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Trauma and Female Genital Cutting, Part 3: The Body and the Brain

(This article is Part 3 of a seven-part series on trauma related to Female Genital Cutting. To read the complete series, click here. These articles should NOT be used in lieu of seeking professional mental health and counseling services when needed.)

By Joanna Vergoth, LCSW, NCPsyA

Trauma overwhelms us and disrupts our normal functioning, impacting both the brain and body, both of which interact with one another to regulate our biological states of arousal. When traumatized, we lose access to our social communication skills and displace our ability to relate/connect/interact with three basic defensive reactions: namely, we react by fighting, fleeing, or freezing (this numbing response happens when death feels imminent or escape seems impossible).   

In order to understand and appreciate our survival responses, it’s important to have a basic understanding of how our brain functions during a traumatic experience, such as undergoing Female Genital Cutting or FGC.

Our brains are structured into three main parts:

 

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The human brain, which focused on survival in its primitive stages, has evolved over the millennia to develop three main parts, which all continue to function today. The earliest brain to develop was the reptilian brain, responsible for survival instincts. This was followed by the mammalian brain (Limbic system), with instincts for feelings and memory. The Cortex, the thinking part of our brain, was the final addition.

The Reptilian brain:

The reptilian brain, which includes the brain stem, is concerned with physical survival and maintenance of the body. It controls our movement and automatic functions, breathing, heart rate, circulation, hunger, reproduction and social dominance— “Will it eat me or can I eat it?” In addition to real threats, stress can also result from the fact that this ancient brain cannot differentiate between reality and imagination. Reactions of the reptilian brain are largely unconscious, automatic, and highly resistant to change.  Can you remember waking up from a nightmare, sweating and fearful—this is an example of the body reacting to an imagined threat as if it were a real one.

The Limbic System:

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Also referred to as the mammalian brain, this is the second brain that evolved and is the center for emotional responsiveness, memory formation and integration, and the mechanisms to keep ourselves safe (flight, fight or freeze). It is also involved with controlling hormones and temperature. Like the reptilian brain, it operates primarily on a subconscious level and without a sense of time.

The basic structures of Limbic system include:  thalamus, amygdala, hippocampus and hypothalamus  

The Neocortex:

The neocortex is that part of the cerebral cortex that is the modern, most newly (“neo”) evolved part. It enables executive decision-making, thinking, planning, speech and writing and is responsible for voluntary movement.

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But…

Almost all of the brain’s work activity is conducted at the unconscious level, completely without our knowledge. While we like to think that we are thinking, functioning people, making logical choices, in fact our neocortex is only responsible for 5-15 % of our choices.  When the processing is done and there is a decision to make or a physical act to perform, that very small job is executed by the conscious mind.

How the brain responds to Trauma

The fight or flight response system — also known as the acute stress response — is an automatic reaction to something frightening, either physically or mentally. 

This response is facilitated by the two branches of the autonomic nervous system (ANS) called the sympathetic nervous system (SNS) and parasympathetic nervous system (PNS) which work in harmony with each other, connecting the brain with various organs and muscle groups, in order to coordinate the response.

Following the perception of threat, received from the thalamus, the amygdala immediately responds to the signal of danger and the sympathetic nervous system  (SNS) is activated by the release of stress hormones that prepare the body to fight or escape.

It is the SNS which tells the heart to beat faster, the muscles to tense, the eyes to dilate and the mucous membranes to dry up—all so you can fight harder, run faster, see better and breathe easier under stressful circumstances.  As we prepare to fight for our lives, depending on our nature and the situation we are in, we may have an overwhelming need to “get out of here” or become very angry and aggressive (See ‘I underwent female genital cutting in a hospital in Rajasthan’ on Sahiyo’s blog). Usually, the effects of these hormones wear off only minutes after the threat is withdrawn or successfully dealt with.

