2009-02-03 「インターセックス」について。
_ 〔インターセックス＜インターセクシュエリティ＞〕
古くは半陰陽，両性具有と称されたが，外性器の形状や生殖器，染色体が曖昧で男女の一方に分類できない人々。広義に見ると１００人に１人の出生頻度で出現する。
ＨＡＨＡＫＩＧＩ ＨＯＵＳＥＩ（漢字でＨＡＨＡＫＩという文字が出せないので，ローマ字で書く）の近著『インターセックス』（集英社）を読み，大きな衝撃を受けている。最初に引用したのは，この小説の表紙カバーの帯に書かれている「定義」である。
ついでに，この小説の概要を知る上で手っとり早いので，同じ「帯」に書かれているキャッチ・コピーを引用しておく。
産科医や小児科医の激減，下がり続ける出生率。一方でますます先端化する移植技術や生殖医学。現代社会の闇に切り込む衝撃のサスペンス長編。
生殖と移植では「神の手を持つ名医」と評判の岸川卓也院長が率いる，贅沢な施設と高度な医療を誇るサンピーチ病院。泌尿婦人科医の秋野翔子は岸川に請われてこの病院に勤務することになった。ここでは性同一性障害やインターセックスの患者たちへの性転換手術やさまざまな治療が行われていた。翔子は「人は男女である前に人間だ」と主張し，人知れず悩み，絶望の淵にいた患者達のために奔走する。やがて翔子は，彼女に理解を示す岸川の周辺に不可解な変死が続いていることに気づく・・・。
これで，この作品の内容についても，おおよそのところは想像してもらえるだろうと思う。この本を読んだわたしの感想を，ここでは２点だけ紹介しておきたい。
一つは，「性差医療」ということばとその意味するところについて。
もう一つは，男女の二つに分けて行われているスポーツ競技の意味するところについて。
まずは，前者から。男性と女性の身体はまったく異なる構造をもっていることは福岡伸一の『できそこないの男たち』を引き合いにだすまでもなく，説明する必要はないだろう。しかしながら，この身体の構造の違いは，同時に，身体の機能の違いをももたらしていることについては，われわれはあまり日常的には意識していない。このことは医療においても同様で，性差を意識した医療は，現段階ではまったく行われてはいない，と作者は言う。どういうことかというと，薬を服用するときの薬理上の効き目は，男性と女性ではかなりの差異があるにもかかわらず，現段階での医療は「男性」の効き目を基準にして服用する分量が決められている，というのである。つまり，男性の効き目をそのまま女性に当てはめているにすぎないのだ，と。ところが，同じ分量の薬を服用しても，男性と女性とではその効き目がかなり異なるというのだ。しかし，それでも医療の現場ではそれが無視されている。だから，この問題をもっと重視すべきではないか，と主人公の秋野翔子医師は主張する。つまり，医療の現場における「男性中心主義」に対する異を唱えているのである。これは，なにを隠そう，現代社会の制度や組織のあり方が「男性中心主義」であることに対する根源的な問いを発していることと同義である。いな，医療の現場がもっとも遅れている，というべきかもしれない。そこから一刻も早く脱出することが喫緊の課題である，と作者はかなり意図的に記述している。
このことと連動しているのが，後者の問題である。近代スポーツは，もともと，男性だけのものとして誕生した経緯がある。そこに，徐々に女性のためのスポーツが承認され，参入していくというプロセスがあった。そして，いまや，男女がほとんど分け隔てなく，それぞれのスポーツ競技が行われるようになっている。しかし，このスポーツ競技の世界では，男子種目と女子種目の二分法だけが承認されている。だから，セックス・チェックをしてまで，ほんとうの「女性」であるのかどうか，という確認が行われている。つまり，スポーツ競技の世界にあっては，「男性」か「女性」か，そのいずれかに属する「性」しか認められてはいない。この世界にあっては，インターセックスは，あってはならないのである。
だとしたら，「１００人に１人の出生頻度」と言われるインターセックスの「人たち」は，スポーツ競技の世界から完全に排除されていることになる。つまり，蚊帳の外である。このことについて，じつは，わたし自身もなんの疑問もいだいたことはなかったのである。しかし，この本を読んだいまは，とんでもないことに，わたし自身も無意識のうちに加担していた，ということに気づいてしまったのである。
こうなってくると，ことの善悪はともかくとして，障害者のスポーツの方が，その障害の内容とレベルに応じてスポーツ競技に参加できるようになっていて，こちらの方が健常者のスポーツよりもはるかに進化しているのではないか，ということに気づく。もちろん，細部についてはわたしなりに疑問はある。しかし，一つの制度として，スポーツ競技のあり方を考えたときに，一歩踏み込んでいるように思う。ただし，インターセックスという点ではまったく同じであるが・・・。
インターセックスの人たちは，スポーツ競技の世界で考えると，健常者からも障害者からも排除される，まったく闇の世界の存在でしかなくなってしまう。つまり，彼らの存在は「あってはならない」，「非存在」というのがヨーロッパ近代の考え方の中核になっている，ということだ。それを，ただ，なんの疑問ももたないまま，わたしたちもまた受け入れてきたのである。そのことの誤りに気づいたいま，さて，わたしたちはこれからどうすればいいのか，という問題が浮かび上がってくる。
となると，障害者のスポーツのように，医学のレベルでの差異にもとづく分類をして，それぞれの新しいスポーツ競技の方法を編み出さなければならない，ということになろうか。つまり，インターセックスにも何種類もの差異があるからだ。遺伝子的には男性であって心理的には女性である人，その逆の人，そのあるがままのインターセックスで生きることを望む人，はっきりと性転換をしてしまいたい人，などさまざまである。となると，それぞれの生き方の選択肢に応じたスポーツ競技の方法が保証されなくてはならなくなる。
まあ，この問題はもう少し時間をかけて考えることにしよう。
ここでは，以上の２点についてのみ感想を述べておくにとどめる。この他にも，さまざまな考えなくてはならない「身体」をめぐるテーマが満載である。その意味で，スポーツの分野に身を寄せている者にとっては，看過することのできない作品である。一読をお薦めしたい。
スポーツ競技の世界にあっては，「男性」か「女性」か，そのいずれかに属する「性」しか認められてはいない。この世界にあっては，インターセックスは，あってはならないのである・・・という文章を読んで、「国家」や「民族」の帰属の問題やアイデンティティの問題を思い浮かべた。根っこは一緒のような気がする。何か「自明で普遍」であると想定した実体に属し、アイデンティティを求め、拠り所とする。個人がそれを拠り所とするだけではなく、それが何かを統合するための原理になるということは非常に恐ろしく感じます。
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