2019
DOI: 10.1136/medethics-2019-105532
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When does an advantage become unfair? Empirical and normative concerns in Semenya’s case

Abstract: There is a fundamental tension in many sports: human sex is not binary, but there are only two categories in which people can compete: male and female. Over the past 10 years, the International Association of Athletics Federations (IAAF) regulations have been at the centre of two notable legal disputes. The Court of Arbitration for Sport (CAS) reached two contradictory rulings: in the first case (Dutee Chand vs Athletics Federation India and IAAF), the IAAF regulations for the eligibility of athletes to compet… Show more

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Cited by 16 publications
(13 citation statements)
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References 19 publications
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“…10 Still, the DSD Regulations are exposed to stern criticism from several perspectives. [11][12][13] iii Arguments from Semenya and her team of lawyers sum up much of the criticism. The setting of thresholds is problematic and even arbitrary from a scientific point of view, the regulations build on essentialist and reductionist definitions of gender, they imply a violation against human rights, they lead to unfair discrimination and the required suppressive testosterone therapy can impose significant harm on the athletes affected.…”
Section: Feature Articlementioning
confidence: 99%
See 1 more Smart Citation
“…10 Still, the DSD Regulations are exposed to stern criticism from several perspectives. [11][12][13] iii Arguments from Semenya and her team of lawyers sum up much of the criticism. The setting of thresholds is problematic and even arbitrary from a scientific point of view, the regulations build on essentialist and reductionist definitions of gender, they imply a violation against human rights, they lead to unfair discrimination and the required suppressive testosterone therapy can impose significant harm on the athletes affected.…”
Section: Feature Articlementioning
confidence: 99%
“…In a recent comment, Camporesi notes that the discourse has been dominated by disagreements on how to interpret empirical data on testosterone levels and performance advantage, and not the underlying normative assumptions on gender and fairness. 1 I will attempt to fill some of this gap in the literature. More specifically, and based on what I take to be the normative rationale for athlete classification, I will provide conditional support of the IAAF position.…”
Section: Introductionmentioning
confidence: 99%
“…These authors did an exhaustive examination of the available research literature as well as the extensive database from the International Association of Athletics Federation (IAAF) on athletes who have competed over many years at elite levels in track and field (i.e., athletics). (16,17). Nevertheless, and importantly though, the universal agreement does not currently exist in the world-wide medical community on what is precisely normal testosterone levels.…”
Section: What About Exercising Men?mentioning
confidence: 99%
“…Embora o texto cite os procedimentos que são realizados pelas atletas mulheres trans para se readequarem ao gênero de identificação e às normas das Confederações para poderem participar das competições femininas de suas modalidades, afirma que já se está comprovado cientificamente pela medicina que todas as alterações promovidas no aparato morfofisiológico não se alteram completamente, trazendo como referência o discurso de Ana Paula, que não é médica ou fisiologista, mas sim uma ex-atleta de voleibol que demonstra forte conflito de interesse na temática. Vale lembrar que, até hoje, ainda não há consenso científico se atletas trans apresentam desempenho melhor que atletas cis em função do sexo biológico e dos efeitos da hormonização (Camporesi, 2019).…”
Section: Quadro 2 Os Projetos Estaduaisunclassified
“…Certamente ela se beneficiou da testosterona até o momento da cirurgia e do tratamento hormonal". Essa consideração, entretanto, deve ser aprofundada e investigada de maneira mais terminante, pois até o presente, ainda é uma ideia controversa e não totalmente comprovada pela ciência, sendo, portanto, apenas um indício especulativo profícuo (Sőnksen et al, 2018;Camporesi, 2019;Devine, 2019).…”
Section: Quadro 2 Os Projetos Estaduaisunclassified