The rater scored this item incorrectly. The intensity rating should be Pronounced, and the Severity score should be: 3 Severe / markedly elevated. The trauma relatedness rating of Definite is correct.

Rationale: Brian endorsed a “pronounced” amount of detachment on this item. Although he feels disconnected from nearly everyone in his life, he does acknowledge feeling close to his wife, and feeling comfortable talking to both her and their pastor. Looking at the key, we see that “pronounced” intensity is defined as “pronounced feelings of detachment or estrangement from most people, may feel close to only one or two people.” This defines what Brian is describing perfectly. Although the frequency of detachment is again in the “extreme” range (80-90%), the intensity score brings our severity score down to “3: Severe/markedly elevated.” When the interviewer asked about trauma-relatedness, Brian stated that “…everything changed [after the shooting].” Therefore, we score the trauma-relatedness as “definite.”