Preventing physical Maturation in a Brain Damaged Girl

On January 3, 2007, the news media broke the controversial story of Ashley, a cognitively none year old girl whose parents authorized medical interventions designed to impede her physical development. Ashley was born with static encephalopathy, a brain impairment that resulted in her cognitive development being arrested at that of a normal three-month-old infant. She is unable to talk, walk, sit up, turn over, or eat without assistance. In view of her severe incapacity, her parents authorized the childrens hospital in Seattle to provide what they called the Ashley Treatment: powerful estrogen therapy to stunt the girls growth, removal of her breast buds to prevent breast maturation, and hysterectomy to prevent the discomfort of menstruation and any possibility of pregnancy.

According to Ashleys parents, the medical interventions were motivated by the girls best interests. Remaining small at under 80 pounds and four feet five inches tall means that Ashley can be held in their arms, moved more easily, taken outside the house and out of town often, and bathed in a standard bathtub. These possibilities, they maintain, are good for her physically (e.g for her circulation) and psychologically (since more outings equal more stimulation). In sum, the Ashley Treatment was designed to improve our daughters quality of life and not to convenience her caregivers.

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