Intersex rights in Switzerland
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Intersex Intersex people are individuals born with any of several sex characteristics including chromosome patterns, gonads, or genitals that, according to the Office of the United Nations High Commissioner for Human Rights, "do not fit typical bin ...
people in Switzerland have no recognition of rights to physical integrity and bodily autonomy, and no specific protections from discrimination on the basis of sex characteristics. In 2012, the Swiss National Advisory Commission on Biomedical Ethics published a report on the medical management of differences of sex development or intersex variations.


History

The 12th-century
canon law Canon law (from grc, κανών, , a 'straight measuring rod, ruler') is a set of ordinances and regulations made by ecclesiastical authority (church leadership) for the government of a Christian organization or church and its members. It is th ...
collection known as the ''
Decretum Gratiani The ''Decretum Gratiani'', also known as the ''Concordia discordantium canonum'' or ''Concordantia discordantium canonum'' or simply as the ''Decretum'', is a collection of canon law compiled and written in the 12th century as a legal textbook b ...
'' states that "Whether an hermaphrodite may witness a testament, depends on which sex prevails" ("Hermafroditus an ad testamentum adhiberi possit, qualitas sexus incalescentis ostendit.") On ordainment, Raming, Macy and Cook found that the ''Decretum Gratiani'' states, "item Hermafroditus. If therefore the person is drawn to the feminine more than the male, the person does not receive the order. If the reverse, the person is able to receive but ought not to be ordained on account of deformity and monstrosity."


Physical integrity and bodily autonomy

Researchers have argued that
intersex medical interventions Intersex medical interventions, also known as intersex genital mutilations (IGM), are surgical, hormonal and other medical interventions performed to modify atypical or ambiguous genitalia and other sex characteristics, primarily for the purposes ...
on intersex children violate constitutional protections from discrimination and protection of human dignity. In late 2012, following a request by the Director of the Federal Office of Public Health, the National Advisory Commission on Biomedical Ethics reported on the ethics of medical management of intersex, following an inquiry and multiple hearings. The Commission heard from parents, individuals with intersex traits, legal experts, and clinical practitioners. The Commission report makes a strong case against medical intervention for "psychosocial" reasons: The report recommends deferring all "non-trivial" surgeries which have "irreversible consequences". The report also recommended criminal sanction for non-medically necessary genital surgeries. In 2013, following publication of the Commission report, Blaise Meyrat, paediatric surgeon at
Lausanne University Hospital The Lausanne University Hospital (french: Centre hospitalier universitaire vaudois, CHUV), in Lausanne, is one of the five university hospitals in Switzerland. The Lausanne University Hospital is linked to the Faculty of Biology and Medicine of ...
told
Swissinfo SWI swissinfo.ch is a multilingual Multilingualism is the use of more than one language, either by an individual speaker or by a group of speakers. It is believed that multilingual speakers outnumber monolingual speakers in the wor ...
that "It’s a pity that, because of a lack of ethical clarity in the medical profession, we have to get legislators involved, but in my opinion it’s the only solution". In recent years, Advocacy group
Zwischengeschlecht Zwischengeschlecht (literally "between sexes") is a human rights advocacy group campaigning on intersex bodily autonomy issues. The group demonstrates outside medical events where surgical interventions are discussed or performed, engages with th ...
and researchers have documented hospital practices and guidelines that permit
intersex medical interventions Intersex medical interventions, also known as intersex genital mutilations (IGM), are surgical, hormonal and other medical interventions performed to modify atypical or ambiguous genitalia and other sex characteristics, primarily for the purposes ...
for esthetic and psychosocial reasons, and their human rights implications. Zwischengeschlecht note that hospitals decline to publish statistics. In 2015, the UN Committee on the Rights of the Child called on Switzerland to implement recommendations of the National Advisory Commission on Biomedical Ethics, and "ensure that no one is subjected to unnecessary medical or surgical treatment during infancy or childhood, guarantee bodily integrity, autonomy and self-determination to the children concerned, and provide families with intersex children with adequate counselling and support." Similar recommendations were made later the same year by the UN Committee Against Torture. In July 2018, the UN Committee on the Elimination of Discrimination against Women issued concluding observations on harmful practices, recommending that Switzerland "take all necessary measures to ensure that no child undergoes unnecessary surgery intended to assign sex". The Committee also called for access to medical records, and the provision of compensation . In April 2019, the
Grand Council of Geneva The Grand Council of Geneva (french: Grand Conseil de Genève) is the legislature of the canton of Geneva, in Switzerland. Geneva, styled as a 'Republic and Canton', has a unicameral legislature. The Grand Council was established in its pres ...
passed two motions, one unanimously, against the use of such surgeries, which they labelled "mutilation". The motions foresee a compensation scheme and free
psychosocial The psychosocial approach looks at individuals in the context of the combined influence that psychological factors and the surrounding social environment have on their physical and mental wellness and their ability to function. This approach is ...
counselling for the victims, as well as the dismissal of any doctor or physician who performs these procedures on intersex people without their consent.