However, when we’re terrified and feel like there is no chance for our survival or escape, the “freeze” response, activated via the parasympathetic nervous system, can occur. The same  hormones or naturally occurring pain killers that the body produces to help it relax (endorphins are the ‘feel good’ hormones) are also released into the bloodstream, in enormous amounts, when the freeze response is triggered. This can happen to people in car accidents, to sexual assault survivors and to people who are robbed at gunpoint. Sometimes these individuals pass out, or mentally remove themselves from their bodies and don’t feel the pain of the attack, and sometimes have no conscious or explicit memory of the incident afterwards. Many survivors of female genital cutting have reported fainting after being cut. Other survivors have reported blocking out their experiences of being cut (See ‘I don’t remember my khatna. But it feels like a violation’). Our bodies can also hold on to these past traumas which may be reflected not only in our body language and posture but can be the source of vague somatic complaints (headaches, back pain, abdominal discomfort, etc.) that have no organic source. FGC survivors who were cut at very young ages can be plagued with ambiguous symptoms such as these.

Neuroscientists have identified two different types of memory: explicit and implicit. The hippocampus, the seat of explicit memory, is not developed until 18 months. However, the implicit memory system, involving limbic processes, is available from birth. Many of our emotional memories are laid down before we have words or explicit recall, yet they influence our lives without our awareness. Although a traumatized person may not explicitly remember the traumatic event(s), the memory is held in the body: ‘‘What the mind forgets, the body remembers in the form of fear, pain, or physical illness’’ (Cozolino, 2006, p. 131; Van der Kolk, 1994).

The brain and PTSD

For those affected by Post Traumatic Stress Disorder — especially those who had no chance to fight back successfully or escape — the body and the brain have been blocked from responding normally and the trauma does not end.

Dr. Bessel van der Kolk (2001), a major clinician and researcher in the field of trauma notes that individuals with PTSD ‘‘are very sensitively tuned to pick up threat and respond to minor stimuli as if their life were in danger”.

What Dr Bessel is referring to is the fact that for those with PTSD, the trauma has not been able to come to a conclusion and remains unfinished. When stressors are present or familiar triggers (such as a person, place, or scent) are activated, the person can feel threatened and those fight-or-flight reactions stay turned-on, prompting the amygdala to be in a state of perpetual overactivation — in effect, hijacking the thinking process. Some FGC survivors in the Bohra community have experienced versions of such responses. For example, one young woman interviewed in the documentary A Pinch of Skin mentioned that her traumatic memories of being cut are triggered when she sees her cutter in the neighbourhood, and she ‘never wants to see that lady again’.  

When the amygdala is overactive and in control it registers only emotional and sensory information so that when the hippocampus tries to record the event sequentially it is compromised by these hormonal releases and only fragmented flashes of memory and emotional distress are remembered. This, too, is common in the way many FGC survivors remember their experience of being cut.

Why this happens

Trauma impairs the integrative functioning in the brain and neural networks get stuck in paths related to processing and encoding fear. The limbic system stores our emotional memories and replicates the response we had to the earliest time we experienced a similar situation: if we are in a state of distress we will revisit a memory of distress and that will cause more somatic sensations of distress.

PTSD reflects a condition in which the body’s natural mechanisms for recovery have failed, resulting in a prolonged state of negative stress arousal—causing increased heart rate and blood pressure, restricted flow of blood to the genitals and digestive systems—in effect making it hard to process information, eat, sleep, salivate or be sexually aroused.

For more information about the Psychosexual Consequences of trauma, see Trauma and Female Genital Cutting, Part 4: Psychosexual Consequences.

About Joanna Vergoth:

Joanna is a psychotherapist in private practice specializing in trauma. Throughout the past 15 years she has become a committed activist in the cause of FGC, first as Coordinator of the Midwest Network on Female Genital Cutting, and most recently with the creation of forma, a charity organization dedicated to providing comprehensive, culturally-sensitive clinical services to women affected by FGC, and also offering psychoeducational outreach, advocacy and awareness training to hospitals, social service agencies, universities and the community at large.

