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Case Reports in Psychiatry has retracted this article. The article was found to contain a substantial amount of material from published articles, some without citation, including the following:

Heimberg RG et al.: Psychometric properties of the Liebowitz Social Anxiety Scale. Psychological Medicine, 1999, 29, 199–212 (not cited);

Ayala ES, Meuret AE, Ritz T: Treatments for blood-injury-injection phobia: a critical review of current evidence. J Psychiatr Res. 2009 Oct; 43(15):1235-42. doi: 10.1016/j.jpsychires.2009.04.008;

Lars-Göran Öst, Ulf Sterner: A specific behavioral method for treatment of blood phobia. Behaviour Research and Therapy Volume 25, Issue 1, 1987, Pages 25–29 doi: 10.1016/0005-7967(87)90111-2;

Lars-Göran Öst, Anita Jerremalm, Jan Johansson: Individual response patterns and the effects of different behavioral methods in the treatment of social phobia. Behaviour Research and Therapy. Volume 19, Issue 1, 1981, Pages 1–16 doi: 10.1016/0005-7967(81)90107-8;

Ryan C. Shorey and Gregory L. Stuart: Manualized Cognitive-Behavioral Treatment of Social Anxiety Disorder: A Case Study. Clin Case Stud. 2012 Feb 1; 11(1): 35–47. doi: 10.1177/1534650112438462 (not cited).

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  1. F. Ferenidou, T. Chalimourdas, V. Antonakis, N. Vaidakis, and G. Papadimitriou, “Combined case of blood-injury-injection phobia and social phobia: behavior therapy management and effectiveness through Tilt test,” Case Reports in Psychiatry, vol. 2012, Article ID 368039, 7 pages, 2012.
Case Reports in Psychiatry
Volume 2012, Article ID 368039, 7 pages
Case Report

Combined Case of Blood-Injury-Injection Phobia and Social Phobia: Behavior Therapy Management and Effectiveness through Tilt Test

11st Department of Psychiatry, Eginition Hospital, University of Athens Medical School, Vas. Sofias 72, 11528 Athens, Greece
21st Cardiology Clinic, Hippokration Hospital, University of Athens Medical School, Vas. Sofias 114, 11527 Athens, Greece

Received 12 November 2012; Accepted 1 December 2012

Academic Editors: J. S. Brar, L. Dell'Osso, F. Jollant, E. Jönsson, and Y. Kaneda

Copyright © 2012 Fotini Ferenidou et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


The efficacy of behavior therapy based mainly on real-life exposure situations as well as applied tension was examined for a combined case of blood-injury-injection (BII) phobia and social anxiety disorder. Treatment involved 28 behavior therapy sessions, while applied tension technique was also described and practiced. The specific contribution of social skills techniques, fantasy, and real-life situations exposure was examined in a single case design. The subject was a 39-year-old male with anxiety symptoms when confronting an audience, as well as symptoms of the autonomic nervous system (bradycardia and syncope), which were better explained by BII. All self-report measures regarding fear, social phobia, and anxiety were reduced after behavior therapy and remained maintained at followup, while BII decreased further after applied tension techniques. The contribution of behavior therapy to the overall outcome of the case is considered significant for many reasons that are discussed in the pape.