Misplaced Pages

Revision as of 14:12, 6 August 2014

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Proposed restoration of "Post-SSRI Sexual Dysfunction" page

Hi, I am writing to ask if it would be possible to discuss the restoration of a deleted page. https://en.wikipedia.org/Post-SSRI_sexual_dysfunction

The instructions on Misplaced Pages say that I should first speak to the administrator who deleted it. I hope that I am correct in doing so.

Since the article was deleted in January 2014, the original author has come forward and addressed, in detail, the various criticisms that led to the article's deletion. It turns out that a number of statements made in the deletion discussion were incorrect. Additional peer-reviewed material has also been published.

I would be happy to provide details/links. Thanks. Hhk89 (talk) 17:50, 27 July 2014 (UTC)

The article was deleted because of a lack of WP:MEDRS-compliant sourcing. Can you provide such sources that were not already discussed in the deletion discussion?  Sandstein  19:57, 27 July 2014 (UTC)

The deletion discussion singled out a particular paper from Dr Bahrick. A number of criticisms were incorrect:

• It did not require only a single peer reviewer. The journal uses a “single blind” review policy ie. multiple reviewers know the identity of the author, but not vice versa.

• It is not the sole publication on which Dr Bahrick has served as lead author.

• Dr Bahrick is a licensed PhD Psychologist and experienced researcher, with direct access to a large number of SSRI users, and not simply a “student health centre councelor”.

• The “speculative” articles on premature ejaculation were large, placebo-controlled studies.

Aside from that, the Misplaced Pages PSSD page was full of Pubmed references from credible journals that I would have expected to be WP:MEDRS compliant, including Psychotherapy and Psychosomatics, and the Journal of Sexual Medicine.

The case reports did not come from a single academic group as stated in the deletion discussion.

A new peer-reviewed article has since been published in the Journal of Risk and Safety in Medicine. “120 cases of enduring sexual dysfunction following treatment.” http://www.ncbi.nlm.nih.gov/pubmed/24902508 — Preceding unsigned comment added by Hhk89 (talk • contribs) 16:29, 28 July 2014 (UTC)

Hm, in my view, claiming that the deletion discussion got it wrong is not helpful, because on Misplaced Pages, consensus is what matters, no matter whether it's right or wrong. The only possible argument for restoration might be the new article you cite, but I lack the medical knowledge to evaluate it. I'm asking the advice of Formerly 98, who nominated the article for deletion.  Sandstein  17:20, 28 July 2014 (UTC)

I understand that this is a very troubling issue for those involved, and it is not my intention to be insensitive. I'll mention that HhK89 has mischaracterized some of my prior statements above, but since most of these mischaracterizations are not critical to the discussion, will not address these one by one. Mainly I'll just point out that demonstrating that SSRIs are useful for the treatment of premature ejaculation is not really evidence that they cause a permanent post-treatment sexual disorder including impotence and loss of libido, so I think that particular point is irrelevant.

The article was nominated for deletion based on two issues

• Lack of MEDRS compliant sourcing: The article contained only a single nominally secondary source, and that was in a non-MEDLINE indexed journal and thus not MEDRS compliant. The author, Dr. Bahrick, is closely associated with the research group that published most of the 20 or so case reports published up to that time. So this "secondary source" did not really provide the outside validation of primary research that is at the heart of the MEDRS requirement for secondary sources.

• Undue weight. Worldwide, somewhere between 100 and 500 million people have taken SSRIs. At the time, there were 20 peer-reviewed case reports of this hypothesized syndrome in the medical literature. (Case reports are not allowed as sources by MEDRS). Thus we had a separate article on a putative side effects that is non-life threatening, of unestablished causation, and apparent extreme rarity.

David Healy has been very critical of the decision to remove this article. There used to be a lengthy article here on David's website criticizing specific wikipedia editors for their role in this decision, but the commentary seems to have been removed. Healy contacted me personally about the removal of the Post-SSRI Sexual Dysfunction Misplaced Pages article by email requesting a phone discussion, and I believe that his submission of the review article cited by Hhk89, the removal of critical comments about Misplaced Pages editors on David's website, and this request may be components of a coordinated campaign.

This being said, David did succeed in getting his review article published in a peer-reviewed, MEDLINE indexed journal. What I am unclear on is whether this review article still counts for the purposes of MEDRS as a reliable source if was written as part of a campaign in concert with the author of the removed Misplaced Pages article to get that article restored. I'll let others decide on that.

The issue of undue weight still stands in my opinion. David has collected 120 case reports of supposed drug-induced permanent sexual dysfunction (across three drug classes, not just SSRIs) and collected them into a review. These are still case reports, not results from a randomized trial, or even a cohort study. And there are only <120 of them among the several hundred million people who have taken SSRIs. Does this rise to the level of needing a separate article? EVERY drug has troubling or even fatal side effects that occur at a rate of one per every few hundred thousand patients. Shall we have articles on each of them?