Remedies and claims for compensation

The 2012 National Advisory Commission on Biomedical Ethics report is notable for making a clear apology for damage done to intersex people in the past, and up until the present, calling for societal recognition: An April 2019 motion by the Grand Council of Geneva proposed a compensation scheme.


Identification documents

In 2012, the National Advisory Commission on Biomedical Ethics called for increased flexibility in amending sex as recorded in the civil status register. In response to the report, the deputy director of Bern University Interdisciplinary Centre for Gender Studies called in 2013 for intersex people to be designated an "indeterminate sex". Advocacy group Zwischengeschlecht has described the creation of new sex classifications as "silly season fantasies". In 2018, the National Council, the lower house of Parliament, accepted a motion to allow intersex individuals to leave their sex entry blank, with 109 votes in favour. The Federal Council will now review the motions and later express recommendations.


Marriage

Same-sex marriage Same-sex marriage, also known as gay marriage, is the marriage of two people of the same sex or gender. marriage between same-sex couples is legally performed and recognized in 33 countries, with the most recent being Mexico, constituting ...
became legal in Switzerland on 1 July 2022 following a referendum on the matter in September of the previous year. Intersex people may marry others with the same sex classification.


Advocacy

Swiss peer support and advocacy organizations include the peer support and advocacy organization
InterAction Suisse InterAction is a Switzerland, Swiss organization for intersex people, parents, friends and allies to educate, provide peer support and address human rights issues. History The organization was created on October 26, 2017, Intersex Awareness Day ...
, self-help group Selbsthilfegruppe Intersex, parent support group Verein SI Selbsthilfe Intersexualität, and advocacy organization
Zwischengeschlecht Zwischengeschlecht (literally "between sexes") is a human rights advocacy group campaigning on intersex bodily autonomy issues. The group demonstrates outside medical events where surgical interventions are discussed or performed, engages with th ...
. In August 2016,
Zwischengeschlecht Zwischengeschlecht (literally "between sexes") is a human rights advocacy group campaigning on intersex bodily autonomy issues. The group demonstrates outside medical events where surgical interventions are discussed or performed, engages with th ...
described actions to promote equality or civil status legislation without action on banning "intersex genital mutilations" as a form of pinkwashing. The organization has previously highlighted evasive government statements to UN Treaty Bodies that conflate intersex, transgender and LGBT issues, instead of addressing harmful practices on infants.


See also

*
Intersex human rights Intersex people are born with sex characteristics, such as chromosomes, gonads, or genitals, that, according to the UN Office of the High Commissioner for Human Rights, "do not fit typical binary notions of male or female bodies." Intersex peo ...
*
Zwischengeschlecht Zwischengeschlecht (literally "between sexes") is a human rights advocacy group campaigning on intersex bodily autonomy issues. The group demonstrates outside medical events where surgical interventions are discussed or performed, engages with th ...
* LGBT rights in Switzerland *
Human rights in Switzerland Human rights are largely respected in Switzerland, one of Europe's oldest democracies. Switzerland is often at or near the top in international rankings of civil liberties and political rights observance. Switzerland places human rights at th ...


References


Bibliography

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External links


InterAction Association Suisse pour les Intersexes

Selbsthilfegruppe Intersex.ch

Verein SI Selbsthilfe Intersexualität

Zwischengeschlecht
{{DEFAULTSORT:Intersex rights In Switzerland Law of Switzerland