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LET'S TAKE OUT the confusion factor
right away. We're talking MALE circumcision here. The abhorrent
female clitorodectomy procedure, wrongly ascribed to that word,
is not in the frame. This book, as its back cover synopsis heading
states, is; 'Dedicated to the education of parents of a newborn
son and concerned others'.
There are probably only three types of people on this earth;
lets call them A, B and C. A's are against the whole idea of
circumcising babies and some even hate the thought that many
males carry or choose this 'mutilation' in adulthood. The C's
are convinced otherwise. For them circumcision is a procedure
for which they will happily submit their sons for reasons of
religion, family custom or (God bless America!) conforming to
a very secular culture. In between are the B's who are indifferent
to or anxious about circumcision. Through lack of information
or the confusion of conflicting advice some are undecided and
uncommitted. Dr Weiss's book is written for them but it will
also be a happy hunting ground for the other two groups. A's
will attack it, C's will be content to have their convictions
confirmed in it.
Hitherto raising this subject in mixed company has been one
of the last taboos. As sex became more explicit, dinner table
talk advanced to take in most of it.People have jettisoned their
inhibitions to share surprising details of their sexual secrets.
Just one topic seemed to remain off limits. Those bold enough
to mention c**********n often found it to be a real conversation
stopper and to enquire after someone's circ status can still
cause surprising embarrassment. People can be very coy about
this particular aspect of themselves, their partners or their
sons. In such a climate ignorance thrives and I believe the good
doctor sets out to dispel it.
Alongside this, the more passionate of the A's have an agenda
in trying to prevent C's from following their wish and custom
to circumcise. A's are to thank for getting this matter aired
on radio and TV chat shows, forums and websites. They are calling
for an end to what they deem to be a mutilating and cruel practice
that has no medical merit. Nowadays whenever a new book comes
out with 'circumcision' writ large in the title we expect it
will run over the reasons why we shouldn't do this terrible thing
to our sons.
However, here at last is a worthy 95 pages which redress the
balance. It's a reasoned book, well chaptered and easy to read.
Dr Weiss is clear, calm and polite. He doesn't duck any of the
issues, indeed his opening sentence reminds readers that making
this decision on behalf of your son can be a sobering experience.
He then takes all who care to follow him through every aspect,
every issue, steadily building up the information into a powerful
pile. Each time a point is made he leaves the reader to decide.
Nowhere does he push or harangue; the choice is still yours.
After the introduction Dr Weiss takes his readers on a quick
tour of the medical reasons that support circumcision; cleanliness
cancer prevention etc. Then goes on to quote case histories which
demonstrate how most people are unaware of these issues and circumcise
their boys for cultural reasons of family conformity outside
of a religious context it's just something middle America feels
they need to do. They don't ask why, they just do it.
We canoe up the river of history to find the source of this,
one of the world's oldest operations. There are backwaters briefly
explored but the main tributary is undoubtedly Judaism and the
navigating handbook is the bible.
The Jewish people are the religious guardians of this surgery
who have preserved, perfected and spread it ever since the diaspora.
As with their faith, there has been no great missionary zeal
to draw in converts, just a willingness to explain, advise and
assist those who are curiously drawn to it. Thus by a process
of osmosis the operation has transferred to other faiths and
countries. It's greatest manifestations are in the world of Islam
and by contrast, also across the great swathe of modern, middle
class America.
It's likely that Dr Weiss could promote his reasoning from
a Jewish perspective but he makes no mention of this and rests
his good authority on his 50 plus years as an eminent surgeon.
He concludes this chapter with a brief mention of instruments
invented to facilitate the procedure.
This leads us nicely into his next detailed discourse called
'anatomy of a circumcision' which is the meat of the book. It
should serve to acquaint parents with several methods by which
circumcision may be performed, including that of a Jewish Môhel.
Not for the squeamish perhaps although a clinical description
is not nearly so chilling as the real thing.
Many parents who would otherwise be prepared to circumcise
their son sometimes shrink from doing so because they don't wish
to put their baby through any pain. This is natural enough as
maternal and paternal instincts are first to protect. The thought
of having their baby taken away to inflict this pain upon him
is too much for some so they opt out. Others say better a few
minutes of hurting now when he won't remember it, than several
days of it in the total awareness of child or adulthood. Dr Weiss
addresses this issue square on and doesn't pretend that babies
don't feel pain. His most reassuring contribution is to point
out that pain in adult experience is a conditioned reflex. We
react to what we expect or are told about, or see coming or know.
A baby doesn't know or anticipate and doesn't feel in quite this
way. The question of anaesthetics is explored with a strong hint
at caution.
One of the big arguments of the protagonists in this eternal
circumcision debate is 'Does it prevent cancer?' A chapter is
devoted to a convincing argument that it does. Many opponents
of circumcision who concede this, simply dismiss the prophylactic
solution by pointing at the low incidence of penile cancer. To
them the statistics are so small as to be of little consequence!
I've always thought those 'insignificant' few who suffer should
be invited to have the last word. Here Doctor Weiss says it for
them in a powerful three word sentence: 'Cancer is cancer'.
In the sexual arena in recent years, AIDS has certainly deposed
cancer and syphilis and other venereal diseases as a major concern.
These and other health issues in the context of the circumcision
argument are given a good airing. Dr Weiss fairly pauses to include
a dissenting view from his conclusions. If by now you are confused,
you'll find this section ends with his evaluations neatly listed
under headings; 'To C or not to C'.
Obviously he feels the medical argument is good enough on
it's own, because at the end of this chapter he steps aside from
the sexual dimension, explaining it is too personal and multi-faceted.
I would certainly like to have seen an expansion of his book
into this field. Perhaps here he could have drawn on more input
from his co-author Angela Harter as she in turn could have trawled
for other female testimony which favours the circumcised state
in their menfolk. It's not hard to find.
'Money talks' is a short account of circumcision costs then
and now. It ranges from the 35c 'cut' done on cowboys at the
turn of the century (so that's how the West was won!) to present
day fees and insurance coverage.
Those who take the decision to circumcise their son soon realise
another hurdle presents itself; when and how to tell him. Some
have anxieties about this. The book gives a resume of how growing
boys relate and react right through to adulthood. It suggests
that parents be prepared and secure in their answers to questions
which may come from both sides of the family on this issue. Little
boys and girls are going to spot the difference and ask about
it. Dr Weiss suggests the emphasis be on your own reassuring
rationale and not to enter into speculation on the motives of
those who left their sons 'intact'.
Dr Weiss signs off his section in this book with a splendid
chapter titled 'What's natural?' It is a common sense philosophy
and draws together the religious, sexual and physical strands
for us. Alone, it is worth buying this book. I'll leave those
who do so to enjoy reading it without further comment.
The concluding corollary comes from Angela Harter who is as
frank as Dr Weiss as she relates her own personal experiences
in circumcising two sons. It is a journey in which she admits
to going along with the procedure through instinct and in ignorance.
Her education is in that experience - which doesn't end once
the boys have been cut. As a journalist she is ever questioning
and passes through belts of doubt and guilt as she explores the
motives of her decision to submit her sons to this. Like most
parents of circumcised boys she rests happy with her rationale
in the end and is well able to share her story as an endorsement.
Don't buy a copy of this book - buy two. One to pass
on to friends after you've read it and become better informed,
the other to stay on your shelf until that day when your son
asks; "Why am I circumcised?" If your son can read,
Dr Weiss will do a great job answering that question.
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