63 years later

DSC_0389-levels-old-pic-crop-640The photograph above was taken as part of a project for Intact America, the brief was to “find a photo of yourself as a baby and photograph yourself with the picture next to your face so that both can be seen”.

I asked my Mum if there were any pictures of me as a baby that had survived; to my surprise she said that there were pictures of me taken approximately eight days after my birth on the 6th of November 1949. My mother’s interview, below, indicates that I was circumcised the day before the picture was taken which would have been Sunday 13th November 1949.

1949 was also the year in which a landmark paper was published in the British Medical Journal on the 24th of December. The first paragraph of “The fate of the foreskin” by Douglas Gairdner contains this statement.

“It is a curious fact that one of the operations most commonly performed in this country is also accorded the least critical consideration. In order to decide whether a child’s foreskin should be ablated the normal anatomy and function of the structure at different ages should be understood; the danger of conserving the foreskin must then be weighed against the hazards of the operation, the mortality and after-effects of which must be known. Though tens of thousands of infants are circumcised each year in this country, nowhere are these essential data assembled. The intention of this paper is to marshal the facts required by those concerned with deciding the fate of the child’s foreskin.”

That is laudable aim. Sadly as the years have passed any evidence that brings the ancient practice of male circumcision into disrepute has been sidelined and ignored by the media, medical establishment, community leaders and politicians. A look at what Gairdner hoped would be studied and evaluated reveals a sorry picture.

Anatomy and function.
The anatomy of the foreskin is taught in medical schools in the U.K. however the function of the foreskin and it’s role in the sex act is almost completely ignored. Sex educators in U.K. secondary schools ignore the anatomy of the foreskin completely and never mention the foreskin’s role in the sex act; it would take a brave teacher to raise the subject.

Danger of conserving the foreskin.
The British Medical Association in their guidelines on male circumcision says:

“In the past, circumcision of boys has been considered to be either medically or socially beneficial or, at least, neutral. The general perception has been that no significant harm was caused to the child and therefore with appropriate consent it could be carried out. The medical benefits previously claimed, however, have not been convincingly proven, and it is now widely accepted, including by the B.M.A, that this surgical procedure has medical and psychological risks.”

This quote indicates that the B.M.A. believes there are no benefits. The section also fails to point to a single danger of conserving the foreskin, there is no cohort of men suffering from an intact foreskin.

There are deaths as the recent case in Manchester illustrates. Death is one end of a spectrum of harm that is glossed over by the authorities. The moment that a doctor, or anyone else for that matter, takes a scalpel and cuts a child who has no disease there is harm being done. The basic principle of medical ethics “do no harm” is ignored every time a doctor performs a non-therapeutic circumcision on a person who cannot consent.

After effects – psychological risks.
I have no conscious memory of my circumcision, though I feel there is a legacy left in my brain. I am not subject to fears or phobias yet I have an absolutely visceral dislike or dread of buttons and it’s most intense manifestation is white buttons on a bright white background. Is this a lingering image of the buttons on the nurse’s uniform as she restrained me during the procedure?

DSC_0467_buttons_crop640wFar fetched? Perhaps not; observations of premature infants in neonatal units who are subjected to several heel pricks for the purpose of obtaining blood samples are seen to be more susceptible to experiencing  subsequent pain. If so, that would imply the functioning of memory at a very early age.
Work with babies by Dr Bruce Perry has shown that babies can recognise their mother’s face within a day of a full term birth. This could mean that I might have been able to form an image at the distance between my face and a uniform.
Taddio et al in their paper “Effect Of Neonatal Circumcision on Pain Response
During Subsequent Routine Vaccination” [14] report that:

“This study showed that neonatal circumcision in male infants is associated with increased pain response in vaccination 4-6 months after surgery. The results support our previous finding of a higher pain response in circumcised than uncircumcised male infants during routine vaccination.”

The researchers then went on to say,

“It is, therefore, possible that the greater vaccination response in the infants circumcised without anaesthesia may represent an infant analogue of a post-traumatic stress disorder triggered by a traumatic and painful event and re-experienced under similar circumstances of pain during vaccination.”

This could point to post traumatic stress disorder as the source of my morbid fear. In the
Diagnostic and Statistical Manual of Mental Disorders” the factors that would indicate a diagnosis of PTSD make interesting reading;

1. Exposure to a traumatic event.
As circumcision is used as a model for the study of pain in infants it is fair to say circumcision is a traumatic event.

