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| archiveurl = http://archive.today/T79HL | | archiveurl = http://archive.today/T79HL | ||
| archivedate = 2021-04-27 }}|In Burkina Faso, we did not have proper clinics for these procedures. We didn’t have doctors in white jackets and gloves. '''We didn’t even have anesthesia to numb the pain'''.}}{{Quote|<nowiki>Breakout Session 3: Female Genital Mutilation - The Facts (2017) - youtu.be/nuaZ_QIx-3U?t=31m44s</nowiki> | | archivedate = 2021-04-27 }}|In Burkina Faso, we did not have proper clinics for these procedures. We didn’t have doctors in white jackets and gloves. '''We didn’t even have anesthesia to numb the pain'''.}}{{Quote|<nowiki>Breakout Session 3: Female Genital Mutilation - The Facts (2017) - youtu.be/nuaZ_QIx-3U?t=31m44s</nowiki> | ||
|Remember, '''there were no anesthetics''' because for we you have to walk the walk, you have to dance the dance. It's what makes you a woman. When you feel that pain it shows you that pain is all you know as a woman.}}Why are anaesthetics not used? [[File:Indonesia - susanfemalecircumcision-1.jpg|thumb|Medicalised FGM in Indonesia - note the apparent lack of anaesthesia (see also [http://archive.today/2021.04.26-080016/https://www.theguardian.com/society/2012/nov/18/female-genital-mutilation-circumcision-indonesia The day I saw 248 girls suffering genital mutilation] The Guardian 2012) |alt=|350x350px]]There are several possible reasons. It may be that mothers and other older females in the family expect their daughters to undergo the same procedure (and suffering) that they did; anaesthetics may be unavailable or too expensive for poor families; the illegality of FGM in many countries may make anaesthetics hard to obtain for 'cutters' - or discourage those who can legitimately obtain and use anaesthetics (such as doctors, midwives and nurses) from practicing FGM. The non-use of anaesthetics may also be to some extent due to the fact that cultures that practice it do not understand it as a medical matter but a religious or technical matter and the concerns, priorities and | |Remember, '''there were no anesthetics''' because for we you have to walk the walk, you have to dance the dance. It's what makes you a woman. When you feel that pain it shows you that pain is all you know as a woman.}}Why are anaesthetics not used? [[File:Indonesia - susanfemalecircumcision-1.jpg|thumb|Medicalised FGM in Indonesia - note the apparent lack of anaesthesia (see also [http://archive.today/2021.04.26-080016/https://www.theguardian.com/society/2012/nov/18/female-genital-mutilation-circumcision-indonesia The day I saw 248 girls suffering genital mutilation] The Guardian 2012) |alt=|350x350px]]There are several possible reasons. It may be that mothers and other older females in the family expect their daughters to undergo the same procedure (and suffering) that they did; anaesthetics may be unavailable or too expensive for poor families; the illegality of FGM in many countries may make anaesthetics hard to obtain for 'cutters' - or discourage those who can legitimately obtain and use anaesthetics (such as doctors, midwives and nurses) from practicing FGM. The non-use of anaesthetics may also be to some extent due to the fact that cultures that practice it do not understand it as a medical matter but a religious or technical matter and the concerns, priorities and paraphernalia of medical procedures don't apply. This may also explain why it is so often performed with germ-infested instruments, with no regard to asepsis and with crude ersatz instruments. | ||
However, probably the most significant factor, one which might explain why anaesthetics are not used even when the mutilation is performed in medicalised environment by nurses, is that trauma is part of the functionality of FGM. | However, probably the most significant factor, one which might explain why anaesthetics are not used even when the mutilation is performed in medicalised environment by nurses, is that trauma is part of the functionality of FGM. | ||
