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Circumcision:
An Ethnomedical Study
by A. Thomas
The Gilgal Society
PO Box 53515
Upper Norwood
London
SE19 2TX
United Kingdom
Price: £25/$40
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THIS IS a monumental production of
250 A4pp, extensively illustrated in black and white with an
interesting full colour cover. The latter, I learned from the
publishers, is the contribution of a professional print designer
who experienced having to be circumcised in childhood.
Considering that the subject of this book is what many consider
to be a trivial operation, one could be forgiven for assuming
such a tome would be dedicated to heart by-pass surgery. Proportionately
it might be assumed that a mere pamphlet would cover something
as simple as circumcision.
But is it that simple? The title of the publication is only
one word: 'Circumcision' writ large, but the subtitle: 'An ethnomedical
study' defines its object. Thus, it is an academic work which
is destined for libraries, public and private, where it will
serve as a resource for overlapping disciplines. Historians,
anthropologists, geographers, students of culture, sexology and
medicine, will all find an abundance of relevant information.
Indeed, parents too, if they are seeking to be informed before
making the decision on whether or not to circumcise their son.
As the author reminds us, this is the world's oldest and most
frequently performed operation. It has arisen independently in
differing cultures across the world. It is variously justified
in religious ritual, rites of passage, medical expediency or
prophylactic, and easier penile hygiene. It captures personal
ambitions for body image and improved sexual performance. It
flourishes in societies as diverse as Australian Aboriginal tribes
and the United States of America.
Clearly, the task of organising the mountain of data which
the author has gathered, is a tricky one. While focusing on one
area, it is easy to stray into another. A discourse on methods
may need to touch simultaneously on anatomy and history, instruments
and results. Inevitably this gives rise to some duplication,
but the book is none the worse for that if it is to be used as
a dip-in reference.
The reader is helped by a comprehensive table of contents
which is set out in three parts, the whole occupying some five
pages of detailed topics plus a list of illustrations.
In Part I we are introduced to the subject with the anatomy,
and variations of penises as they arrive delivered from the factory
and as they grow into the adult model. It runs the gamut of naturally
arising abnormalities and acquired penile problems. Clearly,
nature deals most unfairly with many unfortunate males in this
department. There is ample evidence of a lack of quality control
at the manufacturing stage hence the need for in-service modifications
- often soon after delivery and long before serious use. In some
situations, it describes remedies that stop short of circumcision.
Then, launching into the subject proper, there is a summary of
the extent to which circumcision is performed worldwide, and
the varied means by which it is accomplished. This résumé
goes into the history and detail of instruments and techniques
and ends the section with a discussion on the outcome that each
provides.
Part II expands on the global dimension of the procedure and
the variations evolved in religious and tribal ritual. This section
both in text and pictures, is not for the squeamish. (Nor for
that matter, are some of the Part I photos of defects). Many
who peruse these pages will comfort themselves on their good
fortune in being born into a modern society, ie, one where there
is no requirement to undergo an un-anaesthetised public circumcision
as a demonstration of your maturity. At the end, the scope of
the book expands to cover penis piercing and jewellery, decoration,
infibulation, and some of the wilder extremes of penile modification.
And, just in case you are not happy with your circumcision, there
is an explanation of 'un-circumcision' or 'foreskin restoration'.
It takes all sorts....
Part III covers individuals' experience of circumcision and
the practicalities of the decision to do it. It borrows extensively
from 'Forum' magazine which, a couple of decades ago, did a landmark
survey of readers who had experienced this procedure later in
life, or arranged it for their sons. This enquiry drew and tabulated
some fascinating results. 'Forum' has also long been a platform
where strong and opposing views on circumcision have been exchanged.
In the course of this, many correspondents have disclosed their
before and after experiences in adulthood. Some of these letters
have been lifted and augmented by anecdotes from other sources
tapped by the author. A few are extremely long and detailed and
do enter obsessive fetish territory.
I would have preferred to see more input from women - there
are only a couple of short pieces. More than that, it would be
good to have views and experiences from mothers of baby boys.
They are in the objective situation of being the recipients of
penises, circumcised or otherwise, in the creative process. Postpartum,
as principal child carer, it is often the mother who makes, or
largely influences, the decision to circumcise a boy. She too
is the one who usually has to arrange the procedure and deal
with his healing and aftercare. Perhaps some future edition will
explore this avenue?
Not all boys are circumcised in infancy: many have to be cut
at different ages all through to puberty. The book has a valuable
assessment of the considerations which apply to doing it during
the tender stages of childhood.
At the outset the author declares himself to be pro-circumcision.
However, he makes a good 'devil's advocate' and the disadvantages
and hazards of circumcision are not excluded or glossed over.
The book concludes with a valuable and comprehensive set of five
Appendices covering a glossary, bibliography, and resources for
instruments and devices. It publishes a useful list of URLs to
internet sites where the subject is has been increasingly covered
and debated in recent years.
At £25 this is priced as a professional textbook - modest
in consideration of its production costs. An expensive investment
for parents perhaps? There are in any case many other short tracts
written to advise them one way or the other on this subject,
each claiming they contain 'all the facts'. Nevertheless, it
is arguable that the price of this more extensive work could
be justified for a parent who is about to decide the fate of
his or her young son's foreskin. Circumcision is for life and
for most who are cut as babies, it's a long life to live with
it. This implies an obligation to do informed research before
ordering an irreversible operation on another person's behalf.
It is interesting that enquiries have revealed that most parents
circumcise their boys for reasons of personal preference and
a gut instinct that 'it is better for them'. This being so, they
may feel the expenditure is worthwhile if only to confirm their
instincts are correct.
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