According to "Culture and Human Behavior: Culture-Bound Syndromes," the Japanese culture-specific disorder hikkomori is characterized by extreme social withdrawal, a preoccupation with video games and Internet surfing, an inability to work or attend school, and virtually no social interactions with family or the outside world.

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The description of hikkomori as characterized by extreme social withdrawal, preoccupation with video games and Internet surfing, inability to work or attend school, and no social interaction with family or the outside world is accurate according to "Culture and Human Behavior: Culture-Bound Syndromes."