Misplaced Pages

Talk:Circumcision: Difference between revisions

Article snapshot taken from Wikipedia with creative commons attribution-sharealike license. Give it a read and then ask your questions in the chat. We can research this topic together.
Browse history interactively← Previous editNext edit →Content deleted Content addedVisualWikitext
Revision as of 17:45, 22 January 2012 editRobert B19 (talk | contribs)85 edits Outside canvassing again← Previous edit Revision as of 17:49, 22 January 2012 edit undoJayjg (talk | contribs)Autopatrolled, Administrators134,922 edits Outside canvassing againNext edit →
Line 656: Line 656:


:::I did see about it on Redit. Noobs not welcome? ] (]) 17:45, 22 January 2012 (UTC) :::I did see about it on Redit. Noobs not welcome? ] (]) 17:45, 22 January 2012 (UTC)
::::Thanks for being honest, it's a welcome change. As noted above, ] states the following: '''"Do not recruit your friends, family members, or communities of people who agree with you for the purpose of coming to Misplaced Pages and supporting your side of a debate."''' ]<sup><small><font color="DarkGreen">]</font></small></sup> 17:49, 22 January 2012 (UTC)


== Can Someone Please explain to me? == == Can Someone Please explain to me? ==

Revision as of 17:49, 22 January 2012

Skip to table of contents
This is the talk page for discussing improvements to the Circumcision article.
This is not a forum for general discussion of the article's subject.
Article policies
Find medical sources: Source guidelines · PubMed · Cochrane · DOAJ · Gale · OpenMD · ScienceDirect · Springer · Trip · Wiley · TWL
This article has not yet been rated on Misplaced Pages's content assessment scale.
It is of interest to the following WikiProjects:
Please add the quality rating to the {{WikiProject banner shell}} template instead of this project banner. See WP:PIQA for details.
WikiProject iconSexology and sexuality Mid‑importance
WikiProject iconThis article is within the scope of WikiProject Sexology and sexuality, a collaborative effort to improve the coverage of human sexuality on Misplaced Pages. If you would like to participate, please visit the project page, where you can join the discussion and see a list of open tasks.Sexology and sexualityWikipedia:WikiProject Sexology and sexualityTemplate:WikiProject Sexology and sexualitySexology and sexuality
MidThis article has been rated as Mid-importance on the project's importance scale.
Please add the quality rating to the {{WikiProject banner shell}} template instead of this project banner. See WP:PIQA for details.
WikiProject iconMedicine Mid‑importance
WikiProject iconThis article is within the scope of WikiProject Medicine, which recommends that medicine-related articles follow the Manual of Style for medicine-related articles and that biomedical information in any article use high-quality medical sources. Please visit the project page for details or ask questions at Misplaced Pages talk:WikiProject Medicine.MedicineWikipedia:WikiProject MedicineTemplate:WikiProject Medicinemedicine
MidThis article has been rated as Mid-importance on the project's importance scale.
WikiProject iconBody Modification (defunct)
WikiProject iconThis article is within the scope of WikiProject Body Modification, a project which is currently considered to be defunct.Body ModificationWikipedia:WikiProject Body ModificationTemplate:WikiProject Body ModificationBody Modification
Censorship warningMisplaced Pages is not censored.
Images or details contained within this article may be graphic or otherwise objectionable to some readers, to ensure a quality article and complete coverage of its subject matter. For more information, please refer to Misplaced Pages's content disclaimer regarding potentially objectionable content and options for not seeing an image.
Discussions on this page often lead to previous arguments being restated. Please read recent comments, look in the archives, and review the FAQ before commenting.
The subject of this article is controversial and content may be in dispute. When updating the article, be bold, but not reckless. Feel free to try to improve the article, but don't take it personally if your changes are reversed; instead, come here to the talk page to discuss them. Content must be written from a neutral point of view. Include citations when adding content and consider tagging or removing unsourced information.
Peace dove with olive branch in its beakPlease stay calm and civil while commenting or presenting evidence, and do not make personal attacks. Be patient when approaching solutions to any issues. If consensus is not reached, other solutions exist to draw attention and ensure that more editors mediate or comment on the dispute.

Archives
Index 1, 2, 3, 4, 5, 6, 7, 8, 9, 10
11, 12, 13, 14, 15, 16, 17, 18, 19, 20
21, 22, 23, 24, 25, 26, 27, 28, 29, 30
31, 32, 33, 34, 35, 36, 37, 38, 39, 40
41, 42, 43, 44, 45, 46, 47, 48, 49, 50
51, 52, 53, 54, 55, 56, 57, 58, 59, 60
61, 62, 63, 64, 65, 66, 67, 68, 69, 70
71, 72, 73, 74, 75, 76, 77, 78, 79, 80
81, 82, 83, 84, 85
Archive guide
Sample PubMed


This page has archives. Sections older than 7 days may be automatically archived by Lowercase sigmabot III when more than 2 sections are present.

Problematic methodology used to establish sub-topic weight (generally, and with respect to HIV information in the current lead)

Please consider joining the feedback request service.
An editor has requested comments from other editors for this discussion. This page has been added to the following lists: When discussion has ended, remove this tag and it will be removed from the lists. If this page is on additional lists, they will be noted below.

A debate has been taking place about whether the weight apportioned to HIV prevention in the lead of the current version of the circumcision article is appropriate. The proposed methodology/methodologies for establishing relative weight of aspects of the topic have been discussed, as have aspects of some of the policies and guidelines governing such issues on Misplaced Pages. An impasse appears to be have been reached and outside input is sought. A new sub-thread titled RfC comments has been created for the purpose. Jayjg 04:22, 17 January 2012 (UTC)


Because there has been some confusion about which discussion threads are active or not, I'm bringing together material from two related discussions in this new section to clarify the situation.

Here's the latest version of the table (recently bot-archived four days after the last edit to it) which was originally introduced by Coppertwig with this edit, where he invited "others to edit it and add to it."

source type percentage method method weakness(es)
books 20% First ten "Google Books" results for "circumcision", percentage of books for which specific "Google Books" searches showed that the book mentions HIV or AIDS. This is just verification of the co-occurrence of one term together with either of two other terms in 10 results out of over 50000.
books 2% Google Books search for "circumcision hiv" as fraction of search for "circumcision"
literature reviews (any time) 29% PubMed search for "circumcision hiv" as fraction of search for "circumcision". Using "limits" restrict to reviews. Only demonstrates the fraction of biomedically related sources which reference the term "HIV" from amongst sources of the same kind which reference the term "circumcision". Also suffers from similar newsworthiness problems as the news search results below.
literature reviews (since RCTs) 57% PubMed search for "circumcision hiv" as fraction of search for "circumcision". Using "limits" restrict to reviews published after 1 Dec 2005. Only demonstrates the fraction of biomedically related sources which reference the term "HIV" from amongst sources of the same kind which reference the term "circumcision". Also suffers from similar newsworthiness problems as the news search results below.
"reliable source" books
recent books (since RCT's) 6% Since 2005. Google Books search for "circumcision hiv" as fraction of search for "circumcision"
scholarly articles (since RCT's) 50% Since 2005. Google Scholar search for "circumcision hiv" as fraction of search for "circumcision" "circumcision restoration" gives 40%. "circumcision fruit" gives 52%. "circumcision chocolate" gives 9%. Also, "circumcision hiv" since 2008 gives 36% (why choose 2005 in particular?)
news articles (since RCTs) 41% Google News search for "circumcision hiv" as fraction of search for "circumcision". Search from 1 Dec 2005 to present. Just a test of recent newsworthiness. Says nothing about the importance of HIV to the topic of circumcision compared to non-controversial, established aspects of the topic.
web pages

In addition to what the search results and criticism offered in the table above suggest, it does seem that the principle of performing PubMed and other searches to establish the relative importance of a sub-topic to a main topic is fundamentally problematic.

Firstly, only sub-topics which are currently newsworthy and being discussed will return significant results: non-controversial sub-topics, whose principles are widely accepted, simply won't be the focus of much discussion and won't return significant results. These kinds of searches do not, therefore, provide an indication of the relative degree of importance of a sub-topic by comparison with another sub-topic where one or more of those sub-topics is currently newsworthy and one or more of the others isn't. And even when comparing two newsworthy sub-topics, these searches still don't provide an indication of the relative degree of importance they have to the main topic.

Secondly, in terms of execution, the search principle lends itself well to searches for sub-topics which can be comprehensively referenced via a single term (as is the case with "HIV", which is an unambiguous and highly prevalent abbreviation) but is much more difficult to perform where a concept may be referred to using a variety of words/phrases, as is the case with foreskin restoration for example, which, to cite a few possibilites, could be referred to as "restoration of the foreskin", "uncircumcision", "restoring the foreskin", "preputial restoration", "foreskin restoring", "restore the prepuce" and even highly contextual variations such as "restore what they've lost", etc.

Thirdly, a search for co-occurring terms reveals nothing about the nature of the relationship between the concepts represented by those terms, aside from an indication, via prevalence of co-occurrence in sources, that there is some relationship.

Finally, why just use PubMed as a dedicated journal search facility, with its biomedical restrictions, why not other academic search facilities such as ScienceDirect? After all, not all sub-topics of circumcision are necessarily medical, e.g. history and religion for starters. Any attempt to establish relative importance of a sub-topic must take as many aspects as possible into account surely? Beejaypii (talk) 01:16, 30 December 2011 (UTC)

It seems there are significant problems involved in trying to justify dedicating a large portion of the lead (currently over 25%) to the HIV issue. The HIV issue is a sub-topic of a sub-topic (medical aspects) of the main article topic, and even within that sub-topic it does not have as direct and intrinsic a relationship to the surgical procedure as other medical aspects. Therefore, and based on closer examination of what seems to be seriously flawed methodology used to justify the weight apportioned to HIV in the lead thus far, I again suggest reducing the HIV coverage in the lead, to this concise summary:

Additionally, strong evidence that circumcision reduces the risk of HIV infection in heterosexual men has led to the WHO recommending circumcision, with respect to that population, as an additional HIV prevention strategy, with the proviso that it should always be considered as part of a comprehensive HIV prevention package.

In particular, I think we need to keep in mind that the main topic of this article is the medical procedure circumcision, with its procedural, historical, religious, cultural (to name a few) sub-topics, as well as sub-topics of those sub-topics. So, any objections to the change I propose? Beejaypii (talk) 01:56, 31 December 2011 (UTC)

Please see previous discussions. Jakew (talk) 09:28, 31 December 2011 (UTC)
I assume you're referring to discussions I haven't been involved in (otherwise your request makes little sense) which deal with the criticism of the term co-occurrence search methodology I've introduced into the table above. If that is indeed the case, would you mind pointing me to those discussions? Beejaypii (talk) 12:13, 31 December 2011 (UTC)
No, Beejaypii, I'm referring to previous discussions in which you've proposed to shorten the HIV material, and others (including myself) have rejected that proposal.
As for your criticism of the "co-occurrence" methodology, I think you've overstated your case somewhat, but I basically agree with your fundamental point that such methodologies are inexact. I've already agreed said so, in Talk:Circumcision/Archive 68#Weight of HIV in lead, where I wrote: "it's a fairly crude methodology". But I continued "it's among the best available", and that's the important point: while a perfect indicator of due weight would be wonderful, we only need a rough estimate. After all, those of us reasonably familiar with the literature should have a good idea of the relative importance of various topics, and we only need the figures to help quantify that. And since we don't have anything better, these data will have to suffice. Jakew (talk) 13:29, 31 December 2011 (UTC)
I also wonder what has changed from the relatively recent discussions we've had about shortening the amount of space given to HIV in the lede. As I recall, the last two times you proposed changing the lede, Garycompugeek inevitably agreed with everything you said, and no-one else did. What has changed since then? Based on the weight given to HIV in recent medical literature about circumcision, the lede should probably devote more space to HIV than it currently does. Jayjg 00:28, 1 January 2012 (UTC)
Jayjg your attempts to marginalize my comments are quite ineffective. Do you not typically agree with anything Jakew and Avi says? Is it because you are just a puppet or do you have similar viewpoints? Garycompugeek (talk) 13:55, 5 January 2012 (UTC)
I'm not attempting to "marginalize" your comments, I'm just noting the fact that they are invariably just "rah rah" cheers for those of Beejaypii (and occasionally, of any other editor who appears even slightly anti-circumcision). If anyone has "marginalized" your comments, it is you, by dint of their inevitable contents. Jayjg 15:01, 9 January 2012 (UTC)
Jayjg if you think "rah rah" cheers is not a marginalizing characterization you are sadly mistaken. I'll not respond further to this thread as it has no value to the article. Garycompugeek (talk) 15:23, 10 January 2012 (UTC)
Jakew, why refer me to previous discussions that I was actually involved in? Additionally, why refer me to discussions which did not include a detailed analysis of the methodology criticised in the table and accompanying post by me above? The debate has obviously moved forward and those discussions do not provide answers to the points I've made.
If the methodology in question is good enough to be applied, please demonstrate its use to justify 25% of the lead dedicated to the HIV issue. In other words, please provide specific counter arguments to the points I've made.
How can "those of us reasonably familiar with the literature" be confident that the "good idea of the relative importance of various topics" that we "should have" is not influenced by our own prejudices? What are the safeguards? Your assertion sounds like an argument in favour of the POV of yourself and others in the current context.
Jayjg, if you think "the lead should probably devote more space to HIV than it currently does", and if you're confident about that (your use of 'probably' suggests some doubt on your part), please provide arguments supporting your opinion, or at least explain what you mean by "ased on the weight given to HIV in recent medical literature about circumcision". In particular I'd be interested to know how you've ascertained the weight given to HIV and how that pertains to assessing the weight of the HIV issue relative to the main article topic in relation to the relative weight of all other sub-topics to the main article topic. Beejaypii (talk) 03:24, 1 January 2012 (UTC)
Beejaypii, the reason why I referred you to those discussions was because you asked whether there were objections to your proposal to shorten this material. Since several people (including myself) have previously explained their objections to doing so, doing so again seems an inefficient use of time. Jakew (talk) 11:19, 1 January 2012 (UTC)
Indeed, this constantly re-asking essentially the same questions is an extremely "inefficient use of time". That's why I'm going to respond here minimally, while noting my previous reasoning and objections, which Beejaypii can assume will never change unless he produces some actually new and convincing material or arguments, which he so far has not. Jayjg 16:43, 1 January 2012 (UTC)
Jakew and Jayjg, if all my arguments above have already been countered, produce the evidence. If my arguments are unconvincing, counter them. Beejaypii (talk) 02:32, 2 January 2012 (UTC)
This has already been done, which is why this is an "inefficient use of time". There is no way of measuring the exact importance of HIV to circumcision, but a review of the recent literature (particularly medical) indicates that it is of significant importance. It is therefore quite obvious that the lede should at least mention the topic, and any editor who suggests removing it entirely, or that it is a "compromise" to even mention it, can be dismissed out of hand, because the arguments put forward for removing it entirely are neither policy-based nor rational (e.g. "JUNK SCIENCE!!!", "it's only relevant to Africa!!!", "an article criticized the WHO's position!!!"). Now, whether one-tenth, one-quarter, or one-third of the lede should be devoted to the topic can never be decided in a purely mathematical way. Rather, editors must examine the different proposals, and see which prose seems to best summarize the topic. From that perspective, proposals designed solely to minimize the amount of text devoted to the topic – as opposed to proposals designed to best summarize the topic - will never achieve consensus, regardless of their purported rationales. Jayjg 20:11, 4 January 2012 (UTC)
"This has already been done..." Not it hasn't. Produce the evidence.
'...this is an "inefficient use of time"' Depends on your point of view. It's a very easy assertion to make in the course of a debate, but vague and difficult to quantify. It's also what you conclude from your own, unsubstantiated "already been done" assertion.
"...the lede should at least mention the topic." There's a difference between mentioning it and devoting a quarter of the lead to it. Also, there are other sub-topics not mentioned in the current lead at all which one could make the same assertion about.
"...any editor who suggests removing it entirely..." Which obviously doesn't include me.
"(e.g. "JUNK SCIENCE!!!", "it's only relevant to Africa!!!", "an article criticized the WHO's position!!!") Why are you quoting other editors' arguments at me? What's that got to do with my comments in this thread?
"...can never be decided in a purely mathematical way." Sorry, hasn't that been my argument? Glad to see the message has got through.
"...see which prose seems to best summarize the topic." And try to ensure the aspects summarised are relevant enough to the main article to be included, and that the summary is appropriate for the lead, and so on.
"...proposals designed solely to minimize the amount of text devoted to the topic..." Which proposals are you talking about?
Beejaypii (talk) 13:10, 5 January 2012 (UTC)

I agree with Beejaypii's proposal. His logic is quite sound and Jake's is quite week. I am making a compromise (a rare bird around here) for I did not want any mention of HIV in the lead and feel its Wp:UNDUE for reasons stated above. The paragraph summarizes the sources well. Garycompugeek (talk) 15:55, 31 December 2011 (UTC)

Maybe someone should propose a RfC to get greater input.Doc James (talk · contribs · email) 05:01, 1 January 2012 (UTC)
The "logic" of using results of intersection of search results is bizarre: Google Books search for "Islam" 30,500,000 results; "Circumcision" yields 2,520,000; together 109,000 results (about 4% of circumcision and 0.3% of Islam), so using the logic posed about, one should remove Islam from the lead before HIV since the relationship appears statistically an order of magnitude weaker. This of course would be preposterous, given that many (most?) circumcisions are following the precepts of Islam rather than for HIV or anything else that ails you. Just another statistical argument that amounts to nada, like virtually the entire thread above. Carlossuarez46 (talk) 22:41, 2 January 2012 (UTC)
I agree with you about the search methodology. However, I'm not sure what your stance is in relation to this discussion topic: are you arguing that dedicating roughly 25% of the current lead to the HIV sub-topic is justified or not? Beejaypii (talk) 07:38, 4 January 2012 (UTC)
The lead should identify what the topic is, why it's important (or at least notable), and do a quick summary of the major points to be delved into. Perhaps the lead on HIV can be shortened to the simple first statement "strong evidence..." and leave the rest for details, but some may claim that the bald statement without some further clarification is biased in which case the additional statements are added to provide balance - and if that takes up space, well - WP is full of space. Carlossuarez46 (talk) 17:09, 4 January 2012 (UTC)

