THEIMPACTOF FEMALEMUTILATION ON VVOMEN'S MENTAL CONDITION

Öz

According to the World Health Organization, Female Genital Mutilation is the transformation offem ale genital organ in a way that it loses its function due to cultural or other non-therapeutic reasons. Among the reasons why it is carried out are maintaining traditions and customs, controlling female sexuality, fulfilling religious beliefs and ensuring sodaI integration. Femalegenital mutilation can lead to several mental illnesses. The goal o fth is revievv article is to present the mental conditions ofvvomen undergoing mutilation with the reader.The most frequent mental disorder observed among mutilated women is post-traumatic stress disorder PTSD . Especially in cases where the application is carried out before puberty, psychological disorder can be observed when the reasons why and the way how it was carried out are left unexplained and the woman is not informed about the problems encountered during the application. The post-application severe pain turns the stress experienced into PTSD. Another problem encountered apart from PTSD is behavioural problems. Since these women socially isolate themselves after the mutilation, they have difficulty fulfilling their social roles. Another mental disorder experienced after female genital mutilation is psychosexual disorders. Most observed psychosexual disorders are dyspareunia, not having an orgasm or late orgasm. Moreover, when the individual is subjected to genital mutilation before puberty, she can never have an orgasm.The problems led by this primitive application carried out only for the continuation oftraditions and customs pose a serious threat for vvomen's health. Apart from legal sanctions, the most effective way to eliminate female genital mutilation is to educate the public.Keyvvords: Woman, mutilation, mental condition

Anahtar Kelimeler

• Woman, mutilation, mental condition.

KADIN SÜNNETİNİN KADININ RUHSAL DURUMUNA ETKİSİ

Öz

Dünya Sağlık Örgütüne göre Kadın Sünneti kadın dış genital organının, kültürel yada diğer terapötik olmayan nedenlerle işlevini yapamayacak şekilde değiştirilmesidir. Uygulanma nedenleri arasında gelenek ve göreneklerin devam ettirilmesi, kadın seksüalitesinin toplumsal olarak kontrolünün sağlanabilmesi, dini inançların yerine getirilmesi ve sosyopolitik entegrasyonun sağlanılması yer almaktadır. Kadın sünneti birçok ruhsal hastalığa neden olabilmektedir. Bu derlemenin amacı; sünnet olan kadının ruhsal durumunu okuyucuya sunmaktır.Sünnet edilen kadınlarda en sık rastlanılan ruhsal hastalık Travma Sonrası Stres Bozukluğu TSSB ' dur. Özellikle uygulamanın puberteden önce yapıldığı durumlarda, yapılış nedeninin ve şeklinin açıklanmaması, karşılaşılan sorunlar ile ilgili hiçbir bilgi verilmemesi strese neden olmaktadır. Özellikle işlem sonrası yaşanan şiddetli ağrı, yaşanılan stresi, TSSB'ye dönüştürmektedir. Genellikle TSSB ile birlikte görülen bir diğer problem ise davranış problemleridir. Bu kadınlar sünnet sonrası sosyal olarak kendilerini izole ettikleri için sonrasında sosyal rolleri yerine getirmede güçlük yaşamaktadırlar. Kadın sünneti sonrası yaşanan önemli ruhsal hastalıklardan bir diğeri ise psikoseksüel bozukluklardır. En sık yaşanan psikoseksüel bozukluklar ise disparanoya, orgazm olamama ya da geç orgazm olmadır. Bunun yanında sünnet olan birey eğer puberteden önce sünnete maruz kaldıysa, hiçbir zaman orgazm olamamaktadır.Sadece gelenek ve göreneklerin sürdürülmesi amacıyla yapılan bu ilkel uygulamanın doğurmuş olduğu sorunlar kadın sağlığını ciddi boyutta tehdit etmektedir. Kadın sünnetinin eliminasyonunda yasal yaptırımlarla beraber en etkili yol toplumun eğitimidir

Anahtar Kelimeler

• Kadın,sünnet,ruhsal durum

Kaynakça

1. Aksu MF. Oral E. Female Genital Mutilation (A Reproductive Health Problem of African W om en): Case Report. Cerrahpaşa J Med 1998; 2 9(2): 107-110.
2. American Academy of Pediatrics. Committee on Bioethics. Female Genital Mutilation, Pediatrics 1998; 102: 1.
3. Barstow D.G. Female Genıtal Mutılatıon: The Penultımate Gender Abuse. Child Abuse & Neglect 1999; 23(5): 501-510.
4. Behrendt A. Moritz S. Posttraumatic Stress Disorder and Memory Problems After Female Genital Mutilation. Am J Psychiatry 2005; 162: 1000-1002.
5. Bodiang CK. (2002). Female Genital Mutilation A Form O f Gender Based Violence, SD C Lunchtime Seminar, Swiss Centre for İnternational Health, Retrieved Sebtember 9, 2010, from http://www.sdc- health.ch/priorities_in_health/reproductive_health/female_genitale_mutilation/female_genital_mutilati on_a_form_of_gender_
6. Carolan M. Pregnancy Health Status of Sub-Saharan Refugee Women W ho Have Resettled in Developed Countries:A Review of The Literature. Midwife 2010; 26: 407-414.
7. Center for Reproductive Law & Policy. Female Genital Mutilation A Matter O f Human Rights: An Advocate's Guide to Action. New York? Center for Reproductive Law and Policy 58; 2000.
8. Dandash KF. Refaat AH. Eyada M. Female Genital Mutilation: A Descriptive Study. J Sex Marital Ther 2001; 27(5): 453-8.

