Coulrophobia
Coulrophobia is the intense fear of clowns, characterized by symptoms such as irregular heartbeat, sweating, and feelings of dread. The term gained popularity in the 1980s and is derived from the Greek word for "stilt." While not classified as an official psychological diagnosis, coulrophobia falls under the broader category of specific phobias in the DSM-V. Many people develop this fear due to clowns' historically complex and often darker representations in culture, including their roles in Native American traditions and medieval jesters.
The unsettling nature of clowns is often linked to the Freudian concept of the uncanny, where distorted, exaggerated features evoke fear due to their dual nature—appearing both familiar and alien. Fear of clowns can be exacerbated by modern media portrayals, particularly infamous figures like John Wayne Gacy and fictional depictions in horror films and literature, such as Stephen King's "It." Reports of "creepy clown sightings" in 2016 further fueled public anxiety, illustrating how cultural perceptions can impact individual fears. Treatment options for coulrophobia include hypnotherapy and gradual exposure, which have shown effectiveness for some individuals.
Subject Terms
Coulrophobia
Coulrophobia refers to a severe fear of clowns. The term came into common usage in the 1980s and was derived from the Greek word kolobatheron (stilt). The symptoms of coulrophobia include irregular heartbeat, sweating, nausea, shortness of breath, anger at being exposed to a clown, and general feelings of dread. Treatment is similar to that of other phobias, with many patients seeing improvement after hypnotherapy or gradual exposure to the source of their discomfort.

![Smilie The Clown By Steve Smilie Norman (Own work) [Public domain], via Wikimedia Commons 100259636-96421.jpg](https://imageserver.ebscohost.com/img/embimages/ers/sp/embedded/100259636-96421.jpg?ephost1=dGJyMNHX8kSepq84xNvgOLCmsE2epq5Srqa4SK6WxWXS)
Coulrophobia is not, however, considered an official psychological diagnosis. Mental health practitioners instead classify the fear of clowns as part of an umbrella category for fear of costumed characters, including mascots for sports teams or theme parks. The most recent edition of the Diagnostic and Statistical Manual (the DSM-V), coulrophobia is categorized in adulthood under the Anxiety Disorders with specific phobia. The DSM no longer requires that the fear be perceived by the diagnostician as unfounded or excessive. In a widely publicized 2008 study of more than 250 children aged four to sixteen, conducted at the University of Sheffield in England, the vast majority found images of clowns highly disturbing. Coulrophobia’s adult sufferers, thought to number in the tens of thousands, offer proof that those feelings can persist for a lifetime.
Roots of the Fear
Clowns became commonplace children’s entertainers in the United States in the mid-twentieth century, but their earlier history reveals a longstanding darker side. Many of the comic tropes that have long surrounded clowns concern their wildly manic behavior and disregard for social norms, characteristics apparent across various cultures. In many different Native American traditions, clown figures performed transgressive rituals such as mocking the gods or smearing themselves with excrement to exhibit their disdain for convention. Medieval jesters—whose facial muscles were sometimes cut to prevent them from frowning and who could be condemned to death for not sufficiently amusing the royal court—reminded audiences of their own mortality, animal nature, and foolishness. So despite the gentle antics of popular television clowns like Bozo and Clarabell, clowns have also been associated culturally with fear and danger.
Clowns are said to demonstrate the Freudian notion of the uncanny, in which an image (in this case the human face) is distorted but still recognizable. The gap between the normally expected image and the eerily skewed one is frightening to many people. Furthermore, a clown’s facepaint functions as a mask and serves to disguise the wearer’s real emotions. Coulrophobes tend to believe that no matter how cheery the painted-on grin, evil intent possibly lurks behind it.
The cultural position occupied by clowns has also shaped their perceived scariness. While early clowns were typically adult entertainment, the growing popularity of clowns among children in the United States ironically contributed to the appropriation of the clown as a horror character. A figure normally associated with innocent children provides a potentially more shocking and disturbing form of evil for horror media.
Historical Figures
Sources often point to two historical clowns whose personas contributed to the widespread impression that clowns could be sinister, depressed, or nefarious. Joseph "Joey" Grimaldi was among Great Britain’s most popular entertainers during the early years of the nineteenth century. He is credited with creating the now-standard clown face of white greasepaint with bright red cheeks—a look that allowed his facial features to be seen from the furthest reaches of the performance halls. Because of his celebrity, audiences were intimately familiar with the tragic details of Grimaldi’s personal life: an abusive father, a wife who died in childbirth, an alcoholic son, and markedly poor health thanks to the rigors of being a traveling entertainer. Famed novelist Charles Dickens edited Grimaldi’s 1838 memoir, further cementing the image of the sad clown who must nonetheless wear a false smile into the public imagination.
Jean-Gaspard Deburau, a French clown who lived at about the same time as Grimaldi, also contributed greatly to clowning’s dark image. Deburau was known for performing as Pierrot, a stock figure from Italy’s commedia dell’arte tradition, who wears whiteface, loosely fitting pantaloons, and small, conical hat. In 1836 he killed a boy by hitting him with his cane. Although Deburau was acquitted of the murder, in part because the boy was reportedly taunting him, he introduced the idea of the murderous clown.