Ordeal, pain and fear are used in rites of passage to alter the identity and personality of the initiand and it may be that FGM makes use of pain to the same ends. PTSD is almost universal in girls who have undergone FGM.<ref>[https://pubmed.ncbi.nlm.nih.gov/28164288/ Cognitive behavioral therapy for post-traumatic stress disorder, depression, or anxiety disorders in women and girls living with female genital mutilation: A systematic review - Adegoke Adelufosi et al (2017)]</ref><ref>[https://bmcpsychiatry.biomedcentral.com/articles/10.1186/s12888-018-1757-0 Psychopathological sequelae of female genital mutilation and their neuroendocrinological associations - Anke Köbach et al]</ref><ref>[https://www.taskforcefgm.de/wp-content/uploads/2010/03/FGM__Trauma.pdf 'Posttraumatic Stress Disorder and Memory Problems After Female Genital Mutilation' - Alice Behrendt, Dipl.-Psych. Steffen Moritz, Ph.D.]</ref> This is the psychological state produced by the 'ordeals' of in Rites of Passage, which are designed to break the person down in order that the 'new person' be reconstructed. | Ordeal, pain and fear are used in rites of passage to alter the identity and personality of the initiand and it may be that FGM makes use of pain to the same ends. PTSD is almost universal in girls who have undergone FGM.<ref>[https://pubmed.ncbi.nlm.nih.gov/28164288/ Cognitive behavioral therapy for post-traumatic stress disorder, depression, or anxiety disorders in women and girls living with female genital mutilation: A systematic review - Adegoke Adelufosi et al (2017)]</ref><ref>[https://bmcpsychiatry.biomedcentral.com/articles/10.1186/s12888-018-1757-0 Psychopathological sequelae of female genital mutilation and their neuroendocrinological associations - Anke Köbach et al]</ref><ref>[https://www.taskforcefgm.de/wp-content/uploads/2010/03/FGM__Trauma.pdf 'Posttraumatic Stress Disorder and Memory Problems After Female Genital Mutilation' - Alice Behrendt, Dipl.-Psych. Steffen Moritz, Ph.D.]</ref> This is the psychological state produced by the 'ordeals' of in Rites of Passage, which are designed to break the person down in order that the 'new person' be reconstructed. In an act analogous to slave-branding - whereby arbitrary violence and pain was used to render the slave manipulable, and submissive to his/her master, the child learns that people she loves and trusts are capable of betraying her, and of inflicting great violence and pain. This makes her submissive not just to her family, but also her future husband, her community, her religion and her god. {{Quote|[p365 ‘Male and female circumcision: Religious, medical, social and legal debate‘ by Sami A. Aldeeb Abu-Sahlieh]|One of [FGM's] disastrous effects is deterioration of the relation between the girl and her parents. The girls has the feeling that these last betrayed her.}} | ||
{{Quote|[https://www.amazon.com/Infidel-Ayaan-Hirsi-Ali/dp/0743289692 p33 'Infidel' - by Ayaan Hirsi Ali (2007)]|Haweya was never the same [after being subjected to FGM]. She had horrible nightmares, and during the day began stomping off to be alone. My once cheerful, playful little sister changed. Sometimes she just stared vacantly at nothing for hours.}}Critics of FGM usually write in terms of it being a crime against ''women'', and that it is women who suffer from FGM and its consequences. However, it should be remembered that the victims of FGM are children, and FGM is a crime against the child long before it is a crime against the woman. FGM makes it probable that the child's first and most intense experience of 'sexuality' is one of cruelty, betrayal, pain and prolonged suffering. This is likely to generate anxieties considerable anxieties around her body, her sense of self, her sexuality and of sexuality in general - and implant in the the child, and the woman she will eventually grow up to be, a dysfunctional relationship to her body, to her sexuality and the sexuality of others. This will manifest itself socially in her being more chaste, modest, pure and asexual - which is the ultimate goal of FGM. | |||
{{Quote|[https://obgyn.onlinelibrary.wiley.com/doi/full/10.1016/S0020-7292(00)00237-X 'Female genital mutilation (FGM) management during pregnancy, childbirth and the postpartum period' H Rushwan (2000)]|The psychological and social consequences of FGM include acute anxiety, frigidity, depression and neurosis which may result in marital disharmony.}} | |||
As such FGM, especially when performed without anaesthetics, can be said to deliberately make use of trauma as a tool of psychological and social engineering. | |||
==Arguments de-linking FGM and Islam== | ==Arguments de-linking FGM and Islam== | ||