2. Persistent re-experiencing.
Dreams, flash backs or “intense negative psychological or physiological response to any objective or subjective reminder of the traumatic event.”

3. Persistent avoidance and emotional numbing.
Many circumcised men avoid talking about the subject of circumcision. No one knows how many men feel about their circumcision status though there is some evidence that at least 15% of men circumcised without their consent are unhappy with their status [5].

4. Persistent symptoms of increased arousal not present before.
These might be sleep difficulties, anger, inability to concentrate, hyper vigilance and an increased startle response.

5. Duration of symptoms for more than 1 month.

6. Significant impairment.
The degree to which men’s abilities to function emotionally are affected by circumcision without their consent is unknown. Anecdotally this site and others report a significant number of men whose emotional lives have been adversely affected by circumcision.

I can fit aspects of my behaviour and experience into the categories outlined above. Whether or not I am affected by an “infant analogue of post traumatic stress disorder” is open to question, however there is clearly an area of the “after-effects” that Gairdner said should be known before ablating the child’s foreskin that needs further study.

After effects – physical and functional.
With the work that has been done in neurology, physiology and anatomy it is quite easy to justify the statement that, a man circumcised before puberty will never know what the sex act should feel like. Sadly someone such as myself does not have the necessary nerves, blood vessels and skin for the complete experience.
At a population level there is work that has been done that shows there are physical and functional after effects from circumcision.
Tim Hammond’s (pictured right) survey of circumcision harm is an excellent starting point for anyone who thinks circumcision is just a little snip with a minimal downside. I warn you that the images on Tim’s site are likely to shock and educate.
The study “Male circumcision in Denmark – implications for sexual function in men and women” Morten Frisch (a reference to this will follow) shows a marked increase in orgasm difficulties in both partners where the man is circumcised.
It is important to bear in mind that if a man grows up with a foreskin that does not develop normally and is uncomfortable or painful during sex or masturbation then he may well be better off with a circumcision but it should be his informed choice having been offered all the options for conservative treatment.

Critical consideration.
Human rights was in it’s infancy when Gairdner’s paper was published, though, were he writing today, I feel he would have not been blind to the issues that the non-therapeutic circumcision of children raises. Medical ethics have been around for a long time and should be adhered to, “do no harm”.
The victims of circumcision without consent are ignored and ridiculed for wanting to see an end to the practice.img029_crop_cu_640w I have been told to move on, get over it, pull my socks up and a variety of other such phrases. So here I am sixty three years later a victim turned activist; the path to activism is my way of getting something positive out of a very complex emotional situation. I think that the baby I am looking at in the picture has already forgotten the physical pain, and apart from urinating onto an open wound which must be distressing looks relatively happy. It is the man that the baby has become who will never forget, or be able to ignore the events surrounding his birth. Men should demand that future generations are protected from what is evidently a harmful practice.

11 thoughts on “63 years later”

  1. A heroic post Richard. You have managed to describe your feelings about circumcision forced upon you in a very coherent way, something that is difficult for many of us when the topic brings up such a range of emotions within us and often condemnation from others.

    This is such a frustrating subject, though your efforts here, and the efforts of activists like Tim Hammond and physicians working to educate will certainly contribute to the end of this abuse.

  2. Well said Richard. You are an inspiration and a fine example to me of what intactivism and common human decency is all about. It is good to know you, although it is a bitter irony that the common cause that has brought us together is also that which has blighted both of our lives.

    There is much work to be done and I look forward to a continued association with you as we progress toward wider recognition of the harm that circumcision causes to men, and ultimately equal legal protection for males to that which is currently granted to females.

  3. Well done… I would simply point out that the picture appears to be of a baby who is a couple months old, or several weeks, at least. The baby is missing the “newborn look” (hard to describe, but that’s not it.) Is it poosible this pic was taken some several weeks after birth? At that point, your wound would be healed… at least, physically.

    1. Hi Natalie. I am relying on my mother’s account of events. Timing could be an issue. Though there are other pictures a bit later where I look completely different. I don’t know, is I suppose the answer.

