A review of the literature on school phobia reveals that the predominant view concerning its etiology is the separation anxiety theory. This theory is critically anlayzed on three major grounds: (a) methodological problems of the research; (b) its lack of generalizability concerning pathological mother-child relationships; and (c) its lack of emphasis on possible external, etiological variables. A case is made for reexamination of school phobia, in light of recent research highlighting the potential role of environmental variables, thereby taking it out of the realm of neurotic behaviors. An alternative conceptualization is offered that views school refusal as a normal avoidance reaction to an unpleasant, unsatisfying, or even hostile environment. It is suggested that we shift our research attention to the school environment and personnel in terms of their contribution to the etiology and maintenance of school refusal behaviors.Broadwin (1932) was the first to describe the school phobia syndrome, stating that absence from school was consistent, although the reason was incomprehensible. Although he noted that some children said they were afraid of school, afraid of the teacher, or afraid that something terrible was happening to mother while they were at school, Broadwin (1932) discounted such statements as rationalizations for a more general deep-seated neurosis. Johnson, Falstein, Szurek, and Svendsen (1941) were the first to actually use the term school phobia, differentiating it from truancy and classifying it as a psychoneurotic disorder. However, Johnson (1957) later restated that "school phobia is a misnomer. Actually it is a separation anxiety which occurs not only in early childhood, but also in later years" (p. 307).Since that time, many defiinitions of school phobia have evolved, with most emphasizing separation anxiety as a critical element. For example, Green (cited in Davidson, 1960) described "school-phobes" and "mother-philes," arguing that such children were not runningfrom school so much as they were running back to mother. Goldenberg and Goldenberg (1970) further stated that school-phobic children appear to dread some aspect of the school situation, as well as dreading physical separation from home and mother. Freedman, Kaplan, and Sadock (1970) actually defined school phobia as "a young child's sudden fear of and refusal to attend school; usually considered a manifestation of separation" (p. 1328). More recently, Achenbach (1982) commented that there appears to be general agreement that school-phobic children fear separation from parents more than they fear school. Thus, the key etiological assumption in school phobia is a fear or reluctance to be separated from mother. A second, less central etiological assumption in school phobia is fear of something unpleasant occurring at school. Although providing no references or other empirical support, Crowell and Walters (19%) state that "one of the common manifestations of depression and anxiety is the syndrome of school refusal" (p. 216).