Clinical Psychology

IF SCREENING QUESTION #7 ANSWERED “NO,”

SKIP TO *OBSESSIVE COMPULSIVE DISORDER*.

IF QUESTION #7

ANSWERED “YES”: You’ve

said that there are other

things that you’ve been

especially afraid of, like flying,

seeing blood, getting a shot,

heights, closed places, or

certain kinds of animals or

insects...

IF SCREENER NOT USED:

Are there any other things

that you have been especially

afraid of, like flying, seeing

blood, getting a shot, heights,

closed places, or certain kinds

of animals of insects?

GO TO

*OBSES-

SIVE

COMPUL-

SIVE

DIS-

ORDER*

? 1 2 3 F67

IF NO: GO TO

*OBSESSIVE COM-

PULSIVE DISORDER*

SCREEN Q #7

B. Exposure to the phobic

stimulus almost invariably provokes

an immediate anxiety response,

which may take the form of a situ-

ationally bound or situationally

predisposed panic attack. Note: in

children, the anxiety may be

expressed by crying, tantrums,

freezing, or clinging.

C. The person recognizes that the

fear is excessive or unreasonable.

Note: in children, this feature may

be absent.

GO TO

*OBSES-

SIVE

COMPUL-

SIVE

DIS-

ORDER*

? 1 2 3 F68

GO TO

*OBSES-

SIVE

COMPUL-

SIVE

DIS-

ORDER*

? 1 2 3 F69

Tell me about that.

What were you afraid would

happen when (CONFRONTED

WITH PHOBIC STIMULUS)?

Did you always feel frightened

when you (CONFRONTED

PHOBIC STIMULUS)?

Did you think that you were more

afraid of (PHOBIC STIMULUS)

than you should have been (or

than made sense)?

*SPECIFIC PHOBIA* SPECIFIC PHOBIA CRITERIA

YES NO

A. Marked and persistent fear

that is excessive or unreasonable,

cued by the presence or anticipa-

tion of a specific object or situation

(e.g., flying, heights, animals, re-

ceiving an injection, seeing blood).

? = inadequate information 1 = absent or false 2 = subthreshold 3 = threshold or true

F I G U R E 6-1 Specific Phobia section of the Structured Clinical Interview for Axis I SDM-IV Disorders (SCID-I).

SOURCE:FromStructured Interview for Axis I DSM-IV Disorders by M. B. First, R. L. Spitzer, M. Gibson, and J. B. W. Williams, p. F16–F19. Copyright © 1996
Biometrics Research. Reprinted by permission.

THE ASSESSMENT INTERVIEW 181