 

A conversation with change makers: women who chose to speak up about Khatna

By Priya Ahluwalia

Priya is a 22-year-old clinical psychology student at Tata Institute of Social Sciences – Mumbai. She is passionate about mental health, photography and writing. She is currently conducting a research on the individual experience of Khatna and its effects. To read Priya’s first blog in this series, visit ‘How I found out Khatna exists and why I choose to speak out’.

The first time I heard the statement,“Well it could have been you! It could have been anyone! But it happened to me,” by a woman who had gone through khatna, I felt its weight immensely on me.

I do not yet have the answers for why this statement affected me so intensely, but it has strengthened my resolve to understand and generate more awareness about Khatna, because it has affected women for so long and has the capacity to affect many more.

The first step in my research journey is to talk to women who have been directly affected by Khatna. While deciding upon the questions to ask my participants, my number one concern was to not sound insensitive or biased when asking them about Khatna. More importantly, I wondered how to ask questions about something this personal without sounding intrusive. The sensitivity of the questions depends on the context in which you ask the question rather than how you frame it, whereas the intrusiveness of it depends on the reactions from the women.

It was interesting for me to observe that none of the women found the questions to be intrusive or uncomfortable, rather there was a normalized, patterned response given from them, as if these were routine questions. My early hypothesis was that women would feel overwhelmed while responding to these questions, but that is not what I found. There are two possible reasons for this: one, they have been asked these questions before and thus have already reflected on the questions and know the answers for themselves; two, by choosing to speak about Khatna, they have already begun their healing process and by normalizing speaking about the incident they perhaps have taken back a sense of control that they had lost when they underwent it. Future interactions with more women will allow me to formulate a definite conclusion.

It was fascinating to observe that although each woman had an individual experience of Khatna, their stories were eerily similar and the trajectory of growing up and figuring out the significance of it was uncannily alike. A lot of the women I interviewed had repressed their memory of the day of their Khatna, and they grew up without any conscious knowledge of what had happened or what it meant, only to discover its significance much later in life. However, perhaps their discovery of Khatna later in life comes due to the ripple effect created by one woman speaking out. The women I have spoken with have talked about how hearing how other women were speaking about their experiences helped them to remember their own experience of Khatna.  

While interviewing women, some common traits I found among the respondents were curiosity, a fierce need for answers and an extraordinary amount of courage. All the women I interviewed had an aura of strength around them which was empowering. It crushed the fear and hesitancy I had in asking the questions, and it empowered me to not only raise more questions about Khatna. Through reflection, I found that change happens through empowering conversations.

While doing this research, always at the back of my mind, has been the questions of “Who are the changemakers?”  

I recognized that change-makers are those who have the courage to question the law of the land, who show resilience in the face of daunting challenges and who empower others to fuel the fire of change.

These women have empowered me to continue the change, and I request you to join me in further promoting this change. If we do not speak out, then who will?  

To participate in Priya’s research, contact her on This email address is being protected from spambots. You need JavaScript enabled to view it.

 

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Penn State Law School Host Conference on Female Genital Cutting

On April 12-13th, the Dickinson Law’s FGM Legislation Project hosted a conference, “Crafting Legislative and Medical Solutions to Address Female Genital Mutilation Locally and Internationally,” at Dickinson Law. This conference aimed to educate the public, lawyers and medical professionals about the legal, social, psychological and medical consequences of FGC. Experts and practitioners gathered to address the medical implications for women who have undergone it, the need for legislative action, and cultural competencies and prevention. Sahiyo Cofounder, Mariya Taher participated in a panel session, “Effective FGM Prevention and Survivor Advocacy.” A live stream of the event can be found here. On April 13th, a working group gathered to create and discuss an optional protocol to the Convention on the elimination of all forms of discrimination against women that focuses primarily on Female Genital Cutting.