  4. I only once had this vivid dream which sometimes I can recall with interest and pleasure.
    A large image appeared which at first seemed to be in the shape of an elephant and
    filled all the space within. My feeling throughout was one of great contentment and peace.
    The dream , I believe, was one of being breast fed with great satisfaction.
    Nothing bad had happened to me to spoil this feeling which I can still treasure.
    How different from the dreams, nightmares, memories and apparitions which afflict the men who have been circumcised. No contentment for them! Jewish fathers have told me of witnessing the disruption of the bond of breast feeding between mother and infant
    after their sons were circumcised.
    All the valuable work which you and colleagues pursue is to end this unnecessary
    suffering for babies in the future.

  5. I am always astonished when people say that either infants do not experience pain, or, that they forget the pain. It is known that infants are born with far more neurons than they actually need. These neurons specialize because of the infants experiences and others are pruned out. Knowing this, it stands to reason that the intense pain experienced by an infant during circumcision affects this process. In this way, the infant does not actually forget, but cannot verbally recall the experience. The neurons never forget and process information based on the infant’s experience. Why would anyone think, then, that there would be no long term effects?

  6. Jewish scientist Jerome Segal: – “As a jew, I say, circumcision is a barbaric act”
    Disgust over contra-charge of IKG president Deutsch in Austria

    (Vienna, 5 December 2012) Also Jewish people break their silence and criticize circumcision of defenseless babies as a barbaric act. Science historian assistant professor at Sorbonne, Paris, recently teaching in Vienna, passes massive criticism on the Israeli Cult Community (IKG) of Austria. ” I am outraged over the contra-charge of Oskar Deutsch” says. A victim of sexual abuse and a victim of circumcision have charged last week a mohel (circumciser) , who states to have circumcised more than 1000 jewish boys. ” It must be possible to be allowed to criticize barbaric religious rituals”. Segal’s three sons are not circumcised – also he himself not – although he is a member of the Israeli Cult Community. “I consider circumcision of defenseless babies and children, who can not give their consent as cruel. It is a severe curtailing of physical integrity. Austria has ratified the CRC”, said Segal further. “From Art.19 it is clearly evident that children may be inflicted by no physical violence .”

    “Death penalty was also abolished”
    Piercing is allowed only from 14 and tattooing from 16 years (with Consent of the parents). “An operation such as circumcision, with such irrevocable consequences and possible negative consequences on your sex life should be permitted by law not until 16 or 18 years,” says the university lecturer. Segal is an avowed atheist and rejects religious privileges, especially if the name of religious violence is legitimized. “In the Torah, adultery and homosexuality are sentenced by death penalty, which is fortunately not used since a long time,” says Segal. In Israel there are since more than a decade anti circumcision activists, who are working for the “Brit Shalom” ritual – which means that circumcision is only done symbolically. A group of liberal American Jews, http://www.jewsagainstcircumcision.org, are also against circumcision. “We are a group of educated and enlightened Jews, who realize that the barbaric, primitive, torturous, and mutilating practice of circumcision has no place in modern Judaism” reads on their website.

    Outrageous attack on free speech.
    Segal knows of other members of the Jewish Community, who are also against circumcision, but do not dare to say it so publicly. “The social pressure within the community is just too big, they fear reprisals. For example, that their sons is denied to visit a Jewish school”, said Segal. In November the IKG held elections. “Unfortunately, no of the nominee factions dared to tackle this taboo subject. “In the WINA, the monthly magazine of the Jewish Community, it reads that circumcision is not to question,” laments Segal. “The fact that IKG President Deutsch acts now with this contra-charge to intimidate makes it for me to a massive attack on the freedom of expression. Deutsch could do a good service for the Jewish community, if he would work for the Brit Shalom, a symbolic circumcision for minors” says Segal concluding.


  7. Thank you for courageously speaking out, Richard. When more and more men are able to stand up and say “I did NOT consent!” and are willing to claim the harm that was done to them, more and more people will listen. Your efforts are inspiring! Thank you.

  8. Excellent, Richard.
    Your post is honest and clear. Breaking the myth that men are indifferent to this forced sexual cutting is crucial, in my opinion, to bringing the practice to an end. And I would agree that those- and I mean every- adult that were responsible for infant/childhood genital cutting need to be asked: ‘why did this happen to me’. The answers matter for at least two reasons: accepting one’s permanent harm gets much easier when those responsible are empathic to your suffering and are ‘sorry’, and that when individuals express regret in sufficient numbers it gets much harder for individuals to make decisions outside of ‘the herd’. The norm should be bodily integrity for all children and when more parents and physicians come out against unnecessary cutting then the culture changes. For the better.

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