Psychoanalytic Psychotherapy for Hikikomori Young Adults and Adolescents

Abstract

A hikikomori is a child, an adolescent or a young adult who voluntarily retreats into his own home for long periods, not showing evident signs of psychological distress or overt mental disorder. This phenomenon was first described in Japan, but several research studies show that it is spreading in many countries around the world. The author hypothesizes that the decision to become a hikikomori is made by the person in an attempt to find a solution to difficulties in relationships with himself and with others. The choice of reclusion rapidly becomes a trap: in this condition the individual is imprisoned in complex functions of the mind which curb and restrict independence and personal autonomy. This is owing to the fact that, with the withdrawal, a pathological personality organization, formed during the years of early infancy, gradually takes control of the internal world, pushing towards anti‐developmental mental states and behaviours. The paper continues with some reflections on individual treatment with psychoanalytic psychotherapy of adolescents and young adults in a state of acute social withdrawal. The reference model used is John Steiner's notion of ‘psychic retreat’. A description of a four‐year treatment completes the paper, allowing for further clinical reflections.