{"title":"Six Core Conflictual Themes Identified in the Narratives of Hikikomori.","authors":"Hisako Wada, Toyoaki Ogawa, Tadaaki Furuhashi, Takashi Sakai","doi":"10.1007/s11013-025-09957-w","DOIUrl":null,"url":null,"abstract":"<p><p>As awareness of hikikomori has increased worldwide, the body of research has diversified, deepening our understanding of the subject. Nevertheless, qualitative studies on the subjective experiences of primary hikikomori remain limited. Within this context, this study aims to enhance understanding of the primary type of hikikomori by exploring their lived experiences through in-depth interviews. The analysis identified six interrelated conflictual themes, woven through social-existential strife. At the core of this struggle lies an intricate negotiation of self-worth and belonging amid the tension between individual vulnerability and societal expectations. An existential yearning for meaningful relatedness underscored these struggles, despite an apparent severance from the social world on the surface. The subjects appeared neither apathetic nor indifferent, but rather encapsulated in a complex web of conflicting forces, experiencing pain both when retreating from and venturing into the outside world. These experiences were deeply intersected with cultural and societal dynamics, including subtle and largely invisible pressures arising from contemporary norms of sociality. Capturing the meanings of withdrawal within the resonance of an affected person's sense of self and their view of the social world is thus crucial, given the friction inherent in contemporary pursuits of self-discovery and social connection. By linking psychological distress with structural and relational forces, this study also seeks to offer an integrative perspective on social withdrawal, yielding insights that extend beyond the Japanese context.</p>","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":"50 1","pages":"12"},"PeriodicalIF":1.9000,"publicationDate":"2026-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12861992/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Culture Medicine and Psychiatry","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s11013-025-09957-w","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"ANTHROPOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
As awareness of hikikomori has increased worldwide, the body of research has diversified, deepening our understanding of the subject. Nevertheless, qualitative studies on the subjective experiences of primary hikikomori remain limited. Within this context, this study aims to enhance understanding of the primary type of hikikomori by exploring their lived experiences through in-depth interviews. The analysis identified six interrelated conflictual themes, woven through social-existential strife. At the core of this struggle lies an intricate negotiation of self-worth and belonging amid the tension between individual vulnerability and societal expectations. An existential yearning for meaningful relatedness underscored these struggles, despite an apparent severance from the social world on the surface. The subjects appeared neither apathetic nor indifferent, but rather encapsulated in a complex web of conflicting forces, experiencing pain both when retreating from and venturing into the outside world. These experiences were deeply intersected with cultural and societal dynamics, including subtle and largely invisible pressures arising from contemporary norms of sociality. Capturing the meanings of withdrawal within the resonance of an affected person's sense of self and their view of the social world is thus crucial, given the friction inherent in contemporary pursuits of self-discovery and social connection. By linking psychological distress with structural and relational forces, this study also seeks to offer an integrative perspective on social withdrawal, yielding insights that extend beyond the Japanese context.
期刊介绍:
Culture, Medicine, and Psychiatry is an international and interdisciplinary forum for the publication of work in three interrelated fields: medical and psychiatric anthropology, cross-cultural psychiatry, and related cross-societal and clinical epidemiological studies. The journal publishes original research, and theoretical papers based on original research, on all subjects in each of these fields. Interdisciplinary work which bridges anthropological and medical perspectives and methods which are clinically relevant are particularly welcome, as is research on the cultural context of normative and deviant behavior, including the anthropological, epidemiological and clinical aspects of the subject. Culture, Medicine, and Psychiatry also fosters systematic and wide-ranging examinations of the significance of culture in health care, including comparisons of how the concept of culture is operationalized in anthropological and medical disciplines. With the increasing emphasis on the cultural diversity of society, which finds its reflection in many facets of our day to day life, including health care, Culture, Medicine, and Psychiatry is required reading in anthropology, psychiatry and general health care libraries.