 

Why the new survey on Khafz (Female Genital Cutting) among Bohras is biased and unscientific

By Mariya Taher, MSW, MFA

Last week, many Dawoodi Bohras around the world received the link to an online “research” survey with questions about Khatna/Khafz practiced in the community. Khafz refers to cutting a portion of a girl’s clitoral hood – a type of Female Genital Cutting – and this new online survey by Dr. Tasneem Saify, Dr. Munira Radhanpurwala T and Dr. Rakhee K claims that it aims to get feedback from Dawoodi Bohra women and men about the practice. (Link to survey is here).

As someone who has gone through the process of designing multiple research studies, I can confidently say that this latest survey on Khatna/Khafz in the Bohra community is neither a safe nor an unbiased tool for conducting proper research on female genital cutting. Other academic researchers who reviewed the Khafz survey have also pointed this out. For example, Usha Tummala-Narra, Ph.D., an associate Professor in the Department of Counseling, Developmental and Educational Psychology at Boston College, states:

The questions are strangely worded, and implicitly and explicitly suggest that the practice is not mutilation or traumatic. There are also no questions related to girls’ or women’s experiences of the practice. We can’t really know much about the definition of khatna/khafz without asking about the experience and its effects over time.”

While Karen A. McDonnell, an Associate Professor and Vice-Chair in the Department of Prevention and Community Health at Milken Institute School of Public Health at the George Washington University, states:

“Overall this survey presents itself as a feedback mechanism from Dawoodi Bohras about female circumcision. Taking the perspective of someone trained in objective survey development in psychology and public health, the survey actually reads in its entirety, not as a feedback, but rather as a tool for marketing a perspective. As the survey proceeds, the tenor of the questions increase in a lack of objectivity and a central cause/message is quite clear and the respondent is made to feel manipulated.” 

While all research has its limitations, the design of this questionnaire suggests that it clearly was NOT created and sent out into the world to collect empirical unbiased research on the practice FGC/Khatna/Khafz. Instead, the bias and manner of wording of this survey tool express that the authors (Dr. Tasneem Saify, Dr. Munira Radhanpurwala T & Dr. Rakhee K) are seeking responses that will justify their motives to prove that Female Genital Cutting (FGC) does not harm girls.

Which makes me wonder, was this research tool (the survey) even vetted before the study’s implementation?

In 2008, because of my increasing passion to end violence against women, I choose to craft and carry out research for my Master of Social Work thesis on “Understanding the Continuation of Female Genital Cutting Amongst the Dawoodi Bohras in the United States.” The issue had been in the recesses of my mind for years and I wanted to learn how a practice that involves cutting the sexual organs of a young girl could ever have been deemed a religious or cultural practice. I wanted to understand how the issue of Female Genital Cutting (FGC) could continue generation after generation without question, because if I could understand this reasoning, then I could better understand why FGC had been done to me at the age of seven.

As a graduate student, my thesis advisors walked me through every step of the research process, from consulting references and existing studies, to contacting other academics and experts who had studied FGC. In the end, I carried out an exploratory study and crafted questions that could be used to conduct ethnographic interviews. Ethnographic interviewing is a type of qualitative research that combines immersive observation and directed one-on-one interviews. In order to draft the questions, I consulted questions used in previous studies by other researchers. My thesis advisors reviewed the questions, and the San Francisco State University’s Institutional Review Board examined my question to ensure there was no hidden bias in the wording of my questions that could lead participants to answer one way or the other.

Having been through the process once, and understanding the importance of having multiple individuals review your questions for hidden biases, years later, I went through a similar process when Sahiyo designed its study on Khatna among Dawoodi Bohra women. Prior to engaging Bohra women for the study, our research tool (the survey) was vetted by many NGOs and expert researchers.  

If this newest Khafz questionnaire by Dr. Tasneem Saify, Dr. Munira Radhanpurwala T & Dr. Rakhee K had been vetted by other individuals and institutions, it would have recognized the following problems well before releasing the study to the public.

