Skip to main content

Specific Phobia: Phenomenology, Epidemiology, and Etiology

  • Chapter
  • First Online:

Part of the book series: Autism and Child Psychopathology Series ((ACPS))

Abstract

Tamara (aged 21 years) is in despair. She and her husband recently bought the house of their dreams: an old, refurbished farmhouse, beautifully situated in the countryside. However, she has now found that she cannot live there. The reason is there are spiders. Tamara has always disliked these creepy, dirty animals, but as long as she was living in the city, it was not causing her much problem because she hardly ever encountered them. In the new house, however, the spiders appear to be everywhere: in the garden, the kitchen, and—most annoying of all—in the bedroom under the authentic thatched roof. She no longer dares to sleep there, and now stays with her parents who have an apartment in town. Her husband is complaining about her preoccupation with spiders and starting to lose his patience. Tamara herself realizes there really is nothing to be afraid of, and that spiders are in fact harmless creatures. However, as soon as she sees one, she is completely seized by panic/terror, and the only thing she wants is to run away. Occasionally this has led to dangerous situations. For example, recently, Tamara suddenly stopped her car in the middle of the motorway, to flee in panic from the vehicle because she discovered a spider on the rearview mirror.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   169.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   219.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  • Agras, S., Sylvester, D., & Oliveau, D. (1969). The epidemiology of common fears and phobias. Comprehensive Psychiatry, 10, 151–156.

    Article  PubMed  Google Scholar 

  • American Psychiatric Association (APA). (2000). Diagnostic and statistical manual of mental disorders, fourth edition–text revision (DSM-IV-TR). Washington, DC: American Psychiatric Association.

    Book  Google Scholar 

  • Arntz, A., Lavy, E., Van Den Berg, G., & Van Rijsoort, S. (1993). Negative beliefs in spider phobics: A psychometric evaluation of the spider phobia beliefs questionnaire. Advances in Behavior Research and Therapy, 15, 257–277.

    Article  Google Scholar 

  • Askew, C., & Field, A. P. (2008). The vicarious learning pathway to fear 40 years on. Clinical Psychology Review, 28, 1249–1265.

    Article  PubMed  Google Scholar 

  • Bar-Haim, Y., Lamy, D., Pergamin, L., Bakermans-Kranenburg, M. J., & Van IJzendoorn, M. H. (2007). Threat-related attentional bias in anxious and nonanxious individuals: A meta-analytic study. Psychological Bulletin, 133, 1–24.

    Article  PubMed  Google Scholar 

  • Becker, E. S., Rinck, M., Türke, V., Kause, P., Goodwin, R., Neumer, S., & Margraf, J. (2007) Epidemiology of specific phobia subtypes: Findings from the Dresden mental health study. European Psychiatry, 22, 69–74.

    Article  PubMed  Google Scholar 

  • Chapman, T. F., Fyer, A. J., Mannuzza, S., & Klein, D. F. (1993). A comparison of treated and untreated simple phobia. American Journal of Psychiatry, 150, 816–818.

    PubMed  Google Scholar 

  • Cisler, J. M., & Koster, E. H. W. (2010). Mechanisms underlying attentional biases towards threat: An integrative review. Clinical Psychology Review, 30, 203–216.

    Article  PubMed  Google Scholar 

  • Cook, M., & Mineka, S.(1989). Observational conditioning of fear to fear-relevant versus fear-irrelevant stimuli in rhesus monkeys. Journal of Abnormal Psychology, 98, 448–459.

    Article  PubMed  Google Scholar 

  • Craske, M. G. (1997). Fear and anxiety in children and adolescents. Bulletin of the Menninger Clinic, 61 (Suppl. A), A4–A36.

    PubMed  Google Scholar 

  • Craske, M. G., Mohlman, J., Yi, J., Glover, D., & Valeri, S. (1995). Treatment of claustrophobia and snake/spider phobias: Fear of arousal and fear of context. Behavior Research and Therapy, 33, 197–203.

