{ "model": { "rank": 10694, "code": "thing-q1137463", "model_id": "vr.tr.sexual-dysfunction", "name": "sexual dysfunction", "purpose": "Let an agent explain sexual dysfunction in neutral clinical terms, relay classification, causes and treatment principles from clinical sources, distinguish it from variation in sexual interest that causes no distress, and route personal concerns to clinicians and qualified therapists.", "family": "Thing Registry", "category": "Cross-cutting context", "status": "research-draft", "kind": "thing", "plane": "XCT", "domain": "XCT.STA", "industry": "", "version": "", "url": "/models/thing/q1137463/", "tier": 2, "score": 44, "payload": { "layer": "wikidata", "aliases": [ "Nonorganic dyspareunia", "dysorgasmia", "Post-SSRI sexual dysfunction", "orgasmic dysfunction", "male sexual dysfunction", "female sexual dysfunction", "post-SSRI sexual dysfunction", "sexual arousal dysfunction", "persistent genital arousal disorder", "Sexuality after spinal cord injury", "sexual arousal disorder", "hypoactive sexual desire disorder", "anaphrodisia", "Death-grip syndrome", "Hyperorgasmia", "physiological sexual dysfunction", "clitorism", "aphrodisia", "sexual aversion", "sexual anorexia" ], "aliasCount": 20, "merged": 20, "knownIn": 44, "facets": null, "markers": [], "lexicalClass": "", "senseRank": null, "alsoRegisteredAs": null, "source": { "dataset": "wikidata", "item": "Q1137463", "url": "https://www.wikidata.org/wiki/Q1137463", "license": "CC0 1.0" } }, "research": { "vercy": "1.0-draft", "publication": { "status": "research-draft", "adjudicationStatus": "unreviewed", "publishableCanonical": false, "generatedAt": "2026-09-12T22:30:46Z", "providers": [ "Claude" ], "breadth": "written by Claude from model knowledge without web access - no source was read, every claim is a lead to verify", "pass": 2, "wave": 3, "engine": "claude" }, "metaModel": { "id": "THING-Q1137463", "registryId": "vr.tr.sexual-dysfunction", "name": "sexual dysfunction", "version": "0.2.0-wave.3", "entryKind": "thing", "family": "Thing Registry", "domain": [ "XCT.STA" ], "status": "research-draft" }, "canonicalUrl": "https://ver.cy/models/thing/q1137463/", "model": { "registry_id": "vr.tr.sexual-dysfunction", "name": "sexual dysfunction", "purpose": "Let an agent explain sexual dysfunction in neutral clinical terms, relay classification, causes and treatment principles from clinical sources, distinguish it from variation in sexual interest that causes no distress, and route personal concerns to clinicians and qualified therapists.", "definition": "Difficulty experienced during any stage of sexual activity, including desire, arousal, orgasm and pain, that causes distress to the person or their partner, arising from physical conditions, medicines including some antidepressants, psychological factors and relationship factors, often in combination; sexual dysfunctions are classified in medical manuals for men and women, are common, and are treated by medical, psychological and combined approaches.", "what_it_is_for": "Not applicable; a category of clinical condition.", "affordances": [ "explain the category and its kinds", "relay causes and treatment principles", "distinguish dysfunction from non-distressing variation", "route personal concerns to clinicians" ], "distinguishing_features": [ "Distress criterion", "Multifactorial causes", "Classified by phase", "Treatable" ], "appearance": "Not a visible object; reported difficulties in sexual response.", "visual_identification": [ "Distressing difficulty in sexual response", "Desire, arousal, orgasm and pain categories", "Variation without distress is not a dysfunction; paraphilias are a different category" ], "physical_properties": [ { "quantity": "prevalence", "typical_range": "about 30-40", "unit": "percent", "note": "reporting some difficulty, per surveys; distress lower" } ], "families_and_kinds": [ "desire and arousal disorders", "orgasmic dysfunction and dysorgasmia", "erectile dysfunction and other male sexual dysfunctions", "female sexual dysfunctions", "sexual pain disorders such as dyspareunia", "medication-induced dysfunction including post-SSRI sexual dysfunction" ], "related_models": [ { "relation": "is a kind of", "target": "psychosexual disorder", "why": "in registry terms" }, { "relation": "is classified in", "target": "ICD-11", "why": "chapter on conditions related to sexual health" }, { "relation": "is treated by", "target": "sex therapy", "why": "and medical treatment" }, { "relation": "is caused by", "target": "medication side effect", "why": "in some cases" } ], "identifiers": [ { "scheme": "ICD-11", "value_or_pattern": "HA00-HA0Z", "note": "sexual