1) Participant consent

Prior to filling out a study, it is important that participants are informed of the study’s intention and are able to sign a consent form acknowledging that they understand the study’s purpose and are giving their permission for the findings to be used in a study’s report. The new Khafz -survey does not have a consent form that does such. [See Screenshot to the left]. In fact, the purpose of this survey is misleading to the reader. There is no mention of how the respondents are being recruited and if their responses will be anonymous or even held in confidence and in essence violates a respondents rights as a participant.

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2) Confidentiality

The new Khafz survey form requires participants to provide information that will NOT allow their information to remain private. The study requires that participants add their Community ID (ITS52/Ejamaat) Number. As reported in Mumbai Mirror, the ITS number keeps track of a Dawoodi Bohra’s personal details, including the number of times a person visits the mosque. By requiring an individual to enter this information, already the researchers have directly violated a person’s right to privacy. The question also limits respondents to only those who have signed up for such an ITS number. This, therefore, rules out the participation of many individuals born into the Bohra community or to a Bohra parent who may not have signed up for the ITS card for a variety of reasons, but who have had to undergo FGC as children because of a decision made by a family member or community member.

The mandatory requirement of disclosing one’s ITS number can also discourage an individual from filling out the survey for fear of backlash from the religious community for disagreeing with the practice of Khafz Such backlash occurs on a regular basis against advocates speaking against FGC as can be viewed on Sahiyo’s social media accounts. (See Sahiyo Activist Needs Assessment to learn more about the challenges individuals face when they speak in opposition to FGC).

 

3) Biased questions

Besides the problematic ITS number, the wording of subsequent questions on the new Khafz survey is biased and considered to be leading questions that prompt survey respondents to answer in a specific manner.

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 For instance, Questions 2, 5, 9, and 10 make assumptions about religious freedom, media, and activists, rather than posing the questions and response choices in a more neutral, open-ended form.

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Questions 12 and 13 are perfect examples of problematic, leading questions: Question 12 offers a definition of the word “mutilation” without any context to why the word is being asked. Question #13 then frames the question in a manner that can minimize or under report a participant’s level of distress associated with khatna/khafz, and also automatically suggests to the participant that the practice is not mutilation. 

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Question 14 is confusing for another reason. The introductory paragraph by the researchers suggests that male participants can take part in the study, however, Question 14 is written and geared towards female participants who undergo Khatna/khafz.

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Yet, because of the asterisk (*), the question is mandatory for all respondents, meaning men would have to submit a response to Question #14. This inclusion of information would automatically invalidate the data collected as men have NOT gone through khafz. The wording of the question also infers that all Dawoodi Bohra women have undergone khatna/khafz, which, from anecdotal reports and previous research on FGC in the Bohra community, we recognize is not the case. In fact, we do see a trend in the Bohra community of people wanting to give up the practice on future generations of girls. Yet, the survey makes no mention of this trend or suggests that it is even an option amongst survey respondents.

Overall, the Khafz/Khatna study is problematic for an entire milieu of reasons, not only the ones I have listed here. However, as a researcher, a social worker, and a woman who has undergone FGC because I was born into the Bohra community, what saddens me the most about this survey is that it is yet another attempt to discredit and disbelieve the numerous women and girls who have spoken up and stated that FGC was harmful to them. These women have spoken up for no other reason than to be believed, and instead of comforting them, the researchers of this new Khfaz/Khatna questionnaire are trying to silence them.

 

We did a project on FGC in college and learned our Bohra Classmates had undergone it too

By Rachael Alphonso, Green Madcaps

City: Mumbai, India

I’m no fan of Vogue, so I was wondering what the face of a pretty African model, Waris Dirie, was doing on the cover of my favourite Reader’s Digest. ‘Desert Flower’, the title said. Her photo betrayed no sign of what she had suffered in her childhood – Female Circumcision or Female Genital Mutilation (FGM).

