Circumstraint - Revision history

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2024-04-24T21:41:44Z

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	* [[Shock]]		* [[Shock]]
	* [[Trauma]]		* [[Trauma]]
			* [[United States of America]]

	{{LINKS}}		{{LINKS}}

WikiModEn2 at 22:41, 17 July 2023

2023-07-17T22:41:49Z

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	[[Category:Financial gain]]		[[Category:Financial gain]]
	[[Category:Genital surgery]]		[[Category:Genital surgery]]
			[[Category:Pain]]
	[[Category:Parental information]]		[[Category:Parental information]]
	[[Category:Trauma]]		[[Category:Trauma]]

WikiModEn2: /* Commentary */

2023-07-17T10:53:02Z

Commentary

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	[[File:Circumstraint MichaelSGreen.jpg]]		[[File:Circumstraint MichaelSGreen.jpg]]
	==Commentary==		==Commentary==
	~~Bessel van der Kolk (2014) wrote:~~

	{{Citation		{{Citation
	\|title=		\|title=The Body Keeps the Score
	\|text=When fighting or running does not take care of the threat, we activate the last resort — the reptilian brain, the ultimate emergency system. This system is most likely to engage when we are physically immobilized, as when we are pinned down by an attacker or when a child has no escape from a terrifying caregiver. Collapse and disengagement are controlled by the DVC, an evolutionarily ancient part of the parasympathetic nervous system that is associated with digestive symptoms like diarrhea or nausea. It also slows down the heart and induces shallow breathing. Once this system takes over, other people, and we ourselves, cease to matter. Awareness is shut down, and we may no longer even register physical pain.		\|text=When fighting or running does not take care of the threat, we activate the last resort — the reptilian brain, the ultimate emergency system. This system is most likely to engage when we are physically immobilized, as when we are pinned down by an attacker or when a child has no escape from a terrifying caregiver. Collapse and disengagement are controlled by the DVC, an evolutionarily ancient part of the parasympathetic nervous system that is associated with digestive symptoms like diarrhea or nausea. It also slows down the heart and induces shallow breathing. Once this system takes over, other people, and we ourselves, cease to matter. Awareness is shut down, and we may no longer even register physical pain.
	\|author=Bessel van der Kolk		\|author=Bessel van der Kolk
	~~\|date=2014~~		\|source=
	\|source=T
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	~~\|translation~~=
	\|ref=<ref>{{REFbook		\|ref=<ref>{{REFbook
	\|last=van der Kolk		\|last=van der Kolk
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	\|year=2014		\|year=2014
	\|title=The Body Keeps the Score		\|title=The Body Keeps the Score
	~~\|url=~~
	\|chapter=Chapter Five		\|chapter=Chapter Five
	\|page=85		\|page=85
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	\|note=		\|note=
	}}</ref>		}}</ref>
			}}
	{{SEEALSO}}		{{SEEALSO}}
	* [[Circumcision]]		* [[Circumcision]]

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2023-07-17T10:39:14Z

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 <br>
 [[File:Circumstraint MichaelSGreen.jpg]]
 {{SEEALSO}}
 * [[Circumcision]]

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2023-07-16T09:25:34Z

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← Older revision		Revision as of 09:25, 16 July 2023
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	\|url=		\|url=
	\|accessdate=2022-10-28		\|accessdate=2022-10-28
	}}</ref> Circumcisions were carried out without any kind of pain relief, analgesia, or sedation. The surgical amputation of the highly sensitive [[foreskin]] was done with a wide awake non-anesthetized infant, who would do his best to escape from the intense [[pain]] of amputative surgery, so a restraint device was needed so that no greater physical injury was done to the infant than the intended injury of foreskin amputation.		}}</ref> Circumcisions were carried out without any kind of pain relief, analgesia, or sedation. The surgical amputation of the highly sensitive [[foreskin]] was done with a wide awake non-anesthetized infant, who would do his best to escape from the intense [[pain]] and [[trauma]] of amputative surgery, so a restraint device was needed so that no greater physical injury was done to the infant than the intended injury of foreskin amputation.