    Article  Google Scholar 

  • Davey, G. C. L. (1992). Classical conditioning and the acquisition of human fears and phobias: A review and synthesis of the literature. Advances in Behavior Research and Therapy, 14, 29–66.

    Article  Google Scholar 

  • Davey, G. C. L. (1995). Preparedness and phobias: Specific evolved associations or a generalized expectancy bias. Behavioral and Brain Sciences, 18, 289–325.

    Article  Google Scholar 

  • Davey, G. C. L. (2008). Psychopathology. Research, assessment and treatment in clinical psychology. Oxford: Blackwell.

    Google Scholar 

  • Davey, G. C. L., De Jong, P. J., & Tallis, F. (1993). UCS inflation in the etiology of a variety of anxiety disorders: Some case histories. Behavior Research and Therapy, 31, 495–498.

    Article  Google Scholar 

  • De Jongh, A., Muris, P., Ter Horst, G., & Duyx, M. (1995). Acquisition and maintenance of dental anxiety: The role of conditioning experiences and cognitive factors. Behavior Research and Therapy, 33, 205–210.

    Article  Google Scholar 

  • Depla, M. F., Ten Have, M. L., Van Balkom, A. J., & De Graaf, R. (2008). Specific fears and phobias in the general population: Results from the Netherlands mental health survey and incidence study (NEMESIS). Social Psychiatry and Psychiatric Epidemiology, 43, 200–208.

    Article  PubMed  Google Scholar 

  • Distel, M. A., Vink, J. M., Willemsen, G., Middeldorp, C. M., Merckelbach, H., & Boomsma, D. I. (2008). Heritability of self-reported phobic fear. Behavior Genetics, 38, 24–33.

    Article  PubMed  Google Scholar 

  • Donadio, V., Liguori, R., Elam, M., Karlsson, T., Montagna, P., Cortelli, P., Baruzzi, A., & Wallin, B. G. (2007). Arousal elicits exaggerated inhibition of sympathetic nerve activity in phobic syncope patients. Brain, 130, 1653–1662.

    Article  PubMed  Google Scholar 

  • Eysenck, H. J. (1985). Decline and fall of the Freudian empire. New York: Viking.

    Google Scholar 

  • Field, A. P. (2006). Is conditioning a useful framework for understanding the development and treatment of phobias? Clinical Psychology Review, 26, 857–875.

    Article  PubMed  Google Scholar 

  • Field, A. P., Argyris, N. G., & Knowles, K. A. (2001). Who’s afraid of the big bad wolf: A prospective paradigm to test Rachman’s indirect pathways in children. Behavior Research and Therapy, 39, 1259–1276.

    Article  Google Scholar 

  • Foa, E. B., & Kozak, M. J. (1986). Emotional processing of fear: Exposure to corrective information. Psychological Bulletin, 99, 20–35.

    Article  PubMed  Google Scholar 

  • Fox, E., Russo, R., Bowles, R., & Dutton, K. (2001). Do threatening stimuli draw or hold visual attention in subclinical anxiety? Journal of Experimental Psychology: General, 130, 681–700.

    Article  Google Scholar 

  • Fox, E., Griggs, L., & Mouchlianitis, E. (2007). The detection of fear-relevant stimuli: Are guns noticed as quickly as snakes? Emotion, 7, 691–696.

    Article  PubMed  Google Scholar 

  • Frederikson, M., Annas, P., Fisher, H., & Wik, G. (1996). Gender and age differences in the prevalence of specific fears and phobias. Behavior Research and Therapy, 34, 33–39.

    Article  Google Scholar 

  • Freud, S. (1909/1955). Analysis of a phobia in a five-year-old boy. In J. Strachey (Ed.), The standard edition of the complete psychological works of Sigmund Freud (Vol. X, pp. 1–149). London: The Hogarth Press.

    Google Scholar 

  • Fyer, A. J., Mannuzza, S., Gallops, M. S., Martin, L. Y., Aaronson, C., Gorman, J. M., Liebowitz, M. R., & Klein, D. F. (1990). Familial transmission of simple phobias and fears. Archives of General Psychiatry, 47, 252–256.

