The specific phobias in children, such as night-time fears and animal phobias, should not be underestimated since they cause personal distress to the child and also much interference with daily activities. Intervention plans should be informed by multimethod assessment, using tools that are empirically sound and developmentally sensitive. This article selectively reviews a number of assessment tools including structured diagnostic interview schedules, standardised instruments such as anxiety or fear self-report questionnaires, and behavioural tasks. An overview is given of the main intervention approaches, from a behavioural perspective, including traditional behavioural intervention procedures such as systematic desensitisation and its variants, cognitive–behavioural therapy, and behavioural family therapy. The authors also present recent developments in psychodynamic treatment for phobic and anxious children. Finally, we present conclusions on the empirical standing of the various treatment approaches and also examine the important issue of treatment outcome prediction.

In the present study, responses of 197 people who were receiving chemotherapy at two outpatient clinics and who completed a questionnaire about the presence and origin of blood-injection-injury (BII) fear were examined. From this sample, 36 participants (18.9%) reported ‘strong feelings of fear, disgust or discomfort’ towards the sight of blood, receiving injections or both. Of the 36, 7 participants (19.4%) had first noticed these concerns while they were receiving chemotherapy, and a further 19 (52.8%) reported noticing them during a traumatic experience unrelated to treatment. A subgroup of 22 participants completed the Origins Questionnaire (Menzies & Clarke, 1993). Of these participants, 7 (31.8%) were classified as having an associative onset, and 6 (27.7%) were classified as nonassociative. Only 1 participant with an associative onset attributed the fear to trauma related to chemotherapy. From these data, it appears that while a large minority of the chemotherapy patients who completed the questionnaire experienced distress associated with blood and injections, in the majority of cases the onset of these fears was not attributable to trauma associated with chemotherapy.

In the present study, parent–child interactions with anxious children were compared to parent–child interactions with the anxious children's nonsymptomatic siblings and parent–child interactions with nonclinic children. Participants included 33 anxious children, their parents and siblings, and 14 nonclinic children and their parents. Parent–child interactions were observed during two discussion tasks related to anxiety-provoking or challenging situations. Parent–child interactions were coded for the following variables: control, warmth, reward of coping behaviour and task involvement. Consistent with previous research, parents in the anxious group showed more control, less paternal warmth and less maternal reward of coping behaviour toward their anxious child compared to parents of nonclinic children. Parent–child interactions with the anxious child were similar to parent–child interactions with the nonsymptomatic sibling, with the exception of fathers who exhibited more control toward their anxious child. Parent–sibling interactions, however, also resembled the nonclinic parent–child interactions, with mothers of anxious children showing more control toward their nonsymptomatic child than mothers of nonclinic children. These findings suggest that the relationships of each parent and their anxious child may be influenced by how the parent and child interact with each other. Suggestions for future research are discussed.

The aim of the current pilot study was to examine the effectiveness of the FRIENDS program (a cognitive–behavioural intervention for children and adolescents with anxiety) within a community-based clinic in Brisbane, Australia. A total of 18 children participated in the study and completed the FRIENDS program at Pathways Health and Research Centre, an innovative research-based psychology clinic for children, adolescents and families. All participants either met criteria for an anxiety disorder (N = 11) or were experiencing subclinical symptoms of anxiety (N = 7) before commencing the intervention. Before and following treatment, participants were assessed using a diagnostic interview and completed a number of self-report questionnaires. Results indicated that 73% of the participants who met criteria for an anxiety disorder before the intervention were diagnosis-free following treatment. Positive treatment effects were also found for questionnaire data, indicating that there were significant reductions on self-report levels of anxiety and depression following treatment. The outcome of this research suggests that the FRIENDS program is an effective treatment for children with anxiety, and results from this community trial replicate findings from controlled treatment trials.

The n = 1 research design and the ethos underpinning it have importantly contributed to applied behaviour analysis since its inception. Many papers in Behaviour Change (BC) using this methodology have been of value to practitioners in the field, as well as to researchers and teachers. However, the rate of publication of n = 1 papers in BC has decreased during the last decade. The present article first documents that decline in rate of publication, then raises some issues for discussion about why this has occurred. Comments from the wider readership are invited in an effort to resurrect this valuable and informative clinical research tradition.