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Psychodynamic group psychotherapy for hikikomori: The case of a socially withdrawn male with schizoaffective disorder
Journal of Clinical Psychology ( IF 2.995 ) Pub Date : 2021-07-14 , DOI: 10.1002/jclp.23216 Hiroaki Kubo 1 , Nobuo Aida 2 , Takahiro A Kato 1
Journal of Clinical Psychology ( IF 2.995 ) Pub Date : 2021-07-14 , DOI: 10.1002/jclp.23216 Hiroaki Kubo 1 , Nobuo Aida 2 , Takahiro A Kato 1
Affiliation
Hikikomori, a severe form of social withdrawal, is a condition characterized by the avoidance of social participation and staying at home for more than 6 months. Hikikomori was initially reported in Japan in the 1990s and is now observed worldwide. Here, we introduce specialized psychodynamic group psychotherapy for persons with hikikomori, and illustrate the case of an adult male with schizoaffective disorder. In the present report, the patient initiated an unreasonably difficult job-hunting process, became unwell, and was hospitalized. He began to participate in group psychotherapy as a place of belonging and gradually increased his social interactions. We also consider the specific difficulties exhibited by people with hikikomori, especially focusing on the avoidance around assuming responsibility for decisions and extreme dichotomous thinking. Additionally, we discuss the benefits of dealing with these difficulties in a group structure and propose the applicability of group psychotherapy in therapeutic interventions for persons with hikikomori.
中文翻译:
隐匿性心理动力学团体心理治疗:一名患有分裂情感性障碍的社交退缩男性的案例
Hikikomori 是一种严重的社交退缩形式,是一种以回避社交和呆在家里超过 6 个月为特征的病症。Hikikomori 最初是在 1990 年代在日本报道的,现在在全世界都有观察到。在这里,我们介绍了针对隐匿症患者的专业心理动力学团体心理治疗,并举例说明了一名患有分裂情感障碍的成年男性的案例。在本报告中,患者开始了一个不合理的艰难的求职过程,身体不适,并住院治疗。他开始参与团体心理治疗作为归属地,并逐渐增加他的社交互动。我们还考虑了隐匿症患者所表现出的具体困难,特别关注避免承担决策责任和极端二分法思维。
更新日期:2021-07-14
中文翻译:
隐匿性心理动力学团体心理治疗:一名患有分裂情感性障碍的社交退缩男性的案例
Hikikomori 是一种严重的社交退缩形式,是一种以回避社交和呆在家里超过 6 个月为特征的病症。Hikikomori 最初是在 1990 年代在日本报道的,现在在全世界都有观察到。在这里,我们介绍了针对隐匿症患者的专业心理动力学团体心理治疗,并举例说明了一名患有分裂情感障碍的成年男性的案例。在本报告中,患者开始了一个不合理的艰难的求职过程,身体不适,并住院治疗。他开始参与团体心理治疗作为归属地,并逐渐增加他的社交互动。我们还考虑了隐匿症患者所表现出的具体困难,特别关注避免承担决策责任和极端二分法思维。