    Article  PubMed  Google Scholar 

  • Gerull, F. C., & Rapee, R. M. (2002). Mother knows best: effects of maternal modeling on the acquisition of fear and avoidance behavior in toddlers. Behavior Research and Therapy, 40, 279–287.

    Article  Google Scholar 

  • Harvey, A., Watkins, E., Mansell, W., & Shafran, R. (2004). Cognitive behavioral processes across psychological disorders. A transdiagnostic approach to research and treatment. Oxford: Oxford University Press.

    Google Scholar 

  • Hettema, J. M., Prescott, C. A., Myers, J. M., Neale, M. C., & Kendler, K. S. (2005). The structure of genetic and environmental risk factors for anxiety disorders in men and women. Archives of General Psychiatry, 62, 182–189.

    Article  PubMed  Google Scholar 

  • Hugdahl, K. (1989). Simple phobias. In G. Turpin (Ed.), Handbook of clinical psychophysiology. Chichester: Wiley.

    Google Scholar 

  • Iancu, I., Levin, J., Dannon, P. N., Poreh, A., Yehuda, Y.B., & Kotler, M. (2007). Prevalence of self-reported specific phobia symptoms in an Israeli sample of young conscripts. Journal of Anxiety Disorders, 21, 762–769.

    Article  PubMed  Google Scholar 

  • Kendler, K. S., Prescott, C. A., Myers, J., & Neale, M. C. (2003). The structure of genetic and environmental risk factors for common psychiatric and substance use disorders in men and women. Archives of General Psychiatry, 60, 929–937.

    Article  PubMed  Google Scholar 

  • Kessler, R. C., McGonagle, K. A., Zhao, S., Nelson, C. B., Hughes, M., Eshleman, S., Wittchen, H. U., & Kendler, K. S. (1994). Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States. Archives of General Psychiatry, 51, 8–19.

    Article  PubMed  Google Scholar 

  • Kessler, R. C., Chiu, W. T., Demler, O., & Walters, E. E. (2005). Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the national comorbidity survey replication. Archives of General Psychiatry, 62, 617–627.

    Article  PubMed  Google Scholar 

  • Koster, E. H. W., Crombez, G., Verschuere, B., & De Houwer, J. (2004). Selective attention to threat in the dot probe paradigm: Differentiating vigilance and difficulty to disengage. Behavior Research and Therapy, 42, 1183–1192.

    Article  Google Scholar 

  • Lang, P. J. (1968). Fear reduction and fear behavior: Problems in treating a construct. In J. M. Schlien (Ed.), Research in psychotherapy (Vol. 3). Washington, DC: American Psychological Association.

    Google Scholar 

  • LeBeau, R. T., Glenn, D., Liao, B., Wittchen, H. U., Beesdo-Baum, K, Ollendick, T. H., & Craske, M. G. (2010). Specific phobia: A review of DSM-IV specific phobia and preliminary recommendations for DSM-V. Depression and Anxiety, 27, 148–167.

    Article  PubMed  Google Scholar 

  • LeDoux, J. (1996). The emotional brain. The mysterious underpinnings of emotional life. New York: Simon and Schuster.

    Google Scholar 

  • Lubow, R. E. (1973). Latent inhibition. Psychological Bulletin, 79, 398–407.

    Article  PubMed  Google Scholar 

  • Marks, I. M. (1987). Fears, phobias, and rituals. Panic, anxiety, and their disorders. New York: Oxford University Press.

    Google Scholar 

  • Marks, I. M. (1988). Blood-injury phobia: A review. American Journal of Psychiatry, 145, 1207–1213.

    PubMed  Google Scholar 

  • Mayer, B., Merckelbach, H., & De Jong, P. J. (1999). How to handle contradictory results? Discount the data or refine the theories? A reply to Öhman. Journal of Psychophysiology, 13, 257–259.