Arbitrary break 1

I also have stated that search results seem a peculiar way to justify material inclusion especially for the lead which should simply summarize the article's sections. Why are we sensationalizing one particular heavily controversial section? Proponents of the current lead have statistical nonsense on their side while those of us in favor of removing or reducing HIV's prominence from the lead have policy and strong logic on their side. Garycompugeek (talk) 14:53, 5 January 2012 (UTC)

We're not "sensationalising", Gary, we're why the topic is interesting or notable, and summari the most important points". And, since "The emphasis given to material in the lead should roughly reflect its importance to the topic, according to reliable, published sources", we're attempting to give emphasis to material that is given considerable emphasis in reliable sources. Jakew (talk) 16:09, 5 January 2012 (UTC)
In what way do HIV/circumcision sources demonstrate that HIV is so important to the topic of circumcision that a lead coverage of 25% is justified in the circumcision article? Beejaypii (talk) 18:31, 5 January 2012 (UTC)
We've already had that discussion. Jakew (talk) 18:38, 5 January 2012 (UTC)
It should be easy for you to answer my question then. Beejaypii (talk) 18:44, 5 January 2012 (UTC)
One obvious reason is that circumcision is done for different reasons in different countries and cultures - it would be very Judeo-Muslim or Anglo-American centric to not mention the number one reason it is being introduced to people in traditionally non-circumcising areas or cultures. If you were writing an article Circumcision in Saudi Arabia, the HIV angle is probably of minimal to no importance at all. But we're not writing that article here, we need to be more global and obviously the HIV angle is notable in the lead absolutely consistent with policy. Carlossuarez46 (talk) 23:41, 6 January 2012 (UTC)
You seem to be answering the question "why should HIV be mentioned in the lead?" What I want to know is what justification is there for 25% of the lead (the current situation) being dedicated to this issue? Beejaypii (talk) 15:25, 7 January 2012 (UTC)
Which has already been answered: since reliable sources give it considerable weight, so should we. Asking the same question over and over again isn't constructive. Jakew (talk) 16:01, 7 January 2012 (UTC)
You keep claiming the question has been answered without substantiating that claim. If it's been answered, answer it. It's easy. I'm quite prepared to point editors to specific, previous comments if I think a question has already been answered. Why aren't you prepared to do that in this case? Beejaypii (talk) 17:33, 7 January 2012 (UTC)
See Jayjg's comment here, for example, which explains why that it isn't even meaningful to ask for a source-based justification of a precise percentage. Yet oddly you continue to demand such justification. Stranger still, your proposal would represent (at a guess) 8-10% of the lead, but you have failed to provide any source-based justification indicating that this should be the percentage. This would seem inconsistent with the position that such justifications should be required. Jakew (talk) 18:24, 7 January 2012 (UTC)
Your comment is based on the erroneous presumption, on your part, that a request for a demonstration of the effectiveness of a methodology equates to advocating that methodology. Additionally, my position is not that "such justifications should be required"; my position is that such justifications are not possible, which is why I presented my earlier suggestion for the lead summary of the HIV issue in the following way:
It seems there are significant problems involved in trying to justify dedicating a large portion of the lead (currently over 25%) to the HIV issue. The HIV issue is a sub-topic of a sub-topic (medical aspects) of the main article topic, and even within that sub-topic it does not have as direct and intrinsic a relationship to the surgical procedure as other medical aspects. Therefore, and based on closer examination of what seems to be seriously flawed methodology used to justify the weight apportioned to HIV in the lead thus far, I again suggest reducing the HIV coverage in the lead, to this concise summary:

Additionally, strong evidence that circumcision reduces the risk of HIV infection in heterosexual men has led to the WHO recommending circumcision, with respect to that population, as an additional HIV prevention strategy, with the proviso that it should always be considered as part of a comprehensive HIV prevention package.

In particular, I think we need to keep in mind that the main topic of this article is the medical procedure circumcision, with its procedural, historical, religious, cultural (to name a few) sub-topics, as well as sub-topics of those sub-topics.
My stance is basically that the methodology used to justify a significant portion (one quarter) of the lead dedicated to a sub-topic of one aspect (medical) of the main article topic is bogus. Therefore, an approach which does not seek to significantly emphasise a single sub-topic, relying on concise summaries and appropriate detail, seems fair and sensible.
I asked for justification for 25% of the lead dedicated to the HIV issue earlier. Your first response was "We've already had that discussion." After further prompting, and the intervention of another editor, you stated "...since reliable sources give it considerable weight, so should we." - basically supporting the methodology in question. Then you begin your next response by advocating the comments of another editor (Jayjg) which attack the methodology in question (?) - a paradox I also addressed in my original response to that editor - and you try to imply that I'm the one who's advocating that methodology because I asked for a demonstration of its applicability.
I'm arguing that it's not possible to demonstrate that the HIV issue is so important to the topic of the surgical procedure male circumcision that a significantly greater proportion of the lead should be dedicated to that issue than any other sub-topic. Therefore, a non-emphatic approach should be adopted - which seems to be the most neutral approach under the circumstances. You seem to be striving to support the unsubstantiated emphasis on the HIV issue extant in the current lead. Demonstrate why that emphasis, relative to other aspects and sub-topics, is substantiated. Beejaypii (talk) 09:49, 8 January 2012 (UTC)
As others have explained to you previously, policy requires that we follow the emphasis given in reliable sources: "The emphasis given to material in the lead should roughly reflect its importance to the topic, according to reliable, published sources". So there really isn't room for discussion about that: your belief that we should adopt "an approach which does not seek to significantly emphasise a single sub-topic" is contrary to policy. The question remaining is, do reliable sources give significant emphasis to HIV? The answer is, quite clearly, yes. Jakew (talk) 10:35, 8 January 2012 (UTC)
Could you explain your interpretation of "emphasis in reliable sources"? As far as I can see, the HIV/circumcision sources have little reason to discuss aspects of the article topic which are not pertinent to the HIV issue. Are you interpreting that to mean those aspects not mentioned are therefore not important? All those sources really indicate is the importance of circumcision to the topic of HIV transmission prevention, not the relative importance of HIV to the topic of circumcision. And as far as working contrary to policy, I think the approach I'm advocating, in the absence of a valid means of establishing relative weight, is in keeping with the spirit of the policy:
An article should not give undue weight to any aspects of the subject but should strive to treat each aspect with a weight appropriate to its significance to the subject. For example, discussion of isolated events, criticisms, or news reports about a subject may be verifiable and neutral, but still be disproportionate to their overall significance to the article topic. This is a concern especially in relation to recent events that may be in the news. Note that undue weight can be given in several ways, including, but not limited to, depth of detail, quantity of text, prominence of placement, and juxtaposition of statements. WP:UNDUE
Again, unless you can demonstrate that the HIV issue deserves weight amounting to 25% of the lead according to it you are working against policy. Beejaypii (talk) 14:21, 8 January 2012 (UTC)
You're making a fundamental error of logic there, Beejaypii. Since absence of evidence is not evidence of absence, not demonstrating something would not indicate working against policy. Secondly, I am absolutely astounded at your implication that the "spirit of the policy" is such that one can effectively ignore it by picking holes in every proposed method to ascertain the significance according to sources, then protesting that there is no "valid means of establishing relative weight". That's like arguing that since speedometers have limitations, the spirit of the laws dictating speed limits is such that one should drive as fast as one likes. The best way to adhere to the spirit of the policy is to try to judge weight using the best methods one can find, as even flawed methods are likely a better approximation than pretending that all issues have equal weight.
In any case, plenty of evidence has already been provided indicating that sources give HIV considerable weight. These include the various searches shown above, as well as my observation back in July that "8 of the 20 (40% of) items on the first page of results refer to HIV in the title".
If you wish to assert that the proper weight is less than what is currently given, you cannot escape the onus of proof. Find a better method of determining the weight given by reliable sources and propose it. Until then there doesn't seem to be a case for changing it. Jakew (talk) 15:47, 8 January 2012 (UTC)
"You're making a fundamental error of logic there, Beejaypii. Since absence of evidence is not evidence of absence, not demonstrating something would not indicate working against policy"
I'm not sure what you mean there. Would you explain exactly how you are applying that here please: which "evidence" do you regard as "absent" and which "absence" do you regard as not "evidenced", and how does that relate to the point you're trying to make. I'm always a little suspicious when someone involved in a debate begins resorting to these kinds of aphorisms instead of addressing the details of the debate directly - it can often serve to confound rather than to clarify.
"If you wish to assert that the proper weight is less than what is currently given, you cannot escape the onus of proof."
I'm arguing that we cannot ascertain the proper weight in this case. Therefore, we should strive to ensure that one aspect is not apportioned a percentage of the lead which is out of proportion to the amount of the lead dedicated to any other aspect. We can do that by summarising the aspect in question concisely, in keeping with the treatment of other aspects in the lead. I think that amounts to following, as far as is reasonably possible in this case, the policy requirement to strive to avoid giving undue weight to any aspect of the subject. You, on the other hand, are striving to ensure that one aspect (HIV) continues to dominate the lead relative to all other aspects, to the tune of 25% coverage. The onus is on you to prove that such a considerable apportionment of the lead to that one aspect is warranted. You have not done that, and ignoring difficult criticisms of the methodology you advocate is no substitute.
Your assertion about the various searches and the PubMed searches seems to deliberately ignore all the points I've made in the table at the beginning of this thread, and the comments I posted beneath it. If that's going to be your strategy I'll simply make the points again as the debate continues.
And fundamentally, you seem to be confusing prevalence of discussion of the main topic (circumcision) in relation to the subtopic (HIV) in sources focussing on one aspect of the main topic (medical), with prevalence of a viewpoint that the subtopic (HIV) is significantly more important than any other subtopic of circumcision. Beejaypii (talk) 20:00, 8 January 2012 (UTC)
I was referring, Beejaypii, to your claim that "unless you can demonstrate that the HIV issue deserves weight amounting to 25% of the lead according to it you are working against policy", as I'm sure was perfectly obvious.
Regarding your claim of undue weight, undue weight is, by definition, where something is given greater weight than is appropriate. Thus, in order to make such a claim, you would have to demonstrate that the appropriate weight for that topic is smaller. But by saying that "we cannot ascertain the proper weight in this case", you've actually contradicted your own argument: if you cannot say what the proper weight should be then you have no way of knowing that the weight given is undue. What you are essentially saying is "I am ignorant about the appropriate amount of weight". That's not an argument for changing it. Jakew (talk) 21:40, 8 January 2012 (UTC)
You said 'I was referring, Beejaypii, to your claim that "unless you can demonstrate that the HIV issue deserves weight amounting to 25% of the lead according to it you are working against policy", as I'm sure was perfectly obvious.' - I actually asked "Would you explain exactly how you are applying that here please: which "evidence" do you regard as "absent" and which "absence" do you regard as not "evidenced", and how does that relate to the point you're trying to make." Your response amounts to a simple reproduction of an extract of my post, which doesn't explain your use of the phrase "Since absence of evidence is not evidence of absence, not demonstrating something would not indicate working against policy." Instead of relying on that aphorism, explain what you actually mean, because it isn't obvious to me, and you're the one who made the assertion.
As for the rest of your post, it ignores what I said previously "I'm arguing that we cannot ascertain the proper weight in this case. Therefore, we should strive to ensure that one aspect is not apportioned a percentage of the lead which is out of proportion to the amount of the lead dedicated to any other aspect. We can do that by summarising the aspect in question concisely, in keeping with the treatment of other aspects in the lead. I think that amounts to following, as far as is reasonably possible in this case, the policy requirement to strive to avoid giving undue weight to any aspect of the subject." In contrast, you are basically asserting that in the absence of a means of ascertaining relative weight (demonstrate the application of such a means if you disagree about that absence) it is acceptable to apportion weight to a particular aspect disproportionately to the weight apportioned to all other aspects, even without being able to demonstrate why it is acceptable to do so. I repeat my previous assertion: you are the one who is striving to ensure that one aspect (HIV) continues to dominate the lead relative to all other aspects, to the tune of 25% coverage. The onus is on you to prove that such a considerable, exclusive apportionment of the lead to that one aspect is warranted. Beejaypii (talk) 14:52, 9 January 2012 (UTC)
Actually, Beejaypii, you are the person who keeps claiming that "25%" is an inappropriate amount of the lede to devote to HIV, so you must prove that some other percentage is appropriate. What percentage is that, and how do you know? Jayjg 15:01, 9 January 2012 (UTC)
It's not the figure which is important, it's the percentage relative to the portion of the lead attributed to one aspect as compared to the proportion dedicated to other aspects. In the case in point, the 25% apportioned to the HIV aspect is disproportionate to the % apportioned to other aspects (I assume you agree with that, percentage-wise at least?). If you like I can create another table, breaking down the current lead, sentence by sentence, proposition by proposition; that will not support your stance that the HIV aspect deserves significantly greater coverage in the lead than any other aspect of the main topic however. My stance, as I've repeatedly explained, is that we cannot ascertain the relative weight of different aspects of the article topic (if we can, show me how), therefore, a concise treatment of each aspect mentioned in the lead is the approach which avoids any one aspect being emphasised unduly, as far as we can know. Unless you and Jakew (and others) can demonstrate why the HIV aspect deserves a significantly greater portion of the lead than any other aspect of the topic you are effectively promoting an unsubstantiated POV. My POV, on the other hand, is not that any particular aspect is less or more important than another, it's that we cannot ascertain whether that is the case or not, and a concise summary of each aspect included in the lead (though there are other discussions about which aspects should actually appear in the lead, and which aspects should be covered in the whole article even) is therefore the most neutral approach in the absence of evidence. Apportioning a significantly greater portion of the lead to any particular aspect in the absence of evidence is not a neutral approach. Beejaypii (talk) 16:32, 9 January 2012 (UTC)

Beejaypii, obviously the percentage is important to you, otherwise you wouldn't keep repeating (and protesting) that "the 25% apportioned to the HIV aspect is disproportionate". It's also obvious that a lede cannot mention every point mentioned in the article - I've never seen an FA lede that did so, for example, since it would make most ledes far too long: therefore, "a concise summary of each aspect" seems impractical, not to mention a violation of WP:LEDE. WP:LEDE advocates summarizing the "most important points" of the article in the lede (not "each aspect"), and states that "the emphasis given to material in the lead should roughly reflect its importance to the topic, according to reliable, published sources" - not at all what you're advocating in your comment. Now, can you show us what formula you used to calculate that "the 25% apportioned to the HIV aspect is disproportionate", and explain what the actual percentage should be? Jayjg 17:23, 10 January 2012 (UTC)

"Beejaypii, obviously the percentage is important to you..." I don't know what you mean. Important to me? The percentage of 25% is roughly the amount of the lead apportioned to the HIV aspect. In this article lead that is disproportionate to the % dedicated to any other aspect. Do you dispute that? I'm not making a global assertion about article leads in general, such that 25% of any article lead dedicated to any one aspect of an article topic is disproportionate. You do realise that don't you?
"It's also obvious that a lede cannot mention every point mentioned in the article" Er, where did I claim it should?
'...therefore, "a concise summary of each aspect" seems impractical,' Now I understand, whether intentional or not, your "It's also obvious..." statement, above, is a straw man.
"the emphasis given to material in the lead should roughly reflect its importance to the topic, according to reliable, published sources" I assume you have sources according to which HIV is more important to circumcision than any other aspect then?
'Now, can you show us what formula you used to calculate that "the 25% apportioned to the HIV aspect is disproportionate", and explain what the actual percentage should be?' The 25% is the % of the text, by word count, of the lead apportioned to HIV (roughly) - no formula required to ascertain that. I don't know what the percentage should be - point is that it's not possible to ascertain (if it is, show me how) - but in this article that 25% is significantly greater than the % apportioned to any other aspect of the article topic. Therefore, I'm advocating the most neutral approach, which is not to apportion a significantly greater portion of the lead to any one particular aspect in the absence of evidence supporting such relative emphasis, which seems a more neutral than campaigning for one aspect of the article topic to be apportioned significantly more of the lead than any other aspect, in the absence of evidence supporting such relative emphasis. Can I also draw your attention to the wording at the top of WP:LEAD, in the "style-guideline" template: "This guideline is a part of the English Misplaced Pages's Manual of Style. Use common sense in applying it; it will have occasional exceptions." Beejaypii (talk) 19:57, 10 January 2012 (UTC)
The approach you advocate is not only contrary to WP:LEAD, it is also contrary to WP:UNDUE, which clearly states that an article "should strive to treat each aspect with a weight appropriate to its significance to the subject". That is not the same as "should strive to give each aspect equal weight", except in the situation where all aspects are equally significant. To justify your approach, therefore, one would have to demonstrate that this is such a situation. Jakew (talk) 20:45, 10 January 2012 (UTC)
Are we going to start quoting single phrases from policies in isolation now? For example, I can argue that WP:UNDUE also states, in the very first sentence, "as far as possible without bias." Perhaps we can have a long debate about what "as far as possible" means next. I can also point out that strive is closely synonymous with try, which implies the possibility that one might fail under some circumstances (yet more evidence of room for common-sense). Additionally, I've already quoted from the template at the top of WP:LEAD above: "Use common sense in applying it; it will have occasional exceptions." But all this will get us nowhere. Demonstrate a way of assessing the relative importance of different aspects of the topic. And, more specifically, demonstrate that the HIV issue is more important than any other aspect and deserves to be apportioned more of the lead than any other aspect, because that's the state of affairs you are trying to defend. Beejaypii (talk) 21:31, 10 January 2012 (UTC)
I have already provided evidence indicating that the issue is highly significant to circumcision, which to my mind is more than adequate, but actually your demand is an attempt to shift the burden of proof. As the person attempting to gain consensus for your proposed change, the onus is upon you to show that HIV should be given less weight. Jakew (talk) 21:43, 10 January 2012 (UTC)
"I have already provided evidence indicating that the issue is highly significant to circumcision" You haven't provided evidence that HIV has greater relative significance than any other aspect of circumcision. The fact that the HIV issue is one of the aspects actually mentioned in the lead (and my concise, alternative version qualifies in that respect) reflects significance. The HIV aspect is apportioned significantly more of the lead than any other aspect in the current version of that lead. You have not provided evidence indicating why that should be the case.
"which to my mind is more than adequate" Are you prepared to provide arguments in support of that, or do you intend to just leave it at as unsubstantiated assertion (which may as well be simple POV)? In other words, why is it "more than adequate"?
"...your demand is an attempt to shift the burden of proof." An unspecific assertion. Where did the burden of proof lie, in your opinion, and where have I shifted it to?
"As the person attempting to gain consensus for your proposed change, the onus is upon you to show that HIV should be given less weight." Another unsubstantiated assertion. Could you explain why you believe that to be the case? Beejaypii (talk) 09:12, 11 January 2012 (UTC)
Most importantly, because if you can't demonstrate why it should change, then there's no reason why it shouldn't be left as it is. Jakew (talk) 10:21, 11 January 2012 (UTC)
Beejaypii and myself have repeatedly shown that we object to the prominence of HIV in the lead, a sub topic of a topic and nothing to do with the medical act of circumcision which happens to be the title of this article. First you tried to use search results as justification which I think most of us feel was statistical nonsense and now you say you disagree with Beejaypii's logic but you haven't backed that assertion up with any meaningful logic of your own. Garycompugeek (talk) 16:30, 11 January 2012 (UTC)
Your objection is noted, but unless it is accompanied by evidence showing that sources give HIV less emphasis than is presently given, that's little more than WP:ILIKEIT. Jakew (talk) 17:14, 11 January 2012 (UTC)
Your like the king of strawmen Jake. We've already established there is no mathematical formula to ascertain prominence from one source to another. We have to use logic and common sense to summarize the article lead. Garycompugeek (talk) 20:16, 11 January 2012 (UTC)

