Talk:Q170082
Autodescription — psychosis (Q170082)
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Split into psychotic disorder[edit]
Currently, the ontology is inconsistent; psychosis is:
- 1) symptom involving hallucinations and delusions, caused by any of various mental conditions and disorders
- 2) any of various disorders
The item 1) matches the English Wikipedia, which traces to https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4455840/, which says: "Psychosis is a common and functionally disruptive symptom of many psychiatric, neurodevelopmental, neurologic, and medical conditions and an important target of evaluation and treatment in neurologic and psychiatric practice." It seems therefore preferable to keep the entity at "symptom", and create a "disorder" as a separate entity, rather than the other way around. The purpose is that the proper ontologization creates minimum disruption. --Dan Polansky (talk) 17:52, 3 January 2023 (UTC)
Other support for the conceptual distinction introduced by me into Wikidata and available in external sources:
- "Psychosis is defined by core clinical features, such as hallucinations, delusions and thought disorder and accompanied by a lack of insight, communication disorders, and reduced social functioning.1 Psychosis is experienced across a broad spectrum of diagnoses, such as schizophrenia, schizo-affective disorder, and bipolar disorder.", https://academic.oup.com/schizbullopen/article/4/1/sgad002/7008614
For reference, here the newly created entity:
- Q115991831, "Psychotic disorder", alternative name confusingly also "psychosis"
--Dan Polansky (talk) 11:06, 9 October 2023 (UTC)
Reassignment of authorities[edit]
As a result of splitting off "psychotic disorder", psychotic disorder (Q115991831), authorities had to be reassigned. As a simple criterion, once e.g. schizophrenia and bipolar disorder were seen as "narrower terms" by the authorities, the concept in question was taken to be "psychotic disorder" rather than "psychosis (symptom)", and the authority was reassigned. Unfortunately, most authority thesauri (IR) do not contain a definition, which then cannot be used for disambiguation, so narrower terms need to be used instead. --Dan Polansky (talk) 18:10, 6 January 2023 (UTC)