The Japanese word “hikikomori” translates to “pulling inwards”. The term was coined in 1998 by Japanese psychiatrist Professor Tamaki Saito to describe a burgeoning social phenomenon among young people who, feeling the extreme pressures to succeed in their school, work and social lives and fearing failure, decided to withdraw from society. At the time, it was estimated that around a million people were choosing to not leave their homes or interact with others for at least six months, some for years. It is now estimated that around 1.2% of Japan’s population are hikikomori.
One day in 2009, a nervous young man rushed out of his home in Incheon, South Korea, head held down. Having not showered in weeks, his skin was oily, his hair unkempt. The loungewear he had on, one of only two sets he owned, was badly stained. He knew he smelled. But he’d run out of necessities, so he’d have to go to the shop down the street. It’d just be five minutes. All he had to do was stock up on instant ramen, Coke and cigarettes, and then he’d be back.
Japan’s aging population poses unique social challenges — but it’s not just the elderly. The so-called phenomenon of hikikomori, modern-day hermits or social recluses, has grown dramatically.
In 2010, the Japanese government estimated that there are 700,000 individuals living as hikikomori within Japan, with an average age of 31. Now, according to new research, the problem has become more common in many parts of the world — and we need a better diagnosis for it.
In the late 1990s, Japan collectively awoke to find that a large number of its adolescents and young adults were having almost no social contact at all, save for some communication with their families.
It was called hikikomori (or ひきこもり in Japanese), meaning “pulling inward, being confined”. It was characterized as “acute social withdrawal”, or more colloquially — being a shut-in. Hikikomori essentially withdraw from social life without any underlying physical or mental condition.
It’s important to note that this is not the run of the mill “I don’t want to see people today” introvert — the condition is characterized by extreme social isolation.
This condition also rarely changes for the better. Interviews and surveys with hikikomori have revealed that hikikomori feel strong levels of psychological distress and angst and, oftentimes, the mere thought of renouncing this lifestyle can produce distress.
Social withdrawal means hikikomori stay indoors almost every day, and they might live with their families or on their own. This is not just a form of social anxiety, most researchers studying it are pushing to classify it as a pathological condition.
A community‐based survey published in 2010 reported that the prevalence of hikikomori was approximately 1.2% of the Japanese population, and yet a consensus about what triggers this type of condition has not yet been reached yet.
It seems to affect both genders equally and seems to often be connected to previous trauma or unpleasant social experiences (including academic failure). It appears to affect middle- and upper-middle-class families, but that might also be the case because these families can afford to fully support an isolated son or daughter, whereas in families who aren’t as well-off, potential hikikomori would be forced to go to work.
Hikikomori is similar to the social withdrawal exhibited by some people with autism spectrum disorders, but no definite connection has been established. According to Michael Zielenziger‘s book, Shutting Out the Sun: How Japan Created Its Own Lost Generation, the syndrome is more closely related to post-traumatic stress disorder, though published research suggests that this is speculative.
There is no underlying mental condition triggering this phenomenon (this is actually an important aspect in defining hikikomori), but it’s not entirely clear if this is a mental condition in itself or only an extreme form of behavior. To make matters even worse, the resulting social isolation, which is often coupled with shame or guilt coming from the family, are all barriers in identifying and characterizing these individuals.
Anecdotally, many instances of hikikomori appear connected to unpleasant or even traumatic childhood experiences. There may also be a link with dysfunctional family dynamics. Underwhelming achievements, particularly when combined with high family expectations, also seem to be factors in the development of hikikomori. Some particular social characteristics also seem to be at play.
It is no coincidence that the phenomenon first took shape in Japan. Hikikomori has been linked with a breakdown of social cohesion and a decay in social relationships, rapid urbanization, and quick technological progress — all of which are prevalent in Japan. These changes can dissociate individuals from society, making them feel out of place in any social situation. Individuals with a particularly predisposed psyche and family situation are particularly at risk.
Overall, ongoing research suggests that intrapersonal factors (self-esteem, emotional difficulties, impulse control, etc.) are greater risk factors than interpersonal ones (e.g., social anxiety, problematic peer relations, parent relationship difficulties, family functioning, etc.)
But there is one more important factor at play.
Technology, with internet and computer games at the forefront, appear to be linked with hikikomori.
The connection between internet and video games and hikikomori is still being researched, but it is considered, at the very least, a factor that can exacerbate this problem.
Hikikomori tend to use the internet profusely, they prefer communicating online, and they often (but not always) spend much of their time in the online world.
However, it would be too superficial to dismiss hikikomori as internet addicts. Internet use, and social media use, in particular, have exploded in recent years. A recent study found that 17–26.8% in adolescents in Hong Kong could be considered internet addicts, compared to around 1% which can be considered hikikomori. The age at which the phenomena start to emerge is also different: for internet addiction, it’s early teens. For hikikomori, it’s late teens and early adulthood.
