The Japanese term hikikomori means literally ‘to be confined’. Social withdrawal can be present in severe psychiatric disorders; however, in Japan, hikikomori is a defined nosologic entity. There have been only a few reported cases in occidental culture.
Material:
We present a case report of a Spanish man with prolonged social withdrawal lasting for 4 years.
Discussion:
This is a case of prolonged social withdrawal not bound to culture, as well as the second case of hikikomori reported in Spain. We propose prolonged social withdrawal disorder as a disorder not linked to culture, in contrast to hikikomori.
Conclusion:
Further documentation of this disorder is still needed to encompass all cases reported in Japan and around the world.
CardenalV.SánchezM. P. (2007). Adaptación y baremación al español del Inventario Clínico Multiaxial de Millon-III (MCMI-III). Madrid, Spain: TEA Ediciones.
2.
FurlongA. (2008). The Japanese hikikomori phenomenon: Acute social withdrawal among young people. The Sociological Review, 56, 309–325.
3.
García-CampayoJ.AldaM.SobradielN.Sanz AbosB. (2007). Un caso de hikikomori en España. Medicina Clínica, 129, 318–319.
4.
GariupM.ParelladaE.GarcíaC.BernardoM. (2008). Hikikomori o esquizofrenia simple?Medicina Clínica, 130, 718–719.
5.
KasaharaY (1978) Taikyaku shinkeishou withdrawal neurosis to iu shinkategorii no teishou (Proposal for a new category of withdrawal neurosis). In NakaiH.YamanakaY. (Eds.), Shishunki no seishinbyouri to chiryou (Psychopathology and treatment in the adolescent) (pp. 287–319). Tokyo: Iwasaki Gakujutsu Shuppan.
6.
KatoT.TatenoM.ShinfukuN.FujisawaD.TeoA.SartoriusN.KanbaS. (2012). Does the ‘hikikomori’ syndrome of social withdrawal exist outside Japan? A preliminary international investigation. Social Psychiatry and Psychiatric Epidemiology, 47, 1061–1075.
7.
KondoN.SakaiM.KurodaY.KiyotaY.KitabataY.KurosawaM. (2013). General condition of hikikomori (prolonged social withdrawal) in Japan: Psychiatric diagnosis and outcome in mental health welfare centres. International Journal of Social Psychiatry, 59, 79–86.
8.
KoyamaA.MiyakeY.KawakamiN.TsuchiyaM.TachimoriH.TakeshimaT. (2010). Lifetime prevalence, psychiatric comorbidity and demographic correlates of ‘hikikomori’ in a community population in Japan. Psychiatry Research, 176, 69–74.
9.
LeeK. M.KooJ. G.KimE. J.LeeS. H. (2001). The psychosocial characteristics of oiettolie adolescents (in Korean). Korean Journal of Counseling and Psychotherapy, 13(1), 147–162.
10.
MalagónA.AlvaroP.CórcolesD.Martín-LópezL. M.BulbenaA. (2010). Hikikomori: A new diagnosis or a syndrome associated with a psychiatric diagnosis?International Journal of Social Psychiatry, 56, 558–559.
11.
NagataT.YamadaH.TeoA.YoshimuraC.NakajimaT.van VlietI. (2013). Comorbid social withdrawal (hikikomori) in outpatients with social anxiety disorder: Clinical characteristics and treatment response in a case series. International Journal of Social Psychiatry, 59, 73–78.
12.
NiiyaY.EllsworthP. C.YamaguchiS. (2006). Amae in Japan and the United States: An exploration of a ‘culturally unique’ emotion. Emotion, 6, 279–295.
13.
PiesR. (2009). Should DSM-V designate ‘Internet Addiction’ a mental disorder?Psychiatry, 6(2), 31–37.
14.
SakamotoN.MartinR. G.KumanoH.KubokiT.Al-AdawiS. (2005). Hikikomori, is it a culture-reactive or culture-bound syndrome? Nidotherapy and clinical vignette from Oman. International Journal of Psychiatry in Medicine, 35, 191–198.
15.
TatenoM.ParkT. W.KatoT. A.Umene-NakanoW.SaitoT. (2012). Hikikomori as a possible clinical term in psychiatry: A questionnaire survey. BioMed Central Psychiatry, 12, 169.
16.
TeoA. (2010). A new form of social withdrawal in Japan: A review of hikikomori. International Journal of Social Psychiatry, 56, 178–185.
17.
TeoA. (2013). Social isolation associated with depression: A case report of hikikomori. International Journal of Social Psychiatry, 59(4), 339–341.
18.
TeoA.GawA. (2010). Hikikomori, a Japanese culture-bound syndrome of social withdrawal? A proposal for DSM-5. Journal of Nervous and Mental Disorders, 198, 444–449.
19.
WongV. (2009). Youth locked in time and space? Defining features of social withdrawal and practice implications. Journal of Social Work Practice, 23, 337–352.
