This culture bound syndrome is found almost exclusively in Japan, most commonly among male teenagers and young adults.
It is characterized by extreme social withdrawal and near total severance of contact with the outside world, without any other evidence of psychiatric or neurological disorder. It is usually triggered by an upsetting experience, such as being bullied, failing an examination, or experiencing a broken love affair. People with the disorder usually lock themselves in their bedrooms and refuse to come out for weeks, months, or even years.
A theory, advanced by Ryu Murakami in an essay entitled, "Japan's Lost Generation," suggests that Japan's worship at the alter of high-technology may in some way be responsible:
"Japanese society is caught in a paradox: it is concerned with the increase of socially withdrawn kids, while at the same time it applauds gizmos like the new Sony PlayStation, which comes equipped with an Internet terminal and a DVD player. Technology like that has made it possible to produce animated movies and graphics, as well as conduct commercial transactions, without ever stepping out of the house. It inevitably fixes people in their individual space. In this information society, none of us can be free from being somewhat socially withdrawn."
The disorder was first recognized in the 1970's and the word hikikomori was first applied to it by the Japanese Health and Welfare Ministry in 1991.
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