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Hikikomori: a systemic-relational analysis.

Marilena Maglia1

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Summary
This summary is machine-generated.

Hikikomori, a severe social withdrawal affecting adolescents, is linked to cultural factors and digital dependence. Systemic-relational therapy effectively improved a patient's interpersonal and problem-solving skills.

Keywords:
HikikomoriIsolationPsychological therapiesPsychotherapy processSystemic relationship therapy of the family

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Area of Science:

  • Psychiatry
  • Sociology
  • Cultural Studies

Background:

  • Hikikomori is a significant social phenomenon in Japan, characterized by prolonged voluntary social withdrawal in adolescents.
  • Associated factors include digital dependence, avoidance of social/educational commitments, and a cultural emphasis on social identity over individual identity.
  • Early identification and differentiation from other syndromes are crucial for effective intervention.

Purpose of the Study:

  • To characterize the hikikomori phenomenon, exploring its causes and risk factors.
  • To present psychological therapy using a systemic-relational approach for hikikomori.
  • To illustrate the effectiveness of family psychotherapy in a clinical case.

Main Methods:

  • Phenomenological description of hikikomori.
  • Analysis of cultural, educational, and family system influences.
  • Case study applying systemic-relational intervention and family psychotherapy.

Main Results:

  • The clinical case involved a patient with psychopathology linked to hikikomori and digital dependence.
  • Family psychotherapy addressed a dysfunctional family structure.
  • Post-intervention, the patient demonstrated improved interpersonal skills, management, and problem-solving abilities.

Conclusions:

  • The systemic-relational approach, particularly family psychotherapy, is effective in treating hikikomori and associated digital dependence.
  • Addressing dysfunctional family dynamics is key to improving patient outcomes.
  • Therapeutic interventions can foster new interpersonal and coping skills in affected individuals.