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Etiology of childhood phobias: current status of Rachman’s three pathways theory
Abstract
Despite advances in the assessment and treatment of childhood phobias, little is known about their etiology. Rachman has proposed that phobias are acquired through three different pathways: direct conditioning, modeling or instructions/information. We evaluate the empirical support for Rachman's theory in relation to the origins of childhood phobias. Although we find support for Rachman's theory, a number of methodological and theoretical issues are emphasized. For example, insufficient attention has been given to the reliability and validity of retrospective subject reports on the acquisition of childhood phobias. Also some findings on the origins of childhood fears and phobias are more consistent with a nonassociative account of phobia onset, thus providing an interesting challenge to Rachman's theory.
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Parents of phobic preschoolers may be especially inclined to provide learning contexts associated with fear as many parents experience phobias themselves.
“Parents of phobic preschoolers may be especially inclined to provide learning contexts associated with fear as many parents experience phobias themselves (King et al., 1998; Murray & Foote, 1979).”
From Specific Phobia in Young Children: Associations between the Origins of Fear and Clinical Expression of Phobia Symptoms. (2025) · cites this paper as King et al., 1998
This study extends upon the current literature by considering and comparing the combinations of pathways, including direct and indirect combined and both indirect pathways combined, which are hypothesised to occur naturally during daily interactions; including all reported phobia subtypes; and addressing some of the methodological limitations of previous research in this area (i.e. reducing memory
“This study extends upon the current literature by considering and comparing the combinations of pathways, including direct and indirect combined and both indirect pathways combined, which are hypothesised to occur naturally during daily interactions (King et al., 1998; Murray et al., 2009); including all reported phobia subtypes; and addressing some of the methodological limitations of previous re”
From Specific Phobia in Young Children: Associations between the Origins of Fear and Clinical Expression of Phobia Symptoms. (2025) · cites this paper as King et al., 1998
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LoBue, V., Kim, E., & Delgado, M. R. (2019) · Springer eBooks · doi:10.1007/978-3-030-17332-6_11 · Cited by 25
Poulton, R., Waldie, K. E., Menzies, R. G., Craske, M. G., & Silva, P. A. (2001) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(99)00156-4 · Cited by 25
Kawai, N. (2019) · The science of the mind · doi:10.1007/978-981-13-7530-9_2 · Cited by 24
(2022) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9780890425787.x05_anxiety_disorders · Cited by 35
The role of learning in the etiology of child and adolescent fear and anxiety
Field, A. P., & Purkis, H. M. (2011) · Cambridge University Press eBooks · doi:10.1017/cbo9780511994920.012 · Cited by 22
Melli, G., Poli, A., Chiorri, C., & Olatunji, B. O. (2018) · Behavior Therapy · doi:10.1016/j.beth.2018.10.002 · Cited by 21
Fear of storms and hurricanes in Antillean and Belgian children
Muris, P., Meesters, C. M. G., Merckelbach, H. L. G. J., Verschuren, M., Geebelen, E., & Aleva, E. A. (2002) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(01)00058-4 · Cited by 20
Fear of dogs in a community sample: Effects of age, gender and prior experience of canine aggression
Boyd, C. M., Fotheringham, B. J., Litchfield, C. A., McBryde, I., Metzer, J. C., Scanlon, P., Somers, R., & Winefield, A. H. (2004) · Anthrozoös · doi:10.2752/089279304786991800 · Cited by 19
The living environment and children's fears following the Indonesian tsunami
Du, Y. B., Lee, C., Christina, D., Belfer, M., Betancourt, T., O'Rourke, E., & Palfrey, J. (2011) · Disasters. The Journal of Disaster Studies, Policy and Management · doi:10.1111/j.1467-7717.2011.01271.x · Cited by 19
“A meta-analysis of childhood phobias shows that children's phobias are highly correlated with the fears of other family members (King, Gullone, and Ollendick, 1998).”
BackgroundChildren's night-time fears: an overview
Gordon, J., & King, N. J. (2002) · Counselling Psychology Quarterly · doi:10.1080/09515070110104097 · Cited by 19
“Known as emotive imagery, this procedure aims to induce a positive emotional state with the child’s hero images in a narrative or story format (review by King et al., 1998).”
