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emHikikomori/em: a systemic-relational analysis

机译： Hikikomori ：系统关系分析

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Over the past 40 years, Japan has spread a definite condition: hikikomori. The term derives from hiku, “pull back”, and komoru, “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 hikikomori 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 hikikomori 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.
机译：在过去的40年中，日本已经传播了一个明确的条件：Hikikomori。该术语来自Hiku，“拉回”和Komoru，“岛屿”，并描述了一种涉及青少年的自愿社会戒断形式。这些科目避免了社会承诺，学校教育和具有相关数字依赖的友谊。确定的原因取决于文化/教育和家庭系统，其中个人身份从属于社会身份，导致隔离。需要早期鉴定HikikoMori及其与其他综合征的各种分化似乎是必要的，以避免不充分的诊断和干预措施。本研究源于以现象特征的表现出来的现象突出的意图，专注于可能的原因和危险因素，然后解释基于系统关系方法的心理治疗。将根据系统关系干预的原则提出临床案例。受试者，具有与Hikikomori和数字依赖相关的精神病理学诊断，表明了通过家庭心理治疗的功能障碍家庭结构。在随访期间，患者通过提高管理和解决问题的技巧来表现出新的人际交往技巧。

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