Joshua Hoffine takes photographs of childhood nightmares: the Closet Monster, the Face in the Mirror, and There's Something Wrong with Mommy. His site is safe for work, but not for anyone still afraid of things under the bed, spiders, snakes, clowns, … or anything else, really.
His journal has lengthy “making of” features for some of his shots (“Devil”, “Lady Bathory”, “Babysitter”, and “Keyhole”). The majority of his special effects are done in the studio, with makeup, lighting, and set construction playing a larger role than Photoshop. It's an extraordinary amount of work for a single photograph, but the end result is clearly worth it.
As far as I can tell, all of his models and crew are friends and family members. Many of those “sets” are actually someone's home.