"I LIKE IT"??? That would indicate a misreading of Misplaced Pages:Arguments to avoid in deletion discussions because WP:ILIKEIT doesn't apply to any of the logical points in this discussion. To the average schmuck who reads the article, they come away with the impression that Misplaced Pages encourages circumcision. That's why scholars never quote Misplaced Pages in their research, because it's so unreliable in its objectivity. Encyclopedia Britannica remains the model for excellence. Wimp O'pede (talk) 19:31, 11 January 2012 (UTC)

Since you appear not to have grasped the analogy, the principle behind WP:ILIKEIT is that personal preferences alone are not a good basis for editing Misplaced Pages. Thus the fact that Gary and BJP object to the current lead is not by itself relevant unless they can make a persuasive argument. Jakew (talk) 20:11, 11 January 2012 (UTC)
You didn't answer my question above. You stated "As the person attempting to gain consensus for your proposed change, the onus is upon you to show that HIV should be given less weight." Why? Surely the burden of proof applies equally to any content on Misplaced Pages. You seem to be saying that because something is already in the article it's not subject to the same burden of proof. The burden of proof does not fall on one side or another; it's distributed equally.
Additionally, my stance has consistently been, throughout this debate, that it is not possible to ascertain the relative importance of the HIV issue (or any issue), as compared to other aspects. Therefore, we cannot evidence the apportionment of a greater portion of the lead to one issue than any other issue. Under such circumstances, to be as neutral as possible as far as we know, we shouldn't apportion a significantly greater portion of the lead to any one issue. To apportion significantly more of the lead to a single issue in the absence of a way of demonstrating that such relative emphasis is warranted is not neutral.
To put it simply, I'm arguing for no significant, unsubstantiated relative emphasis on any aspect of the article topic in the absence of a way of substantiating said emphasis. You seem to be arguing for significant, unsubstantiated relative emphasis accorded to one aspect of the topic. Beejaypii (talk) 20:27, 11 January 2012 (UTC)
How do you reconcile your position that "it is not possible to ascertain the relative importance of , as compared to other aspects" with WP:UNDUE, which states that articles "should strive to treat each aspect with a weight appropriate to its significance to the subject" and with "the emphasis given to material in the lead should roughly reflect its importance to the topic, according to reliable, published sources"? Jakew (talk) 21:18, 11 January 2012 (UTC)
If you examine WP:UNDUE you'll see a template at the top which states "This page documents an English Misplaced Pages policy, a widely accepted standard that all editors should normally follow. Changes made to it should reflect consensus." I've reproduced the Wikilink of normally for obvious reasons.
Additionally, with respect to the bit you quote beginning "should strive...", and as I pointed out in a post above (21:31, 10 January 2012 - roughly 24 hours ago) - in response to a similar question from you - strive is closely synonymous with try, implying room for failure (and the aforementioned Wikilink to WP:COMMON supports room for manoeuvre with regard to the policy in general I think). How do you reconcile your attempts to defend significantly greater emphasis apportioned to one aspect in the lead (emphasis compounded by the fact that actual mention in the lead itself constitutes emphasis with respect to aspects not mentioned in the lead) with "strive to treat each aspect..."? The HIV issue in the lead currently receives the greatest emphasis of any aspect of the article topic, yet no method of ascertaining the validity of that emphasis is available. That's not a common sense, as neutral as possible, approach. Beejaypii (talk) 22:00, 11 January 2012 (UTC)
I'm quite well aware of these points, Beejaypii. You seem to be implying that this is in some way an exceptional situation. If that is indeed your intent, please explain why this article is an exception: why can this policy be applied to other articles but not here? Alternatively, if circumcision is much the same as other articles in terms of the ability to determine relative importance of aspects, then aren't you effectively saying that these statements in the policies are meaningless, in the sense that there is no way to implement them?
As to your question, I don't see any contradiction between treating each aspect with weight according to its significance and giving one aspect more weight than others (I would think that the latter would follow naturally from the former in many cases). And since I don't subscribe to your belief that it is impossible to determine which aspects are more significant, I don't see what needs to be reconciled. Jakew (talk) 22:27, 11 January 2012 (UTC)
"You seem to be implying that this is in some way an exceptional situation." No, I've been describing why certain aspects of certain policies cannot be applied to the letter in the case of this article (but the policies allow for a common sense approach where necessary anyway). I could only speculate about whether this is exceptional or not.
"please explain why this article is an exception: why can this policy be applied to other articles but not here?" As I state above, I have not asserted that this article is an exception: that would be an assertion about the applicability, to this article, of certain aspects of the policies concerned relative to their applicability to articles in general. We can speculate about that, but that's about it. In order to answer the question we would have to subject a sizeable, representative sample of similarly contentious articles to the same kind of analysis we've undertaken here. My arguments have been about the specific case of applying aspects of certain policies to this article (and, again, I'm compelled to point out that those policies allow room for manoeuvre and common sense).
"And since I don't subscribe to your belief that it is impossible to determine which aspects are more significant, I don't see what needs to be reconciled." Ok, how have you ascertained that the HIV issue is more significant than any other aspect to the extent that significantly more of the lead dedicated to it is justified? I assume you have a rational basis for your belief that it's possible to ascertain that? Are you prepared to expose your arguments to scrutiny? The fact that the HIV issue appears in the lead at all is to apportion weight to that aspect of the topic, but how do you justify the disparity between that aspect and all other aspects in the lead? And if you can't justify it, on what basis do you insist on maintaining the version of the lead we have currently? It's quite simple: demonstrate why the HIV issue deserves significantly more emphasis than any other issue in the lead, otherwise that emphasis is not substantiated and we have to assume that the HIV issue does not deserve more emphasis than any other issue in the lead because that's the most neutral we can be under such circumstances. Beejaypii (talk) 19:15, 12 January 2012 (UTC)
You seem to have evaded my questions, Beejaypii. Jakew (talk) 19:44, 12 January 2012 (UTC)
"You seem to have evaded my questions..." - an unsubstantiated claim (and somewhat cryptic I would say), which even you don't seem confident about ("seem"?). By contrast, you HAVE completely avoided addressing any specific aspect of my response, which means I've had to post this additional message pointing that out. You could have just addressed your specific concerns, providing me with something concrete to respond to, couldn't you? Or am I supposed to guess what you are thinking? Beejaypii (talk) 10:31, 13 January 2012 (UTC)
They're straightforward enough questions, Beejaypii: is there something special about circumcision that makes it impossible to apply these policies or not? If this article is a special case that warrants unusual treatment, then why is that (or is this merely an example of special pleading)? If, on the other hand, you're effectively saying that these policies cannot be applied anywhere, then I think such an argument isn't really worthy of discussion at all. Jakew (talk) 11:05, 13 January 2012 (UTC)
Your questions are not straightforward. You've presented a choice between "is there something special about circumcision that makes it impossible to apply these policies or not?" (misrepresenting the actual situation, which is about the extent to which certain aspects of these policies can be applied to the letter to this article, not the binary can the policies can be applied or not) and "you're effectively saying that these policies cannot be applied anywhere." (a conclusion you've drawn from your own misrepresentation of my position - straw man). So, you've presented a mutually exclusive choice between A: It's impossible to apply these policies to this article (to reiterate: misrepresenting my position as an all or nothing assertion) and B: It's impossible to apply these policies anywhere. You are just affirming a disjunct (again), and disallowing the possibility that it's not possible to apply certain aspects of these policies to the letter in the case of this article, which is actually my argument (to reiterate: straw man). Additionally, you ask "If this article is a special case that warrants unusual treatment, then why is that...?" As I've pointed out repeatedly, I cannot know whether it's a "special case" without evaluating similar discussions around similar aspects of other articles, involving the same policy considerations. And what do you mean by "special case" anyway? Is it really special to examine the extent to which a policy is applicable in a specific case, bearing in mind that policies allow for a common-sense approach and flexibility? And what do you mean by "unusual treatment"? It's just a vague assertion. I would argue it's unusual to support significantly greater relative emphasis on one aspect of a topic than any other aspect, in the lead, without demonstrating why that relative emphasis is due (unless one is POV pushing of course). Basically, in arguing that certain aspects of certain policies (policies which allow for flexibility and common-sense remember) cannot be applied to the letter to aspects of the lead of this article, why am I required to comment on the applicability of aspects of those policies to any other article? Go to the relevant policy talk pages if you want those discussions. Beejaypii (talk) 15:42, 13 January 2012 (UTC)

Arbitrary break 2

Beejaypii, WP:LEDE states that the "The emphasis given to material in the lead should roughly reflect its importance to the topic, according to reliable, published sources", mirroring WP:UNDUE, which states that articles "should strive to treat each aspect with a weight appropriate to its significance to the subject", but you (Bejaypii)) insist that for Circumcision "it is not possible to ascertain the relative importance of , as compared to other aspects", that the article is an "exception", an article in which we may only "strive" to follow policy and guideline but must accept the inevitable "failure" to do so. Why? Jayjg 15:50, 13 January 2012 (UTC)

You've selectively quoted from policies and in doing so have ignored, for example, the advice at WP:UCS (which I recently pointed out) which is linked to from the template at the top of WP:NPOV (which, of course, contains WP:UNDUE), and you have ignored the advice at WP:LEDE which states "Use common sense in applying it; it will have occasional exceptions." (something I also pointed out previously). What you have done is present policies as if they are more restrictive than they actually are by quoting passages from those policies in isolation. Therefore, my arguments are not contrary to policy in the way you are implying. You've also done the same thing in quoting from my contribution earlier: you quote "it is not possible to ascertain the relative importance of , as compared to other aspects." I wrote:

...it is not possible to ascertain the relative importance of the HIV issue (or any issue), as compared to other aspects. Therefore, we cannot evidence the apportionment of a greater portion of the lead to one issue than any other issue. Under such circumstances, to be as neutral as possible as far as we know, we shouldn't apportion a significantly greater portion of the lead to any one issue. To apportion significantly more of the lead to a single issue in the absence of a way of demonstrating that such relative emphasis is warranted is not neutral.

To put it simply, I'm arguing for no significant, unsubstantiated relative emphasis on any aspect of the article topic in the absence of a way of substantiating said emphasis. You seem to be arguing for significant, unsubstantiated relative emphasis accorded to one aspect of the topic.