9. Ending Female Genital Mutilation. A Strategy For The European. Union institutions. Retrieved Sebtember 9, 2010, from www.endfgm.eu
10. El-defrawi M .H., Lofty G. Dandash K.F. Refaat A.H. Eyada M . Female Genital Mutilation and İts Psychosexual İmpact. Journal of Sex and Marital Therapy 2001; 27: 4 6 5 -4 7 3 .
11. Elnashar A. Abdelhady R. The İmpact O f Female Genital Cutting On Health O f Newly Married Women. International Journal of Gynecology and Obstetrics 2007; 97: 2 3 8 -2 4 4 .
12. Female Genital Cutting (2009). Frequently Asked Questions. U .S. Department of Health And Human Services, http://www.womenshealth.gov
13. On W om en’s Health. Retrieved Sebtember 6, 2010, from
14. Female Genital Mutilation (2006). Retrieved March 3, 2013, from www.rcn.org.uk.
15. Figo Committee Report. Female genital cutting. FIGO Committee for the Ethical Aspects of Human Reproduction and W om en’s Health and FIG O Committee on W om en’s Sexual and Reproductive Rights. International Journal of Gynecology and Obstetrics 2006; 94: 176— 177.
16. Forward (2002). Female Genital Mutilation: Information Pack: Foundation For W om en’s Health, Research & Development, Promoting Change, W ell-Being And Human Dignity. Retrieved Jannuary 3, 2012, from www.forwarduk.org.uk
17. IRIN (2005). Razor’s Edge - The Controversy O f Female Genital Mutilation. Retrieved August 10, 2010, from http://www.irinnews.org/InDepthMain.aspx?InDepthId=15&ReportId=62462.
18. İnsan Hakları Ortak Platformu, Kadınlara Yönelik Şiddet ve Ev İçi Şiddetin Önlenmesi ve Bunlarla Mücadeleye Dair A K Sözleşmesi, Retrieved March 2, 2013, from http:// www.ihop.org.tr/index. php?option =com _content & view = article& id=422
19. Karaman M I. (2007). Tüm Yönleriyle Sünnet. Retrieved May 19, 2010, from www.androloji.org.tr.
20. Koyun A, Taşkın L, Terzioğlu F. Yaşam Dönemlerine Gore Kadın Sağlığı ve Ruhsal İşlevler: Hemşirelik Yaklaşımlarının Değerlendirilmesi. Psikiyatride Güncel Yaklaşımlar-Current Approaches in Psychiatry 2011; 3(1): 67-99.
21. Lax RF. Socially Sanctioned Violence Against Women: Female Genital Mutilation is its Most Brutal Form. Clinical Social W ork Journal 2000; 28: 403-412.
22. Legal Prohibitions Worldwide (2009). Female Genital Mutilation. Retrieved May 1, 2010, from http://www.crlp.org/pub_fac_fgmicpd.html
23. Little CM. Female Genital Circumcision: Medical and Cultural Considerations. J Cult Divers 2003; 10(1): 30-4.
24. Morrone A , Hercogova J, Lotti T . Stop Female Genital Mutilation: Appeal T o The International Dermatologic Community. Int J Dermatol 2002; 41: 253-63.
25. Nicoletti A. Perspectives on Pediatric and Adolescent Gynecology from The Allied Health Professional. Female Genital Cutting. J Pediatr Adolesc Gynecol 2007; 20: 261-262.
26. Peterman A. Johnson KIncontinence and Trauma: Sexual Violence, Female Genital Cutting and Proxy Measures of Gynecological Fistula. Social Science & Medicine 2009; 68: 971-979.
27. Population Reference Bureau (2001). Abandoning Female Genital Cutting. Prevalence, Attitudes, And Efforts T o End The Practice. Retrieved Sebtember 8, 2010, from www.prb.org/ pdf/ Abandoning FGC_Eng.pdf
28. Rymer J. Female Genital Mutilation. Current Obstetrics and Gynaecology 2003; (13): 185-190.
29. Sayan A . Kültür ve Sağlık. Atatürk Üniversitesi Hemşirelik Yüksekokulu Dergisi 1999; 2 (2): 50-53.
30. UNICEF (2005). Changing A Harmful Social Convention: Female Genıtal Mutilation/Cutting. Retrieved August 10, 2010, from http://www.unicef-icdc.org/publications/pdf/fgm-gb-2005.pdf
31. UNICEF (2006). Female Genital Mutilation/Cutting, Child Protection Information Sheet. Retrieved Sebtember 9, 2010, from http://www.unicef.org/protection/files/FGM.pdf
32. United Nations High Commissioner for Refugees (UNHCR). Guidance Note On Refugee Claims Relating to Female Genital Mutilation. Protection Policy and Legal Advice Section Division of International Protection Services, Geneva. Retrieved Jannuary 3, 2012, from http://www. unhcr.org/ refworld/pdfid/ 4a0c28492.pdf
33. W hitehorn J, Ayonrinde O, Maingay S. Female Genital Mutilation: Cultural And Psychological İmplications. Sexual and Relationship Therapy 2002; 17(2): 161-170.
34. W H O (2001). Female Genital Mutilation The Prevention And The Management of The Health Complications Policy Guidelines For Nurses And Midwives. Retrieved Sebtember 15, 2011, from http://whqlibdoc.who.int/hq/2001/WHO_FCH_GWH_01.5.pdf
35. W H O (2006). Call For Proposals: Research on Female Genital Mutilation and Female Sexuality. Geneva. Retrieved Sebtember8, 2010, from
36. Yavuz M, Demir T , Doğangün B . Sünnetin Çocuk Ruh Sağlığı Üzerine Etkisi: Gözden Geçirme Çalışması. Türk Psikiyatri Dergisi 2012; 23(1): 63-70.