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Int J Soc Psychiatry. 2014 Sep;60(6):562-5. doi: 10.1177/0020764013504560. Epub 2013 Oct 6.

Prolonged social withdrawal disorder: a hikikomori case in Spain.

Author information

1
Department of Psychiatry, Jiménez Díaz Foundation, Madrid, Spain santiovejero@yahoo.es.
2
Department of Psychiatry, Jiménez Díaz Foundation, Madrid, Spain.

Abstract

BACKGROUND:

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.

KEYWORDS:

Hikikomori; social isolation; social withdrawal

PMID:
24101742
DOI:
10.1177/0020764013504560
[Indexed for MEDLINE]

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