Again, I'm compelled to ask you to present evidence that the HIV issue deserves significantly more emphasis in the lead than any other aspect. If you cannot do that then my argument that it is not possible to ascertain such relative importance stands and I therefore have to ask on what basis do you argue that the HIV aspect should continue to be apportioned significantly more of the lead than any other aspect? Demonstrate why that aspect deserves significantly more emphasis than any other aspect in the lead. And if you cannot, demonstrate why attributing one issue significantly more of the lead than any other issue is more neutral than not doing so in the absence of evidence supporting such emphasis. Beejaypii (talk) 17:09, 13 January 2012 (UTC)
In what way would "common sense" dictate that the letter of the policies should not apply? If we should make this article an example of an "occasional exception", then what basis is there for doing so? What is so special about this article that unusual treatment is needed? Jakew (talk) 17:30, 13 January 2012 (UTC)
"In what way would "common sense" dictate that the letter of the policies should not apply?" It's surely common sense not to try to apply aspects of a policy to the letter when to do so depends on the availability of a method of ascertaining relative weight of different aspects of the topic to the extent that significantly more weight can justifiably be attributed to one (or more) aspects of the article topic relative to all other aspects in the lead, i.e. it's common sense not to try to do something (apportion relative weight having established it as due in the lead) in the continued absence of a valid way of doing it. And in the absence of a way of apportioning due relative weight the next best thing is to apportion similar weight, not apportion significantly greater weight to one aspect without substantiating it.
"What is so special about this article that unusual treatment is needed?" Again, I can only speculate (and your question begs the question of how "unusual treatment" is defined), however, it may not necessarily be just the article itself, but a combination of some aspect(s) of the nature of the article topic combined with aspects of the editing situation associated with it. To cite one possible example, editors arguing for the unsubstantiated and significant relative emphasis of one aspect of the article topic in the lead may be unusual, to some extent, but then again it may not - it seems to me that examination of a suitably large sample of other, similarly contentious article content discussions around emphasis apportioned to aspects of article topics in article leads would have to take place in order to answer the question substantively, if similar enough article content discussions even exist. But this is to digress: the central questions relate to the extent to which aspects of particular policies can be applied, to the letter, to this article, not speculation about issues around the application of those policies to other articles, or articles in general - those are issues for policy talk pages surely. Beejaypii (talk) 18:50, 13 January 2012 (UTC)
This is why we need to consider whether circumcision is an exception, Beejaypii. Is circumcision unusual in the sense that there is an "absence of a valid way of "? Or would applying the same test of "validity" mean that it is effectively impossible to apply WP:UNDUE to any article? If so, is such a test consistent with common sense? I think the problem is that you're demanding a way to perfectly quantify the relative weight of different aspects as an insurmountable problem. But WP:UNDUE doesn't require perfection; it requires that we "strive" (ie., try) "to treat each aspect with a weight appropriate to its significance to the subject". So in the absence of a perfect instrument, common sense would dictate falling back onto less perfect methods, including rough approximations and rules of thumb or, indeed, editorial judgement. There's certainly room for discussion to find the best, most appropriate, method, but refusal to use any method whatsoever seems contrary to the intent of the policy. Jakew (talk) 19:49, 13 January 2012 (UTC)
"This is why we need to consider whether circumcision is an exception, Beejaypii." What is? What aspect of my post are you referring to with the word 'this'?
'Is circumcision unusual in the sense that there is an "absence of a valid way of "? Or would applying the same test of "validity" mean that it is effectively impossible to apply WP:UNDUE to any article?' (still cannot see which part of my post 'this' referred to). You express that as if it's a matter of applying the whole policy or not; it isn't, the policy includes links to WP:COMMON and WP:Ignore all rules, allowing for flexibility. You are suggesting that if an aspect of a policy cannot be applied perfectly to one article then we have to try to establish whether that is true in general. Why do we have to do that here, and how would one do that anyway, and how do you square that with the policy advice about common sense and "ignore all rules"? Additionally, the degree of applicability of a policy will surely vary on a case by case basis because there's surely a complex relationship between articles and policies: articles vary in the extent to which different aspects of different policies are even relevant (is the section of WP:UNDUE titled aesthetic opinions particularly relevant to the current version of this article for example?), and they also vary, surely, with regard to the complexity involved in applying relevant aspects of policies (whichever they happen to be in each case, and to what extent).
You suggest I'm demanding a perfect instrument, yet you are effectively arguing that because a policy cannot be applied to the letter (though the policy allows for that via a direct reference to WP:COMMON and an indirect one to WP:Ignore all rules, via the aforementioned link) one then needs to examine the applicability of the aspect which cannot be applied to the letter, in the case of one article, to other articles. Again, if that's a valid discussion shouldn't it take place on relevant article talk pages?
As for the perfect instrument you speculate I'm demanding, I haven't demanded that at any point. What's your justification for that assertion?
As for your quote from WP:UNDUE, I notice you omitted to include the bit which directly precedes your selection: "An article should not give undue weight to any aspects of the subject..." Which sets me thinking: there's an apparent lack of opposition, on your part, to the fact that the article does not give much weight to the HIV issue. Do you find that situation acceptable in the article as a whole but not in the lead?
"...refusal to use any method whatsoever seems contrary to the intent of the policy." Firstly, I have not refused to use any method whatsoever; I've argued that a reliable method does not exist - not the same assertion. However, I will admit that "not exist" would be better expressed as "does not appear to exist." Secondly, insistence on using an invalid method in defence of significant emphasis on one aspect of the article topic is definitely contrary to the intent of the policy I would say. Thirdly, if you have a method, demonstrate its use to justify significantly more of the lead apportioned to the HIV issue than any other issue (and if it's applicable to weight in the lead it should also be applicable to weight in the article as a whole I think). If you cannot then we should do something about the HIV issue's significant emphasis in the lead until such a time (if ever) a demonstrably reliable method is found. Beejaypii (talk) 22:54, 14 January 2012 (UTC)
The reason why I say you're demanding a perfect instrument, Beejaypii, is that your rejection of the various methods of assessing weight only make sense in that context. If one demands a perfect instrument or nothing, then it makes sense to reject instruments because of imperfections (it makes less sense insist upon giving equal weight instead, but we'll overlook that). On the other hand, if one is "striving" to assess weight, accepting that one cannot do so perfectly, then one would accept that the evidence, imperfect though it is, indicates that HIV is of relatively high significance to the subject.
Since we appear to be going around in circles again, my inclination is to regard this discussion as finished unless new evidence or arguments are presented. Jakew (talk) 11:01, 15 January 2012 (UTC)
Demonstrate your imperfect evidence (whatever that means) that the HIV issue is significantly more important to circumcision than any other aspect of the topic. Isn't "relatively high" significance accounted for by the very presence of the HIV issue in the lead? What's the justification for significantly more of the lead being dedicated to that aspect than any other? Beejaypii (talk) 12:19, 15 January 2012 (UTC)
Beejaypii, you've already been shown why HIV is a particularly significant topic in relation to circumcision, above. In response, you've brought forward arguments as to why you think the methods for determining that were imperfect. You've then been asked what method you would use to determine the correct weight to provide, but have refused to do so, instead insisting that all topics be given equal weight, because it is (in your view) impossible to find an exact method for determining weight, in defiance of the specific instructions of WP:LEDE that "The emphasis given to material in the lead should roughly reflect its importance to the topic, according to reliable, published sources". It is you who insist we cannot follow WP:LEDE here, but have still failed to provide a compelling reason why this article must be the exception to it. You have two choices here - explain why the Circumcision article is the exception to WP:LEDE, where "it is not possible to ascertain the relative importance of , as compared to other aspects", or provide your own methodology for determining the correct amount of material regarding HIV to use in the lede. Jayjg 17:03, 15 January 2012 (UTC)
"Beejaypii, you've already been shown why HIV is a particularly significant topic in relation to circumcision, above." Really? Where? If you mean I've been exposed to counter arguments, I've answered them. If you have confidence I've "been shown why HIV is a particularly significant topic in relation to circumcision" show me a reliable methodology used to establish that, then show me the methodology you advocate to support significantly more of the lead apportioned to the HIV aspect than any other aspect. Just vaguely referring to me having been 'shown' above seems like an effort to avoid specific arguments and implies an assumption of the greater validity of one side of the debate on your part.
"You've then been asked what method you would use to determine the correct weight to provide, but have refused to do so..." Really? Where?
"...instead insisting that all topics be given equal weight, because it is (in your view) impossible to find an exact method for determining weight..." Hyperbole: use of the word 'insisting', effectively implying an extreme position on my part. I've argued that we do not have a reliable system for ascertaining relative weight and that, therefore, we should rely on concise summaries of each aspect included in the lead because significantly more emphasis on any one aspect is not substantiated.
'...in defiance of the specific instructions of WP:LEDE that "The emphasis given to material in the lead should roughly reflect its importance to the topic, according to reliable, published sources.' More hyperbole: use of the word 'defiance', with all its negative connotations, effectively implying, again, an extreme position on my part. Furthermore, we can all cite selectively from policies in support of our stance. Here's mine, for what it's worth: "The lead section should briefly summarize the most important points covered in an article in such a way that it can stand on its own as a concise version of the article." So, that's "briefly summarize" and "stand on its own as a concise version of the article." Is roughly 25% of the article dedicated to the HIV aspect?
"It is you who insist we cannot follow WP:LEDE here..." Nope, I've argued we cannot follow certain aspects of it to the letter in this case, and I've set out my arguments in support of that stance. And bear in mind, as I've already pointed out, WP:LEDE includes the advice, in a template at the top, to "use common sense" because it will have occasional exceptions. Also, let's not forget that WP:LEDE is a guideline.
"...but have still failed to provide a compelling reason why this article must be the exception to it." I think my whole argument has been about why we cannot establish relative weight and substantiate a significantly greater portion of the lead to one aspect (i.e. we cannot apply certain aspects of WP:LEDE to the letter). If you don't find my reasons "compelling", demonstrate how we can substantiate significantly more of the lead dedicated to the HIV aspect than any other aspect.
"You have two choices here - explain why the Circumcision article is the exception to WP:LEDE..." I've presented my arguments about why certain aspects of WP:LEDE cannot be applied to the letter this article. What to you mean by "the exception"?
'...where "it is not possible to ascertain the relative importance of , as compared to other aspects', or provide your own methodology for determining the correct amount of material regarding HIV to use in the lede.' I clarified my "it is not possible" position recently, just last night in fact. In the absence of a reliable methodology, I suggest not apportioning significantly more of the lead to any one aspect, because under the circumstances that represents considerable, unsubstantiated relative emphasis on one aspect.
Again, if you support significantly greater emphasis on the HIV aspect than any other aspect in the lead explain how you substantiate it. Beejaypii (talk) 19:36, 15 January 2012 (UTC)

Beejaypii, at the very top of this section is a large table in which editors attempted to determine what weight reliable sources accorded to HIV vis-à-vis circumcision, in accord with WP:LEDE: "The emphasis given to material in the lead should roughly reflect its importance to the topic, according to reliable, published sources". The editors who developed that table (and others) agreed that this indicated that HIV was, relatively speaking, a significant topic in circumcision, and one that should be therefore accorded more weight in the lede than others, per WP:LEDE. You, however, argued that the methods used were flawed, and that the "25%" of the lede (a figure you repeated many times) given to HIV was inappropriate - that, in fact, there was apparently no way of accurately deciding how much of the lede should be devoted to HIV, and that we must therefore assign equal weight to every topic discussed in the article, despite the fact that this violates both WP:LEDE and common sense (since the lede would, at that point, be far too long).

When confronted with these points, you continually dissect the comments of those you respond to, without actually responding to their fundamental points. This results in your asking at times fairly absurd questions - for example, when reminded that "Beejaypii, you've already been shown why HIV is a particularly significant topic in relation to circumcision, above", you respond "Really? Where?", as if the table had never been created, as if you didn't know that it was at the top of this section. You then go on to simply repeat that the methodology is (in your view) not reliable, and without such a "reliable methodology" we cannot follow WP:LEDE's dictum that "The emphasis given to material in the lead should roughly reflect its importance to the topic, according to reliable, published sources". Despite being reminded of it, you continually ignore the point made long ago that There is no way of measuring the exact importance of HIV to circumcision, but a review of the recent literature (particularly medical) indicates that it is of significant importance... Now, whether one-tenth, one-quarter, or one-third of the lede should be devoted to the topic can never be decided in a purely mathematical way. Rather, editors must examine the different proposals, and see which prose seems to best summarize the topic.
Similarly, your response to "You've then been asked what method you would use to determine the correct weight to provide, but have refused to do so..." is "Really? Where?" You apparently ignore comments such as "Now, can you show us what formula you used to calculate that "the 25% apportioned to the HIV aspect is disproportionate", and explain what the actual percentage should be?", despite the fact that you both responded to it and even quoted it.
Moreover, you claim that you are not advocating defying WP:LEDE, nor are you engaging in special pleading regarding the lede of this article, but that you have merely "argued we cannot follow certain aspects of it to the letter in this case" – something that is fairly obviously a distinction without a difference. You have further insisted that in the special case of the circumcision article we must use "common sense" instead of WP:LEDE's dictum, despite the fact that you constantly reject the common sense points and arguments of others, insisting on some sort of mathematically exact "reliable methodology" instead.
The bottom line is this; the consensus here for the past several years has been that HIV is a significant topic in circumcision, and should therefore be given more weight in the lede than some of the other topics this article discusses (as mandated by WP:LEDE). You have been presented with various arguments and search results indicating why editors here believe this to be the case. You have rejected those results and responses, and insisted that for this article we "we cannot follow certain aspects" of WP:LEDE. If you wish to convince others here, you must either explain why the circumcision article is the exception to WP:LEDE, where "it is not possible to ascertain the relative importance of , as compared to other aspects", or provide your own methodology for determining the correct amount of material regarding HIV to use in the lede. Jayjg 21:15, 15 January 2012 (UTC)

It looks like this argument is going in circles, and I don't get the sense that either side is going to convince the other. This does seem like an important issue given how much discussion it has had, so perhaps a request for comment could be made, both sides could state their case, and the community could vote on it? --kyledueck (talk) 00:24, 16 January 2012 (UTC)
A good solution! Misplaced Pages needs Big Jim to step up to the plate on this article. — Preceding unsigned comment added by 188.95.153.254 (talk) 02:11, 16 January 2012 (UTC)
RfC instigated. Beejaypii (talk) 14:19, 16 January 2012 (UTC)


Because Jayjg is now using his post above to try to discredit me on my talk page (as well as removing my comments from his talk page and leaving his own points appearing to be unanswered by me, here for example - something I choose not to do at my talk page) I feel I can justifiably respond in my defence, beginning with this bit:

'Beejaypii, at the very top of this section is a large table in which editors attempted to determine what weight reliable sources accorded to HIV vis-à-vis circumcision, in accord with WP:LEDE: "The emphasis given to material in the lead should roughly reflect its importance to the topic, according to reliable, published sources"'

Yes, using demonstrably flawed methodology. My criticisms in this respect, which also appear in the table. Have not been specifically addressed once in this debate.

"The editors who developed that table (and others) agreed that this indicated that HIV was, relatively speaking, a significant topic in circumcision, and one that should be therefore accorded more weight in the lede than others, per WP:LEDE."

I also developed that table, adding room for criticism in the form of an additional column (or was the table always supposed to be one-sided?), and carrying out searches which had been omitted up till that point, which is in accordance with the editor who created the table’s advice: "I'm starting the table; I invite others to edit it and add to it"

"You, however, argued that the methods used were flawed, and that the "25%" of the lede (a figure you repeated many times) given to HIV was inappropriate - that, in fact, there was apparently no way of accurately deciding how much of the lede should be devoted to HIV, and that we must therefore assign equal weight to every topic discussed in the article, despite the fact that this violates both WP:LEDE and common sense (since the lede would, at that point, be far too long)."

I cited the 25% because it happens to be the % in this article, but the principle is the significant difference between that particular % and that apportioned to any other aspect of the article in the lead. I explained this to you here and here. You have either failed to grasp or apparently refuse to acknowledge those explanations.

"When confronted with these points, you continually dissect the comments of those you respond to, without actually responding to their fundamental points."

Anyone can claim another editor “continually” does this or “continually” does that. Substantiate it. You are demonstrably wrong on other points so there’s little reason to assume you’re correct here.

"This results in your asking at times fairly absurd questions - for example, when reminded that "Beejaypii, you've already been shown why HIV is a particularly significant topic in relation to circumcision, above", you respond "Really? Where?", as if the table had never been created, as if you didn't know that it was at the top of this section."

The way you phrased that assertion makes it sound as if a fact has been demonstrated to me, that’s why I responded like that. Not surprising really, given that the table in question includes serious criticisms of the methodologies used and, if anything, demonstrates how it has not been reliably established that HIV is a “particularly” important topic in relation to circumcision, which is a claim of higher relative importance than other important topics.

'You then go on to simply repeat that the methodology is (in your view) not reliable, and without such a "reliable methodology" we cannot follow WP:LEDE's dictum that "The emphasis given to material in the lead should roughly reflect its importance to the topic, according to reliable, published sources."'

Of course I repeat my assertions about the methodology, you simply assumed it WAS reliable in the way you stated “you've already been shown why HIV is a particularly significant topic in relation to circumcision, above” And, as you perfectly well know, WP:LEDE allows for a more flexible approach than you’re suggesting with your use of the word ‘dictum’.

"Despite being reminded of it, you continually ignore the point made long ago that There is no way of measuring the exact importance of HIV to circumcision, but a review of the recent literature (particularly medical) indicates that it is of significant importance... Now, whether one-tenth, one-quarter, or one-third of the lede should be devoted to the topic can never be decided in a purely mathematical way. Rather, editors must examine the different proposals, and see which prose seems to best summarize the topic."

So, you asserted that it’s been shown that the HIV issue is "particularly important" to circumcision on the one hand, and you assert that we cannot measure the "exact" importance but that it is of "significant" importance. Which is it, particularly or significantly? That’s a key difference in the context of this debate. Of course you can’t answer that, because you have no reliable way of ascertaining it, which has been my point entirely throughout this debate.

'Similarly, your response to "You've then been asked what method you would use to determine the correct weight to provide, but have refused to do so..." is "Really? Where?" You apparently ignore comments such as "Now, can you show us what formula you used to calculate that "the 25% apportioned to the HIV aspect is disproportionate", and explain what the actual percentage should be?", despite the fact that you both responded to it and even quoted it.'

I ignored a comment "despite the fact that" I "responded to it". That does not make sense. And I did not refuse to do anything; I responded by arguing the following:

The 25% is the % of the text, by word count, of the lead apportioned to HIV (roughly) - no formula required to ascertain that. I don't know what the percentage should be - point is that it's not possible to ascertain (if it is, show me how) - but in this article that 25% is significantly greater than the % apportioned to any other aspect of the article topic. Therefore, I'm advocating the most neutral approach, which is not to apportion a significantly greater portion of the lead to any one particular aspect in the absence of evidence supporting such relative emphasis, which seems a more neutral than campaigning for one aspect of the article topic to be apportioned significantly more of the lead than any other aspect, in the absence of evidence supporting such relative emphasis.

How on earth can you represent that as "refused to do so"?

'Moreover, you claim that you are not advocating defying WP:LEDE, nor are you engaging in special pleading regarding the lede of this article, but that you have merely "argued we cannot follow certain aspects of it to the letter in this case" – something that is fairly obviously a distinction without a difference'.

Just POV assertions from you there. Not to follow something to the letter, something which includes references to common sense and Ignore all rules, is hardly defiant. I stand by my previous comment about hyperbole.

'You have further insisted that in the special case of the circumcision article we must use "common sense" instead of WP:LEDE's dictum, despite the fact that you constantly reject the common sense points and arguments of others, insisting on some sort of mathematically exact "reliable methodology" instead.'

I’ve asked repeatedly for a demonstration of a methodology which justifies significantly more emphasis on the HIV issues than any other issue in the lead. I didn’t request mathematical exactitude anywhere (show me where if you think I did). Demonstrate the methodology if you have one, or answer the criticisms in the table. That you shy away from doing so suggests you do not have confidence in the methodology.

'The bottom line is this; the consensus here for the past several years has been that HIV is a significant topic in circumcision, and should therefore be given more weight in the lede than some of the other topics this article discusses (as mandated by WP:LEDE). You have been presented with various arguments and search results indicating why editors here believe this to be the case. You have rejected those results and responses, and insisted that for this article we "we cannot follow certain aspects" of WP:LEDE. If you wish to convince others here, you must either explain why the circumcision article is the exception to WP:LEDE, where "it is not possible to ascertain the relative importance of , as compared to other aspects", or provide your own methodology for determining the correct amount of material regarding HIV to use in the lede. Jayjg 21:15, 15 January 2012 (UTC)

The HIV issue already has more weight in the lede than some of the other topics this article discusses”, just by its presence in the lead (some aren’t mentioned at all). The bottom line is what justification is there for it having significantly more weight than any other topic in that lead, because just "significant topic in circumcision" does not justify that. Beejaypii (talk) 02:00, 17 January 2012 (UTC)

Very well, I've taken the WP:BOLD step of cutting this Gordian Knot, by cutting out half of the paragraph on HIV. Instead of "over 25%" of the lede, it's now under 14% of the lede. Problem solved! Jayjg 03:38, 17 January 2012 (UTC)

Abitrary break 3

@Garycompugeek - yes, it is: Beejaypii is the one advocating removal of material based upon in. Since you apparently agree that such an effort is "peculiar", perhaps we can move beyond it. — Preceding unsigned comment added by Carlossuarez46 (talkcontribs)
No, I'm arguing that the methodology which has been used by other editors to justify a large portion of the lead dedicated to the HIV issue is bogus. If you read the whole thread you'll find this comment from me:
It seems there are significant problems involved in trying to justify dedicating a large portion of the lead (currently over 25%) to the HIV issue. The HIV issue is a sub-topic of a sub-topic (medical aspects) of the main article topic, and even within that sub-topic it does not have as direct and intrinsic a relationship to the surgical procedure as other medical aspects. Therefore, and based on closer examination of what seems to be seriously flawed methodology used to justify the weight apportioned to HIV in the lead thus far, I again suggest reducing the HIV coverage in the lead, to this concise summary:

Additionally, strong evidence that circumcision reduces the risk of HIV infection in heterosexual men has led to the WHO recommending circumcision, with respect to that population, as an additional HIV prevention strategy, with the proviso that it should always be considered as part of a comprehensive HIV prevention package.

