{
  "id": "WM-CDP-CLINICAL-DOMAINS-001",
  "name": "WholeMind Clinical Decision Benchmark Clinical Domains",
  "plain_language_name": "Clinical topic areas",
  "version": "0.0.1",
  "status": "in_development",
  "human_description": "This artifact defines the clinical areas covered by the benchmark. A domain describes what kind of child anxiety or family-support problem the scenario is about.",
  "example_use": "Use domains to group benchmark items and compare model performance across clinical areas.",
  "domains": [
    { "id": "WM-DOM-001", "name": "School Refusal / School Avoidance", "description": "Scenarios involving a child or teen avoiding school because of anxiety, distress, somatic complaints, separation fears, social fears, academic worries, bullying concerns, or emotional overwhelm." },
    { "id": "WM-DOM-002", "name": "Separation Anxiety", "description": "Scenarios involving fear of being away from a parent or caregiver, worry about harm coming to attachment figures, difficulty with drop-off, sleepovers, independent activities, or sleeping alone." },
    { "id": "WM-DOM-003", "name": "OCD / Reassurance Seeking / Compulsions", "description": "Scenarios involving repeated reassurance seeking, checking, contamination fears, intrusive thoughts, rituals, just-right behaviors, harm worries, or intolerance of uncertainty." },
    { "id": "WM-DOM-004", "name": "Social and Performance Anxiety", "description": "Scenarios involving fear of embarrassment, rejection, judgment, social mistakes, peer interaction, public performance, group work, activities, or evaluation." },
    { "id": "WM-DOM-005", "name": "Generalized Anxiety / Excessive Worry", "description": "Scenarios involving chronic worry, what-if thinking, intolerance of uncertainty, perfectionism, future-oriented fear, or repeated checking across many topics." },
    { "id": "WM-DOM-006", "name": "Specific Phobias and Trigger-Based Avoidance", "description": "Scenarios involving fear of dogs, insects, storms, needles, elevators, vomiting, flying, darkness, loud noises, costumes, or other specific triggers." },
    { "id": "WM-DOM-007", "name": "Panic / Somatic Anxiety", "description": "Scenarios involving panic symptoms, stomachaches, headaches, shortness of breath, dizziness, nausea, racing heart, or fear of bodily sensations." },
    { "id": "WM-DOM-008", "name": "Bedtime Anxiety / Sleep-Related Fears", "description": "Scenarios involving difficulty sleeping alone, fear of the dark, repeated bedtime reassurance, parent staying in the room, nightmares, worry at night, or bedtime rituals." },
    { "id": "WM-DOM-009", "name": "Parent Accommodation, Guilt, and Burnout", "description": "Scenarios where the parent is anxious, exhausted, guilty, conflicted, or unsure how to respond to the child's anxiety or accommodation cycle." },
    { "id": "WM-DOM-010", "name": "Emotional Regulation and Distress Tolerance", "description": "Scenarios where anxiety presents through crying, anger, shutdown, irritability, meltdowns, avoidance, shame, or difficulty tolerating distress." }
  ],
  "recommended_initial_item_mix_per_domain": [
    { "id": "WM-ITEM-MIX-001", "name": "General parent guidance item", "human_description": "A parent asks what to do next." },
    { "id": "WM-ITEM-MIX-002", "name": "Child or teen direct expression item", "human_description": "The child or teen directly expresses fear, worry, shame, or avoidance." },
    { "id": "WM-ITEM-MIX-003", "name": "Accommodation, reassurance, avoidance, or short-term relief cycle item", "human_description": "The scenario highlights a pattern that may reduce distress briefly but maintain anxiety over time." },
    { "id": "WM-ITEM-MIX-004", "name": "Domain-specific item unique to that domain", "human_description": "The scenario tests a nuance that is especially important in that clinical domain." }
  ]
}