BackgroundSelf-citationUsing a novel paradigm to examine observational fear‐learning across development
Skversky‐Blocq, Y., Pine, D. S., & Shechner, T. (2021) · Depression and Anxiety · doi:10.1002/da.23152 · Cited by 19
Hu, W., Ding, X., Li, B., Wang, J., Gao, Y., Wang, F., & Maybank, S. J. (2015) · IEEE Transactions on Multimedia · doi:10.1109/tmm.2015.2496372 · Cited by 17
“Horror information may arouse fears in children and teenagers and even induce phobias [46, 47].”
BackgroundEmotional Reasoning and Parent-Based Reasoning in Normal Children
Morren, M., Muris, P., & Kindt, M. (2004) · Child Psychiatry & Human Development · doi:10.1023/b:chud.0000039317.50547.e3 · Cited by 18
Watch and Learn: Vicarious Threat Learning across Human Development
Skversky‐Blocq, Y., Haaker, J., & Shechner, T. (2021) · Brain Sciences · doi:10.3390/brainsci11101345 · Cited by 21
Predictors of specific phobia in young women: A prospective community study
Trumpf, J., Margraf, J., Vriends, N., Meyer, A. H., & Becker, E. S. (2009) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2009.09.002 · Cited by 16
Coelho, C. M., Zsido, A. N., Suttiwan, P., & Clasen, M. (2021) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2021.06.036 · Cited by 16
Horror movie scene recognition based on emotional perception
Wang, J., Li, B., Hu, W., & Wu, O. (2010) · Proceedings - International Conference on Image Processing · doi:10.1109/icip.2010.5651515 · Cited by 15
Can prepared fear conditioning result from verbal instructions?
Mertens, G., Raes, A. K., & Houwer, J. D. (2015) · Learning and Motivation · doi:10.1016/j.lmot.2015.11.001 · Cited by 19
Li, H., & Prevatt, F. F. (2007) · The Journal of Genetic Psychology · doi:10.3200/gntp.168.4.381-400 · Cited by 14
Fear of clowns: An investigation into the aetiology of coulrophobia
Tyson, P. J., Davies, S. K., Scorey, S., & Greville, W. J. (2023) · Frontiers in Psychology · doi:10.3389/fpsyg.2023.1109466 · Cited by 13
“Rachman’s (1977) tripartite theory has some empirical support in the general specific phobia literature (King et al., 1998; Muris et al., 2008; Coelho and Purkis, 2009; Loxton et al., 2018).”
BackgroundMcClure, E. B., & Pine, D. S. (2015) · Wiley eBooks · doi:10.1002/9780470939406.ch12 · Cited by 13
The origins of mental contamination
Zysk, E., Shafran, R., & Williams, T. I. (2017) · Journal of Obsessive-Compulsive and Related Disorders · doi:10.1016/j.jocrd.2017.08.007 · Cited by 12
“Furthermore, retrospective studies are commonly criticised (cf. Field et al., 2001; King et al., 1998; Mineka & Öhman, 2002) as it has been argued retrospective recall is commonly unreliable (Mineka & Öhman, 2002) and causal attributions may be inaccurate (Taylor, Deane & Podd, 1999; Withers & Deane, 1995).”
InfluentialAnxiety disorders in children and adolescents
Nauta, M. H. (2005) · University of Groningen research database (University of Groningen / Centre for Information Technology) · Cited by 12
Problem-maintaining circles: Case illustrations of formulations that truly guide therapy
Bakker, G. (2008) · Clinical Psychologist · doi:10.1080/13284200802069050 · Cited by 11
Verbal Information Transfer in Real-Life: When Mothers Worry About Their Child Starting School
Pass, L., Mastroyannopoulou, K., Coker, S., Murray, L., & Dodd, H. F. (2017) · Journal of Child and Family Studies · doi:10.1007/s10826-017-0735-3 · Cited by 11
“All three routes have received support in relation to the development of anxiety (Askew and Field 2008; King et al. 1998; Muris and Field 2010).”
