Archives of Sexual Behavior

, Volume 41, Issue 4, pp 1057–1058 | Cite as

Cosmetic Clitoridectomy in a 33-Year-Old Woman: Reply to Friedman (2011) and Levine (2011)

  • David VealeEmail author
Clinical Case Report Series

I should like to thank Friedman (2011) and Levine (2011) for their commentaries and for stimulating such debate regarding our case report (Veale & Daniels, 2011). I may be able to provide a few of the answers to the questions posed.

Let us look first at the context. I was being asked to give an opinion to the surgeon on whether it was wise to proceed with surgery. My general view is that a psychodynamic formulation would be an explanatory fiction and would not assist in the decision-making. I believe most people without any relevant psychopathology would be unable, for example, to reflect easily on when and how they became aware of their gender identity or role formation, on sex differences in peer relationships or play behavior, or to recall how they reacted when they first saw pubic hair or someone else’s genitalia.

I assessed the patient to have had normal attachment behavior during childhood and that the parents were affectionate. We were able to exclude emotional, sexual or...


Cognitive Behavior Therapy Gender Identity Sexual Satisfaction Play Behavior Pubic Hair 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


  1. Friedman, R. C. (2011) Assessing how a woman feels about her clitoris: Commentary on Veale and Daniels (2011). Archives of Sexual Behavior, doi: 10.1007/s10508-011-9852-z.
  2. Levine, S. B. (2011). Fashions in genital fashion: Where is the line for physicians? Commentary on Veale and Daniels (2011). Archives of Sexual Behavior, doi: 10.1007/s10508-011-9849-7.
  3. Veale, D., & Daniels, J. (2011). Cosmetic clitoridectomy in a 33-year-old women. Archives of Sexual Behavior, doi: 10.1007/s10508-011-9831-4.

Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  1. 1.Centre for Anxiety Disorders and TraumaThe Maudsley HospitalLondonUK

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