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Circumcision is performed on more than one million infant and prepubescent boys around the world every year. In America, even though a growing number of physicians dispute its benefits, circumcision remains the most frequently performed elective surgical procedure. In 1995, 64.1% of US male newborns were circumcised-yet there is no proven medical benefit to this practice on normal infants. This book, by medical historian David L. Gollahar presents a fascinating history of this controversial practice and why it has persisted over time through vastly different social contexts.
As this book shows, the removal of genital foreskin has a long and varied history: from the extraordinarily painful initiation rite of the ancient Egyptians, through the Hebrew purification ritual, through its use by nineteen-century doctors as prevention for ailments including bedwetting, paralysis, syphilis, and epilepsy, to the present persistence of female circumcision in African cultures. Gollaher also addresses the current controversy over the procedure's continuance, and those opposing routine circumcision will find support here.
Gollaher concludes that "if male circumcision were confined to developing nations," similar to the status of female circumcision, "it would by now have emerged as an international cause célèbre."
David L. Gollaher (1949- ) is President and CEO of the California Healthcare Institute, a statewide public policy research and advocacy institute. He holds a PhD in History from Harvard and has served on the facilities of San Diego State University's Graduate School of Public Health and the University of California, San Diego.
Tracing its long and stubborn history, Gollaher examines with clarity the confounded insights of circumcision apologists from Philo and Maimonides to Bruno Bettelheim and John Harvey Kellogg. But this is by Gollaher's own admission "a history, not a polemic or tract for the times," and therein lies the achievement. Maintaining an attitude of rigorous detachment, he declines to proselytize in favor of anti-cutting activists yet ultimately supports their brief by letting evidence rather than emotion hold the floor. And his summary of the foreskin restoration movement, the first to appear in a mainstream press publication, will destigmatize its appeal to a larger audience.
There are a few gaps in his otherwise meticulous research-- his language regarding sexual consequences is equivocal, and he curiously overlooks the Anand-Hickey neonatal pain investigation in favor of less reliable studies-- but the sweep and relevance of the project are no less comprehensive. "Circumcision" will go a long way toward laying the dual ghost of the procedure's imagined medical and behavioral benefits, and thus hasten the day when it is consigned to the obsolescent realm of other, ironically more advanced forms of bloodletting.
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