Who has a Disorder? Who gets to Decide?

This paper discusses the definitional power of medicine in the assignment of intersex persons, followed by a brief historical overview of the importance of notions of social norms particularly with reference to dichotomically organized normative concepts of body and mind. The right of self-determination and other human rights occupy a special place in the discussion about ascriptions of disorders, since it is precisely those incapable of giving their informed consent that are particularly affected by the application of medical measures. The critical discussion of certain hitherto standard medical practices not only sheds light on the implications for the individuals concerned and their personal environment, but also for medical practice. Looking ahead, the author also discusses the significance of legal solutions for individual and social practices.