The symptoms experienced by these individuals are unfortunate and sad, but very rare, not life-threatening, and of unproven causation. I have not and do not object to a brief mention of this proposed syndrome in the SSRI article, but think it undue weight to have a separate article. I'd also suggest that if David's article is used as a source, the article should mention his financial conflicts of interest, as he runs a web based "Adverse drug effect consultation service" through his website. This page contains an advertisement of Healy's availability as a paid expert witness (Item #3). Formerly 98 (talk) 15:17, 29 July 2014 (UTC)

Thanks for the input, Formerly 98. Hhk89, because this article seems to have a complicated and problematic history, I am of the view that it should only be restored after consensus to do so is obtained at WP:DRV.  Sandstein  19:47, 29 July 2014 (UTC)

OK, thanks. Hhk89 (talk) 21:20, 29 July 2014 (UTC)

RFC on purging individuals and groups: closed

A brave closure, and as per my word, I will go ahead and carry out the purge of all people and groups listed in Category:antisemitism and its subcategories in the coming days, as you've decided consensus is that such a purge is long overdue. I don't intend to violate the letter of WP:3RR, but if I am otherwise blocked you'd better have my back. -- Kendrick7 05:19, 30 July 2014 (UTC)

@Kendrick7: No, I did not say that there is consensus for any "purge". The discussion was about whether to remove instructions from the category page, not about whether to remove pages from the category, and it did not result in consensus. You should obtain explicit consensus for any potentially controversial mass edits in advance, or you risk being blocked for disruptive editing.  Sandstein  06:26, 30 July 2014 (UTC)

Um... what part of "This category... must not include articles about individuals, groups or media that are allegedly antisemitic" were you unclear about when you closed the purge debate and decided to keep that instruction? I've already purged Category:Antisemitism in Germany and Category:Antisemitism in Romania. I was the guy insisting this was a bad idea in the first place. Now I'm getting it both coming and going. I refuse to be crucified just because the administration can't make up their damn minds. Mixed messages herein abound -- Kendrick7 03:22, 31 July 2014 (UTC)

The discussion was about whether text should be removed from the category description, and it resulted in no consensus to do so. My administrator authority does not extend beyond establishing this. If you interpret the outcome of the discussion as anything else, you do so at your own risk. I or "the administration" have no power to decide anything else. I recommend that you work together with others from the discussion to set up a cross-category RfC, as many have suggested, to explore further options about what to do now.  Sandstein  06:41, 31 July 2014 (UTC)

No, you actually could have decided to enforce the clear reading of WP:BURO, that our rules should reflect actual practice, not the other way around. Your dismissal of the rule as mere "text" suggests you hardly took into consideration the matter at hand. Our existing policies should actually override mere nose counting.

Furthermore, I am hardly inclined to open up the discussion so that this cancer can spread to who knows how many more categories beginning with the phrase "anti" given the ongoing indifference of the administration towards taking our most fundamental policies into account on this topic. I will rather magnanimously carry out the order. Sadly, I haven't run into anyone else who cares so far.... -- Kendrick7 01:58, 6 August 2014 (UTC)

Am I missing something?

Hi Sandstein. I think User:Uishaki may have a point in their current unblock appeal - the timestamps show that they have not edited anything regarding the Arab-Israeli conflict since being informed of the topic ban. There was no consensus in the arbitration result to block this user, so I'm not clear on why you've done so. I'm assuming that I've missed some element of the arb case or the editing history; could you expand on your reasoning for the block, please? Yunshui _水 10:41, 31 July 2014 (UTC)

I too am interested (and concur with Yunshui's assessment of the situation). If you could ping me when responding to Yunshui, I'd be most grateful. Nick (talk) 11:25, 31 July 2014 (UTC)

@Yunshui and Nick: Thanks - the block was made in error, I misread the timestamps of the last edits and the topic ban, respectively. I have undone the block and the log entry.  Sandstein  11:28, 31 July 2014 (UTC)

Jolly decent of you. Cheers, Yunshui _水 11:44, 31 July 2014 (UTC)

Disruptive editing, ignoring RfC

Clarification Request archived

The clarification request you have filed regarding the infobox arbitration case has been archived to Wikipedia_talk:Arbitration/Requests/Case/Infoboxes#Request_for_Clarification_.28July_2014.29 as it was declined. - Penwhale | 09:01, 2 August 2014 (UTC)

Question

Sandstein, Stephan Schulz said he'd be satisfied with a statement from me saying I wouldn't do that again. I added that. My explanation of things was to show what I was thinking at the time I made the edits. It didn't seem to me a problem, especially as the complaint was coming from MastCell who bears no good will towards me. However, uninvolved admins have weighed in and I agree I should not have edited there. So please, do not block me. Thanks. SW3 5DL (talk) 14:02, 5 August 2014 (UTC)

You commented repeatedly on a thread entitled "people associated with the Tea Party movement". If you lack the judgement to recognize obvious violations of your topic ban, what meaningful assurance can you give that they won't continue to happen? MastCell  03:22, 6 August 2014 (UTC)

Deletion review for Polandball

An editor has asked for a deletion review of Polandball. Because you closed the deletion discussion for this page, speedily deleted it, or otherwise were interested in the page, you might want to participate in the deletion review. 185.49.15.25 (talk) 06:27, 6 August 2014 (UTC)

AE question.

How recent the diffs should be to be considered an evidence at WP:AE?--Shrike (talk)/WP:RX 14:09, 6 August 2014 (UTC)

It depends. Generally, to be actionable, an AE request should include at least one diff of very recent misconduct, about a week old. Older diffs can be included if necessary to show the persistence of disruptive conduct.  Sandstein  14:12, 6 August 2014 (UTC)