‘Circumcision’ – wasn’t it something only men had to undergo? How was it physically possible for women? And why? Having read the Bible and references to the Torah, I had never found any reference to women needing circumcision. So what was this all about?

I read the article, “….a sharp stone…I felt the sting…my flesh was being torn away…no anaesthetic….” I couldn’t imagine the pain!

Had it not been the Reader’s Digest, I would not have believed it! Because of her ‘circumcision’, menstruation for Waris was utterly painful. She could not have a steady flow which resulted in painful cramps. Soon, she was married to a man a few decades her senior who would have to tear open the skin over his wife’s vagina to be able to penetrate her during sex. Childbirth would be worse.

I was stunned reading about it, and when my group in college was asked to do a project I was quick to gain support from my group to investigate this topic. We began our research. Our discussions and debates within the group, despite all efforts, became one-sided simply because we believed that nothing ever could justify the genital mutilation that Waris or any other girl suffered as a result of the circumcision. We could not find any medical or rational evidence that supported the idea.

But the perpetrators of FGM continued to say it was done for the ‘benefit’ of the women and that women’s sexuality needed to be tamed. Men ‘simply fell for it’ [sex], and men could not control themselves, so women had to be controlled. We found this argument had taken different forms in different cultures, emerging into practices that control women and make them believe they are nothing more than their sexual organs, nothing more than a womb that bears children.

We presented this topic to the rest of our class, and were proud of ourselves for doing so. Unconsciously, we also believed we were less affected by FGM because we also believed FGM could not happen in India.

We were wrong.

After our presentation we learned that many of our classmates were victims of ‘khatna’– a practice by which a piece of the clitoral hood is removed. Our classmate told us that the reason given by her religious leaders was that if a woman found pleasure in her sexual organs she would go on a rampant sexual orgy with anybody. Her sexual urges needed to be controlled so her morality was ensured. Their justification for khatna was also aligned with their belief that because men cannot control their sexual urges, women must remain covered and ‘decently’ dressed.

The classmate who spoke of her own khatna and her cousin’s ‘khatna’ revealed that when they experience sex, they most likely would not be able to experience the clitoral orgasmand/or sex would seem slightly sensitive, but that’s all in terms of ill effects.

She also informed us that nowadays, painkillers are used, and the procedure is done by a qualified medical professional. My group realized that she was made to believe that khatna was good for her, the harm nonexistent, as long as the cutting was done using the correct instruments and anesthetics.Later, we realized that many women may be traumatized by their experience but they are unable to speak about it, because they may not recognize they have a right to do so

While Nigeria banned FGM in early 2016 – something that my presentation group and I heralded as a great move – we also learned that the Bohra leaders in India announced ‘khatna’ as a necessary part of their religion. The leaders claim it was meant for cleanliness, but to me, it is clear that the clitoris is in no need of surgical manipulation for cleanliness. What I find most interesting is that these ‘rules’ and ‘announcements’ were made by men (as the Bohra religious authorities are all men) who themselves do not possess a vagina and know little about the care of one.

Millions of women have survived without undergoing khatna. My friends and I are among them. Then why are my Bohra sisters forced to believe otherwise? Who made these rules? Does the rule-maker have a vagina?

(The original article appears on Green Madcap’s blog.)

Rachael Alphonso is a life-long learner, a feminist and an environmentalist.

 

Sahiyo’s petition to the United Nations needs your help

In December 2016, Sahiyo started a petition with Change.org to encourage the United Nations to invest in research on Female Genital Mutilation/Cutting in Asian countries. The petition proposes to end FGM/C worldwide by 2030, and Sahiyo needs the support of 7,500 petition signers to accomplish our goal.

The United Nations reports that at least 200 million women have undergone FGM/C, but their data is mostly restricted to countries in sub-Saharan Africa. FGM/C is reported in many Asian, European, and Middle Eastern nations; however, there is a considerable lack of data from these countries, which means the global scope of the problem of FGM/C remains unknown.