Wilson, G. A., Krause, K. L., & Antony, M. M. (2015) · Elsevier eBooks · doi:10.1016/b978-0-12-397045-9.00001-x · Cited by 11
Positive thinking revisited: positive cognitions, well-being and mental health
MacLeod, A. K., & Moore, R. G. (2000) · Clinical Psychology & Psychotherapy · doi:10.1002/(sici)1099-0879(200002)7:1 · Cited by 206
Self-citationLester, K. J., Lisk, S. C., Mikita, N., Mitchell, S., Huijding, J., Rinck, M., & Field, A. P. (2015) · Journal of Behavior Therapy and Experimental Psychiatry · doi:10.1016/j.jbtep.2015.01.008 · Cited by 8
Exposure therapy for specific phobias in children and adolescents
Mobach, L., Oar, E. L., & Hudson, J. L. (2020) · Elsevier eBooks · doi:10.1016/b978-0-12-815915-6.00008-1 · Cited by 8
Fear Learning in Infancy: An Evolutionary Developmental Perspective
Rakison, D. H. (2022) · Evolutionary psychology · doi:10.1007/978-3-030-76000-7_14 · Cited by 8
Parents' perception of children's fear: from FSSC-IT to FSSC-PP
Salcuni, S., Dazzi, C., Mannarini, S., Riso, D. D., & Delvecchio, E. (2015) · Frontiers in Psychology · doi:10.3389/fpsyg.2015.01199 · Cited by 8
Reynolds, G., Wasely, D., Dunne, G., & Askew, C. (2017) · Cognition & Emotion · doi:10.1080/02699931.2017.1389695 · Cited by 9
“These pathways have also received good empirical support (see reviews by Askew & Field, 2008; King et al., 1998; Merckelbach, de Jong, Muris, & van den Hout, 1996).”
BackgroundNature and Etiological Models of Anxiety Disorders
Nebel-Schwalm, M. S., & Davis, T. E. (2013) · Springer eBooks · doi:10.1007/978-1-4614-6458-7_1 · Cited by 14
Oar, E. L., Farrell, L. J., & Ollendick, T. H. (2019) · Pediatric Anxiety Disorders · doi:10.1016/b978-0-12-813004-9.00007-4 · Cited by 7
Self-citationField, A. P., & Nightingale, Z. C. (2009) · Clinical Child Psychology and Psychiatry · doi:10.1177/1359104508100891 · Cited by 7
Mansell, W. (2003) · New Ideas in Psychology · doi:10.1016/s0732-118x(03)00015-1 · Cited by 7
Rifkin, L. S., Schofield, C. A., Beard, C., & Armstrong, T. (2016) · Behaviour Research and Therapy · doi:10.1016/j.brat.2016.08.013 · Cited by 6
The impact of a context switch and context instructions on the return of verbally conditioned fear
Mertens, G., & Houwer, J. D. (2015) · Journal of Behavior Therapy and Experimental Psychiatry · doi:10.1016/j.jbtep.2015.11.001 · Cited by 7
Fears and related anxieties in children having a disability
Li, H. (2003) · UA Campus Repository (The University of Arizona) · Cited by 6
Alcan, E., Gessner, J., Stangier, G., Benke, C., Busin, J., Christiansen, H., & Melzig, C. A. (2025) · Clinical Child and Family Psychology Review · doi:10.1007/s10567-025-00517-7 · Cited by 8
“…of fear expressions, such as criticism or disapproval, may heighten fear by teaching children that expressing fear is socially unacceptable or embarrassing (for a review, see Fisak & Grills-Taquechel, 2007; Öst & Hugdahl, 1981; Kirkby et al., 1995; King et al., 1998; Bilsky et al., 2018a).”