In particular, I think we need to keep in mind that the main topic of this article is the medical procedure circumcision, with its procedural, historical, religious, cultural (to name a few) sub-topics, as well as sub-topics of those sub-topics.
Pay attention, in particular, to the last bit, where I'm basically calling for a common sense approach based on consideration of the topic as a whole with its various sub-topics.
Feel free to argue for 25% of the lead dedicated to a sub-topic (HIV) of one aspect (medical) of the main article topic. I look forward to seeing your reasoning. Beejaypii (talk) 15:25, 7 January 2012 (UTC)
Actually, as has already been pointed out, it is you who keep bringing up the "25% of the lead dedicated to HIV", and arguing it is inappropriate, so it is you who must explain what percentage is appropriate, and how you have calculated this. Jayjg 15:04, 9 January 2012 (UTC)
It's not the figure which is important, it's the percentage relative to the portion of the lead attributed to one aspect as compared to the proportion dedicated to other aspects. In the case in point, the 25% apportioned to the HIV aspect is disproportionate to the % apportioned to other aspects (I assume you agree with that, percentage-wise at least?). If you like I can create another table, breaking down the current lead, sentence by sentence, proposition by proposition; that will not support your stance that the HIV aspect deserves significantly greater coverage in the lead than any other aspect of the main topic however. My stance, as I've repeatedly explained, is that we cannot ascertain the relative weight of different aspects of the article topic (if we can, show me how), therefore, a concise treatment of each aspect mentioned in the lead is the approach which avoids any one aspect being emphasised unduly, as far as we can know. Unless you and Jakew (and others) can demonstrate why the HIV aspect deserves a significantly greater portion of the lead than any other aspect of the topic you are effectively promoting an unsubstantiated POV. My POV, on the other hand, is not that any particular aspect is less or more important than another, it's that we cannot ascertain whether that is the case or not, and a concise summary of each aspect included in the lead (though there are other discussions about which aspects should actually appear in the lead, and which aspects should be covered in the whole article even) is therefore the most neutral approach in the absence of evidence. Apportioning a significantly greater portion of the lead to any particular aspect in the absence of evidence is not a neutral approach. Beejaypii (talk) 16:32, 9 January 2012 (UTC)
So is circumcision "special", in your assessment that it is impossible to ascertain due weight, or should WP:UNDUE always be interpreted to mean the exact opposite of what it actually says? Just curious. Jakew (talk) 16:54, 9 January 2012 (UTC)
I've no idea whether circumcision is "special". I would have to collect data from the analysis of similar issues across a suitably large sample of article content discussions, at the very least, in order to even come close to providing any kind of substantiated answer to that question. Additionally, I believe you've formulated a logical fallacy of the Affirming a disjunct type: you've presented a mutually exclusive choice between circumcision is "special" because it is impossible to ascertain due weight and WP:UNDUE should always be interpreted to mean the exact opposite of what it actually says. But that's rather academic anyway, because the second of those two propositions is an example, I believe, of Begging the question, assuming, as it does, that WP:UNDUE HAS been "interpreted to mean the exact opposite of what it actually says." If you'd like to reformulate your query using non-fallacious arguments I'll try to respond. Beejaypii (talk) 21:22, 9 January 2012 (UTC)

Beejaypii you will not convince the gatekeepers with logic. They will simply obstruficate with circular logic and false dichotomies. This will ONLY be settled by following dispute resolutions. Garycompugeek (talk) 15:42, 10 January 2012 (UTC)

Well, it certainly won't be "settled" by making drastic changes that have no consensus. Nor will it be "settled" by making personal attacks on those you disagree with. Jayjg 16:26, 10 January 2012 (UTC)
Actually, the false accusation of a "personal attack" is, in fact, a personal attack itself. Wimp O'pede (talk) 16:48, 10 January 2012 (UTC)
Something of a moot point, though. Jakew (talk) 16:59, 10 January 2012 (UTC)
Yes, particularly when one editor accuses other editors of being "gatekeepers" who "simply obstruficate with circular logic and false dichotomies". I wonder, is the false accusation of a false accusation of a personal attack also a personal attack? And it's odd how yet another "new" editor has shown up on this Talk: page to "fight the good fight". Jayjg 17:06, 10 January 2012 (UTC)
No doubt its one of our banned editors, run a checkuser and block the sock. Garycompugeek (talk) 16:59, 11 January 2012 (UTC)
Trimming one paragraph in lead is drastic!? I think not. I was being bold and showing my support for Beejaypii's proposal. This talk page is worse than the political bickering in the American Congress. Dialog seems pointless and dispute resolutions seem to be the only alternative. If Beejaypii does not take this to the next level then I will. Garycompugeek (talk) 16:59, 11 January 2012 (UTC)
In future, Gary, please note that, per WP:CONSENSUS: "In discussions of textual additions or editorial alterations, a lack of consensus results in no change in the article." Jakew (talk) 17:11, 11 January 2012 (UTC)
Thanks for that spiffy definition Jake. The next sentence from WP:CONSENSUS reads "Consensus on Misplaced Pages does not mean unanimity (which, although an ideal result, is not always achievable); nor is it the result of a vote." and that means you cannot hold an article hostage simply by disagreeing, you actually need to use logic that others can follow. Garycompugeek (talk) 20:21, 11 January 2012 (UTC)
Ample logic has been provided by Jake, me, and others, and has been met with a wall of WP:ICANTHEARYOU. Jayjg 20:40, 11 January 2012 (UTC)
No Jayjg. The logic has been provided by Beejaypii and myself, you and Jakew seem to be practicing WP:ICANTHEARYOU and WP:ILIKEIT. Garycompugeek (talk) 14:01, 12 January 2012 (UTC)

Exactly right. In my line of work, it's a Defence mechanism we diagnose as psychological projection, a very persistent personality trait. Wimp O'pede (talk) 16:23, 12 January 2012 (UTC)

Please be advised that "diagnosing" traits in other editors is likely to be considered a personal attack. Jakew (talk) 16:32, 12 January 2012 (UTC)

My point was that the editors who accused others of a wall of "I can't hear you" and "I Like it" were actually accusing themselves via a well-known Defence mechanism we diagnose as psychological projection. In a lively discussion, it's fair to challenge others to evaluate their own logic and integrity, hopefully to reciprocate those qualities in their Interlocutors' well-reasoned arguments. Wimp O'pede (talk) 17:14, 13 January 2012 (UTC)

Your point was understood and, as noted, it is a personal attack, so don't do it in future. Jakew (talk) 18:22, 13 January 2012 (UTC)

RfC comments

  • We should remember that this article is not to be Anglo-centric nor Judeo-Islamic-centric. We have articles about Jewish and Islamic ritual circumcision and the article history of circumcision deals with the English-speaking world's adoption of the practice, so those can be treated summarily here and need not monopolize the lead. However, one of the biggest reasons for circumcision's introduction into areas not recognizing a cultural (mainly, but not exclusively, the English-speaking world, and a few countries occupied by them) or religious (mainly, but not exclusively, Islam and Judaism) duty to circumcise (both babies and adult men) are the arguments made recently about HIV prevention. Carlossuarez46 (talk) 18:13, 16 January 2012 (UTC)
We have an article about Circumcision and HIV too, so, presumably, that issue can also be "treated summarily here and need not monopolise the lead"? In which case, your justification for less emphasis on the religious aspects you mention and more emphasis on the HIV issue fails. Beejaypii (talk) 11:30, 17 January 2012 (UTC)
Because it's not the same topic: that was a discussion about the actual nature of the relationship of the HIV issue to circumcision mainly in terms of semantics. This one is about the possibility, or not, of establishing the relative importance of the HIV issue to circumcision compared with other issues using statistical methodologies. The first was about sense relationships, this is about statistical methodologies. Although, actually, the sense arguments probably strengthen the arguments against significantly more emphasis on HIV than any other topic in the lead. Beejaypii (talk) 03:12, 17 January 2012 (UTC)
So this one is a theoretical study of whether or not one can use a "statistical methodology" to determine the importance of HIV as an issue in circumcision relative to other topics in circumcision? Jayjg 03:58, 17 January 2012 (UTC)
My description was too concise. This RfC is about the extent to which it is possible (or not) to validly measure the relative importance of the HIV issue to circumcision and substantiate the claim that it deserves significantly more weight in the lead than any other aspect of the topic. Beejaypii (talk) 11:09, 17 January 2012 (UTC)

Condensing the first two sentences

Looking at the paragraph, it does have some degree of redundancy, and can probably be shortened and improved at the same time. I therefore propose to rewrite this:

  • There is strong evidence that circumcision reduces the risk of HIV infection in heterosexual men in populations that are at high risk. Evidence among heterosexual men in sub-Saharan Africa shows a decreased risk of between 38 percent and 66 percent over two years and studies have concluded it is cost effective in this population.

As this:

  • There is strong evidence that circumcision reduces the risk of HIV infection in heterosexual men by 38-66% in populations that are at high risk, and studies have concluded it is cost effective in sub-Saharan Africa.

Given the great difficulties in finding consensus for any changes to this paragraph, I would like to use a rough straw poll to see whether there is consensus for making this one change without reference to any other changes editors might or might not wish. So... Jakew (talk) 20:10, 17 January 2012 (UTC)

  • Support as proposer. Jakew (talk) 20:10, 17 January 2012 (UTC)
  • Support. The more concise version should help to alleviate some concerns that others have raised, while retaining much of the information. Great proposal IMO, and I appreciate that you're looking for common ground on what has become a very lengthy discussion. kyledueck (talk) 23:09, 17 January 2012 (UTC)
  • Neutral. It is better than it was however I do not prescribe to the conjecture that there is scientific consensus about the "strong evidence" circumcision reduces HIV transmission nor it's cost effectiveness. There is considerable controversy here and it should be documented. Garycompugeek (talk) 23:47, 17 January 2012 (UTC)
  • Neutral. Seconding Garycompugeek's comment here. There needs to be a change in the narrative of the paragraph to highlight the fact that there is a controversy surrounding how the WHO interpreted the data it collected, which it bases its recommendation on. Even though almost 1 in 10 professionals (using Jakew's own numbers) would dissent from the narrative of this sentence, it would still leave one with the impression that the evidence is solid and near-iron clad. I'm seeing a lot of gatekeeping going on with this paragraph and it doesn't seem to fall in line with the Misplaced Pages:Neutral point of view policy. Therewillbefact (talk) 07:19, 19 January 2012 (UTC)
  • Neutral I think the bit about cost effectiveness is somewhat incongruous, especially with the WHO recommendation bit retained (I know that's outside the bit this poll relates to but I think it's relevant), as in the version current at the time writing - is cost effectiveness really an issue that warrants a mention in the lead (partly a rhetorical question and I won't chase an answer)? However, I think that the version I just linked to resolves the emphasis issues adequately enough (and that includes the bit Jakew is conducting the poll for); and having expressed my reservations, and in the interests of conflict resolution and in the spirit of mutual compromise, I won't actually oppose that version. Nevertheless, I will remark that there is still some redundancy which could easily be addressed: "populations that are at high risk" could become "populations at high risk", (and in the WHO bit "part of a comprehensive program for prevention of HIV transmission" could become "part of a comprehensive HIV transmission prevention program"). Beejaypii (talk) 13:12, 19 January 2012 (UTC)
  • Neutral on grounds of irrelevance. Never mind the wording of the RFC; the lede as it stands needs radical condensation and also needs neutralisation of POV. It could (should) be boiled down to say, 25% of its current size and shorn of discussion and evaluative statements. The amount of material on the various merits and demerits of circumcision, whether concerning HIV and other health problems or not, does not matter; anyone who has more constructive and valuable material can add it according to taste and according to WP guidelines. But the lede is not where such material belongs. Incidentally, one thing that did bother me in reading the material in the body of the article, was wording that did not distinguish between the value of circumcision in reducing the risks associated with irresponsible sexual practices (which seems to be fairly well established), and the value of circumcision as a prophylactic measure, which it is not in any normal commonsense degree. Persons trained in relevant disciplines might have no trouble drawing the appropriate conclusions from the studies, but laypeople reading a lot of that wording would be at serious risk of interpreting it as meaning that if you are circumcised, you can forget about HIV etc. Some of it even gave the impression that adult circumcision offered immediate benefits, which would be doubtful, to put it kindly. JonRichfield (talk) 20:17, 20 January 2012 (UTC)

Those raised in favour of circumcision

The last statement in the lead, "Those raised in favour of circumcision include that it ... is best performed during the neonatal period" is certainly not an argument in favor of circumcision. It's an age-specific recommendation that belongs in another section. Wimp O'pede (talk) 01:59, 14 January 2012 (UTC)

It's an argument in favour of performing circumcision in the neonatal period. Jakew (talk) 09:24, 14 January 2012 (UTC)

That explains why the current lead is so poorly written and disorganized. It deals with adult circumcision and neonatal circumcision without differentiating between them. If the reader is meant to assume the article is about neonatal circumcision, the argument in favor of adult circumcision that is presented in the third paragraph should explicitly claim to be an argument in favor of neonatal circumcision, rather than making that argument by innuendo, as it appears by your claim that the article is implicitly about neonatal circumcision. Wimp O'pede (talk) 16:42, 14 January 2012 (UTC)

It's an article about circumcision, which necessarily includes both infant circumcision and adult circumcision. Jakew (talk) 16:45, 14 January 2012 (UTC)

Whether it's an oversight or a lack of scholarship, the article has no citation to indicate that any national organization of doctors has endorsed the adult studies in paragraph three (of the lead) as evidence in favor of neonatal circumcision. Wimp O'pede (talk) 17:05, 15 January 2012 (UTC)

Wimp makes a very valid point here. Please address it Jakew. Therewillbefact (talk) 08:30, 19 January 2012 (UTC)

The reason I didn't address it is that we don't need a citation for statements that aren't made. Jakew (talk) 09:31, 19 January 2012 (UTC)

Paragraph Three

An editor has admitted that the lead is about both Adult and Neonatal circumcision. It's important to make that distinction clear to the reader; otherwise, the lead implies that the adult studies in a promiscuous African tribal environment have evidentiary value for the efficacy of neonatal circumcision. Paragraph Three seems to have been dropped into the lead without proper thought or context. That's poor writing and scholarship, and, quite frankly, would receive a grade of "D" if it were a middle school term paper. We should be very cautious in highlighting an adult study that no national medical organization of doctors has endorsed as an argument in favor of neonatal circumcision. Wimp O'pede (talk) 16:39, 16 January 2012 (UTC)

As explained previously, the article is about circumcision at any age, not specifically about neonatal circumcision. Nevertheless, numerous sources have applied the findings of the HIV trials to neonatal circumcision: certainly there is no consensus that these data only apply to adult circumcisions. Jakew (talk) 17:01, 16 January 2012 (UTC)

I believe that the third paragraph needs to draw attention to the fact that the “strong” evidence its referring to – the test results garnered during the Sub-Saharan African trials -- are not as widely accepted on a global scale as it is presented in this article. No mention is made suggesting that information to the contrary exists. The fact that health professional have vouched against the validity of the “strong evidence” is something we should consider as well. Perhaps we can start by changing the narrative of “strong”, or in the very least providing an additional sentence or two describing that health professionals and stasticians would disagree with the innuendo. Perhaps glance at the following links for some perspective: http://onlinelibrary.wiley.com/doi/10.1111/j.1753-6405.2011.00761.x/full

Quote that sticks out: "That the relationship between circumcision and transmission of HIV is at the very least unclear is illustrated by the fact that the US combines a high prevalence of STDs and HIV infections with a high percentage of routine circumcisions. The Dutch situation is precisely the reverse: a low prevalence of HIV/AIDS combined with a relatively low number of circumcisions. As such, behavioural factors appear to play a far more important role than whether or not one has a foreskin." - Royal Dutch Medical Association http://www.zimeye.org/wp-content/live_images/2012/01/44-419-1-PB.pdf The content above largely runs against the narrative of the third paragraph.

Being that validity of the three trials have been dismissed a number of times, the tone of the paragraph should be changed such that if someone were to read this article without conducting further research, they would understand that evidence contrary to what is written in the paragraph, the trials are controversial. As it is now, one would leave the impression that the evidence is iron-clad. It is actually controversial. The language of this paragraph needs to be changed. Perhaps we can collaborate to work in some of what other peer-reviewed journals are concluding? I think it would help produce an article with a more NPOV. Therewillbefact (talk) 05:19, 17 January 2012 (UTC)

The problem is that, while there are a handful of individuals who disagree, there is a global scientific consensus that circumcision does protect against female-to-male transmission of HIV. (Please go to Talk:Circumcision/Archive 68#Weight of HIV in lead, and scroll down until you reach my comment dated 18:37, 14 December 2011 (UTC). There you will see a rough sample of the 50 most recent reviews relating to circumcision; only 2 of the 26 with readily identifiable viewpoints about the association were negative.) Consequently we need to be very careful not to paint a misleading picture of the literature, because citing those who dispute the association would represent the situation as far of a controversy than actually exists. For further discussion of this, please see WP:UNDUE and WP:FRINGE. Jakew (talk) 09:27, 17 January 2012 (UTC)

I understand that we do not wish to blow things out of proportion with respect to giving others the impression that this controversy is larger than it is. However, using the information you just provided me with here, 2 out of the 26 most recent reviews -- that's roughly 8% -- would dissent from the narrative of the third paragraph's first sentence. The innuendo should still be altered to reflect that there are dissenting health professionals with plenty of credentials advancing their claims in peer-reviewed journals -- it would be less deceptive to the reader of this paragraph. On the same global scale you're referring to, a good number of health professionals have met these same studies with resistance. I respect your POV here, but being that a dissenting opinion has already been made by the Journal of Public Health in Africa, the Royal Dutch Medical Association, The Journal of Law and Medicine (Australia), The Public Health Association of Australia (among other publications) it is again deceptive not to integrate such content into the paragraph, or to even hint at the fact that such information is out there and that a controversy exists to some extent.

