Pain and brain | References |
Infants remember NMC pain only when no anesthesia is used, leading to anesthesia being recommended | Taddio et al. [133] |
No evidence of lasting brain changes, nor psychological trauma in neonatally circumcised men | Ullmann et al. [171] |
No psychological problems among Swedish schoolboys circumcised for phimosis, apart from “shyness and unwillingness to undress in school gym” | Stenram et al. [173] [174] |
A report of an “after-hours” MRI claiming brain changes from NMC was likely a fabrication | Schaab [176] |
UK longitudinal study of >5000 males followed from birth to age 27 found no difference in developmental and behavioural indices between the circumcised and uncircumcised | Calnan et al. [172] |
New Zealand longitudinal studies found no difference in psychological outcomes between neonatally circumcised and uncircumcised males | Fergusson et al. [142] [143] , Moreton [144] |
A study claiming MC causes alexithymia was fundamentally flawed | Morris & Waskett [145] |
Body dysmorphic disorder has been linked to alexithymia | Fenwick & Sullivan [147] |
Alexithymia is likely a stable personality trait not simply a consequence of psychological distress | Taylor et al. [148] |
Psychological harm may stem from anti-MC (intactivist) influence not NMC | Circumcision Choice [153] |
“Foreskin restoration” | References |
Various psychological disorders [158] [159] are more common in those circumcised men who are preoccupied by their absent foreskin | Mohl et al. [146] |
One of these may be partialism, which is an “exclusive focus on a part of the body” | Kafka [159] , American Psychiatric Association DSM-5 [158] |
Partialism is linked to alexithymia | Fenwick & Sullivan [147] |
Men preoccupied with their absent foreskin represent a subgroup within the MSM community | Mohl et al. [146] |
Legal, ethical & human rights arguments opposing MC | References |
These arguments are contradicted by expert evaluations | Rivin et al. [23] , Morris et al. [24] , Benatar & Benatar [44] [45] , Bates et al. [46] , Benatar [47] , Jacobs [48] , Jacobs & Arora [49] , Bester [50] |
The UN Convention on the Rights of the Child supports the rights of the child to the enjoyment of the highest attainable standard of health | United Nations Human Rights Office [178] |
Since benefits greatly exceed risks, it would be unethical to leave boys uncircumcised | Bates et al. [46] , Jacobs [48] |
Children have the right to preventive health care | Rivin et al. [23] |
Arguments opposing MC on the basis of “autonomy” have been refuted by ethicists | Benatar [47] , Jacobs [48] , Jacobs & Arora [49] , Bester [50] , Clark et al. [179] , Mazor [180] |
Being circumcised boosts autonomy more than constraining it | Brusa & Barilan [181] |
The Hippocratic Oath contains the statement, “I will prevent disease whenever I can, for prevention is preferable to cure” | Johns Hopkins University [187] |
The nature and consequences of “intactivism” | References |
Suicides have been reported for circumcised men who developed psychological problems after succumbing to anti-MC rhetoric that their NMC had deprived them of a fulfilling sex life | Bay Area Intactivists [194] , Intaction [195] |
Anti-vaccination proponents are more likely to be anti-MC and anti-water fluoridation | Hoffman et al. [163] |