Experts propose a new definition of withdrawal, pointed out that pathology is common not only in Japan but also in the world
"Social withdrawalIs a term that refers to people who stay at home without going to work or school, and began to be seen as a major problem in Japan in the late 1990s. As such withdrawal is now a common pathology in the world,Kyushu UniversityAnd the United StatesOregon Health Sciences UniversityExperts are trying to help with treatment by proposing a new definition of withdrawal.
Defining pathological social withdrawal: proposed diagnostic criteria for hikikomori-Kato-2020-World Psychiatry-Wiley Online Library
Hikikomori: New definition helps identify, treat extreme social isolation: Modern tools to improve interpersonal communication may be having the opposite effect-ScienceDaily
Kyushu University appealed for redefinition of withdrawal.Shigenobu KamiwaHonorary professor,Takahiro KatoMr. Oregon Health and Science UniversityAlan TeoOur team of experts. Three are psychiatric medical journalsWorld Psychiatry“ The problem called 'withdrawal' has shifted from a typical Japanese problem to a global problem affecting health, '' he said. He points out that it is more widespread than previously recognized. The team emphasized the importance of providing "clear and consistent definitions" to improve the treatment of withdrawal sufferers around the world.
The expert team noted that withdrawal was "significantly socially isolated at home", "social isolation persisted for at least 6 months or more", "significant pain or dysfunction for social isolation" Must meet all three requirements. According to this new definition, people who go out more than 4 days a week are not recognized as withdrawal, and sometimes leave the house (go out 2 to 3 days a week), or almost leave home (1 day a week or less). "Out of the room"), "rarely leave the house (rarely out of one room)", the "severity of withdrawal" is defined as "mild", "moderate" and "severe". In addition, if you have been in a social isolation period of 3 months or more and less than 6 months, you will be considered to be in the "pre-stage of withdrawal."
Among the new definitions of withdrawal, the following four points are important.
・ 1: Clarification of going out frequency
The core concept that makes up the definition of withdrawal. What is different from the conventional definition is that it clarified that "go out of the day on the week".
・ 2: Elimination of the requirement to avoid social involvement
Interviews have revealed that withdrawal patients do not necessarily reject social interactions while acknowledging that they lack significant social connections and interactions. In addition to this,Social anxiety disorderTo clarify the differences, the team of experts has removed the requirement to "avoid social involvement" from the new definition.
・ 3 ： Improved definition of pain
Patients in the early stages of withdrawal often confess that they feel "secure" by being able to escape from painful relationships outside the home. However, prolonged withdrawal causes most people to report "painful". In response to this, the team of experts has warned that a new definition of withdrawal states that "patient distress or dysfunction requires close observation."
・ 4: Deleted the exception that "If you have another mental illness, you are not withdrawn"
"It was evident that withdrawal tended to coincide with mental illness," the expert team said, removing the above exception. "The frequency of mental illness during withdrawal increases the importance of treating social withdrawal as a health problem," a team of experts explains.
“ The problem withdrawal is whether an 80-year-old woman living in Portland who lives and receives a school lunch delivery service for the elderly or an 18-year-old living in Japan, '' said Alan Theo, a team of experts. It is common. ”He emphasized the importance of defining a withdrawal definition in a manner that is independent of age and country.