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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 These younger people stop going to school or workplace and spend most of the time withdrawn into their homes for months or years.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2.
Social withdrawal is a pathognomonic behaviour that is consistently associated with mental illnesses. Compulsive hoarding can also be interpreted as a pathological behaviour, even when it does not involve kleptomania. Diogenes syndrome (DS) was first described in 1975, and is characterized by both behaviours - social withdrawal and compulsive hoarding. Even though it is often the manifestation of a psychiatric condition, its aetiology is diverse. The most frequent ones are however: dementia, schizophrenia and mental retardation. In this study, we describe an atypical case presenting with DS. Il consists of a young man, seen in a forensic setting, who had been diagnosed with kleptomania in the past, presents with compulsive hoarding, and whose recent thefts were fuelled by revenge. Finally, to our knowledge, the way social withdrawal is viewed is seldom taken into account. We analyse its implication on social withdrawal. 相似文献
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