Maglia Marilena
CTA-Villa Chiara Psychiatric Rehabilitation Clinic and Research, Mascalucia; University of Catania, Catania, Italy.
Health Psychol Res. 2020 Oct 1;8(2):9068. doi: 10.4081/hpr.2020.9068. eCollection 2020 Oct 5.
Over the past 40 years, Japan has spread a definite condition: . The term derives from , "pull back", and , "island", and describes a form of voluntary social withdrawal that involves adolescents. These subjects avoid social commitment, school education and friendships with an associated digital dependence. The causes identified depend on a cultural/educational and family system in which individual identity is subordinated to social identity, causing isolation. Early identification of and above all its differentiation from other syndromes appears necessary to avoid inadequate diagnosis and interventions. This study stems from the intention to outline the phenomenon starting with the presentation of the characteristics of the phenomenon, focusing on possible causes and risk factors, then explain the psychological therapy based on the systemic-relational approach. A clinical case will be presented according to principles of the systemic-relational intervention. The subject, with a psychopathological diagnosis that can be linked to and digital dependence, showed a dysfunctional family structure that has been treated by family psychotherapy. At the follow-up visit the patient showed new interpersonal skills by improving management and problem-solving skills.
在过去40年里,日本出现了一种特定状况:“ hikikomori ”。这个词源于“ hiki ”(意为“退缩”)和“ komori ”(意为“孤岛”),描述的是一种涉及青少年的自愿性社会退缩形式。这些个体回避社会承诺、学校教育以及伴有数字依赖的友谊。已确定的成因取决于一种文化/教育和家庭体系,在这种体系中个人身份从属于社会身份,从而导致孤立。尽早识别“ hikikomori ”,尤其是将其与其他综合征区分开来,对于避免诊断不足和不恰当干预似乎很有必要。本研究源于这样一种意图,即从呈现该现象的特征入手勾勒这一现象,关注可能的成因和风险因素,然后基于系统-关系方法解释心理治疗。将根据系统-关系干预原则呈现一个临床案例。该个体的精神病理学诊断可与“ hikikomori ”及数字依赖相关联,其家庭结构功能失调,已通过家庭心理治疗进行了处理。在随访时,患者通过提高管理和解决问题的能力展现出了新的人际交往技能。