Clinical Psychology

evaluate the same patient will arrive at the same diag-
nostic formulation (high interrater reliability).
Several structured diagnostic interviews are
available to clinical psychologists to help evaluate

both adults and youth. Figure 6-1 presents a por-

tion of the Structured Clinical Interview for Axis I

DSM-IVDisorders (First, Spitzer, Gibbon, & Wil-

liams, 1995), known as the SCID-I. This section of

SPECIFIC PHOBIA CRITERIA

A, B, C, D, E, F, AND G

ARE CODED “3”

INDICATE TYPE:

(Check all that apply)

Animal Type (includes insects)

Natural Environment Type (includes storms,

heights, water)

Blood/Injection/Injury Type (includes

seeing blood or injury or receiving an

injection or other invasive procedure)

Situational Type (includes public trans-

portation, tunnels, bridges, elevators,

flying, driving, or enclosed places)

Other Type (for example, fear of situations

that might lead to choking, vomiting, or

contracting an illness)

Specify:

? 1 2 3 F74

F75

F76

F77

F78

F79

? 1 2 3 F80

GO TO

*OBSESSIVE

COMPULSIVE

DISORDERS

SPE-

CIFIC

PHO-

BIA

SPECIFIC PHOBIA CHRONOLOGY

IF UNCLEAR: During the past
month have you been bothered by
(SPECIFIC PHOBIA)?

Has met criteria for Specific

Phobia during past month

INDICATE CURRENT SEVERITY:

1 – Mild: Few, if any, symptoms in excess of those required to make the diagnosis

are present, and symptoms result in no more than minor impairments in social

or occupational functioning.

2 – Moderate: Symptoms or functional impairment between “mild” and “severe”

are present.

3 – Severe: Many symptoms in excess of those required to make the diagnosis or

several symptoms that are particularly severe are present, or the symptoms re-

sult in marked impairment in social or occupational functioning.

CONTINUE WITH *AGE AT ONSET*, BELOW.

F81

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

F I G U R E 6-1 (Continued)

THE ASSESSMENT INTERVIEW 183