Click here to download

Psychologist Outside Of The Studio and extreme social withdrawal: an intervention for Hikikomori syndrome
Journal Title: TERAPIA FAMILIARE 
Author/s: Francesca Perrone, Tommaso Civiero 
Year:  2019 Issue: 119 Language: Italian 
Pages:  23 Pg. 39-61 FullText PDF:  118 KB
DOI:  10.3280/TF2019-119004
(DOI is like a bar code for intellectual property: to have more infomation:  clicca qui   and here 


In this study, the so called "Psychologist Outside Of The Studio" project is explained. This is a home based intervention method for cases of severe social withdrawal, Hikikomori syndrome and other forms of withdrawal from relationships that manifest during adolescence and early adulthood. The authors propose an intervention model dedicated to those situations in which family therapy appears to have limited success due to difficulties or resistance by the parental subsystem and, simultaneously, when the withdrawn young person does not demonstrate an intrinsic motivation sufficient to allow true engagement in the classical setting of individual therapy. After a brief theoretical survey, the authors describe how "Psychologist Outside Of The Studio" functions using a theoretical process has been developed after thorough revisions. "Psychologist Outside Of The Studio" succeeds in connecting multiple intervention levels in a flexible and innovative manner. "Psychologist Outside Of The Studio" operates through long and frequent home-visits and the initial phase of the intervention is based on the logic of "doing it together" and sharing experiences. Through this specific method, the basis is created for an intense relationship which is the precursor of a therapeutic alliance. This has been proven necessary for the change and development of the young person, as this allows them to rediscover the meaning of their own experiences and to continue to mature in a developmentally appropriate manner. The article explains the wide range of possible and valuable interactions between "Psychologist Outside Of The Studio" and family therapists. A genuine collaboration between these professions has led to the best observed outcomes. In addition, the differences between the work of an educator and a home psychotherapist are highlighted.
Keywords: Social withdrawal, Hikikomori, home based intervention, adolescence, early adulthood, "Psychologist Out Of Studio".

  1. Aurilio R., Menafro M., De Laurentis M.G.A. (2015). La terapia sistemico relazionale tra coerenza e strategia. Apprenderla e praticarla. Milano: FrancoAngeli.
  2. Bowlby J. (1988). Una base sicura. Applicazioni cliniche della teoria dell’attaccamento. Milano: Raffaelllo Cortina.
  3. Canevaro A. (2009). Quando volano i cormorani. Terapia individuale sistemica con il coinvolgimento dei familiari significativi. Roma: Borla.
  4. Cirillo S. (2005). Cattivi Genitori. Milano: Raffello Cortina.
  5. Cirillo S., Selvini M., Sorrentino A.M. (2016). Entrare in terapia. Le sette porte della terapia sistemica. Milano: Raffaello Cortina.
  6. Ciufferi M.G., Mancini F. (2011). Esperienze terapeutiche con adolescenti che si isolano. In: Sagliocco G. (a cura di), Hikikomori e adolescenza – Fenomenologia dell’autoreclusione. Milano-Udine: Mimesis Edizioni.
  7. Cocchi A., Contini A., Ambrosi P., Berlincioni V., Zanelli Quarantini F. (1987). Psichiatria a domicilio. Esperienze e modelli di intervento a confronto. Milano: FrancoAngeli.
  8. Cordiale S., Montinari G. (2012). Compagno adulto. Nuove forme dell’alleanza terapeutica con gli adolescenti. Milano: FrancoAngeli.
  9. DSM-5. Manuale Diagnostico e Statistico dei Disturbi Mentali (2014). Milano: Raffaello Cortina.
  10. EUROSTAT (2017). Eurostat Regional Yearbook, 2017 Edition. Publications Office of the European Union.
  11. Lee Y.S., Lee J.Y., Choi T.Y., Choi J.T. (2013). Home visitation program for detecting, evaluating and treating socially withdrawn youth in Korea. Psychiatry and Clinical Neurosciences, 67: 193-202.
  12. Li Tim M.H., Wong Paul W.C. (2015). Youth social withdrawal behavior (Hikikomori): A systematic review of qualitative and quantitative studies. Australian & New Zealand Journal of Psychiatry, 49(7): 595-609., 10.1177/000486741558117DOI: 10.1177/000486741558117
  13. Mastropaolo L. (2011). Nuove patologie adolescenziali o nuove emergenze sociali? L’Hikikomori è solo giapponese? Terapia Familiare, 97., 10.3280/TF2011-09700DOI: 10.3280/TF2011-09700
  14. Kato T.A., Shinfuku N., Sartorius N. et al. (2011). Are Japan’s Hikikomori and depression in young people spreading abroad? Lancet, 378: 1070., 10.1016/S0140-6736(11)61475-DOI: 10.1016/S0140-6736(11)61475-
  15. Ranieri F. (2015). When social withdrawal in adolescence becomes extreme: The “Hikikomori” phenomenon in Italy. Psychiatria i Psychologia Kliniczna, 15: 148-151.
  16. Saito T. (1998). Hikikomori adolescence without end. University of Minnesota Press.
  17. Selvini M. (2010). Un terapeuta sistemico cacciatore e allevatore. Psicobbiettivo, vol. XXX, 1: 59-69., 10.3280/PSOB2010-00100DOI: 10.3280/PSOB2010-00100
  18. Spiniello R., Piotti A., Comazzi D. (2015). Il corpo in una stanza. Adolescenti ritirati che vivono di computer. Milano: FrancoAngeli.
  19. Teo A.R. et al. (2015). Identification of the Hikikomori syndrome of social withdrawal: Psychosocial features and treatment preferences in four countries. International Journal of Social Psychiatry, 61, 1: 64-72., 10.1177/002076401453575DOI: 10.1177/002076401453575
  20. Teo A.R., Gaw A.C. (2010). Hikikomori. A japanese culture-bound syndrome of social withdrawal? A proposal for DMS5. International Journal of Social Psychiatry, 56, 2.
  21. Vannotti M. (2016). Postfazione. In: Cirillo S., Selvini M., Sorrentino A.M., Entrare in terapia. Le sette porte della terapia sistemica. Milano: Raffaello Cortina.
  22. Yalom I. (2005). Il dono della terapia. Milano: Neri Pozza Editore.

Francesca Perrone, Tommaso Civiero, Psychologist Outside Of The Studio and extreme social withdrawal: an intervention for Hikikomori syndrome in "TERAPIA FAMILIARE" 119/2019, pp. 39-61, DOI:10.3280/TF2019-119004

   

FrancoAngeli is a member of Publishers International Linking Association a not for profit orgasnization wich runs the CrossRef service, enabing links to and from online scholarly content