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Talk:Obsessive–compulsive disorder

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This is an old revision of this page, as edited by Flyer22 Frozen (talk | contribs) at 01:57, 18 October 2019 (→Recent changes to the lead: Adjust Doc's wording. I will be giving this editor one more warning, and that's it. Editor is causing issues across a number of medical articles that Doc has to revert the editor on, and now the editor is branching into another area. Just no.). The present address (URL) is a permanent link to this revision, which may differ significantly from the current revision.

Revision as of 01:57, 18 October 2019 by Flyer22 Frozen (talk | contribs) (→Recent changes to the lead: Adjust Doc's wording. I will be giving this editor one more warning, and that's it. Editor is causing issues across a number of medical articles that Doc has to revert the editor on, and now the editor is branching into another area. Just no.)(diff) ← Previous revision | Latest revision (diff) | Newer revision → (diff)
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    Suggestion for media portrayals

    In Season 3, Episode 12 of "Scrubs" the character Dr. Kevin Casey appears and is shown suffering from OCD severely. He mentions the severity of his OCD causing him to drop out of school and repetitively spend all day reading medical textbooks, and generally his behavior is a very realistic version of the condition. At the end of the episode he first appears in, "My Catalyst," he is shown still in the operating theater for surgery washing his hands over and over again and becoming frustrated and distressed at his inability to stop himself from giving in. At the beginning he is shown walking inside the front door of the hospital several times as well.

    For more about the character's compulsions I posit a link to his Scrubs wikia entry that talks about his condition more.

    --2600:1700:1A10:68F0:F8B4:892D:EEB4:14CA (talk) 21:49, 10 August 2018 (UTC)

    Inaccurate history of OCD is presented

    The article neglects to mention that the first clinical description of OCD was by Abu Zayd al-Balkhi in the 9th century work Sustenance of the Body and Soul.

    For details, see "Obsessional Disorders in al-Balkhi′s 9th century treatise: Sustenance of the Body and Soul" published in the Journal of Affective Disorders, Volume 180, 15 July 2015, Pages 185-189.

    I am including the abstract below:

    Morbid fears and phobias have been mentioned in religious, philosophical and medical manuscripts since ancient times. Despite early insights by the Greeks, phobias did not appear as a separate clinical phenomenon in Western medicine until the 17th century and has evolved substantially since. However, robust investigations attempting to decipher the clinical nature of phobias emerged in pre-modern times during the oft-overlooked Islamic Golden Era (9th–12th centuries); which overlapped with Europe’s medieval period. An innovative attempt was made by the 9th century Muslim scholar, Abu Zayd al-Balkhi, in his medical manuscript “Sustenance of the Body and Soul,” to define phobias as a separate diagnostic entity. Al-Balkhi was one of the earliest to cluster psychological and physical symptoms of phobias under one category, “al-Fazaá”, and outline a specific management plan. We analyze al-Balkhi’s description of phobias, according to the modern understanding of psychiatric classifications and symptomatology as described in the DSM-5.

    Semi-protected edit request on 20 November 2018

    This edit request has been answered. Set the |answered= or |ans= parameter to no to reactivate your request.

    About the following sentence: The relationship between the short and long allele of the 5-HTTLPR gene has been examined in OCD, and a meta analysis found that the S allele was associated with OCD in females only.

    This meta-analysis does not show statistically that the S allele is associated to OCD in females. It shows there is no significance, only an observed trand. However, a meta-analysis is performed to find out if findings from multiple articles are robust enough when combined. Single articles could find significance due to chance or the experimental setup. A meta-analysis will find robust findings if they are not based on chance. When results from a meta-analysis are not significant, the variable (S allele) studied is therefore not correlated/associated enough with the disease (OCD). Therefore, I was wondering if you could remove this sentence from the OCD page.

    Reference is the reference on the page: Mak, L; Streiner, DL; Steiner, M (June 2015). "Is serotonin transporter polymorphism (5-HTTLPR) allele status a predictor for obsessive-compulsive disorder? A meta-analysis". Archives of Women's Mental Health. 18 (3): 435–45. doi:10.1007/s00737-015-0526-z. PMID 25896187. Non-canonical is the new canonical (talk) 16:57, 20 November 2018 (UTC)

    Yes, the abstract says "However, when stratified by sex, there is an emerging sex-specific relationship. There was a trending association between the S-allele and OCD status in females (Z = 1.62, p = 0.10) but not in males (Z = 0.69, p = 0.49)." So I'd agree that the sentence should either be removed or corrected. Martinevans123 (talk) 17:06, 20 November 2018 (UTC)
     Done Removed, with no prejudice to a rewrite instead. Izno (talk) 19:36, 22 November 2018 (UTC)

    Semi-protected edit request on 16 December 2018

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    Please chng hoarding related to hoarding-related Letateal (talk) 22:19, 16 December 2018 (UTC)

     Done – Jonesey95 (talk) 01:57, 17 December 2018 (UTC)

    Recent changes to the lead

    IiKkEe, you need to discuss your changes because you are changing the context or meaning of some material. Keep in mind that this is a medical article, which is why WP:MEDRS has high standards. Why not just to stick to what the sources state? When reverting you here, I stated that checking things repeatedly is not necessarily performing certain routines repeatedly. For example, a person with OCD might feel the need to repeatedly check for an email reply. But this doesn't mean that doing so is a routine for them. After all, that is just one email reply. Once the other person replies, that matter is over. The person with OCD might not communicate via emails enough for repeatedly checking emails to become a routine. You went back to changing the lead. You made it so that the lead states "the need to perform certain routines repeatedly such as checking on the status of something (rituals)," which led Doc James to remove "checking on the status of something (rituals)." It's best to just leave the lead as it was and include "feel the need to check things repeatedly," just like we do in the infobox.

    When you are reverted on something like this, don't just go back to tinkering with the lead, especially when an editor suggests that you discuss the matter on the talk page. Take it to the talk page and discuss. If you reply to me on this, I ask that you don't ping me. Flyer22 Reborn (talk) 14:05, 8 March 2019 (UTC)

    It is important to be actively reading the sources when text is adjusted. Doc James (talk · contribs · email) 14:13, 8 March 2019 (UTC)

    Semi-protected edit request on 31 May 2019

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    Please change "A myth propagated by Sigmund Freud regarding above-average intelligence in OCD was recently refuted"

    to something more accurate eg,

    "There is evidence and a consensus among psychiatrists that people with OCD have a higher average intelligence quotient than the general population. However, a recent study has questioned this."

    Here is a large study that supports this opposing view: https://www.sciencedirect.com/science/article/pii/S0160289616303324 Dom.uk.1 (talk) 20:36, 31 May 2019 (UTC)

     Not done: please establish a consensus for this alteration before using the {{edit semi-protected}} template. MrClog (talk) 16:21, 6 June 2019 (UTC)
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