I wouldn't mind collaborating with you Jakew to make an adjustment to the rhetoric of this so that it is fair. I agree with you that it is important we do not give off the wrong impression to our readers. The number of dissenters, again, aren't exactly the dismal drop in the bucket you make it out to be. Perhaps we can mention the fact that the evidence is controversial to an extent? Perhaps we can start by omitting or changing "strong" in strong evidence (as "strong" would leave one with the impression that there is unanimous consensus)? Again, we need to have the content of the paragraph reflect reality. Why can't we mention that the Cochrane Review from 2003 that found insufficient evidence to support a circumcision intervention program to prevent HIV infection at the very least, for instance, if we have already worked in how the WHO recommends the surgical procedure in high-risk areas? Again, there is still a lot of one-sidedness going on with this paragraph. I'll be happy to work with you to make it a tad more fair. Therewillbefact (talk) 16:36, 17 January 2012 (UTC)

You're incorrectly attributing opinions to journals. This is incorrect: journals frequently publish critiques or rebuttal pieces, so it is usually unwise to attribute the opinion to the journal itself. The opinions have been asserted by individuals; let's not try to bolster them by attributing them to another entity. As I said, there is effectively a scientific consensus on this issue, and we must be extremely careful not to misrepresent the state of the literature. In particular, mentioning those who deny the association might create the impression that this is a widely held viewpoint. I am less strongly opposed to mentioning them in the body of the article, where there is more space than in the lead section.
Regarding the 2003 Cochrane review, it's out of date. The authors published an updated review in 2005, and the most recent update was published in 2009. We might cite the 2003 review when discussing the history of circumcision/HIV research, but it doesn't make any sense to do so now. After all, the reason why the authors of the 2003 review judged the evidence insufficient was that "observational studies are inherently limited by confounding which is unlikely to be fully adjusted for", and the conclusion stated "It would be prudent for consumers to await the findings of ongoing randomised trials before deciding on the balance between benefits and risks of male circumcision in the context of HIV infection." Since then, of course, the randomised controlled trials have been published, so the situation is completely different. And the most recent Cochrane review states: "There is strong evidence that medical male circumcision reduces the acquisition of HIV by heterosexual men by between 38% and 66% over 24 months. Inclusion of male circumcision into current HIV prevention measures guidelines is warranted" Jakew (talk) 16:59, 17 January 2012 (UTC)

I will concede that I was referencing an outdated review there, thank you for drawing attention to it. My point is that you are still suppressing information if you do not draw attention to the fact that there is at least something of a controversy (which there very well is--albeit I understand that we do not want to overstate it) to the "strong evidence" in this paragraph. At the very least, it should be mentioned in the paragraph why professional health organizations in some Sub-saharan countries have met the WHO's routine circumcision recommendation with resistance. Why is this not even mentioned when the WHO stance is? Again, the "strong evidence" comment would leave a reader with the impression that it is unanimously accepted, which as you know it is far from unanimous. Given that almost 8% were dissenters, using your figures, it is still something worth integrating into this paragraph in one way or another. At the very least, there is merit for a change in the tone of the sentence. Either the narrative of the sentence should be changed, or it should be accommodated by a followup of why health organizations in sub-Saharan Africa have met this recommendation by the WHO with resistance. It seems very stange, given the the WHO is US-based, that the sub-saharan countries are the ones actually affected by this recommendation and there is no podium given to their rebuttal of this recommendation in the paragraph. Why are we giving the WHO a podium for their voice, but not one for the health organizations in the countries actually affected by this recommendation? Therewillbefact (talk) 17:29, 17 January 2012 (UTC)

It seems to me that this is broadly analogous to the people who deny that HIV causes AIDS. A paper denying the link between the two was recently published, but even so the HIV article still makes the definite statement that: "Human immunodeficiency virus (HIV) is a lentivirus (a member of the retrovirus family) that causes acquired immunodeficiency syndrome (AIDS)". It doesn't say "is a lentivirus that, according to a controversial theory, causes AIDS", and it's unlikely that it ever will. It doesn't say that it "might" cause AIDS. It asserts the scientific consensus on the issue, even though a small number of individuals believe otherwise. This is quite proper, according to the policies cited above, and doesn't "suppress" information in a meaningful sense.
As for the affected countries, I've just been browsing through Table 1 in Progress in scale-up of male circumcision for HIV prevention in Eastern and Southern Africa: Focus on service delivery, and it seems that most of the 13 targeted countries have policies and plans in place. It appears to be true, though (according to this paper) that countries are having trouble meeting their targets. Jakew (talk) 19:45, 17 January 2012 (UTC)

You are arguing that a small-but-sizable community that takes issue with the lack of scientific rigor in how three trials were carried out and interpreted is similar to a proportionally smaller community that has had its POV dismissed on a number of occasions. You are starting to make some stretches here. It is not exactly fair to compare those who question the WHO's interpretation of three trial experiments as a basis for more research as not akin to the phenomenon of AIDS denialism. AIDS denialists have been debunked many times over in scientific communities; their arguments have been rendered as unsubstantiated and without merit over the many years their POV has existed. The arguments made by those who question how the WHO interpreted its trials have not had their claims dismissed by professionals in the same manner either, for what it's worth.

Additionally, the number of professionals who would argue against the label of “stong” evidence is not the “extreme minority opinion” you make it out to be (these were your words). Using your own numbers, you mentioned they add up to roughly 8% of opinion-holders. This is hard to reconcile; as it is neither an "extreme minority opinion", nor a POV that has been addressed and debunked by professionals.

It is also worth noting that it is an increasingly emerging opinion. It is fairly recent – a large portion of the opinion pieces contending against the conclusions the WHO made (after conducting the three trials) were written around 2011. “How the circumcision solution in Africa will increase HIV infections” in the Journal of Public Health in Africa was published Oct. 2010. “Not a surgical vaccine…” in the Australian and New Zealand Journal of Public Health was published in October 2011. The Journal of Law and Medicine’s “Sub-Saharan African Randomized Trials into Male Circumcision” surfaced in late November 2011. Therewillbefact (talk) 08:33, 19 January 2012 (UTC)

Sorry, I can't agree. First of all, the degree to which arguments have been refuted is probably difficult to resolve, but consider, for example, the exhaustive and throrough response to Green et al. Or this response to a different article by Green et al. Or this and this response to Van Howe. I will agree, though, that the HIV/circumcision denial viewpoint may be held slightly more widely than the HIV/AIDS denial viewpoint; perhaps the 'vaccines cause autism' lobby would have been a better analogy. Jakew (talk) 09:55, 19 January 2012 (UTC)

You're grasping for straws now. What you have said is that almost 1 in 10 professionals believe vaccines cause autism. To my knowledge, this is an argument that has been made with respect to the HPV vaccine in particular. And again, just as with AIDS denialism, there happens that there is a wikipedia page devoted to the Vaccine controversy. The refutation pieces you have cited acknowledge a few opposing viewpoints, but I haven't seen anywhere near the comprehensive refutation that AIDS denialists or vaccines-cause-autism proponents have seen after reading the few pieces you've cited. Many arguments are still left untouched. I'd also argue that given the fact that you've provided a few papers that acknowledge an opposing POV in its infancy, it furthers supports my point that it controversial. They would had have no incentive to write those pieces otherwise. 98.225.99.245 (talk) 17:26, 19 January 2012 (UTC)

Please don't misrepresent my position. I haven't said that "almost 1 in 10 professionals believe vaccines cause autism". What I have said is that the two situations are "broadly analogous". And I think that's true, in the sense that a tiny minority of professionals (and a larger set of laypeople) believe these things. In the absence of surveys, I don't have an exact way to quantify the exact number, though I suspect that in both cases the figure is substantially less than 1 in 10.
Regarding rebuttals, your arguments seem rather inconsistent. You initially claimed that the existence of rebuttals was a difference between AIDS denialists and circumcision/HIV denialists: " not akin to the phenomenon of AIDS denialism. AIDS denialists have been debunked many times over in scientific communities ". When I pointed out that rebuttals can also be found in the case of circumcision and HIV, you now say that the existence of rebuttals is evidence that an issue is controversial ("They would had have no incentive to write those pieces otherwise"). But surely that's also the case for rebuttals of AIDS denialists? That is to say, to apply your reasoning, couldn't one say that the existence of rebuttals of AIDS denialists is evidence that the statement that "HIV causes AIDS" is controversial, and therefore Misplaced Pages should describe this "theory" as such?
In any case, you're quite correct that both of these fringe theories have their own articles. That's entirely proper and acceptable under Misplaced Pages policy. But in the main articles about HIV and AIDS we're very careful not to misrepresent the shape of the literature. We don't give undue weight to these viewpoints by presenting a "controversy".
Please note that I'm not saying that this material doesn't belong anywhere in Misplaced Pages. There's no reason why it shouldn't be included in circumcision and HIV, where there is plenty of space. It may be appropriate to discuss it in circumcision controversies, too. Even in the body of the article we cite refs 126 and 127. But in the lead section, where we have (at a rough guess) fifty words, it seems difficult to mention any opposition without giving it undue weight and consequently misrepresenting the literature. Jakew (talk) 19:00, 19 January 2012 (UTC)

It is important that the lead in particular reflects reality is because it receives far more traffic than the pages you provided. I was using the empirical data you cited yourself to show you that you were shooting yourself in the foot with your own arguments (which was that the POV we've been discussing is analogous to AIDS denialism or the vaccines-prompt-autism POV, for the purpose of what we should integrate into the lead). There is far more merit to integrating the POV we've been discussing in the lead, and it is not the "extreme minority opinion" to anywhere near the extent that you make it sound like it is. Using your own numbers, it is far from the dismal drop in the bucket you make it out to be.

My point is that you've been making some pretty severe stretches in comparing what we've been discussing to other POVs that do not hold nearly as much weight and are far less accepted (proportionally) among professionals in their respective communities. I've only seen you toss around quantitative analysis only when it benefits your POV, and you've made unwarranted comparisons in trying to put your uncompromising editing preferences into perspective. Perhaps we can omit the adjective "strong" and the statistics that accommodate it, since the dissenting opinion (and again, not one that constitutes an "extreme minority opinion") is that circumcision did not even have a statistically significant impact on HIV transmission. But, for some reason, I feel like proposing anything along these lines to you is starting to become a futile effort on my part. You haven't been open to any compromises to the paragraph, to any extent, and you only condensed it after some editors in the talk page have taken issue with it.

I did not want to have to draw attention to this, but I feel like I don't have much of an option at this point. You've made so many edits to the circumcision entry that you outnumber the times any other editors have made edits on it by a vast margin - and your edits consistently reflect a bias in favor of emphasizing the benefits of circumcision, and downplaying any risks or adverse consequences that accommodate the procedure. Anyone reading the editing history for the circumcision entry (or your own discourse in this talk page) will observe this. This runs against what is expected out of editors in the Misplaced Pages:Neutral point of view policy. You aren't supposed to cite quantitative analysis only when it benefits a slanted POV, and it speaks volumes that you've consistently blown things out of proportion by making comparisons of what we've been discussing to other issues that are neither as widely-accepted nor well-refuted among professionals in their respective domains. Please do not read this as a personal attack, that is not my intention. I wanted to let you know that you have had - and still have - a propensity to make edits that all fall into the same narrative. This is not a sustainable editing practice for a daily powerhouse editor. Therewillbefact (talk) 20:26, 21 January 2012 (UTC)

Description of the RFC

When Beejaypii initiated the RFC above, he used the following opening sentence:

A debate has been taking place about whether apportioning significantly more of the lead of the current version of the circumcision article to one aspect (HIV prevention) of the main article topic relative to all other aspects is justified.

I've modified it to the more neutral:

A debate has been taking place about whether the weight apportioned to HIV prevention in the lead of the current version of the circumcision article is appropriate.

WP:RFC states quite clearly that a brief, neutral statement of the issue should be included. The word "neutral" is both linked and italicized for emphasis. Beejaypii, please don't abuse the RFC process in this way in the future. Thanks! Jayjg 17:23, 16 January 2012 (UTC)

What's more neutral about that? Beejaypii (talk) 17:29, 16 January 2012 (UTC)
Your sentence was worded in a way to echo your complaint, that the article is "apportioning significantly more of the lead of the current version of the article to one aspect (HIV prevention) of the main article topic relative to all other aspects". The neutral sentence indicated the issue in the more neutral way, whether the weight given to HIV is appropriate. If you find this difficult to understand, please review your comments above about "common sense". Jayjg 17:38, 16 January 2012 (UTC)
It does not seem appropriate for an admin, in particular, to employ sarcasm (quote: 'If you find this difficult to understand, please review your comments above about "common sense"'). Do you dispute that the article is apportioning significantly more of the lead to the HIV aspect than any other aspect, currently (if you assert that's no neutral)? Beejaypii (talk) 17:52, 16 January 2012 (UTC)
I was not employing sarcasm at all; I was hoping you would remember your previous commitment to the principle of "common sense", and begin applying it in this case too. Do you dispute that the modified sentence is shorter, easier to understand, and more neutral? Jayjg 17:55, 16 January 2012 (UTC)
Unless you disagree that the article is apportioning significantly more of the lead to the HIV aspect than any other aspect, currently, then I don't understand how you can claim that my version was not neutral in some way. In which case it's not a question of less or more neutral, it's a question of why you edited my version. And the question still remains about why you edited my version instead of addressing your concerns in an additional comment, especially in view of the fact that you did not raise these issues when I added additional comments to the previous RfC which you instigated? Perhaps an RfC should only have one description when it suits your purpose, and not when it doesn't? Would you like diffs for the previous RfC to illustrate? Beejaypii (talk) 18:19, 16 January 2012 (UTC)
It's a question of framing, Beejaypii. RFCs are supposed to be presented in as neutral a fashion as possible, but the request was framed in terms of your own arguments. Jayjg's edit presented the issue without framing in terms of your point of view "apportioning significantly more of the lead to the HIV" or the opposite "is there sufficient emphasis to provide due weight to this highly significant issue". Jakew (talk) 18:23, 16 January 2012 (UTC)
In what way is "apportioning significantly more of the lead to the HIV..." not neutral? Do you dispute that's the situation in the current version of the article lead? "is there sufficient emphasis to provide due weight to this highly significant issue" is not the debate, it's whether there's a way of even ascertaining due weight to the extent that justifies significantly more of the lead apportioned to one issue. And the question remains of Jayjg's inconsistent approach with respect to his edit of my description. Beejaypii (talk) 18:44, 16 January 2012 (UTC)
What inconsistent approach? Jayjg 19:17, 16 January 2012 (UTC)
And why not just express your concerns in an additional comment instead of editing my comment? Beejaypii (talk) 17:30, 16 January 2012 (UTC)
Because there should be one neutral description of the RFC that all editors read when they first come here to understand the problem. Jayjg 17:38, 16 January 2012 (UTC)
Is that a policy? Beejaypii (talk) 17:40, 16 January 2012 (UTC)
You now need a policy to have one neutral RFC question? Jayjg 17:43, 16 January 2012 (UTC)
Sorry, let me be more specific: where's the policy which supports you editing another user's RfC description instead of adding your own comment? Beejaypii (talk) 17:47, 16 January 2012 (UTC)
Where's the policy that allows you to add a non-neutral RFC question? Where's the policy that states you personally own the RFC? Jayjg 17:53, 16 January 2012 (UTC)
The bit about "one" description? Additionally, you haven't explained why your version is more neutral. Beejaypii (talk) 17:41, 16 January 2012 (UTC)
I have indeed explained why my description is more neutral, above. Are you again asking questions that have already been answered? Are you actually claiming your version is more neutral? Jayjg 17:43, 16 January 2012 (UTC)
What aspect of creating an RfC with a description which can then be added to by any other editor with additional comments (as opposed to editing another user's comment) implies ownership? And you still have not explained why my description was not neutral. Beejaypii (talk) 18:02, 16 January 2012 (UTC)
I have indeed explained why your comment is not neutral, in comment of 17:38, 16 January 2012 (UTC) above. But if you're still having difficulty understanding this, please review Jakew's comment of 18:23, 16 January 2012 (UTC) regarding "framing" to understand better why your framing of the RFC was not neutral. Jayjg 18:42, 16 January 2012 (UTC)
Yes, again, what aspect of creating an RfC with a description which can then be added to by any other editor with additional comments (as opposed to editing another user's comment) implies ownership? And why didn't you insist on one RfC description in this way when you instigated the previous RfC and I added comments to that description (as opposed to editing your original comment)? Beejaypii (talk) 18:47, 16 January 2012 (UTC)
Did you attempt to change the previous RFC's description? I don't recall you doing that. Jayjg 19:17, 16 January 2012 (UTC)

@Beejaypii: Arguing about the framing of the RfC is pointless. The explanation for the change has been clearly given, and if there is a problem understanding that explanation the best strategy would be to forget about it—not all problems can be solved. Continuing to ask for policies and what-have-you shows a lack of understanding about Misplaced Pages's procedures (not bureaucracy). This page should focus on the issues. Johnuniq (talk) 22:19, 16 January 2012 (UTC)

Perhaps when a contribution of yours is simply changed by another editor without prior discussion you might see things differently. Especially when that user has seemingly overridden the following from WP:RFC, with reference to the summary:
  1. "Include a brief, neutral statement of the issue below the template, and sign it with ~~~~ (name and date) or ~~~~~ (just the date)." - Jayjg removed my signature here
  2. Which is a cause for concern in view of "(For your question to be displayed correctly, the first date stamp must precede any such sub-section headings or tables.)"
  3. "You can also do your best, and invite others to improve your question or summary later." - kind of implies that someone simply changing it without prior discussion isn't the way to go.
Beejaypii (talk) 02:27, 17 January 2012 (UTC)
And guess what, the RfC's posting seems to have messed up, yet it was ok when it was first posted. Possibly because Jayjg removed the time stamp here.
Beejaypii (talk) 02:39, 17 January 2012 (UTC)

I've restored the original description of the RfC because of the technical problems indicated. I'm open to suggestions about possible neutrality issues. Beejaypii (talk) 03:46, 17 January 2012 (UTC)

I've restored the neutral description, because "technical problems" are no reason to have an inappropriate RFC description. I've added my signature for now, to deal with any technical issues; feel free to replace it with your own signature if you prefer. The text, however, must remain neutral, in accord with WP:RFC. Jayjg 04:18, 17 January 2012 (UTC)
Please explain why you feel that my description is inappropriate or not neutral. Simple assertions that it is are not explanations. Beejaypii (talk) 11:38, 17 January 2012 (UTC)
Misplaced Pages:Drop the stick and back slowly away from the horse carcass... Jakew (talk) 12:30, 17 January 2012 (UTC)
Wow I have never seen editors go to such lengths to disparage another editors comments. Jakew and Jayjg have been Beejaypi's biggest opponents in this HIV debate yet apparently see no conflict of interest in editing his comments creating the RFC or explaining what was not neutral about it. Garycompugeek (talk) 17:32, 17 January 2012 (UTC)
"Misplaced Pages:Drop the stick.." And that's what you just did is it Jakew? I have not had a rational explanation of what was wrong with my description, which suggests neither you nor Jayjg can provide one (as does your attempt above to get me to drop the point). Beejaypii (talk) 21:54, 17 January 2012 (UTC)

Recent additions

67.0.71.114 (talk · contribs), 174.28.162.94 (talk · contribs) and DukeTwicep (talk · contribs) have recently edited the article, changing the text re Sorrells et al. The original text reads:

  • In a 2007 study, Sorrells et al., using monofilament touch-test mapping, found that the foreskin contains the most sensitive parts of the penis, noting that these parts are lost to circumcision.

