Book Review: Sexual Disorders: Psychiatry and Sexual Health: An Integrative Approach
Bibliographic record
Abstract
Psychiatry and Sexual Health: An Integrative Approach Juan E Mezzich, Ruben Hemandez-Serrano, editors. Lanham (MD): Jason Aronson; 2006. 230 p. US$49.95. Reviewer rating: Good Review by J Paul Fedoroff, MD Ottawa, Ontario In 1997, World Psychiatric Association (WPA) declared that sexual health is a key component of overall health and quality of life.p ix This statement was apparently not self-evident, so WPA established a workgroup to establish an education program on sexual health. The WPA workgroup consisted of 15 members and 29 advisors representing 18 countries. This book is result of workgroup's efforts, which editors describe as the knowledge base for this educational program.p ix They acknowledge that program was supported by an unrestricted educational grant from Pfizer, Inc. and by various components of World Health Association.p xii The book is divided into 3 major sections: Conceptual Bases of Sexual Health, Comprehensive Diagnosis of Persons with Sexual Disorders, and Comprehensive Treatment and Health Promotion of Persons with Sexual Disorders. There are also 5 appendixes, about 600 references, and a good index. Each major section is subdivided into bite-sized pieces of 3 to 4 pages that read like a Coles Notes on topic at hand. The first section, Conceptual Bases of Sexual Health, is an excellent review of historical perspectives, developmental issues, and importance of cultural and geographic influences. For example, men from Tibet are reported to show an increase in testosterone up to age of 60, in contrast to their (on average) declining Western brothers!p 13 The second section reviews diagnostic classifications of sexual disorders, focusing primarily on contrasts between DSM and ICD-10 nosology. The ICD-10 (but not DSM-IV-TR) criteria for sexual disorders and gender identity are reproduced verbatim, with exception of DSM-IV Axis V diagnostic criteria, which are reproduced in a table. The section concludes with a 2-page figure entitled Comprehensive Diagnostic Formulation Form for Persons with Sexual Disorders. This form likely will be of little use to psychiatrists in North America since it follows ICD axes, which are: Axis I, clinical disorders; Axis II, disabilities; Axis III, contextual factors; and Axis IV, quality of life. The third and most extensive section of book deals with Comprehensive Treatment and Health Promotion of Persons with Sexual Disorders. Given that there are 31 sexual disorders according to DSM-IV criteria, 29 according to ICD-10 criteria, and 29 according to QC-3 criteria, each of which book attempts to review in Oslerian comprehensiveness, it is understandable that this section of book leaves impression of being rushed. …
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.005 |
| Meta-epidemiology (narrow) | 0.002 | 0.001 |
| Meta-epidemiology (broad) | 0.003 | 0.001 |
| Bibliometrics | 0.004 | 0.008 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.004 | 0.003 |
| Open science | 0.002 | 0.001 |
| Research integrity | 0.002 | 0.004 |
| Insufficient payload (model declined to judge) | 0.048 | 0.030 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".