The term hikikomori, or social withdrawal, was first coined in the late 1980s in Japan to describe adolescents and young adults who isolated themselves at home, withdrew from most social engagement, such as work or school, and had almost no relationships with others (except family members and online contacts) for longer than 6 months. Hikikomori often results from emotional injuries such as rejection, or failures that have not been addressed or even noticed. In the current case illustration, the problem of hikikomori is depicted through a client named Ken, a 40‐year‐old single man who, following graduation from university, became lodged in a 15‐year cycle of repeatedly finding employment, quitting within the first year, and going into reclusive isolation. Ken underwent affect‐oriented integrative psychotherapy for 4 years. The importance of processing emotional pain and highlighting positive emotional experiences to build a positive sense of self in working with hikikomori will also be discussed.

中文翻译：

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在日本与社会退缩或 hikikomori 一起工作：从羞耻到骄傲

hikikomori（或社交退缩）一词最早出现在 1980 年代后期的日本，用来描述将自己孤立在家里、退出大多数社交活动（例如工作或学校）并且与他人几乎没有任何关系（除了家庭成员和在线联系人）超过 6 个月。Hikikomori 通常是由情绪伤害引起的，例如拒绝，或者没有得到解决甚至没有注意到的失败。在当前的案例插图中，通过一个名叫 Ken 的客户描述了 hikikomori 的问题，Ken 是一名 40 岁的单身男子，大学毕业后，在 15 年的循环中反复找工作，第一次辞职。年，并进入隐居隔离状态。肯接受了以情感为导向的综合心理治疗 4 年。