This is verifiable, since the authors state: "In conclusion, circumcision removes the most sensitive parts of the penis . The most sensitive regions in the uncircumcised penis are those parts ablated by circumcision."

The edits changed this to read:

  • In a 2007 study, Sorrells et al., using monofilament touch-test mapping, reported the foreskin is the most sensitive part of penile anatomy, and foreskin lost to circumcision has twice the fine touch sensitivity of any remaining penile anatomy.

This is problematic. Since the source does not state that the foreskin has twice the fine touch sensitivity, this claim is original research. Jakew (talk) 17:19, 19 January 2012 (UTC)

A second edit to the 'sexual effects' section is also problematic. Here are some of the problems:

  • It begins by saying "Evidence strongly suggest that circumcision causes a reduction in vaginal lubrication during intercourse with a female partner", but this assessment appears to be original commentary. We shouldn't say that the evidence "strongly suggests" such a thing - that's a matter of judgement. We could, perhaps, say that "Some studies have suggested that..."
  • All of the studies are primary sources. Per WP:PSTS and WP:MEDRS we should generally avoid these.
  • One study (by Bensley and Boyle) is listed twice.
  • The following sentence ("Reports on its impact on female sexual response has ranged from no change in general sexual satisfaction, to reduction in likelihood of female orgasm") suffers from the same primary source problem, and is somewhat skewed. Kigozi et al reported "The overwhelming majority of women (97.1%) report either no change or improved sexual satisfaction after their male partner was circumcised".

I would suggest that, given the problems associated with this material, it is best removed. Jakew (talk) 20:43, 19 January 2012 (UTC)

Good points. I've restored the previous for now. Jayjg 23:43, 19 January 2012 (UTC)


This content was twice removed, first because it was claimed not to be in the article, which was then shown to be in the article. Then removed for WP:MEDRS, WP:NOR. etc. But the statement is not original research. Please review the following:

WP:NOR " A primary source may only be used on Misplaced Pages to make straightforward, descriptive statements of facts that any educated person, with access to the source but without specialist knowledge, will be able to verify are supported by the source."

WP:MEDRS "Reliable primary sources may occasionally be used with care as an adjunct to the secondary literature, but there remains potential for misuse. For that reason, edits that rely on primary sources should only describe the conclusions of the source, and should describe these findings clearly so the edit can be checked by editors with no specialist knowledge. In particular, this description should follow closely to the interpretation of the data given by the authors or by other reliable secondary sources. Primary sources should not be cited in support of a conclusion that is not clearly made by the authors or by reliable secondary sources, as defined above (see: Misplaced Pages:No original research)."

In Sorrells 2007 the author states "When compared with the most sensitive area of the circumcised penis, several locations on the uncircumcised penis, which are missing from the circumcised penis, were significantly more sensitive (Table 2)." Table 2 shows a 2:1 ratio of sensitivity. Also: "The most sensitive location on the circumcised penis is the circumcision scar on the ventral surface. Five locations on the uncircumcised penis that are routinely removed at circumcision were more sensitive than the most sensitive location on the circumcised penis." The statement added to Misplaced Pages is a clear summary of the authors conclusion and contains no original research. If someone can find a secondary source on the sensitivity of the foreskin (not glan), please add this as the dominant citation. In the female dryness summary, all the papers explicitly state an increase in female dryness as data and conclusions. These comply to the letter and spirit of the primary source guidlines.

A great deal of citations in this article are primary sources, and these are justifiably there. Lets not selectively remove content based on editor preference for pro-circ or con-circ. Lets present the available data and let people draw there own inferences. 174.28.162.94 (talk)

This is something of a moot point now that the sentence has been removed entirely. However, for future reference, please note that we may not include our own analyses of data presented in sources: if a source does not explicitly make a point, then neither should we. You may think it straightforward to compute a ratio, but actually that's questionable. For example, you took one point on the foreskin (the most sensitive) and extrapolated from it to "foreskin lost to circumcision" (by implication, the entire foreskin). Alternatives might have been to use the least sensitive point, or the mean value. As another example, it's customary to establish that there is a statistically significant difference between measurements as part of the process of comparing them; the authors asserted significance when points were compared collectively, through a mixed model, but did not comment on individual comparisons. Consequently it's not as simple as computing a ratio. Finally, an unstated assumption in your analysis is that the scores correspond linearly with sensitivity: that is, that twice the score implies half the sensitivity. I don't intend to debate these points with you; I'm just using them to illustrate the fact that what might seem to be a straightforward statement is often not the case. It's best to err on the side of caution and stick to the authors' own interpretation. Jakew (talk) 11:08, 20 January 2012 (UTC)
Its not a moot point as it is under discussion and will the wider community has a chance to comment on it, not just the 2 or 3 most vigilant members. Your example does not fall under the wiki definition of synthesis. I think you are being a bit pedantic and in general topics are expected to be summarized. The author refers to the chart to demonstrate the quantitative analysis. I could see you changing it from twice the sensitivity to the measured values. I encourage you to read the article to get a better understanding.174.28.171.127 (talk) 15:42, 20 January 2012 (UTC)

Hygienic alternatives

This article needs a discussion of modern and traditional hygienic alternatives such as medical, or in some families parental, retraction of the foreskin at an early age and certain personal hygiene practices often taught in families from cultures that do not automatically practice circumcision. -98.69.193.71 (talk) 03:56, 20 January 2012 (UTC)

Primary research

We do not use primary sources such as this for controversial content per WP:RS and WP:MEDRS

In a 2007 study, Sorrells et al., using monofilament touch-test mapping, reported the foreskin is the most sensitive part of penile anatomy, and foreskin lost to circumcision has twice the fine touch sensitivity of any remaining penile anatomy. They also found that "the glans of the circumcised penis is less sensitive to fine-touch than the glans of the uncircumcised penis." In a 2008 study, Krieger et al. found that 'compared to before they were circumcised, 64.0% of circumcised men reported their penis was "much more sensitive," and 54.5% rated their ease of reaching orgasm as "much more" at month 24'. In contrast, they also found that '6–7% reported that their penis was “somewhat less” or “much less” sensitive' and 10.2% reported that it was "somewhat less" or "much less" easy to achieve orgasm.

Thus removed.Doc James (talk · contribs · email) 05:26, 20 January 2012 (UTC)


We use primary sources on content per WP:NOR and WP:MEDRS.

WP:NOR " A primary source may only be used on Misplaced Pages to make straightforward, descriptive statements of facts that any educated person, with access to the source but without specialist knowledge, will be able to verify are supported by the source."

WP:MEDRS "Reliable primary sources may occasionally be used with care as an adjunct to the secondary literature, but there remains potential for misuse. For that reason, edits that rely on primary sources should only describe the conclusions of the source, and should describe these findings clearly so the edit can be checked by editors with no specialist knowledge. In particular, this description should follow closely to the interpretation of the data given by the authors or by other reliable secondary sources. Primary sources should not be cited in support of a conclusion that is not clearly made by the authors or by reliable secondary sources, as defined above (see: Misplaced Pages:No original research)."

The articles you removed clearly state the authors finding that can be reasonably checked by editors with no specialist knowledge.

1 In Sorrells 2007 the author states "When compared with the most sensitive area of the circumcised penis, several locations on the uncircumcised penis, which are missing from the circumcised penis, were significantly more sensitive (Table 2)." Table 2 shows a 2:1 ratio of sensitivity. Also: "The most sensitive location on the circumcised penis is the circumcision scar on the ventral surface. Five locations on the uncircumcised penis that are routinely removed at circumcision were more sensitive than the most sensitive location on the circumcised penis."

2 I haven't checked the second article, but it clearly states the results of the article and does not draw inference. The only reason for removable would be if you verified the data presented was incorrect.

A majority of the citations in this article rely on primary sources. It appears the most active editors allow this to slide for pro-circ material, but jump all over it for con-circ material. We should present both sets of data as there is no clear consensus in the global medical community about the dominant view. I've found there is general consensus in Europe against circumcision, neutral or cultural choice circumcision views in the US, and pro-circ view in Africa due to the HIV epidemic. 174.28.162.94 (talk)

I have never added a primary source to this article and secondary sources need to be used regardless of the content. If we where to bring this article to either GA or FA review articles would be needed. The key bit is "may occasionally be used with care" They are used more than just occasionally here. Doc James (talk · contribs · email) 06:29, 20 January 2012 (UTC)
I find the editors of this article have no problem with pro-circ primary sources, with a few of the most active removing con-circ sources for reasons that they violate themselves in the article( e.g. "The evidence strongly suggests" removed from my post but inserted in the main article). There is a clear bias by two very active contributors in this article against present a full view of the pro's and con's of circumcision and a clear stated bias in defending the article against what one labels "activists". If a primary source is informative, reliable and meets the criteria for stating the authors intent, lets leave it in.174.28.162.94 (talk) —Preceding undated comment added 06:48, 20 January 2012 (UTC).
Consensus is to use secondary sources especially if the topic is controversial.Doc James (talk · contribs · email) 07:03, 20 January 2012 (UTC)
Consensus is to use primary sources when they are informative and reliable. You can clearly see this on this and other controversial articles. Also, its very hypocritical of you to remove the primary citation that showed a change in glan sensitivity, while leaving the primary source right above it that showed no change in glan sensitivity.174.28.162.94 (talk) 07:10, 20 January 2012 (UTC)
Thanks missed that one and removed it. That however is not consensus. Primary sources are rarely WP:DUE. Take a look at schizophrenia for a controversial topic that uses no primary sources... Doc James (talk · contribs · email) 07:18, 20 January 2012 (UTC)
Lets go ahead and actually get "consensus" before removing any more of these primary research links. Its a pain to add them back in and they are really quite informative, especially when presented in a neutral manner, in a controversial topic. This teaches the data around the controversy so people are aware of them. Also FYI the content "Reports detailing the effect of circumcision on erectile dysfunction have been mixed. Studies have shown that circumcision can result in a statistically significant increase, or decrease, in erectile dysfunction among circumcised men, while other studies have shown little to no effect." is also an aggregation of primary sources (but leave it in for now).174.28.162.94 (talk) 07:29, 20 January 2012 (UTC)
No a 20 person study is simply not notable. Feel free to get outside input on this. I agree that much of this article is poor. Adding further primary research articles however just makes it worse. Doc James (talk · contribs · email) 07:31, 20 January 2012 (UTC)

(undent) Have fixed the concern you have raised using a recently published review article that is freely available. What was there before was WP:OR. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2788411/?tool=pubmed Doc James (talk · contribs · email) 07:50, 20 January 2012 (UTC)

I appreciate your zeal, but lets not go on a mission to strip all the primary sources out of an article until we've discussed it with the other editors. I'm not sure which 20 person study you are talking about, but the aggregate content I listed cited 7 papers. Simply having an aggregate of these papers is extraordinarily useful. I publish in IEEE (aerospace and engineering), and having wiki aggregates of reliable primary sources has been immensely helpful in review a full spectrum of knowledge, and pointed me to papers I wouldn't have found otherwise. This is consistent with the goals and practices of encyclopedic knowledge and has presidence in many wikipedia articles.174.28.162.94 (talk) —Preceding undated comment added 08:04, 20 January 2012 (UTC).
The problem is combining the results of many primary sources is WP:SYNTH and WP:OR. Writing here is a little different than writing in academia. I do not think anyone here would deny that replacing content support by primary research with that supported by review articles is an improvement. If we are to get this article to FA that is what we must do.Doc James (talk · contribs · email) 09:22, 20 January 2012 (UTC)
I'm not seeing this synthesis or original research. If articles state that "X" is true, and others say "not X" is true, you are allowed to state, that some articles indicate X, other articles indicate not X. There is no synthesis, only aggregation. In order to have synthesis you must draw a conclusion from the aggregation as stated:
" If one reliable source says A, and another reliable source says B, do not join A and B together to imply a conclusion C that is not mentioned by either of the sources."
Drawing a conclusion not consistent with the articles is synthesis. — Preceding unsigned comment added by 174.28.162.94 (talk) 10:53, 20 January 2012 (UTC)
I'd say it's borderline synthesis, possibly okay in some situations, but only with great care to adhere to other policies. But the main issue here is not synthesis but, rather, the fact that primary sources are being relied upon rather than a secondary source. We tend to be more tolerant of primary sources in the sub-articles, simply because there's more space, but in this main article we should primarily rely on secondary sources. Jakew (talk) 12:38, 20 January 2012 (UTC)

In an article like this, where there is so much on-wiki and off-wiki activism against the procudure, it is particularly important that we hew closely to WP:MEDRS, WP:NOR and WP:PRIMARY. That means using only reliable, secondary sources, and only review articles for any medical content or conclusions. Jayjg 17:25, 20 January 2012 (UTC)

I agree we should adhere to WP:MEDRS, WP:NOR and WP:PRIMARY. All of these allow for primary sources when presenting the conclusion as the author and using these secondary to the primary source. WP:MEDRS states that such sources should be included but not over emphasized. WP:DUE states that minority views should be acknowledged. Furthermore, some of the revisions, such as the several describing impact on circumcision on female sexuality are not controversial. These complement the secondary sources.
I have found no evidence in WP:MEDRS, WP:NOR and WP:PRIMARY that a "controversial" topic should limit peer reviewed primary sources where they add useful content to the article. I have found evidence in WP:NOR,WP:MEDRS and WP:DUE that such content should be included. I suggest you should re-evaluate your personal policies about primary sources in an article with some controversial content because they are not consistent with Misplaced Pages policy. Reaching consensus as a minority group does not override the general wiki
Also, I've consulted a mediator and primary source aggregation is not considered original research. In fact, if they are a significant view point, an article needs to mention them. I suggest you refer to WP:SYNTHNOT when determining what is and what isn't synthesis by wiki consensus standards. (e.g. "SYNTH is when two or more reliably-sourced statements are combined to produce a new thesis that isn't verifiable from the sources. If you're just explaining the same material in a different way, there's no new thesis." and "coming up with summary statements for difficult, involved problems" has been described as "the essence of the NPOV process".").
I'd like to hear from other people who have not yet had a chance to voice there opinion before restoring the content. The views of jayjg, jakew and Jmh649, the most active members in the past few days appear to have been stated. Gsonnenf (talk) 19:21, 20 January 2012 (UTC)
Actually, you have not "consulted a mediator", and no-one has concluded that "primary source aggregation is not considered original research". Moreover, WP:PRIMARY and WP:MEDRS are quite clear that primary sources (and primary studies) should generally be avoided for exactly this reason - that editors insist that one specific study is very "significant", and therefore must be included, regardless of whether or not the secondary literature agrees. Please re-read WP:PRIMARY and WP:MEDRS. In addition, you should be extremely hesitant about even suggesting "restoring the content" without consensus to do so. And finally, regarding who should comment here, it is axiomatic that more experienced editors will have more familiarity with the policies and their meaning. Jayjg 19:29, 20 January 2012 (UTC)
I would expect better from you than to make up claims about what I have done. I asked a question and a mediator answer it. Both he and I concluded "primary source aggregation is not considered original research" demonstrating that your vigorous assertions are nonsensical. WP:SYNTH demonstrates its not original research.
I feel several of you have taken a view that this article is yours and that your opinions should be weighted higher than any 'outsider'. I also feel that those wanting to become involved, who do not share your POV, are driven away by edit wars, and adamant assertions of consensus and wiki lawyering that are dubious at best. I do most of my edits anonymously and have never experienced such a reprisal or such a bizarre interpretation of WP:NOR WP:MEDRS. I believe this article and its editors should go to formal mediation. Hopefully the editors who have been driven off by the hostile environment will give the article a second chance. Gsonnenf (talk) 20:56, 20 January 2012 (UTC)
I do not see why some have problems with review articles? There are lots of reviews on this topic. Pubmed will limit you search to reviews by a simple click of a button. They are much preferred by the editing community...Doc James (talk · contribs · email) 21:34, 20 January 2012 (UTC)
Gsonnenf, the question you asked was a contextless and inaccurate one, and the person who responded (who is not a moderator, by the way), gave his own personal opinion regarding that vague question. WP:MEDRS and WP:PRIMARY are quite clear: Misplaced Pages articles should be based on reliable, published secondary sources and, to a lesser extent, on tertiary sources. Rather than trying to justify using poor sources, instead find good sources. Regarding the rest, comment on content, not on the contributor. Jayjg 21:44, 20 January 2012 (UTC)
The question was not inaccurate, it was addressing the issue of aggregation being original research which was debated. WP:MEDRS gives clear guidelines for including primary sources which I already discussed. It feels like WP:TAGTEAM and WP:OWNER are going on in this article and talk page. I am asking other editors for their opinions, as we have already stated ours several times.
Now to clarify my position, There are several studies that have not yet been mentioned in a review because 1. they are new and 2. Most recent review articles focus on HIV and not primarily on sexual effects. The 2007 Sorrells study is important because it features a method that measures sensitivity of the lost foreskin. Prior studies only studied glan sensitivity. The O'hara and 3 other studies conclude that circumcision causes a reduction in lubrication during intercourse. These two work in adjunct to several secondary sources and provider the reader with important information and justification. These articles are not controversial and including them as "studies" is certainly not original research and is appropriate under all the above mentioned WP guidelines.Gsonnenf (talk) 00:11, 21 January 2012 (UTC)
Your first paragraph included negative statements about editors, not article content, so I didn't read further. Per policy, comment on content, not on the contributor, especially if you want your comments to be read. Jayjg 02:19, 22 January 2012 (UTC)
Oh, and now that the board in question has the full context of the issue, this is what the "moderators" are saying:

This is illegitimate SYNTHESIS, and a MEDRS violation. Fifelfoo (talk) 02:09, 21 January 2012 (UTC)

IMO, primary sources should only be used rarely and with great care. The best use for them is to provide an illustration to something already covered in a secondary source. The idea that it's OK to use them if a secondary source can't be found is all wrong. One big problem with using primary sources is that they often require interpretation, which we're forbidden from doing, and that it can be hard to judge all of the externalities, such as their reliability and relevance. On a well-developed topic like circumcision there's very little reason to use them.   Will Beback  talk  02:26, 21 January 2012 (UTC)

It is synthesis. TFD (talk) 07:12, 21 January 2012 (UTC)

It is what SYNTHESIS is, it is precisely what synthesis is. MEDRS explicitly states that data should not come from primary medical sources, but from field reviews. Wikipedians cannot aggregate cases, case studies, or primary points of research in relation to medical research. Fifelfoo (talk) 02:52, 21 January 2012 (UTC)

Moreover, they are sticking to their views, despite your hectoring them on the board and on their talk pages. Funny what an accurate description of an issue and a little context can do. Jayjg 17:38, 22 January 2012 (UTC)

Circumcision and Masturbation?

