Mr X is a 40-year-old man who has spent half his life—the past 20 years—barely able to leave his room in his parents’ house. For many years aside from attending a monthly outpatient appointment he was asleep while everyone else in his household was awake. And while they slept he was up: whiling away time with computer games and online shopping—the latter at one point costing the family the equivalent of many thousands of pounds.
There is now a Facebook page for my office #Kyoto #Psychotherapy & #Psychoanalysis.
It includes details about services & counseling fees.
More to come about #mentalhealth events & #Psychoanalysis in #Kyoto very soon…
From January 2018, I offer online counseling, including online counseling for hikikomori subjects.
I use Wecounsel for Secure Video, IM Chat, and Email that is HIPAA Compliant.
Tech requirements: Clients must use Firefox or Chrome. Good internet connection and ethernet cable is recommended.
For more details Conducting a Video Conferencing Session: Client View
Inquiry for online counseling trial session should be sent at n.tajan2(at)gmail.com
Adult sessions’ fees start at 5000 yens.
“In Japan today, many young people are disconnecting themselves from society. They have come to be known as hikikomori (recluses), or more formally shakaiteki (social) hikikomori. Though their existence is widely recognized, their true situation is still far from being generally understood. They all have different backgrounds and circumstances and have withdrawn from society for different reasons. So, what can we say about this disparate group?
First, a definition: Hikikomori are individuals who (1) do not work or attend educational institutions, (2) are not considered to have a mental disorder, but (3) have remained at home for six months or longer without interacting personally with anyone outside their families. The third point is the most important. These people have no friends and are isolated from society, even though they may be living in the middle of a teeming city.
Some say … open access on nippon.com
This is an evaluation study of a pilot multicomponent program with animal-assisted therapy (AAT) for socially withdrawn youth with or without mental health problems in Hong Kong. There were fifty-six participants. Decreased level of social anxiety, and increased levels of perceived employability and self-esteem across two withdrawn groups were observed. When comparing those who did and did not receive the AAT component(s), however, AAT did not seem to have additional impacts on outcomes. The qualitative data collected through interviews with ten participants reflected that
the AAT component was attractive because the nonhuman animals made them feel respected and loved. This pilot study showed that a multicomponent program with a case management model correlated with increased levels of self-esteem and perceived employability, and a decreased level of social interaction anxiety. In addition, using nonhuman animals in a social service setting appears to be a good strategy to engage difficult-to-engage young people.
It is important to appropriately assess the adaptive behaviors of individuals with hikikomori (IWH) using parent reports. However, currently, there is no gold standard in the assessment of adaptive behaviors of IWH. This study aimed to: (1) develop the Adaptive Behaviors Scale for Hikikomori (ABS-H); (2) examine the factor structure of the ABS-H; and (3) examine the reliability and validity of ABS-H. A factor analysis and item response theory (IRT) analysis were conducted using data from 761 parents. Reliability and validity of ABS-H were assessed using measures of severity of hikikomori, difficulty in social participation, extent of places where IWH were active, days on which IWH went out, duration of hikikomori and happiness about relationship with one’s child. A total of 26 items were selected and item-trait was examined from the IRT results. Factor analysis identified four group factors. Cronbach’s alpha was found to be .97. Criterion-referenced, convergent and discriminant validity of the instrument were satisfactory. This study suggests that the ABS-H is a reliable measure with acceptable criterion-referenced, convergent and discriminant validity. Further research is needed to clarify the extent to which the ABS-H is sensitive in capturing the changes in the features of hikikomori.