    Article  Google Scholar 

  • Menzies, R. G., & Clarke, J. C. (1995). The etiology of phobias: A nonassociative account. Clinical Psychology Review, 15, 23–48.

    Article  Google Scholar 

  • Merckelbach, H., & De Jong, P. J. (1996). Evolutionary models of phobias. In G. C. L. Davey (Ed.), Phobias: A handbook of description, treatment, and theory. Chichester: Wiley.

    Google Scholar 

  • Merckelbach, H., De Jong, P. J., Muris, P., & Van Den Hout, M. A. (1996). The etiology of specific phobias: A review. Clinical Psychology Review, 16, 337–361.

    Article  Google Scholar 

  • Mineka, S., & Öhman, A. (2002). Born to fear: Non-associative versus associative factors in the etiology of phobias. Behavior Research and Therapy, 40, 173–184.

    Article  Google Scholar 

  • Mogg, K., & Bradley, B. (1998). A cognitive-motivational analysis of anxiety. Behavior Research and Therapy, 36, 809–848.

    Article  Google Scholar 

  • Mogg, K., & Bradley, B. (2006). Time course of attentional bias for fear-relevant pictures in spider fearful individuals. Behavior Research and Therapy, 44, 1241–1250.

    Article  Google Scholar 

  • Mowrer, O. H. (1939). A stimulus-response theory of anxiety and its role as a reinforcing agent. Psychological Review, 46, 553–565.

    Article  Google Scholar 

  • Mowrer, O. H. (1960). Learning theory and behavior. New York: Wiley.

    Book  Google Scholar 

  • Muris, P., & Field, A. P. (2010). The role of verbal threat information in the development of childhood fear. “Beware the Jabberwock!” Clinical Child and Family Psychology Review, 13, 129–150.

    Article  PubMed  Google Scholar 

  • Muris, P. & Merckelbach, H. (2001). The etiology of childhood specific phobia: A multifactorial model. In M. W. Vasey & M. R. Dadds (Eds.), The developmental psychopathology of anxiety (pp. 355–385). New York: Oxford Press.

    Google Scholar 

  • Muris, P., Schmidt, H., & Merckelbach, H. (1999). The structure of specific phobia symptoms among children and adolescents. Behavior Research and Therapy, 37, 863–868.

    Article  Google Scholar 

  • Muris, P., Merckelbach, H., Jong, P. J. de & Ollendick, T. H. (2002). The etiology of specific fears and phobias in children: A critique of the non-associative account. Behavior Research and Therapy, 40, 185–195.

    Article  Google Scholar 

  • Muris, P., Van Zwol, L., Huijding, J. & Mayer, B. (2010). Mom told me scary things about this animal! Parents installing fear beliefs in their children via the verbal information pathway. Behavior Research and Therapy, 48, 341–346.

    Article  Google Scholar 

  • Öhman, A. (1993). Fear and anxiety as emotional phenomena: Clinical phenomenology, evolutionary perspectives, and information processing mechanisms. In M. Lewis, & J. M. Haviland (Eds.), Handbook of Emotions. New York: Guilford.

    Google Scholar 

  • Öhman, A., & Soares, J. J. F. (1994). Unconscious anxiety: Phobic responses to masked stimuli. Journal of Abnormal Psychology, 103, 231–240.

    Article  PubMed  Google Scholar 

  • Öhman, A., Flykt, A., & Esteves, F. (2001). Emotion drives attention: Detecting the snake in the grass. Journal of Experimental Psychology: General, 130, 466–478.

    Article  Google Scholar 

  • Olatunji, B. O., & McKay, D. (2009). Disgust and its disorders. Theory, assessment, and treatment implications. Washington, DC: American Psychological Association.

    Book  Google Scholar 

  • Ollendick, T. H., King, N. J., & Frary, R. B. (1989). Fears in children and adolescents: Reliability and generalizability across gender, age, and nationality. Behavior Research and Therapy, 27, 19–26.

