Like internet addiction, Hikikomori is an emerging psychiatric diagnosis, and the definition and clinical features are still a matter of debate.
But one thing is obvious: the hikikomori are acutely aware of their own pain. They are likely to feel acute guilt for subjecting family to their quirks and, at the same time, report feeling suffocated by their shut-in ways.
As the researchers conclude:
‘The condition of hikikomori requires active intervention instead of the passive attitude stating that it is merely a lifestyle choice.’
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