Ollendick, T. H., Cowart, M. J. W., & Oar, E. L. (2013) · Springer eBooks · doi:10.1007/978-1-4614-6599-7_6 · Cited by 5
Self-citationThe origins of fears in a selected group of middle childhood South African children
du Plessis, M. (2006) · SUNScholar (Stellenbosch University) · Cited by 5
Adams, T. G., Sawchuk, C. N., Cisler, J. M., Lohr, J. M., & Olatunji, B. O. (2014) · Wiley eBooks · doi:10.1002/9781118775349.ch18 · Cited by 5
Fear and Phobia: A Critical Review and the Rational-Choice Theory of Neurosis
Rofé, Y., & Rofé, Y. (2015) · International Journal of Psychological Studies · doi:10.5539/ijps.v7n2p37 · Cited by 4
“, 2005), as opposed to specific phobias (Flatt & King, 2008; King et al., 1998; Marks, 1987a; Stinson et al., 2007).”
BackgroundFisak, B. J., Mann, A. R., & Heggeli, K. (2012) · International Journal of Adolescence and Youth · doi:10.1080/02673843.2012.690932 · Cited by 4
“Finally, a number of studies suggest that modelling may be associated with the development of specific phobias (see King, Eleonora, & Ollendick, 1998 ).”
BackgroundFear of failure in youth sport: Building on the momentum of the new research
Sagar, S. S. (2009) · Sport & Exercise Psychology Review · doi:10.53841/bpssepr.2009.5.1.5 · Cited by 4
Rienhoff, J., Splieth, C. H., Veerkamp, J. S. J., Krikken, J. B., Rienhoff, S., Halsband, U., & Wolf, T. G. (2024) · Brain Sciences · doi:10.3390/brainsci14111073 · Cited by 3
“This aligns with existing research suggesting that hypnosis can serve as a powerful, non-pharmacological adjunct in pediatric dental settings, helping to create a more positive treatment experience by addressing both the physiological and psychological dimensions of dental anxiety [5,16].”
Fears of South African children affected by HIV/AIDS
Zwemstra, P., & Loxton, H. (2011) · AIDS Care · doi:10.1080/09540121.2010.538659 · Cited by 3
“It is therefore considered to be a normal part of development (Field, Argyris, & Knowles, 2001 ; Gullone, 1999 , 2000 ; King, Gullone, & Ollendick, 1998 ).”
Can Threat Information Bias Fear Learning? Some Tentative Results and Methodological Considerations
Mertens, G., & Houwer, J. D. (2017) · Journal of Experimental Psychopathology · doi:10.5127/jep.060616 · Cited by 3
Childhood Antecedents of Adult Anxiety Disorders
Fredman, S. J., Hirshfeld‐Becker, D. R., Smoller, J. W., & Rosenbaum, J. F. (2002) · Wiley eBooks · doi:10.1002/9780470986844.ch9 · Cited by 3
Bensch, L. S. (2010) · SUNScholar (Stellenbosch University) · Cited by 3
An assessment instrument for fear in middle childhood South African children.
Burkhardt, I. K.-E. (2007) · SUNScholar (Stellenbosch University) · Cited by 3
Metadata
- Authors
- King, N. J., Eleonora, G., & Ollendick, T. H.
- Affiliations
- Monash University (AU)
- Virginia Tech (US)
- Corresponding author
- King, Neville J.
- ORCID
- Ollendick, Thomas H.
- Venue
- Behaviour Research and Therapy
- Publisher
- Elsevier BV
- Published
- 1998-03
- Volume
- 36
- Issue
- 3
- Pages
- 297-309
- ISSN
- 0005-7967 (ISSN-L)
- OpenAlex
- W2062543094
- Cited by
- 136
- References
- 59
- Citations by year
- 2026: 5 · 2025: 4 · 2024: 1 · 2023: 4 · 2022: 5 · 2021: 6 · 2020: 2 · 2019: 6 · 2018: 2 · 2017: 4 · 2016: 2 · 2015: 8 · 2014: 5 · 2013: 8 · 2012: 3
- FWCI
- 0.95
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Behaviour Research and Therapy (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Life Sciences › Neuroscience › Cognitive Neuroscience › Memory and Neural Mechanisms
- Keywords
- childhood phobia, etiology, modeling, information acquisition, retrospective reports, fear acquisition
- MeSH terms
- Attention, Child, Conditioning, Psychological, Female, Humans, Imitative Behavior, Male, Phobic Disorders, Mental Recall, Retrospective Studies
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