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Cognitive factors in the maintenance of injection phobia

Research output: Contribution to journalJournal articlepeer-review

<mark>Journal publication date</mark>1995
<mark>Journal</mark>Behavioural and Cognitive Psychotherapy
Issue number1
Number of pages5
Pages (from-to)57-61
Publication StatusPublished
<mark>Original language</mark>English


Injection phobia is a “specific phobia” (American Psychiatric Association, 1994) in which affected individuals display an atypical physiological response pattern resulting in vasovagal hypotensive fainting on prolonged exposure. Between 50–60% of people with injection phobia report a history of fainting when confronted with their phobic situation. Applied tension has been demonstrated to be an effective therapeutic intervention for blood phobia in which similar vasovagal responses occur (Öst, Fellenius and Stelner, 1991). It has been shown that cognitive factors can prevent engagement with the treatment of phobic disorders. A case meeting DSM-IV criteria for specific phobia, blood-injection-injury type (American Psychiatric Association, 1994) is described. It illustrates that cognitive factors may prevent full compliance with applied tension and that behavioural experimentation is a useful strategy for dealing with such phenomena.