dysfunctions" }, { "scheme": "DSM-5", "value_or_pattern": "sexual dysfunctions", "note": "chapter" } ], "standards_and_regulation": [ "Clinical guidelines from urological, gynaecological and psychiatric bodies", "Medicines regulation for treatments", "Professional standards for sex therapists" ], "failure_modes_and_hazards": [ "Stigma and under-reporting", "Missed underlying disease", "Agents giving personal medical advice", "Non-clinical or judgemental presentation" ], "in_scope": [], "out_of_scope": [], "characteristics": [] }, "sources": [], "structure": { "bundles": [ { "id": "understand", "name": "Understand", "description": "What sexual dysfunction is.", "rationale": "Clinical description.", "layers": [ { "id": "definition", "name": "Definition", "description": "Definition and kinds.", "findings": [ { "id": "definition-finding", "name": "Definition", "description": "Definition.", "questions": [ { "text": "What counts as sexual dysfunction, and what kinds are classified?", "kind": "definition" }, { "text": "Is the user asking about their own situation, which needs a clinician or qualified therapist?", "kind": "boundary" } ] } ] }, { "id": "causes", "name": "Causes", "description": "Causes.", "findings": [ { "id": "causes-finding", "name": "Causes", "description": "Causes.", "questions": [ { "text": "What physical, medication, psychological and relationship factors contribute, in general terms?", "kind": "definition" }, { "text": "Which entry fits the specific condition?", "kind": "action" } ] } ] } ] }, { "id": "clinical", "name": "Clinical", "description": "Assessment and treatment.", "rationale": "Clinical.", "layers": [ { "id": "assessment", "name": "Assessment", "description": "Assessment.", "findings": [ { "id": "assessment-finding", "name": "Assessment", "description": "Assessment.", "questions": [ { "text": "How do clinicians assess sexual dysfunction, including screening for underlying disease?", "kind": "provenance" }, { "text": "Is the presentation clinical and free of personal advice?", "kind": "boundary" } ] } ] }, { "id": "treatment", "name": "Treatment", "description": "Treatment principles.", "findings": [ { "id": "treatment-finding", "name": "Treatment", "description": "Treatment.", "questions": [ { "text": "What treatment approaches do guidelines describe, in general terms?", "kind": "provenance" }, { "text": "Which references are standard?", "kind": "provenance" } ] } ] } ] }, { "id": "context", "name": "Context", "description": "Prevalence and society.", "rationale": "Sources.", "layers": [ { "id": "prevalence", "name": "Prevalence", "description": "Prevalence.", "findings": [ { "id": "prevalence-finding", "name": "Prevalence", "description": "Prevalence.", "questions": [ { "text": "How common are sexual dysfunctions, and how do surveys measure them?", "kind": "measurement" }, { "text": "Which sources are cited?", "kind": "provenance" } ] } ] }, { "id": "stigma", "name": "Stigma", "description": "Stigma and access.", "findings": [ { "id": "stigma-finding", "name": "Stigma", "description": "Stigma.", "questions": [ { "text": "What do studies say about stigma, help-seeking and access to care?", "kind": "provenance" }, { "text": "Which entry fits sexual health?", "kind": "action" } ] } ] } ] }, { "id": "study", "name": "Study", "description": "Classification and research.", "rationale": "Study.", "layers": [ { "id": "classification", "name": "Classification", "description": "Classification debates.", "findings": [ { "id": "classification-finding", "name": "Classification", "description": "Classification.", "questions": [ { "text": "How have classifications changed, and what debates exist about medicalisation, with positions attributed?", "kind": "provenance" }, { "text": "Is the presentation neutral?", "kind": "boundary" } ] } ] }, { "id": "research", "name": "Research", "description": "Research.", "findings": [ { "id": "research-finding", "name": "Research", "description": "Research.", "questions": [ { "text": "What are current research directions, including medication-induced dysfunction?", "kind": "provenance" }, { "text": "Which entry fits sexual medicine?", "kind": "action" } ] } ] } ] } ] }, "openQuestions": [ "Should each dysfunction be a separate entry?", "How should guidelines be linked?", "The registry entry has merged aliases naming specific conditions; should they be split off?" ], "statistics": { "bundles": 4, "layers": 8, "findings": 8, "questions": 16 } }, "draft": { "generator": "vr.draft.v3", "status": "draft-generated", "researched": false, "archetype": "abstract concept", "method": "Written from the archetype playbook - what this kind of thing needs beyond identity and provenance - and from the structure that recurred across 6,333 models already researched by two engines. Applied to this entry by rule. No source was read for this thing and no claim here is researched. This entry carries no facets of its own, so they were inferred from its domain - a guess about a whole domain applied to one thing.", "facetsInferred": true, "nextPass": "A researcher replaces this draft with a sourced specification. Treat every sentence below as a proposal to argue with.", "purpose": "Give an agent a durable, checkable way to recognise a sexual dysfunction, record what state it is in, and decide what may be done with it.", "whatItIs": "Let an agent explain sexual dysfunction in neutral clinical terms, relay classification, causes and treatment principles from clinical sources, distinguish it from variation in sexual interest that causes no distress, and route personal concerns to clinicians and qualified therapists.", "characteristics": { "substance": "abstract", "origin": "conceptual", "agency": "inert" }, "whatYouCanDoWithIt": [ "observed and measured" ], "distinguishingFeatures": [ "Names folded into this entry, which a task may need to split apart again: Nonorganic dyspareunia, dysorgasmia, Post-SSRI sexual dysfunction, orgasmic dysfunction, male sexual dysfunction, female sexual dysfunction, post-SSRI sexual dysfunction, sexual arousal dysfunction, persistent genital arousal disorder, Sexuality after spinal cord injury, sexual arousal disorder, hypoactive sexual desire disorder.", "20 finer distinctions are held as aliases rather than separate entries, because telling them apart needs a task that asks for it.", "Described in 44 Wikipedia languages, which is a measure of how widely the thing is known, not of how important it is." ], "openQuestionsForResearch": [ "Which of the bundles below does a real task actually need, and which are ceremony?", "What does this thing have that the facets do not capture at all?", "Which neighbouring kind is most often confused with a sexual dysfunction, and on what evidence are they told apart?" ], "whatItIsMadeOf": "an abstraction with no physical instance", "physicalCharacter": [ "Does nothing on its own; everything it does, something else did to it.", "These come from the domain this entry sits in rather than from the entry itself, so treat them as a first guess about the whole domain applied to one thing." ], "whatCanBeDoneWithIt": [ "observe it, measure it, record its state" ], "howItIsRecognised": [ "Nothing to see. What is recognised is an instance of it, and which instances count is exactly what is argued about." ], "relatedModels": [ { "relation": "covers", "note": "Finer kinds folded into this entry because telling them apart needs a task that asks for it. Each is a model waiting to be split out when one does.", "targets": [ "Nonorganic dyspareunia", "dysorgasmia", "Post-SSRI sexual dysfunction", "orgasmic dysfunction", "male sexual dysfunction", "female sexual dysfunction", "post-SSRI sexual dysfunction", "sexual arousal dysfunction", "persistent genital arousal disorder", "Sexuality after spinal cord injury", "sexual arousal disorder", "hypoactive sexual desire disorder" ] } ], "standing": "Described in 44 Wikipedia languages, which measures how widely it is written about rather than how important or how common it is. 20 finer distinctions are held inside this entry as names rather than as separate models.", "structure": { "bundles": [ { "id": "identity-and-classification", "name": "Identity, naming and classification", "description": "How an agent tells one sexual dysfunction from another, and a sexual dysfunction from things that resemble it.", "rationale": "Recognition comes before every other claim. Without stable identity nothing else in the model can be trusted to be about the same thing twice.", "layers": [ { "id": "naming-and-identifiers", "name": "Names and identifiers", "description": "The names this thing goes by and the identifiers that survive translation and time.", "findings": [ { "id": "preferred-name-and-aliases", "name": "Preferred name, aliases and local names", "description": "Which name to use, which names mean the same thing, and which merely sound similar.", "questions": [ { "id": "preferred-name-and-aliases-q01", "text": "What identifies and describes the name of a sexual dysfunction, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "preferred-name-and-aliases-q02", "text": "Who or what asserted this about the name of a sexual dysfunction, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "preferred-name-and-aliases-q03", "text": "What may an agent decide or do once the name of a sexual dysfunction