Archives of Sexual Behavior

, Volume 42, Issue 3, pp 325–326 | Cite as

Reply to Bewley (2012)

  • David VealeEmail author
Letter to the Editor

I should like to thank Professor Bewley for her interest in this case.

In response to Bewley’s (2012) specific queries, the patient was seen by me privately. It would not have been appropriate for me to assess a patient seeking private surgery on the National Health Service (NHS). I had no relationship with the surgical provider. I am often asked to assess patients planning cosmetic surgery and commonly advise against a proposed procedure because of a psychiatric disorder or the patient’s unrealistic expectations. I had sought general advice from my medical defence society before I assessed this patient. As stated in my original report (Veale & Daniels, 2012), I did interview the husband prior to any procedure. In my subsequent response to Friedman and Levine (Veale, 2012), I reflected that it would have been preferable to take a longer history from him.

Professor Bewley questions the appropriateness of publication. Surely, it is better to publish such cases openly and stimulate...


National Health Service Cosmetic Surgery Female Genital Mutilation Public Prosecution Gender Reassignment 
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  1. Bewley, S. (2012). Should a psychiatrist give legal advice on cosmetic genital surgery? [Letter to the Editor]. Archives of Sexual Behavior. doi: 10.1007/s10508-012-0044-2.PubMedGoogle Scholar
  2. BMA. (2004). Female genital mutilation: Caring for patients and child protection. Guidance from the Ethics Department.Google Scholar
  3. Braun, V. (2010). Female genital cosmetic surgery: A critical review of current knowledge and contemporary debates. Journal of Women’s Health, 19, 1393–1407.PubMedCrossRefGoogle Scholar
  4. Home Office. (2002). Female genital mutilation bill explanatory notes, Bill 21-EN. London: House of Commons.Google Scholar
  5. Home Office. (2005). Explanatory notes to prohibition of female genital mutilation. (Scotland) Act Crown.Google Scholar
  6. Johnsdottir, B., & Essen, B. (2010). Genitals and ethnicity: The politics of genital modifications. Reproductive Health Matters, 18, 29–37.CrossRefGoogle Scholar
  7. Veale, D. (2012). Cosmetic clitoridectomy in a 33-year-old woman: Reply to Friedman (2011) and Levine (2011). Archives of Sexual Behavior, 41, 1057–1058.PubMedCrossRefGoogle Scholar
  8. Veale, D., & Daniels, J. (2012). Cosmetic clitoridectomy in a 33-year-old woman. Archives of Sexual Behavior, 41, 725–730.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

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

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