In the past year, cases of FGM/C in Sri Lanka, India, and other Asian countries have come into the light of the media and attracted the attention of government officials. The Indian Government’s Ministry of Women and Child Development told the Indian Supreme Court that there was no official data to support the prevalence of FGM/C in India. This ruling was a massive disappointment to activists and researchers who are working to bring more research and awareness to the prevalence of FGM/C in India and Asia.

Asian countries have been excluded from the UNFPA-UNICEF Joint Programme to Accelerate the Abandonment of FGM/C. With more support for research initiatives, Asian countries can conduct research, bring further awareness to the issues within their countries as well as in the global context, and propose legislative change with qualitative backing.

We need about 2,000 more signers to reach our petition goal. Click this link to help us advance our mission to eradicate FGM/C in Asia and worldwide! Help us spread the word by sharing our petition within your networks.

How I found out Khatna exists and why I choose to speak out

By Priya Ahluwalia

Snugly sitting on my bed on the wintry night of December, a cold chill ran down my spine as I read through the Change.Org petition against Female Genital Mutilation also known as Female Genital Cutting or Khafz.  I failed to recognize the magnitude of this practice because of the lack of knowledge of my own genitalia, but reading the petition created dread in my mind. The dread transformed into anger, anger towards the society that violated its own daughters, anger towards all those who let the practice continue and anger towards the ignorance of my own immunity. In anger I signed the petition but it was the vicarious traumatisation I went through while reading the petition in the first place that made me speak out.

An implicit responsibility of those choosing to speak out is to create more awareness. However, to my amazement I found that despite the multitudes of women affected by it, the information on FGC was little. Therefore I never understood the true roots of the practice and its implications on the community until this February at Sahiyo’s activists retreat in Mumbai. The retreat was perhaps the most comprehensive and genuine source of information about the Bohra community, the practice of Khafz and its implications. The retreat was also responsible for breaking one of the biggest barriers I had while talking about this practice: intellectualization. I had honed the tendency to talk about FGC mechanically, removing all speck of emotion from my voice as a way of protecting myself from further distress and also to prevent any secondary opinions or personal bias colouring my narrative. However emotions are fundamental to those who choose to speak out including myself, and therefore ignoring them would be a grave injustice to us all. A one-toned discussion has never led to any change, therefore it is integral that while holding a discourse on Khatna, the emotions be incorporated within the facts.

While presenting FGC as a topic in my school and college years, I often noticed the discomfort that many people feel as soon as the term genitalia was introduced. I couldn’t help but wonder that if verbalizing the word caused so much distress to an adult, then imagine the fear felt by the seven-year-old girl whose legs were held apart and her rights stolen away. I can feel the anguish, I can feel the anger and I can feel the betrayal she must have felt, because I could have easily been that girl, but here is where my immunity lies; I come from a community where this form of gender violence does not exist. However, the immune must support raising those who have undergone FGC which is why I chose this as a topic for my master’s thesis.

This was not a decision I took lightly or quickly, because I know the responsibility that lies with me. I had felt reluctance because I wondered if I, an outsider with little understanding of the community and the practice, would be able to do justice to the women and their stories. I do not know how the thesis will turn out but I know that I will do my best to do right by the women who choose to speak to me. They will not be just data but people with stories to tell that need to be protected and preserved. My aim is to understand the practice as a whole and therefore, I do not want to have a hypothesis of the results I will get, rather I wish to incorporate in my research as many voices as I can, both those who are pro-khatna and those who oppose it.

My job as a researcher will be to be open to all narratives and record them as authentically as I can.

All of us have a voice and therefore have the responsibility to use it wisely. Thus, I choose to use my voice for myself and all those women who have been silenced under the burden of tradition.

(Priya Ahluwalia is a 22-year-old clinical psychology student at Tata Institute of Social Sciences – Mumbai. She is passionate about mental health, photography and writing. To participate in her research, contact her on This email address is being protected from spambots. You need JavaScript enabled to view it.

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