New Clinical and Research Perspectives on the Sexual Pain Disorders
Bibliographic record
Abstract
A woman became unable to achieve penetration after repeated painful intercourse. This case illustrates the shortcomings of the present nomenclature and diagnostic criteria for the sexual pain disorders, dyspareunia and vaginismus. The Diagnostic and Statistical Manual of Mental Disorders, 4th edition, considers the sexual pain disorders as sexual dysfunctions, completely ignoring the pain component and leading to internally inconsistent descriptions of these conditions. The role of pain in dyspareunia and vaginismus and the implications of using a pain syndrome framework for diagnosis and research are discussed. Most important, pain syndrome framework focuses diagnosis on the presence or absence of pain and the history of the development of the pain. This approach does not deny a role for psychosocial factors, but rather considers them as critical components of the pain syndromes. From the pain syndrome perspective, preliminary data indicate that vulvar vestibulitis syndrome may be associated with nonpainful sensory abnormalities, and that women with vaginismus do not constitute a homogeneous group.
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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 | 0.010 | 0.011 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.008 | 0.006 |
| Science and technology studies | 0.002 | 0.016 |
| Scholarly communication | 0.006 | 0.013 |
| Open science | 0.002 | 0.003 |
| Research integrity | 0.007 | 0.009 |
| Insufficient payload (model declined to judge) | 0.008 | 0.001 |
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".