused on the issue of pediatric gender assignment, and that reassignment was not applied in most cases. Their comments were reflected in the title of this monograph. This multidisciplinary meeting was sponsored by a conference grant from the National Institutes of Health, and a broad inquiry into this complex topic took place from many points of view. Basic scientists offered insight into mechanisms of sexual differentiation of the gonads, physical phenotype and imprinting of the central nervous system. Endocrinologists reviewed their experience in diagnosis and management, surgeons described traditional as well as innovative approaches, and there was strong representation from the ethical and behavioral sciences. In putting together such a panel, it was essential that we identify a cast of speakers who could address their viewpoints with strong convictions, and yet not let their passions render the meeting counter productive. We were not disappointed. While many differing points of view were firmly expressed by the panelists and audience, all viewpoints were accorded the respect they deserved. The concept behind the meeting and this book really originated in 1997 shortly after Diamond and Sigmundson published their long term follow up study of the John/Joan case.
This volume focuses on the medical and surgical issues surrounding children born with ambiguous genitalia and intersex states. The editors, all renowned in this area of pediatrics, discuss the most recent medical, psychological, and ethical protocols surrounding the clinical treatment of these children and adolescents. The endocrinological and hormonal aspects of this field are also discussed at great length. This volume is important for all researchers and professionals in the field of pediatric surgery, endocrinology, urology, and ethics.
Our lives and purpose were planned by God before the world was formed. We were not placed here by accident. We are not alive today by accident. God spoke His purpose and plans into our lives before conception. God knew how we would arrive and designed a customized plan to bring each of us to planet earth. Our conception and birth situation may not have been ideal, but our parents were the vessels God chose to transport us. Many people believe they are destined to become a certain way because of someone's opinion. There is not anyone who can change the plans God has for us. One may choose to disobey God's instructions, but His plans never change. The events which occur in our lives may be a surprise to us but not to God. The author takes us on a journey of her life from birth to adulthood. She not only tells a story but gives solutions that may help or inspire others seeking guidance. She shows us how every event in her life, whether good or bad, was not an accident or a surprise to God. He used each event as tools to mold and shape her for His purpose and her ASSIGNMENT. Ye have not chosen me, but I have chosen you, and ordained you, that ye should go and bring forth fruit, and that your fruit should remain: that whatsoever ye shall ask of the Father in my name, he may give it you ( John 15: 16). According as he hath chosen us in him before the foundation of the world, that we should be holy and without blame before him in love: Having predestinated us unto the adoption of children by Jesus Christ unto himself, according to the good pleasure of his will (Ephesians 1: 4-5).
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