    Article  Google Scholar 

  • Ollendick, T. H., King, N. J., & Muris, P. (2004). Phobias in children and adolescents. In M. Maj, H. S. Agiskal, J. J. Lopez-Ibor & A. Okasha (Eds.), Phobias (pp. 245–279). New York: Wiley.

    Google Scholar 

  • Öst, L. G. (1987). Age of onset in different phobias. Journal of Abnormal Psychology, 96, 223–229.

    Article  PubMed  Google Scholar 

  • Öst, L. G. (1989). One-session treatment for specific phobias. Behavior Research and Therapy, 27, 1–7.

    Article  Google Scholar 

  • Page, A. C. (1994). Blood-injury phobia. Clinical Psychology Review, 14, 443–461.

    Article  Google Scholar 

  • Pull, C. B. (2008). Recent trends in the study of specific phobias. Current Opinion in Psychiatry, 21, 43–50.

    Article  PubMed  Google Scholar 

  • Rachman, S. J. (1977). The conditioning theory of fear acquisition: A critical examination. Behavior Research and Therapy, 15, 372–387.

    Article  Google Scholar 

  • Rachman, S. J. (1991). Neo-conditioning and the classic theory of fear acquisition. Clinical Psychology Review, 11, 155–173.

    Article  Google Scholar 

  • Rinck, M., & Becker, E. S. (2006). Spider fearful individuals attend to threat, then quickly avoid it: Evidence from eye movements. Journal of Abnormal Psychology, 115, 231–238.

    Article  PubMed  Google Scholar 

  • Rosen, J. B., & Schulkin, J. (1998). From normal fear to pathological anxiety. Psychological Review, 105, 325–350.

    Article  PubMed  Google Scholar 

  • Seligman, M. E. P. (1971). Phobias and preparedness. Behavior Therapy, 2, 307–320.

    Article  Google Scholar 

  • Sigström, R., Östling, S., Karlsson, B., Waern, M, Gustafson, D., & Skoog, I. (2011). A population-based study on phobic fears and DSM-IV specific phobia in 70-year olds. Journal of Anxiety Disorders, 25, 148–153.

    Google Scholar 

  • Stinson, F. S., Dwason, D. A., Chou, P., Smith, S., Goldstein, R. B., Ruan, W. J., & Grant, B. F. (2007). The epidemiology of DSM-IV specific phobia in the USA: Results from the National Epidemiologic Survey on Alcohol and Related Conditions. Psychological Medicine, 37, 1047–1059.

    Article  PubMed  Google Scholar 

  • Thorpe, S. J., & Salkovskis, P. M. (1995). Phobic beliefs: Do cognitive factors play a role in specific phobias? Behavior Research and Therapy, 33, 805–816.

    Article  Google Scholar 

  • Watts, F. N., McKenna, F. P., Sharrock, R., & Trezise, L. (1986). Color naming of phobia-related words. British Journal of Psychology, 77, 97–108.

    Article  PubMed  Google Scholar 

  • Watson, J. B., & Rayner, R. (1920). Conditioned emotional reactions. Journal of Experimental Psychology, 3, 1–14.

    Article  Google Scholar 

  • White, K., & Davey, G. C. L. (1989). Sensory preconditioning and UCS inflation in human fear conditioning. Behavior Research and Therapy, 27, 161–166.

    Article  Google Scholar 

  • Wittchen, H. U. (1988). Natural course and spontaneous remissions of untreated anxiety disorders. In I. Hand, & H. U. Wittchen (Eds.), Panic and phobias: Treatments and variables affecting course and outcome. Berlin: Springer.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Peter Muris .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2012 Springer Science+Business Media, LLC

About this chapter

Cite this chapter

Muris, P., Merckelbach, H. (2012). Specific Phobia: Phenomenology, Epidemiology, and Etiology. In: Davis III, T., Ollendick, T., Öst, LG. (eds) Intensive One-Session Treatment of Specific Phobias. Autism and Child Psychopathology Series. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-3253-1_1

Download citation

Publish with us

Policies and ethics