It is possible that there is an overlap between internet addicts and hikikomori, but even then, it is not clear what causes what. Internet addiction can cause people to isolate themselves from the rest of the world, but the internet can also be a coping mechanism for people who have very limited communication with others. In addition, while the term “addiction” suggests something negative, internet addiction could actually be a good thing here.
According to some studies, the internet can actually improve the hikikomori’s quality of life, by offering a way to meet other people, including people with similar problems and common interests.
The internet is also sometimes the only way through which hikikomori interact with health professionals.
Nevertheless, according to Takahiro Kato, associate professor of psychiatry at Kyushu University in Fukuoka, video games and social media have reduced the amount of time that people spend outside and in social environments, which could serve as a gateway of sorts. The emergence of smartphones, food delivery services, and all services that reduce social interaction can also have a compounding effect on the issue. Essentially, you can live your entire life from your bed or desk and this is what many hikikomori are doing.
But although the phenomenon emerged and was defined in Japan and other parts of Asia, it’s long since become a global phenomenon — and one that’s not receiving sufficient attention.
Although the problem is still most prevalent in Japan, it has long since “spread” beyond the country’s borders. Previous studies reported the existence of Hikikomori in South Korea and Hong Kong, as well as the United States, Morocco, Oman, Italy, India, Finland and France.
Social isolation has been on the rise in many parts of the globe, and the phenomenon has taken an unexpected surge globally. But if the above-discussed causes are indeed to blame, this is hardly a surprising phenomenon.
Japan may be at the forefront of some social and technological changes, but many areas are slowly entering those phases, too. In particular, more and more parts of the world are becoming affluent enough to support young adults indefinitely (or young adults can work remotely, online, without needing to meet anyone face-to-face). It’s not always clear how hikikomori can survive or how they make money, but most come from middle-class or upper-middle-class families that can provide support for them. Needless to say, this adds an economic component to an already crippling social problem.
The cultural shift brought by technology (and the internet in particular) can also raise an abyss between children and their parents. Parents not being able to see the early signs of social isolation has been highlighted as an aggravating factor of this issue.
Interviews have shown that hikikomori are not only bound to Japan or Asia, and no single cultural aspect seems to be defining. It’s a complex phenomenon with complex causes.
Among the many aspects we still don’t understand about hikikomori, the lack of a clear definition is particularly pressing. This is where a new study comes in, helping define what makes a hikikomori
About a decade ago, a form of diagnostic interview was developed, but this was only semi-structured and fails to grasp the problem in its widest context. The idea of a young Japanese man, sad and isolated in his room, is not nearly sufficient to describe the problem. This definition is incomplete and insufficient, particularly as the phenomenon emerges in different countries and in different subsets of the population.
Hikikomori also isn’t necessarily permanent. A recent analysis defines it as “a psycho-sociological condition characterized by prolonged and severe social withdrawal for a time period of at least 6 months”.
Some researchers have suggested splitting hikikomori into two groups: the ‘hard’ ones, which almost never go out and don’t have face-to-face interactions with almost anyone, including their families, and ‘soft’ ones, which go out 1-3 days a week. Another classification suggests splitting them into those who live with their parents and those who live alone, as this could have somewhat different underlying causes.
Social phobia remains the core identity of hikikomori, but that’s just not enough to craft a definition. Instead, researchers from Kyushu University propose 4 key factors to define hikikomori as a pathological condition.
1. First, the behavior of staying confined to home. The physical aspect of social withdrawal is the central and defining feature. The frequency of going outside still needs some further research, though, as there can be a great variety in this regard.
A generation of hikikomori has already passed, and society is still not sure how to deal with this phenomenon.
The problem has been exacerbated by a lack of recognition. Parents rarely want to accept that there is an issue, or might be quick to overlook it as a “teen thing”. Accepting it as a reality and attempting to deal with it is a crucial first step.
Secondly, this issue is still poorly understood, partly because it is relatively new, but also because up until very recently, there have been very few studies conducted outside of Japan. This is starting to change and several promising studies are ongoing.
Thirdly, while there is likely no silver bullet, a therapeutic approach can help make a difference.
Particularly with advances in digital and communication technology that provide alternatives to in‐person social interaction, hikikomori may become an increasingly relevant concern. But these communication channels can also serve as leverage in helping deal with this phenomenon.
Some have argued that hikikomori might be a non-pathological or dissociative response to distress, but this phenomenon indicates a changing relationship between teenagers and their parents, as well as the surrounding environment. We’d be wise to pay it more attention.
