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《Neuropsychiatrie de l'enfance et de l'adolescence》2022,70(3):141-145
Samuel Beckett, at the start of his adult life, had all the characteristics of a psychotic withdrawal. Before Waiting for Godot, which would bring him fame, the first play he composed entirely wad called Eleutheria (“Freedom” in Greek) and describes the confinement of a teenager at his parents’ home. Perhaps because resembled too closely his own privacy, the author always refused publication and staging. “Less an action than a site, often empty”, according to the indication given in the preamble by the author, this dramaturgy obviously has substantial links to the rest of the work. We criticize that to understand this many spoke of the writing of “exhaustion” and some assumed that Beckett would have treated a psychosis, perhaps an autism, by his creativity. Understanding of his biography could point more towards the psychological profile of a borderline state with, at the same time, the threat of an overflow of excitement and the strong apprehension of the feeling of emptiness if this same excitation ceases to be felt. Above all, his writings and his life have inspired us to think about the contemporary world and review the concepts of therapeutic mediation. 相似文献
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《Neuropsychiatrie de l'enfance et de l'adolescence》2022,70(3):132-135
The Net can be interpreted as the last technical product through which imagery is overlapping reality : the relationship with the Net has led to some meaningful transformations in our way of living, thinking, forming emotional contacts with anyone. It can be assumed that, first of all, this change concerns younger generations and, in this logic, the social withdrawal can be seen as a symptom of contemporaneity, meaning that it seems to testify to the presence of a splitting between a virtual body and a real one, that affects us all. To fully understand what happened, it's necessary to refer to the narcissistic change in educational models, family systems, social contexts and the roles played by peer groups. Affective families have replaced the regulative ones; the lack of rules and shame on peers have replaced the guilt towards fathers. This has meant that many young people refuse to meet each one another in order to retire to an exclusively virtual world. In our contribution, we identify three ways in which these splittings between the virtual body and the imaginary one appears in social withdrawal: First, the sense of protection from the outside world, in relation to the shame resulting from social challenges, especially with regards to sexual intercourse or simply to its prefiguration. Second, the imaginary satisfaction, which offers the subject the opportunity to live an experience parallel to the real one. In this dimension, the risk of a depressive psychotic collapse greatly reduces as far as the imaginary construction holds up. Finally, the ethical indifference which entails a loss of the Super Ego, whereby the moral limits of imaginary action coincide with the possibilities offered by the technical tool. The use of violence is confined within the virtual world and does not receive a moral condemnation, so the Net becomes a sort of receptacle, similar to the Freudian Es where all the drives are expressed. Within the Net, the person living in social withdrawal without the proximity of a real body can’t reach that encounter with the other that is still capable of stimulating our empathy. 相似文献
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熊菲 《中国实用儿科杂志》2022,37(11):818-822
随着互联网普及率逐年递增,个体及其与社会互动的方式发生了巨大变化。网络在带来前所未有便利的同时,网络成瘾作为一种新的成瘾现象已经受到广泛关注,特别是针对儿童青少年,同时会表现出各种心理和生理的异常,如蜗居、社会退缩、抑郁等,这可能是一种复杂的社会现象,是社会、家庭、个体心理各因素相互作用的结果。深入了解儿童网络成瘾和蜗居现象,认真思考应对策略,有助于国家对网络问题治理相关对策的制定。 相似文献
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A. Souilem A. Mrad T. Brahim R. Hannachi A. Mechri 《Neuropsychiatrie de l'enfance et de l'adolescence》2019,67(2):106-108
Background
Hikikomori syndrome originally described in Japan as a psychosocial and cultural entity affecting especially adolescents. These younger people stop going to school or workplace and spend most of the time withdrawn into their homes for months or years. Hikikomori-like cases named under other nomenclatures such as “social withdrawal” or “housebound syndrome” have recently been reported in other countries of varying sociocultural and economic backgrounds such as Hong Kong, Oman, US, Spain and France. Thus, Hikikomori has now crossed the limits of a culture-bound phenomenon to become an increasingly prevalent international condition. In Tunisia, young people who meet the definition of “Hikikomori” are not necessarily the same as “Hikikomori” in Japan. Our objective was to illustrate a case of Hikikomori in Tunisia, as well as the diagnostic difficulties it posed.Methods
We described the case of a young people who presented a state of home confinement for two years and who was assessed by psychological tests and clinical interview at the aim to found a mental disorder.Results
A 18-year-old adolescent lived with his parents. He was brilliant in his studies. He had no personal or family psychiatric history. At the age of 16 and after severe acne, this adolescent had locked himself in his room and stopped studying to spend his days and almost all of his nights surfing the internet. After two years of confinement, he was hospitalized after a suicide attempt by drug ingestion. The clinical evaluation did not find any thymic or psychotic disorders. The evaluation of the personality concluded to limit functioning with narcissistic arrangements.Conclusion
As in our case, Hikikomori has more frequently in male adolescents. Diagnostic difficulties are posed in front of the various mental pathologies which can begin at this age and which can cause or associate with the confinement at home like depression and schizophrenia. Thus, Hikikomori is still a hidden epidemic in many countries. It is affecting a generation made vulnerable by socio-cultural and technological changes. Furthermore, following further advances in Internet society, more and more people may come to live a Hikikomori-like existence, which may or may not be seen as a pathological condition at that time. 相似文献5.
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Goals
Withdrawal behaviours among teenagers have become a major topic in both clinical practice and the specialized literature. Known since the 1980s in Japan as Hikikomori, these behaviours are found across international nosographies in a variety of models. They are not always accompanied by intensive video gaming. There are varied uses of digital technology among teenagers, in terms of both quantity and quality. They can relate to the formation of an ideal, on the boundaries between virtual reality and illusion, it can also be a step toward the renewal of social relationship, since it enables a less threatening confrontation with the object.Method
Using a clinical case of a fifteen-year-old teenager secluded in his home for eighteen months, we will explore the interactions between withdrawal behaviours and digital usages, from the perspective of the formation of an ideal. We will study how they intertwine with the formation of identity and with the processing of loss.Results
In Japan, where a cultural and sociological explanation of the Hikikomori is preferred, reference to psychiatry is excluded. The withdrawal can be understood within a particular form of culture, or rather a counter-culture, an idiom, a singular form of adolescent suffering that uses virtual reality as a specific mode of relationship with others and the world. The ideal, like adolescence itself, is characterized by its incompletion. It is also paradoxical, between confrontation with inadequacies and solutions to solve them. Virtual reality can thus enable the subject to fight against the consequences of the losses that define the process of adolescence.Discussion
Withdrawal behaviours occur in various psychic systems, all the more so when they start in adolescence or in early adulthood. The use of digital technologies makes it possible to freeze the course of time and to limit the impact of pubertal transformations and the confrontation with sexuality. For Maxime, the investment in the ideal and in virtual reality is deployed in a continuum between toxicity and creativity. Toxicity can be seen in the completion of the adolescent process and the preservation of a narcissistic omnipotence via an ideal self.Conclusion
Teenagers withdrawn into their home do not all exhibit an intensive use of digital technology which can be perceived as trophy at this age. Video games enable narcissistic reinforcement, less threatening object relationships, and a less painful confrontation with loss for the most vulnerable teenagers. Virtual reality and the construction of an ideal can together contribute to the resumption of the adolescent process. 相似文献7.
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《Neuropsychiatrie de l'enfance et de l'adolescence》2022,70(3):136-140
Home confinement of a young person is a global problem whether or not it is associated with a psychiatric disorder. It is a maladaptive behavior that tends to repeat itself and finally involves the whole family in a shared difficulty of attachment/separation. Relieving the family burden using parental guidance could help to break the cercle vicious of guilt and shame among family members.Many studies on the features of families in hikikomori situations are cited in the article, mostly from Japanese authors. Constrained family culture, misunderstanding between the young person and his family, and dependency to parental figures are far more important today than in previous works where the poor quality of family relations were stressed. Studies about families in hikikomori situations are now beginning to emerge in non-Japanese countries, notably in Spain and Italy. It would be interesting to develop such research stream in France. This article also presents our clinical experience in responding to requests for consultations from families with a hikikomori situation, in developing a professional network via the AFHIKI association, and in animating a family exchange group about hikikomori. 相似文献
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ObjectiveCases of prolonged social withdrawal (hikikomori) have recently been reported in several countries. This study examined the impact of cognitive-behavioral and emotional factors on hikikomori behavior to identify intervention targets. Identifying such targets could facilitate the development of techniques to address hikikomori characteristics. MethodsTwo hundred Japanese individuals (mean age=38.73, SD=6.85) completed the Adaptive Behaviors Scale for Hikikomori and Stress Response Scale-18, along with the Japanese versions of the Self-Compassion Scale (Short Form), Acceptance and Action Questionnaire-II, and Brief Coping Orientation to Problems Experienced Inventory. Participants were divided into two groups: individuals with no experience of social withdrawal, and those with experience of social withdrawal. Results Hierarchical multiple regression analysis showed that the use of instrumental support, behavioral disengagement stress coping skills, self-compassion, and psychological stress were associated with hikikomori behaviors. Furthermore, higher instrumental support levels, associated with a decrease in hikikomori behaviors, were found in the hikikomori group. Conclusion The use of instrumental support, behavioral disengagement stress coping skills, self-compassion, and psychological stress should be targeted in hikikomori prevention interventions. Moreover, encouragement for the use of instrumental support is needed for improving hikikomori. 相似文献
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