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Talk:Depersonalization-derealization disorder/GA1

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GA Review

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I'm starting to review this article. Here are a few initial points:

  • In Symptoms, the last two paragraphs ("An analogy…" and "Common words…") are unsourced and have the feel of original research. These need to be either referenced or deleted.
    • I agree. Avoiding jargon and explaining by analogy are sometimes useful, but those two paragraphs read too much like pop sci. Wikipedia usually doesn't have vignettes for symptoms of mental illnesses. I think it's okay to add some, which the last paragraph is trying to do, but the source needs to clearly mentioned. Xasodfuih (talk) 18:04, 8 January 2009 (UTC)[reply]
  • In Causes, the role of childhood trauma seems to be pushed very strongly by Simeon, but not so strongly supported by others, such as the Baker paper. Thus it is not clear that this accurately captures the thrust of the literature.
    • Well, in PMID 11431223 Simeon compared DPD diagnosed patients with a control group not diagnosed with any axis I or II disorder. This should be mentioned in the wiki article because it does matter. Her actual conclusion was "Childhood interpersonal trauma and, in particular, emotional abuse may play a role in the pathogenesis of depersonalization disorder." Wiki says "These are significant predictors of depersonalization disorder and depersonalization symptoms". But you cannot quite predict DPD from childhood emotional abuse, because something else, say PTSD or MDD, could be far more prevalent amongst those abused, except those groups were automatically excluded from this study. Whenever you see the word may in the conclusion of science paper, you should read the paper carefully! See my user page for another example... Xasodfuih (talk) 19:23, 8 January 2009 (UTC)[reply]
  • Instead of repeating the full ref for Simeon & Abugel each time a different page is cited, I suggest using "Simeon and Abugel, p XX" for all but the first.
  • In Society and Culture, it would seem reasonable to mention that the film Numb is itself about somebody with this condition. Also the first two sentences there are unsourced except by Wikilinks.
  • In Treatment, pretty much everything mentioned is at best weakly sourced. Looking around, I did find one very recent review that seems good, by Sierra, PMID 18088198. Would it be possible to make use of that? I realize that access might be difficult.
    • Alas, I don't have free access to that journal, but the abstract alone has some useful bits that the GAN nominator can use. I've added more conservative prevalence numbers to the epidemiology section. If the GAN nominator has access to a university library, he should request a copy of that article. In the US it's available only at a few libraries, but that enough for ILL to do its work. Xasodfuih (talk) 18:58, 8 January 2009 (UTC)[reply]
  • In Epidemiology, ought to mention the high incidence of co-morbidity with other psychiatric disorders, especially depression.
    • I agree, and I have the nagging feeling that Daphne Simeon's papers/books are slightly overused in this article. She's an opinion leader in this area, but researchers tend to overstate the importance/prevalence of stuff they specialize in. In particular the wiki article has few details on comorbitidy. For instance the Baker et al. paper has this in its conclusions: "Depersonalisation disorder is a recognisable clinical entity but appears to have significant comorbidity with anxiety and depression. Research into its aetiology and treatment is warranted." Xasodfuih (talk) 18:27, 8 January 2009 (UTC)[reply]
  • I think you ought to explain the term "reality testing". The Wikipedia article accessed by reality testing is not helpful, and there will be a lot of readers who won't be familiar with the term.

More to come… Looie496 (talk) 21:09, 6 January 2009 (UTC)[reply]

Here are some additional points:

  • Regarding article structure: I think diagnosis should come right after symptoms because little else besides self-reports are useful.
  • Causes and Pathophysiology sections should be merged.
  • DSM-IV-TR Criteria point 4 summary should use more clear wording than "not related"
  • Use of The Sleep of Reason Produces Monsters. How exactly is this related to DPD?

Xasodfuih (talk) 18:27, 8 January 2009 (UTC)[reply]

Another minor thing to share, the External link section has a reference, which is not really needed and also as per WP:MOS. Thank you. Bluptr (talk) 10:13, 30 January 2009 (UTC)[reply]

This page needs some images.--Doc James (talk · contribs · email) 16:36, 9 February 2009 (UTC)[reply]
This review has not been updated in quite some time. If issues have not been resolved, it should probably be failed. Gary King (talk) 01:03, 11 February 2009 (UTC)[reply]
  • Note from Casliber

There is a problem with comprehensiveness - this is not a diagnosis commonly seen or used in psychiatry in my experience, and there needs to be some discussion of it, especially questioning its validity per se. I have not looked myself, and if I have time I might try and dig some up.

Although I know the film Numb purports to show someone with this disorder, I'd really like to see a reference from an independent psychiatric author, book or journal to back this up. I had problems with the explanation of the film with this disorder. Casliber (talk · contribs) 12:58, 15 February 2009 (UTC)[reply]

I started a section on its relationship to other psychiatric disorders, although I'm not sure if this is what you had in mind. Could you give me a few pointers on the content that should be added? (For example, there is information on the similarity between DPD and temporal lobe epilepsy, which has directed some treatment research, esp Lamictal. Also, there are a couple studies that have found evidence that DPD is separate from other disorders, ex by looking at cortisol levels. Is this the kind of information that should be covered?) Thanks! Letsgoridebikes (talk) 02:29, 21 February 2009 (UTC)[reply]
This article's been on hold forever! what's the status? Wizardman 16:30, 9 March 2009 (UTC)[reply]


http://en.wikipedia.org/wiki/Depersonalization_disorder#Diagnosis

http://en.wikipedia.org/wiki/Depersonalization_disorder#Diagnosis

Herewith my suggested changes for source text quoted in this section – realizing that there is perhaps no way to make these changes, as it is a quoted text:

Tautology correction needed here:

Drop 'are as follows' because that is expressed by the full colon itself.

DSM-IV-TR criteria The diagnostic criteria defined in section 300.6 of the Diagnostic and Statistical Manual of Mental Disorders:[1]


Rewrite required here for parallel construction:

Longstanding or recurring feelings of being detached from one's mental processes or body, as if one is observing them from the outside or in a dream;

Unimpaired Reality testing;

Significant difficulties or distress at work, or social and other important areas of life functioning.


Punctuation changes [semi-colons separating items in a series] required here:

The DSM-IV-TR specifically recognizes three possible additional features of depersonalization disorder:

Derealization, experiencing the external world as strange or unreal;

Macropsia or micropsia, an alteration in the perception of object size or shape;

A sense that other people seem unfamiliar or mechanical.

To make it understandable, I unscrambled this incomprehensible source text and believe it should stand alone rather than be included in its original place:

Depersonalization is not associated with substance use or a medical illness and can occur in individuals who experience no other mental disorder.

Let's do what is possible ! Kgrad (talk) 21:32, 26 September 2010 (UTC)[reply]

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