is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] }, { "id": "stable-identifiers", "name": "Stable identifiers and external keys", "description": "Identifiers that keep pointing at this kind of thing across systems and languages.", "questions": [ { "id": "stable-identifiers-q01", "text": "What identifies and describes an identifier for a sexual dysfunction, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "stable-identifiers-q02", "text": "Who or what asserted this about an identifier for a sexual dysfunction, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "stable-identifiers-q03", "text": "What may an agent decide or do once an identifier for a sexual dysfunction is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] }, { "id": "classification-and-granularity", "name": "Classification and granularity", "description": "Where a sexual dysfunction sits among kinds, and how finely a task needs to cut it.", "findings": [ { "id": "kind-and-parents", "name": "Kind, parents and neighbouring kinds", "description": "The classes this thing belongs to and the ones it is next to.", "questions": [ { "id": "kind-and-parents-q01", "text": "What identifies and describes the kind of a sexual dysfunction, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "kind-and-parents-q02", "text": "Who or what asserted this about the kind of a sexual dysfunction, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "kind-and-parents-q03", "text": "What may an agent decide or do once the kind of a sexual dysfunction is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] }, { "id": "distinguishing-features", "name": "Distinguishing features", "description": "What separates a sexual dysfunction from the things most often confused with it.", "questions": [ { "id": "distinguishing-features-q01", "text": "What identifies and describes what distinguishes a sexual dysfunction, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "distinguishing-features-q02", "text": "Who or what asserted this about what distinguishes a sexual dysfunction, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "distinguishing-features-q03", "text": "What may an agent decide or do once what distinguishes a sexual dysfunction is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] } ] }, { "id": "state-and-lifecycle", "name": "State and lifecycle", "description": "The states a sexual dysfunction passes through and the events that move it between them.", "rationale": "Most decisions about a thing depend on what state it is in now, which is a claim with a time on it, not a property.", "layers": [ { "id": "lifecycle-stages", "name": "Lifecycle stages", "description": "From coming into existence to ceasing to be one of these.", "findings": [ { "id": "stages-and-transitions", "name": "Stages and transitions", "description": "The stages worth naming and what moves a sexual dysfunction between them.", "questions": [ { "id": "stages-and-transitions-q01", "text": "What identifies and describes the lifecycle of a sexual dysfunction, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "stages-and-transitions-q02", "text": "Who or what asserted this about the lifecycle of a sexual dysfunction, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "stages-and-transitions-q03", "text": "What may an agent decide or do once the lifecycle of a sexual dysfunction is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] }, { "id": "observations-and-status", "name": "Observations and current status", "description": "What is observed about a sexual dysfunction, how often and by whom.", "findings": [ { "id": "observation-record", "name": "Observation record", "description": "How an observation of a sexual dysfunction is recorded so that it can be superseded rather than overwritten.", "questions": [ { "id": "observation-record-q01", "text": "What identifies and describes an observation of a sexual dysfunction, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "observation-record-q02", "text": "Who or what asserted this about an observation of a sexual dysfunction, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "observation-record-q03", "text": "What may an agent decide or do once an observation of a sexual dysfunction is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] } ] }, { "id": "definitions-in-contest", "name": "Definitions and who holds them", "description": "What sexual dysfunction is taken to mean, and by whom.", "rationale": "When a field disagrees about a concept, the disagreement is the content. A model that picks one definition silently destroys the information.", "layers": [ { "id": "competing-definitions", "name": "Competing definitions", "description": "The main