The rater scored this item correctly.

Rationale: Brian’s reduction in positive emotions is “pronounced.” He is still able to feel some positive emotions (e.g., love for his wife) but they all feel dampened; they are all noticeably reduced for him. He reports that the frequency of this reduction is “extreme” (80-90%). Based on this, his severity score is a “3: Severe/markedly elevated.” Brian indicated that he believes this reduction in his ability to feel positive emotions is related to the trauma; therefore, the trauma-relatedness is “definite.”