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First-hand reports of prolonged social withdrawal: contributing factors, experiences, and change processes

Or Hareven (Faculty of Social Sciences, School of Psychological Sciences, University of Haifa, Haifa, Israel)
Tamar Kron (Department of Psychology, Hebrew University of Jerusalem, Jerusalem, Israel)
David Roe (Department of Community Mental Health, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel and Department of Clinical Medicine, Psychiatry, Aalborg University, Aalborg, Denmark)
Danny Koren (Faculty of Social Sciences, School of Psychological Sciences, University of Haifa, Haifa, Israel and Psychiatry Division, Rambam Medical Center, Haifa, Israel)

Mental Health and Social Inclusion

ISSN: 2042-8308

Article publication date: 4 July 2023

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Abstract

Purpose

The purpose of this study is to gain deeper understanding of the experience of PSW and pathways to recover. Prolonged social withdrawal (PSW) among young people has been widely reported; however, the voice of those who withdraw is rarely heard. Illuminating these firsthand experiences is important as the phenomenon becomes widespread, calling for increased attention and creative solutions to promote recovery processes and re-inclusion in society.

Design/methodology/approach

This study conducted nine in-depth semi-structured interviews with young people who have been reclusive for 2–19 years and inquired about their perspectives and experiences around times of PSW and beyond. These data were analyzed and categorized according to three main areas: factors contributing to PSW, subjective experiences and general functioning during PSW and processes involved in coming out of PSW. This study presents the main findings and illustrates them using a case of a young man in PSW for 19 years.

Findings

The findings reveal that young people may turn to social withdrawal in response to varied personal and familial challenges, and often experience intense loneliness and psychic pain. Attempts to cope and recover from withdrawal involve inner motivation combined with support from significant others and a strong therapeutic alliance with professionals.

Originality/value

To the best of the authors’ knowledge, this is the first study to report findings from in-depth interviews with people who spent very long periods in PSW, and accordingly it contributes to the growing body of knowledge on this phenomenon. Based on this unique firsthand perspective, the authors propose potential guidelines for caregivers and mental health professionals trying to help people in PSW to reintegrate into society.

Keywords

Acknowledgements

Declaration of interest statement: The authors report there are no competing interests to declare.

Funding: Editing and translation of the manuscript were partially funded by a grant from the University of Haifa. Otherwise, this research was not supported by any funding agency in the public, commercial, or not-for-profit sectors.

Citation

Hareven, O., Kron, T., Roe, D. and Koren, D. (2023), "First-hand reports of prolonged social withdrawal: contributing factors, experiences, and change processes", Mental Health and Social Inclusion, Vol. ahead-of-print No. ahead-of-print. https://doi.org/10.1108/MHSI-05-2023-0055

Publisher

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Emerald Publishing Limited

Copyright © 2023, Emerald Publishing Limited

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