	It is now known that infant boys feel [[pain]] fully and more intensely than adults.<ref name="anand1987">{{REFjournal		It is now known that infant boys feel [[pain]] fully and more intensely than adults.<ref name="anand1987">{{REFjournal
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	\|DOI=10.1056/NEJM198711193172105		\|DOI=10.1056/NEJM198711193172105
	\|accessdate=2022-10-28		\|accessdate=2022-10-28
	}}</ref> It is dangerous to give infants general anesthesia, so the only possible pain relief is local nerve block, which is now recommended if a [[circumcision]] is to be done. These are of doubtful efficacy because of multiple nerve pathways in the [[penis]], so baby boys still kick and scream, making the Circumstraint still necessary if a [[circumcision]] is to be done. Parents are reminded that infant circumcision is an unnecessary, non-therapeutic surgical [[amputation]] that does not cure or prevent disease and ~~may~~ permanently harm infant boys by loss of the protective, immunological, sexual, and sensory functions of his [[foreskin]].<ref name="uberoi2022">{{REFjournal		}}</ref> It is dangerous to give newborn infants general anesthesia, so the only possible pain relief is local nerve block, which is now recommended if a [[circumcision]] is to be done. These are of doubtful efficacy because of multiple nerve pathways in the [[penis]], so baby boys still kick and scream, making the Circumstraint still necessary if a [[circumcision]] is to be done. Parents are reminded that infant circumcision is an unnecessary, non-therapeutic surgical [[amputation]] that does not cure or prevent disease and does permanently harm infant boys by loss of the protective, immunological, sexual, and sensory functions of his [[foreskin]].<ref name="uberoi2022">{{REFjournal
	\|last=Uberoi		\|last=Uberoi
	\|first=Megha		\|first=Megha
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	\|etal=yes		\|etal=yes
	\|title=Potentially under-recognized late-stage physical and psychosexual complications of non-therapeutic neonatal penile circumcision: a qualitative and quantitative analysis of self-reports from an online community forum		\|title=Potentially under-recognized late-stage physical and psychosexual complications of non-therapeutic neonatal penile circumcision: a qualitative and quantitative analysis of self-reports from an online community forum
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	[[Category:Genital surgery]]		[[Category:Genital surgery]]
	[[Category:Parental information]]		[[Category:Parental information]]
			[[Category:Trauma]]

	[[Category:USA]]		[[Category:USA]]

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2023-07-16T09:12:56Z

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← Older revision		Revision as of 09:12, 16 July 2023
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	* [[Pain]]		* [[Pain]]
	* [[PTSD]]		* [[PTSD]]
			* [[Shock]]
	* [[Trauma]]		* [[Trauma]]

	{{LINKS}}		{{LINKS}}
	* {{REFweb		* {{REFweb

WikiModEn2: Add links in SEEALSO section.

2023-07-16T09:08:09Z

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← Older revision		Revision as of 09:08, 16 July 2023
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	[[File:Circumstraint MichaelSGreen.jpg]]		[[File:Circumstraint MichaelSGreen.jpg]]
	{{SEEALSO}}		{{SEEALSO}}
			* [[Circumcision]]
	* [[Pain]]		* [[Pain]]
			* [[PTSD]]
	* [[Trauma]]		* [[Trauma]]
	{{LINKS}}		{{LINKS}}

WikiModEn2: /* Description */ Add text.

2023-07-15T02:16:54Z

Description: Add text.

← Older revision		Revision as of 02:16, 15 July 2023
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	[[Image:Circumstraint2.jpg\|right\|thumb\|A device used in circumcision ]]		[[Image:Circumstraint2.jpg\|right\|thumb\|A device used in circumcision ]]
	==Description==		==Description==
	The Circumstraint is made of molded plastic cut in a rectangular form with indentations for the body of the newborn infant boy to fit into. It is equipped with straps to totally immobilize the infant to prevent any movement whatsoever.		The Circumstraint is made of molded plastic cut in a rectangular form with indentations for the body of the newborn infant boy to fit into. It is equipped with straps to totally immobilize the infant to prevent any movement whatsoever and effectively prevent the "flight or fight" response to danger.

	==History==		==History==
	Raymond C. Creelman applied for a patent for this device on 14 December 1953. The patent was granted on 19 June 1956. The patent expired on 19 June 1973.<ref>{{REFweb		Raymond C. Creelman applied for a patent for this device on 14 December 1953. The patent was granted on 19 June 1956. The patent expired on 19 June 1973.<ref>{{REFweb

WikiModEn2: Add section; Add link in SEEALSO section.

2023-07-15T01:46:10Z

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← Older revision		Revision as of 01:46, 15 July 2023
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	[[Image:Circumstraint2.jpg\|right\|thumb\|A device used in circumcision ]]		[[Image:Circumstraint2.jpg\|right\|thumb\|A device used in circumcision ]]
			==Description==
			The Circumstraint is made of molded plastic cut in a rectangular form with indentations for the body of the newborn infant boy to fit into. It is equipped with straps to totally immobilize the infant to prevent any movement whatsoever.
	==History==		==History==
	Raymond C. Creelman applied for a patent for this device on 14 December 1953. The patent was granted on 19 June 1956. The patent expired on 19 June 1973.<ref>{{REFweb		Raymond C. Creelman applied for a patent for this device on 14 December 1953. The patent was granted on 19 June 1956. The patent expired on 19 June 1973.<ref>{{REFweb
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	{{SEEALSO}}		{{SEEALSO}}
	* [[Pain]]		* [[Pain]]
			* [[Trauma]]
	{{LINKS}}		{{LINKS}}
	* {{REFweb		* {{REFweb