readings and the traditions behind them.", "findings": [ { "id": "definition-map", "name": "Definitions and their holders", "description": "Each definition with the school or body that holds it.", "questions": [ { "id": "definition-map-q01", "text": "Which definitions of sexual dysfunction are in use, and which tradition or body holds each?", "kind": "definition" }, { "id": "definition-map-q02", "text": "What turns on the difference between them in practice?", "kind": "boundary" } ] } ] }, { "id": "operationalisation", "name": "Operationalisation", "description": "How it is measured or applied when it has to be.", "findings": [ { "id": "operational-record", "name": "Measures and proxies", "description": "Instruments and indicators used to stand in for it.", "questions": [ { "id": "operational-record-q01", "text": "How is sexual dysfunction operationalised or measured in practice, and by what instrument?", "kind": "measurement" }, { "id": "operational-record-q02", "text": "What does that operationalisation leave out, and when does that matter?", "kind": "boundary" } ] } ] } ] }, { "id": "instances-and-use", "name": "Instances, use and consequence", "description": "What counts as an instance of sexual dysfunction and what follows from calling something that.", "rationale": "Applying a concept is an act with consequences, so a model must say what the label licenses and what it does not.", "layers": [ { "id": "instances", "name": "What counts as an instance", "description": "Clear cases, borderline cases and non-cases.", "findings": [ { "id": "instance-tests", "name": "Tests for an instance", "description": "What would settle whether something falls under it.", "questions": [ { "id": "instance-tests-q01", "text": "What would settle whether something is an instance of sexual dysfunction?", "kind": "boundary" }, { "id": "instance-tests-q02", "text": "Which borderline cases are argued about, and on what grounds?", "kind": "definition" } ] } ] }, { "id": "consequence", "name": "Consequence of application", "description": "Rights, duties or decisions that follow from the label.", "findings": [ { "id": "consequence-record", "name": "What the label licenses", "description": "What an agent may do once something is classified this way.", "questions": [ { "id": "consequence-record-q01", "text": "What follows practically once something is treated as sexual dysfunction?", "kind": "action" }, { "id": "consequence-record-q02", "text": "What must an agent not infer from the label alone?", "kind": "action" } ] } ] } ] }, { "id": "provenance-and-evidence", "name": "Provenance, evidence and time", "description": "Where every claim about a sexual dysfunction came from and when it held.", "rationale": "A claim without a source and a time cannot be superseded, only overwritten, and an agent that overwrites loses the ability to explain itself.", "layers": [ { "id": "source-and-authority", "name": "Source and authority", "description": "Who said it, on what evidence, and how strongly.", "findings": [ { "id": "claim-provenance", "name": "Claim provenance and confidence", "description": "The authority behind each claim about a sexual dysfunction and how confident it is.", "questions": [ { "id": "claim-provenance-q01", "text": "What identifies and describes a claim about a sexual dysfunction, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "claim-provenance-q02", "text": "Who or what asserted this about a claim about a sexual dysfunction, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "claim-provenance-q03", "text": "What may an agent decide or do once a claim about a sexual dysfunction is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] }, { "id": "time-and-versions", "name": "Time, versions and supersession", "description": "When a claim was true, when it was learnt, and what replaced it.", "findings": [ { "id": "validity-and-supersession", "name": "Validity period and supersession", "description": "How an old claim about a sexual dysfunction is retired without being erased.", "questions": [ { "id": "validity-and-supersession-q01", "text": "What identifies and describes the validity of a claim about a sexual dysfunction, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "validity-and-supersession-q02", "text": "Who or what asserted this about the validity of a claim about a sexual dysfunction, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "validity-and-supersession-q03", "text": "What may an agent decide or do once the validity of a claim about a sexual dysfunction is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] } ] } ] }, "statistics": { "bundles": 5, "layers": 10, "findings": 12, "questions": 32 } } } }