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School refusal in Japan.

S Honjo1, Y Kasahara, K Ohtaka

  • 1Department of Clinical Studies in Family Development, Nagoya University School of Education, Japan.

Acta Paedopsychiatrica
|January 1, 1992
PubMed
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School refusal is a common diagnosis in Japanese child psychiatry, yet not internationally classified. This study argues for retaining school refusal as a distinct clinical entity in Japan.

Area of Science:

  • Child and Adolescent Psychiatry
  • Clinical Psychology

Background:

  • School refusal has been a significant focus in Japanese child and adolescent psychiatry since the 1960s due to increasing patient numbers.
  • Despite its prevalence in Japan, school refusal is not recognized as a distinct diagnostic classification in major international psychiatric manuals like ICD and DSM.
  • This discrepancy highlights a need to contextualize school refusal within international diagnostic frameworks.

Purpose of the Study:

  • To describe the current state and characteristics of school refusal in Japan.
  • To evaluate the clinical utility and validity of maintaining school refusal as a unique diagnostic concept within the Japanese context.
  • To explore the position of school refusal in relation to international diagnostic standards.

Main Methods:

Related Experiment Videos

  • Review of clinical data and psychiatric literature pertaining to school refusal in Japan.
  • Analysis of diagnostic criteria in international classifications (ICD-9, ICD-10, DSM-III, DSM-III-R).
  • Clinical case discussions and expert opinion synthesis.

    • Main Results:

    • School refusal represents a substantial and growing clinical issue in Japanese child psychiatry.
    • The concept of school refusal is deeply embedded in Japanese clinical practice and cultural understanding.
    • International diagnostic systems do not adequately capture the nuances of school refusal as observed in Japan.

    Conclusions:

    • It is clinically relevant and justifiable to consider school refusal as a distinct entity within Japanese child and adolescent psychiatry.
    • Further research is needed to bridge the gap between Japanese clinical practice and international diagnostic classifications for school refusal.
    • Recognizing school refusal as a unique clinical entity in Japan can improve patient care and diagnostic accuracy.