What is Hikikomori, the Japanese phenomenon of extreme social isolation — and why it seems to be spreading. By Mihai Andrei. ZME Science , January 22, 2021
Who are the hikikomori?
Natacha Vellut: The hikikomori are young Japanese men and women under 30, who spend periods of at least six months without leaving home. They stop going to school or work, they cut all social ties… Some live like recluses for years on end! The word ‘hikikomori’ literally means “to withdraw” or ‘to lock oneself up’. The phenomenon was described in Japan in the late 1980s, and the term was soon adopted by psychiatrists and physicians around the world who identified sufferers among their young patients. In France, an increasing number of families and youngsters are realising that they fit this definition, even though the condition itself is not considered a distinct medical category outside of Japan, and there are no statistics available. Some hikikomori are camouflaged by other labels, like “school dropouts”, for example. But not all dropouts are hikikomori, since some may have an aversion to school while maintaining social relations.
What is the cause of this withdrawal from the world?
N. V.: It’s essentially a psychosocial situation. It emerged in Japan during the severe economic crisis that followed the bursting of the country’s financial bubble. People began referring to young people at the age of entering the job market as a ‘lost generation’. Japanese society continued to impose obligations, but without making room for its youth. At that point, something broke. Beyond Japan, modern-day society sets extremely high standards, both professional and personal, at a time when it is becoming increasingly difficult to get a job and find one’s place in life – not to mention the norms that the pressure of social networks forces on young people today – ‘be like this, act like that’…
The level of ontological insecurity has risen sharply, further exacerbated by environmental threats, the climate crisis, and now a global pandemic. In a sense, as Bruno Latour aptly points out in his book Down to Earth, the ‘Zone to Defend ‘(ZAD) movement, as in Notre-Dame-des-Landes (western France), is also a way of reacting to this insecurity, of pulling back from the modern world, while in this case trying to create a different one.
Are there similarities between the hikikomori and the confinement that we have endured, and continue to endure to a lesser extent?
N. V.: The confinement was imposed on us, so there was no intentional withdrawal from the world. However, while some people suffered through the period of reclusion, others had no problem with it, building a kind of bubble that they are now reluctant to leave – out of fear of Covid-19, of course, but not only. By cutting themselves off, the hikikomori pull out of social relations that they feel are too complex, too demanding. All such interactions, whether with teachers, co-workers or even friends, require an effort that they are no longer capable of making.
Those who did fine during the confinement find themselves in a similar situation: they felt as though the burden of social ties, whether professional (as we know, work is an ever-greater source of stress) or with family and friends, was lifted. They were in a cocoon, protected from the world, where they felt comfortable. Now that the lockdown is over, some people don’t want to leave home, urbanites who moved to the countryside during that period don’t want to return to the city… But what seems at first like a good way to avoid anxiety can soon become toxic.
In what way can extended confinement become toxic?
N. V.: To return to the hikikomori, an extended period of withdrawal accustoms these young people to a greatly reduced space-time context in which temporal reference points become blurred. In fact, many of them reverse the usual day-night routine. Time becomes highly cyclical, making them lose all perception of duration or the passage of time. The days go by, and are all the same. It’s a trap that the victim doesn’t notice until it’s too late, and that’s hard to escape. A French portmanteau term coined during the lockdown sums it up quite well: lundimanche (‘Sunmonday’) – which means that in confinement, every day is like Sunday.
After a withdrawal phase of several months, it becomes very difficult to return to having a schedule and goals. In addition, certain hikikomori suddenly realise that life has gone on without them. Their classmates have found jobs or moved in with someone, whereas they have nothing to show for all that time. Some go through an episode of depression, while others develop anxieties about space, which now seems too vast, too noisy. The emotions are too strong, they begin having dizzy spells…
To get back more specifically to confinement, the situation undeniably has a protective effect, even though it gives rise to other problems, amply demonstrated in research, like eating and sleep disorders. As a result, there is a real risk of increased anxiety as we return to normal life.
Does digital technology, by allowing us to keep in touch with the world while staying at home, contribute to such withdrawal?
N. V.: To some degree, yes, one could say that the Internet facilitates and perpetuates withdrawal. We can’t ignore the fact that the hikikomori phenomenon emerged in Japan at a time when the video game market was booming, and that these youngsters spend a great deal of time in front of their screens – playing online games, watching films, or satisfying their curiosity for a favourite topic. On the other hand, unlike most of us during confinement, they rarely use social networks – or do so anonymously, and certainly not to draw attention to themselves. In any case, it is likely that if hikikomori got bored more often, they might emerge sooner from their seclusion…
Has Confinement Turned Us All Into Hikikomori? Science Blog , June 24, 2020
