Frightening Clowns in Modern Culture
The 1978 arrest of real-life serial killer John Wayne Gacy provided ample fodder for nightmares, even to those not prone to coulrophobia. Before his capture, Gacy, who had raped and murdered dozens of boys and young men, burying most of them in his home’s crawlspace, had frequently entertained as a clown at children’s birthday parties. Chillingly, he told detectives during a widely quoted interview that "clowns can get away with murder." In prison, prior to his 1994 execution, he painted dozens of self portraits—most depicting him dressed as his clown alter ego, Pogo.
Media coverage of Gacy, dubbed the "Killer Clown" by the press, seemed to open the floodgates for depictions of horrifying clowns in popular culture. Although there had been earlier fictional clown criminals, such as the fugitive in the 1952 film The Greatest Show on Earth, the 1980s saw clowns become a standard of the horror genre. In 1982, for example, Steven Spielberg’s film Poltergeist featured a clown doll that comes to life and tries to drag a child under the bed. The 1986 novel It by Stephen King introduced a demon who assumed the shape of Pennywise the Dancing Clown in order to lure children into its clutches, and in 1988 the successful B-movie Killer Klowns from Outer Space was released. The book It was made into a blockbuster television miniseries in 1990 with actor Tim Curry portraying Pennywise, whom many adult coulrophobes cite as the genesis of their condition.
The following decades saw dozens of other films and television series depicting terrifying clowns. Examples include the aptly named Fear of Clowns (2004) and the fourth season of the popular show American Horror Story, which premiered in 2014 and featured a clown with rotting, oversized teeth and black lips named Twisty.
Experts have pointed out that as such depictions become the norm, cases of coulrophobia will inevitably increase in number. The rise of coulrophobia has also been cited as one cause for the decline in popularity of professional clowning.
During the summer of 2016 in the United States, widespread reports began circulating about citizens feeling threatened by people dressed as scary or evil clowns. What began with a report in Greenville, South Carolina, of a clown or clowns attempting to lure a young boy into the woods, soon spread throughout the country and eventually the world of evil clowns scaring people and acting threateningly. Dubbed "creepy clown sightings" and an "epidemic" by the US media and perpetuated through social media, there were reports of people dressed as scary clowns and chasing others with sticks, using a chainsaw, and grabbing at children. Online photos circulated of evil clown posing in front of schools and threatening violence. Despite the hysteria and threats of violence, panic over the perceived or potential harm from clowns was more destructive and debilitating than any real acts of violence. Christopher Mele reported for the New York Times on September 29, 2016, that arrests were made of individuals accused of making false reports about evil clown activity and sightings. Other cities reported angry mobs congregating and searching the streets in order to apprehend and utilize vigilante justice against any clowns they encountered.
By the end of 2016, reports of evil, threatening clowns had all but disappeared throughout the United States, and many believe the "epidemic" was nothing more than a hoax that was allowed to grow into national hysteria due to the imaginations of young children, adults suffering from coulrophobia, pranking teenagers, and the media that played on the fears of others.
Bibliography
Domonoske, Camila. "Coulrophobics Beware: America's Creepy Clown Problem Continues." NPR, 6 Oct. 2016, www.npr.org/sections/thetwo-way/2016/10/06/496850197/coulrophobics-beware-americas-creepy-clown-problem-continues. Accessed 12 Dec. 2016.
Durwin, Joseph. "Coulrophobia and the Trickster." Trickster’s Way, vol. 3, no. 1, 2004, pp. 1–22, digitalcommons.trinity.edu/cgi/viewcontent.cgi?article=1080&context=trickstersway. Accessed 12 Dec. 2016
"Fear of Clowns: Yes, It’s Real." NPR, 6 Aug. 2013, www.npr.org/2013/08/06/209494071/fear-of-clowns-yes-its-real. Accessed 12 Dec. 2016
Gilbert, Sophie. "How Clowns Became Terrifying." The Atlantic, 9 Oct. 2014, www.theatlantic.com/entertainment/archive/2014/10/how-clowns-became-terrifying/381306/. Accessed 12 Dec. 2016.
Goldhill, Olivia. "Why Are We So Scared of Clowns?" The Telegraph, 17 Oct. 2016, www.telegraph.co.uk/news/0/why-are-we-so-scared-of-clowns/. Accessed 12 Dec. 2016.
"Hospital Clown Images ‘Too Scary.’" BBC News, 15 Jan. 2008, news.bbc.co.uk/2/hi/health/7189401.stm. Accessed 12 Dec. 2016.
McRobbie, Linda Rodriguez. "The History and Psychology of Clowns Being Scary." Smithsonian.com, 31 July 2013, www.smithsonianmag.com/arts-culture/the-history-and-psychology-of-clowns-being-scary-20394516/. Accessed 12 Dec. 2016.
Mele, Christopher. "Creepy Clown Hoaxes Lead to 12 Arrests in Multiple States." The New York Times, 29 Sept. 2016, www.nytimes.com/2016/09/30/us/creepy-clown-hoaxes-arrests.html?‗r=0. Accessed 12 Dec. 2016.
Rohrer, Finlo. "Why Are Clowns Scary?" BBC News, 16 Jan. 2008, news.bbc.co.uk/2/hi/uk‗news/magazine/7191721.stm. Accessed 12 Dec. 2016.
Stott, Andrew McConnell. "Clowns on the Verge of a Nervous Breakdown: Dickens, Coulrophobia, and the Memoirs of Joseph Grimaldi." Jour for Early Modern Cultural Studies, vol. 12, no. 4, 2012, pp. 3–25.