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Highly Sensitive Person: Idiomizing Distress in Pandemic-Era Tokyo
1University of California San Diego, La Jolla, USA. ramsey.ismail90@gmail.com.
Culture, Medicine and Psychiatry
|July 25, 2026
Summary
The term "Highly Sensitive Person" (HSP) has become a popular way to describe vulnerability in Japan, offering a way to discuss sensitivity and distress outside of clinical diagnoses. This term
Area of Science:
- Anthropology
- Sociology
- Psychology
Background:
- The study examines the adoption of the English pop-psychology term
- Highly Sensitive Person
- (HSP) in Japan as a framework for understanding social withdrawal and distress.
- It explores how this term evolved into a common idiom for discussing personal vulnerability within Japanese society.
Purpose of the Study:
- To trace the local adoption and adaptation of the
- Highly Sensitive Person
- (HSP) concept in Japan.
- To analyze how HSP functions as an emergent idiom of distress, enabling individuals to articulate sensitivity and suffering.
- To investigate the role of digital platforms, publishing, and media in the dissemination of the HSP concept.
Main Methods:
- Ethnographic fieldwork conducted over twenty months in Tokyo at Raku-no-Kai, a nonprofit organization.
- Analysis of how the HSP concept is used in everyday life, peer support spaces, media, and clinical settings.
- Examination of the socio-cultural infrastructures facilitating the spread of psychological terms.
Main Results:
- The
- Highly Sensitive Person
- (HSP) concept serves as a flexible language for expressing vulnerability and distress, distinct from psychiatric diagnoses.
- The COVID-19 pandemic created a societal context where discussing emotional strain and withdrawal became more acceptable.
- The ambiguity of the HSP concept can create challenges in clinical settings, bridging patient self-understanding and diagnostic categories.
Conclusions:
- The
- Highly Sensitive Person
- (HSP) concept has become a significant idiom of distress in Japan, shaped by cultural and media infrastructures.
- The term facilitates communication about sensitivity and suffering but may not align directly with clinical diagnostic frameworks.
- This study contributes to understanding the social lives of psychological categories and the formation of distress idioms in different cultural contexts.
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