Now, what in the world does circumcision have to do with masturbation? Maybe this rationale was thrown in to further justify this ancient, essentially hygenic, practice amongst those inclined to prudery, but surely it has no connection with that; if its intent was to abate that practice, then surely the profligate state of modern American and European males demonstrates that it has been an abysmal failure. — Preceding unsigned comment added by 173.29.79.236 (talk) 05:38, 20 January 2012 (UTC)

Primary sources

Per WP:MEDRS and WP:RS primary sources should typically not be used especially when good secondary sources are available. Thus removed some primary sources.Doc James (talk · contribs · email) 05:54, 20 January 2012 (UTC)

When did Steven Svoboda and Robert Van Howe become a medical association?

Tftobin (talk · contribs) added a paper by Svoboda and Van Howe (ref 207) to the "Australasia" subsection of the "Positions of medical associations" section. I'm somewhat perplexed by this, partly because Svoboda and Van Howe are both American, and partly because I had no idea that they had become a medical association... Jakew (talk) 09:59, 20 January 2012 (UTC)

Agree that it should be moved to another part of the article.Doc James (talk · contribs · email) 10:02, 20 January 2012 (UTC)
I've removed it, but I'm not opposed to adding it as a citation to the "Some have challenged the validity of the African randomized controlled trials, prompting a number of researchers to question the effectiveness of circumcision as an HIV prevention strategy" sentence. Jakew (talk) 15:59, 20 January 2012 (UTC)

STI section

I think many of the recent edits to this section are a great improvement. However, I think that this sentence poorly represents the literature:

I preferred this sentence, which was until recently in the lead:

Any objections to changing it? Jakew (talk) 10:12, 20 January 2012 (UTC)

No change away.Doc James (talk · contribs · email) 10:16, 20 January 2012 (UTC)

Tftobin (talk · contribs) has added some dubious material to this section. The first problem is that "increasingly being called into question" appears to be original research (the cited sources give no indication that there is a trend over time), and is obviously non-neutral. The second is that it gives undue weight to fringe views, as discussed previously. The third is that the first source is a news article, not a review. The fourth is that "Another study has shown an increase of HIV infection among circumcised men in Malawi" is a reference to a primary study. The fifth is that the cited source for this isn't even a peer-reviewed study, but, rather a news article about it (hence unsuitable for use as a source).

To rectify these problems, I intend to remove this material and, instead, add the Svoboda and Van Howe citation to the "Some have challenged the validity of the African randomized controlled trials, prompting a number of researchers to question the effectiveness of circumcision as an HIV prevention strategy" sentence. Jakew (talk) 13:23, 20 January 2012 (UTC)

We must stick with review articles thus removed.Doc James (talk · contribs · email) 14:42, 20 January 2012 (UTC)

Addition to sexual effects section

I'd question the reliability of the addition of George Hill's "The case against circumcision". This:

  • Is published in an obscure journal that is not indexed by PubMed.
  • Is labelled by the journal as a "debate article", not a review.

I'm not sure that this piece is sufficiently reliable for use as a source here. Jakew (talk) 10:17, 20 January 2012 (UTC)

Agree have not been able to find it on pubmed and thus unable to verify that it is a review.Doc James (talk · contribs · email) 14:43, 20 January 2012 (UTC)
Okay, removed. I'm uncomfortable about the reliability of this source. It also seems doubtful that a polemic article intentionally making a case against something (as the title indicates) would be likely to make a dispassionate, evidence-based review of the evidence. Jakew (talk) 16:04, 20 January 2012 (UTC)

Controversy

The controversy around this procedure is notable and deserves a section. As controversies deal more with social and culture issues they do not need to be referenced exclusively to reviews and articles such as this would be useful.Doc James (talk · contribs · email) 14:51, 20 January 2012 (UTC)

There is a lengthy "Ethical, psychological, and legal considerations" section that is essentially the "Controversy" section. Jayjg 17:28, 20 January 2012 (UTC)
I agree with Doc but have had a difficult time implementing it. It took me many months just to get the fact that there is controversy surrounding circumcision in the article because some editors wish to brush it under the rug and deny its existence. Garycompugeek (talk) 17:43, 20 January 2012 (UTC)
I will try here is a bit... Doc James (talk · contribs · email) 17:57, 20 January 2012 (UTC)
That's fine, but keep in mind the article already has (and has had for years) an almost 1,000 word "Controversies" section already, titled (more informatively) "Ethical, psychological, and legal considerations". "Controversies" is rather generic and uninformative, and those kinds of sections tend to gather a grab-bag of random material. Jayjg 18:29, 20 January 2012 (UTC)

Other conditions that have a well known controversy movement include obesity Obesity#Size_acceptance and ADHD ADHD#Controversies. We do have a review article that describes circumcision as the most controversial surgery of all times.Alanis, MC (2004 May). "Neonatal circumcision: a review of the world's oldest and most controversial operation". Obstetrical & gynecological survey. 59 (5): 379–95. PMID 15097799. {{cite journal}}: Check date values in: |date= (help); Unknown parameter |coauthors= ignored (|author= suggested) (help) Doc James (talk · contribs · email) 18:40, 20 January 2012 (UTC)

I have added a line of text... Doc James (talk · contribs · email) 19:14, 20 January 2012 (UTC)

Outside canvassing again

Apparently the usual off-wiki anti-circumcision canvassing has been going on, this time at Reddit. That's why we've seen a sudden influx of new or rarely used anti-circumcision accounts/IPs (in addition to the almost-boring-in-their-predictability socks, like User:Wimp O'pede). We should expect the typical outcomes of this (lots of policy-violating content changes and edit-warring), as we've already been seeing. Jayjg 20:14, 20 January 2012 (UTC)

Jayjg your attitude is extremely bad and the opposite of assume good faith. This does not give you free license to chase everyone off who feels this page is not neutral. There are always going to be people against circumcision but that doesn't make them activist just as it doesn't make you an activist for pro-circumcision. Labeling others points of view in a derogatory manner or tone simply adds fuel to the fire in this already hot inferno. We do have an RFC going on so newcomers appearing on the page should be expected. Garycompugeek (talk) 20:50, 20 January 2012 (UTC)
Actually, Gary, RFC participation depends on an editor browsing through RFC pages and (essentially) finding something interesting. Consequently, RFC participants tend to be fairly active Wikipedians. Jakew (talk) 20:54, 20 January 2012 (UTC)
Also, WP:AGF is not a suicide pact, as has been stated on Misplaced Pages many times. Gary, the Reddit call to arms was in its "intactivists" section - note the word activist embedded in that term. So yes, they're activists. Every time some off-wiki campaign draws new editors or sockpuppets here for anti-circumcision activism, and someone calls attention to it, you pop up insisting that we "assume good faith" about them, and criticizing the whistleblower. We're not idiots, though; please don't act as if we were. Rather than insisting that we assume good faith about obvious socks and activists drawn here from off-wikipedia, perhaps you should think of ways of dealing with the problem. Jayjg 21:37, 20 January 2012 (UTC)

Thanks to you guys, the article doesn't even mention how the AAP Circumcision Policy Statement includes "amputation of the foreskin" as part of the definition of circumcision. In fact, the integral and defining term "amputation" does not appear anywhere in the article.

The elements that are common to the use of each of these devices to accomplish circumcision include the following: estimation of the amount of external skin to be removed; dilation of the preputial orifice so that the glans can be visualized to ensure that the glans itself is normal; bluntly freeing the inner preputial epithelium from the epithelium of the glans; placing the device (at times a dorsal slit is necessary to do so); leaving the device in situ long enough to produce hemostasis; and amputation of the foreskin.

Since you, Jayjg and Jake Waskett, are largely in control of this article, it's you being pro-circumcision rather than other people being anti-circumcision. You are so pro-circumcision that you refuse to let the article discuss it in accurate and neutral terms as defined by the AAP. So to leave a pre-emptive warning, poisoning the well against newbies is just despicable in terms of proper editorial procedure. --78.35.239.207 (talk) 22:55, 20 January 2012 (UTC)

I agree with the above comment. Gsonnenf (talk) 00:18, 21 January 2012 (UTC)

Per WP:MEAT: "Do not recruit your friends, family members, or communities of people who agree with you for the purpose of coming to Misplaced Pages and supporting your side of a debate." Note that it doesn't say, "unless you feel that existing editors are really biased". Perceived bias on the part of other editors is completely irrelevant, and is no excuse whatsoever. Jakew (talk) 11:05, 21 January 2012 (UTC)
Hmm, in the past couple of days 5 different IPs from three different continents have shown up to revert and edit-war anti-circumcision material into this article, and insult editors on the Talk: page. Must be an entirely random coincidence. Jayjg 02:17, 22 January 2012 (UTC)

I've done a bit research concerning the people editing this article. The only one who's actually been found guilt of WP:MEAT is jayjg. http://lists.wikimedia.org/pipermail/wikien-l/2007-December/087744.html . I am rather appalled by this his hypocrisy. Also I find your statement saying these new people are "border line socks" an attack on the new users such as me. This is rather hypocritical, as you are the first to cry foul when someone criticizes you.Gsonnenf (talk) 17:01, 22 January 2012 (UTC)

So basically you've found an email from five years ago and about a completely different article. Does it have any relevance whatsoever to this article, or is it merely a vague attempt at deflection? Jakew (talk) 17:24, 22 January 2012 (UTC)
It appears to be more a "blatant" attempt at deflection than a "vague" one. Jayjg 17:29, 22 January 2012 (UTC)
I did see about it on Redit. Noobs not welcome? Robert B19 (talk) 17:45, 22 January 2012 (UTC)
Thanks for being honest, it's a welcome change. As noted above, WP:MEAT states the following: "Do not recruit your friends, family members, or communities of people who agree with you for the purpose of coming to Misplaced Pages and supporting your side of a debate." Jayjg 17:49, 22 January 2012 (UTC)

Can Someone Please explain to me?

Why is it that the UN and feminists use the term, circumcision for males and "genital mutilation" for females? Like this is any different? — Preceding unsigned comment added by Trumpy (talkcontribs) 13:02, 21 January 2012 (UTC)

  1. Krieger, JN (2011 May 18). "Male circumcision and HIV infection risk". World journal of urology. doi:10.1007/s00345-011-0696-x. PMID 21590467. {{cite journal}}: Check date values in: |date= (help)
  2. Tobian, A. A. R.; Gray, R. H. (2011). "The Medical Benefits of Male Circumcision" (PDF). JAMA: the Journal of the American Medical Association. 306 (13): 1479–80. doi:10.1001/jama.2011.1431. PMID 21972310. {{cite journal}}: Unknown parameter |month= ignored (help)
  3. ^ Cite error: The named reference Cochrane2009 was invoked but never defined (see the help page).
  4. Uthman, OA (2010 Mar 10). Van Baal, Pieter H. M. (ed.). "Economic Evaluations of Adult Male Circumcision for Prevention of Heterosexual Acquisition of HIV in Men in Sub-Saharan Africa: A Systematic Review". PloS one. 5 (3): e9628. doi:10.1371/journal.pone.0009628. PMC 2835757. PMID 20224784. {{cite journal}}: Check date values in: |date= (help); Unknown parameter |coauthors= ignored (|author= suggested) (help)CS1 maint: unflagged free DOI (link)
  5. Uthman, OA (2010 Mar 10). Van Baal, Pieter H. M. (ed.). "Economic Evaluations of Adult Male Circumcision for Prevention of Heterosexual Acquisition of HIV in Men in Sub-Saharan Africa: A Systematic Review". PloS one. 5 (3): e9628. doi:10.1371/journal.pone.0009628. PMC 2835757. PMID 20224784. {{cite journal}}: Check date values in: |date= (help); Unknown parameter |coauthors= ignored (|author= suggested) (help)CS1 maint: unflagged free DOI (link)
  6. Sorrells, M.L. (2007). "Fine-touch pressure thresholds in the adult penis". BJU International. 99 (4): 864–869. doi:10.1111/j.1464-410X.2006.06685.x. PMID 17378847. {{cite journal}}: Unknown parameter |coauthors= ignored (|author= suggested) (help); Unknown parameter |month= ignored (help)
  7. Krieger, JN (2008). "Adult Male Circumcision: Effects on Sexual Function and Sexual Satisfaction in Kisumu, Kenya". The Journal of Sexual Medicine. 5 (11): 2610–22. doi:10.1111/j.1743-6109.2008.00979.x. PMC 3042320. PMID 18761593. {{cite journal}}: Cite has empty unknown parameters: |laydate=, |laysummary=, and |laysource= (help); Unknown parameter |coauthors= ignored (|author= suggested) (help); Unknown parameter |month= ignored (help)
  8. Larke, N (2010 May 27 –Jun 9). "Male circumcision, HIV and sexually transmitted infections: a review". British journal of nursing (Mark Allen Publishing). 19 (10): 629–34. PMID 20622758. {{cite journal}}: Check date values in: |date= (help)
  9. Eaton, L (2009 Nov). "Behavioral aspects of male circumcision for the prevention of HIV infection". Current HIV/AIDS reports. 6 (4): 187–93. doi:10.1007/s11904-009-0025-9. PMID 19849961. {{cite journal}}: Check date values in: |date= (help); Unknown parameter |coauthors= ignored (|author= suggested) (help)
  10. Kim, HH (2010 Nov). "Male circumcision: Africa and beyond?". Current opinion in urology. 20 (6): 515–9. doi:10.1097/MOU.0b013e32833f1b21. PMID 20844437. {{cite journal}}: Check date values in: |date= (help); Unknown parameter |coauthors= ignored (|author= suggested) (help)
  11. Templeton, DJ (2010 Feb). "Male circumcision to reduce the risk of HIV and sexually transmitted infections among men who have sex with men". Current opinion in infectious diseases. 23 (1): 45–52. doi:10.1097/QCO.0b013e328334e54d. PMID 19935420. {{cite journal}}: Check date values in: |date= (help); Unknown parameter |coauthors= ignored (|author= suggested) (help)
  12. Larke, N (2010 May 27 – Jun 9). "Male circumcision, HIV and sexually transmitted infections: a review". British journal of nursing (Mark Allen Publishing). 19 (10): 629–34. PMID 20622758. {{cite journal}}: Check date values in: |date= (help)
  13. Eaton, L (2009 Nov). "Behavioral aspects of male circumcision for the prevention of HIV infection". Current HIV/AIDS reports. 6 (4): 187–93. doi:10.1007/s11904-009-0025-9. PMID 19849961. {{cite journal}}: Check date values in: |date= (help); Unknown parameter |coauthors= ignored (|author= suggested) (help)
  14. Kim, HH (2010 Nov). "Male circumcision: Africa and beyond?". Current opinion in urology. 20 (6): 515–9. doi:10.1097/MOU.0b013e32833f1b21. PMID 20844437. {{cite journal}}: Check date values in: |date= (help); Unknown parameter |coauthors= ignored (|author= suggested) (help)
  15. Templeton, DJ (2010 Feb). "Male circumcision to reduce the risk of HIV and sexually transmitted infections among men who have sex with men". Current opinion in infectious diseases. 23 (1): 45–52. doi:10.1097/QCO.0b013e328334e54d. PMID 19935420. {{cite journal}}: Check date values in: |date= (help); Unknown parameter |coauthors= ignored (|author= suggested) (help)
  16. Wiysonge, CS.; Kongnyuy, EJ.; Shey, M.; Muula, AS.; Navti, OB.; Akl, EA.; Lo, YR. (2011). "Male circumcision for prevention of homosexual acquisition of HIV in men". Cochrane Database Syst Rev (6): CD007496. doi:10.1002/14651858.CD007496.pub2. PMID 21678366. {{cite journal}}: Cite has empty unknown parameter: |month= (help)
Categories: