TY - JOUR
T1 - Japan's hidden youths
T2 - Mainstreaming the emotionally distressed in Japan
AU - Borovoy, Amy
N1 - Funding Information:
Acknowledgments Ideas in this article were presented at the annual meetings of the American Association of Anthropology on two panels, ‘‘Critical Therapeutics’’ (2006) and ‘‘The Social in the Individual: Approaches to Mental Illness, Suicide, and Suffering in Japan’’ (2007). The panels generated a good deal of exchange, and I would particularly like to thank the discussants for offering valuable comments: Tanya Luhrmann and Andrew Lakoff (2006) and Susan Long and John Traphagan (2007). The other members of the panels, Rebecca Lester, Joshua Breslau, Chikako Ozawa-de Silva, Ken Vickery, Junko Kitanaka and Karen Nakamura, have been—and continue to be—important interlocutors. I am indebted to colleagues and mentors in the mental health-care sector in Tokyo who facilitated my observation of support groups and counseling sessions and who shared their knowledge: Nishida Chikako, Fukazawa Satoko, Hayakawa Kazuko and Tamura Misao. Saito¯ Satoru has been an important mentor and interlocutor from the psychiatric standpoint. Noguchi Yu¯ji provided valuable input from the perspective of medical sociology. Kathleen Pike and Emi Doi, both clinicians, offered valuable exchanges on the state of mental health care and the social construction of psychological issues in Japan. Research for this article was supported by an Abe Fellowship, funded by the Social Science Research Council, a Japan Foundation Short-Term Research Fellowship, and by the Princeton University Committee on Research in the Humanities and Social Sciences.
PY - 2008/12
Y1 - 2008/12
N2 - One of the most talked-about social issues in Japan in recent years has been the problem of the nation's purportedly one million "hidden" youths, known as hikikomori (literally, "the withdrawn"). Most observers agree that the category of hikikomori encompasses a wide range of problems and provocations. The fact that these various dilemmas lead to the shared outcome of shutting oneself away at home is the point of departure here. The article explores the spheres of mental health care, education and family, focusing on the reluctance to highlight underlying psychological dimensions of hikikomori and the desire on the part of schools and families to "mainstream" Japanese children, accommodating as many as possible within standardized public education. Hikikomori can perhaps be seen as a manifestation of Japanese democracy, in which the good society is imagined as cohesive, protective and secure, rather than one in which the individual can freely exercise the right to be different. Schools, families and the sphere of mental health care have focused on producing social inclusion but have discouraged citizens from being labeled as "different"-even when such a distinction might help them. The dearth of facilities and discourse for caring for the mentally ill or learning disabled is, in many respects, the darker side of Japan's successes. Those who cannot adjust are cared for through the institutions of families, companies and various other spheres that offer spaces to rest and to temporarily "drop out"; however, the expectation is that rest will eventually lead to a re-entry into mainstream society. Often the psychological problem or disability that led to the problem goes unnamed and untreated (hikikomori, psychiatry, special education, youth, family, Japan).
AB - One of the most talked-about social issues in Japan in recent years has been the problem of the nation's purportedly one million "hidden" youths, known as hikikomori (literally, "the withdrawn"). Most observers agree that the category of hikikomori encompasses a wide range of problems and provocations. The fact that these various dilemmas lead to the shared outcome of shutting oneself away at home is the point of departure here. The article explores the spheres of mental health care, education and family, focusing on the reluctance to highlight underlying psychological dimensions of hikikomori and the desire on the part of schools and families to "mainstream" Japanese children, accommodating as many as possible within standardized public education. Hikikomori can perhaps be seen as a manifestation of Japanese democracy, in which the good society is imagined as cohesive, protective and secure, rather than one in which the individual can freely exercise the right to be different. Schools, families and the sphere of mental health care have focused on producing social inclusion but have discouraged citizens from being labeled as "different"-even when such a distinction might help them. The dearth of facilities and discourse for caring for the mentally ill or learning disabled is, in many respects, the darker side of Japan's successes. Those who cannot adjust are cared for through the institutions of families, companies and various other spheres that offer spaces to rest and to temporarily "drop out"; however, the expectation is that rest will eventually lead to a re-entry into mainstream society. Often the psychological problem or disability that led to the problem goes unnamed and untreated (hikikomori, psychiatry, special education, youth, family, Japan).
KW - Depression
KW - Family
KW - Hikikomori
KW - Japan
KW - Psychiatry
KW - Special education
KW - Youth
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U2 - 10.1007/s11013-008-9106-2
DO - 10.1007/s11013-008-9106-2
M3 - Review article
C2 - 18818992
AN - SCOPUS:55949107573
SN - 0165-005X
VL - 32
SP - 552
EP - 576
JO - Culture, Medicine and Psychiatry
JF - Culture, Medicine and Psychiatry
IS - 4
ER -