Abstract
This chapter examines the diagnoses of autism spectrum disorder (ASD) and specific phobia, their potential comorbidity, and assessment and treatment recommendations. Fear is an appropriate emotional response in certain situations. Problematic fear, however, in the form of a specific phobia is not. At times, it can be difficult to diagnose specific phobia in those with ASD, given the unique sensory experiences, rigidity, verbal deficiencies, and social, communication, and intellectual challenges frequently associated with an ASD diagnosis. For context, an overview of normal, healthy fear development is contrasted against the development and phenomenology of specific phobias in otherwise neurotypical individuals, followed by what is currently known about the development and phenomenology of specific phobia in individuals with ASD. Following brief recommendations for assessing and treating individuals with specific phobia comorbid with ASD, we conclude with commentary and thoughts on the future of these two diagnoses in the newly available Diagnostic and Statistical Manual of Mental Disorders-5th edition (DSM-5; Diagnostic and statistical manual of mental disorders).
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Acknowledgments
The participation of Thompson E. Davis III was funded in part by the Manship Summer Research Award from the Louisiana State University College of Humanities and Social Sciences. The participation of Thomas H. Ollendick was funded in part by NIMH Grants 1R34MH096915 and 5R21MH094900. The authors are appreciative of this support.
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Davis III, T., Ollendick, T. (2014). Fear: Autism Spectrum Disorder and/or Specific Phobia. In: Davis III, T., White, S., Ollendick, T. (eds) Handbook of Autism and Anxiety. Autism and Child Psychopathology Series. Springer, Cham. https://doi.org/10.1007/978-3-319-06796-4_10
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