The psychological impact of circumcision
R. GOLDMAN
From a global perspective, most of the world does not practise circumcision; over 80% of the world's males are intact (not circumcised) <1>. Most circumcised men are Muslim or Jewish; the USA is the only country in the world that circumcises most (60%) of its male infants for non-religious reasons. Other countries that circumcised a significant minority of male infants for non-religious reasons include Canada and Australia. This article refers mostly to the American practice, because the USA has the highest rate of non-religious circumcision and the most contentious debate about circumcision.
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Behavioral changes in infants resulting from circumcision are very common, and can interfere with parent-infant bonding and feeding. <3,8>. The American Academy of Pediatrics Task Force on Circumcision notes increased irritability, varying sleep patterns and changes in infant-maternal interaction after circumcision <17>. Canadian investigators report that during vaccinations at age 4-6 months, circumcised boys had an increased behavioral pain response and cried for significantly longer periods than did intact boys. The authors believe that 'circumcision may produce long-lasting changes in infant pain behaviour' <18>. That study suggests that circumcision may permanently alter the structure and function of developing neural pathways <19>.
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Long-term psychological effects associated with circumcision can be difficult to establish because the consequences of early trauma are only rarely, and under special circumstances, recognizable to the person who experienced the trauma. However, lack of awareness does not necessarily mean that there has been no impact on thinking, feeling, attitude, behaviour and functioning, which are often closely connected. In this way, an early trauma can alter a whole life, whether or not the trauma is consciously remembered.
http://www.cirp.org/library/psych/goldman1/