According to Japanese social norms the family is expected to be the fundamental support system, even if its members are on intimate terms with each other. In other words, intimacy within the modern Japanese family is assumed and consequently it is demanded that the family will provide support for its members.
As nuclear families replace extended ones, especially in Tokyo, once relationship problems within couples arise, there are often no other adults in the family who can intervene or mediate between the couple. This situation is likely to create further conflict and it is also difficult to seek outside support since it is thought that family problem should to be dealt with inside the family and if made public are a cause of shame. As a consequence of this issue, women often suffer.
Many kinds of mutual aid groups have developed in East Asian countries based on community or blood relations. The wider community which acts like an extended family has a number of well-developed networks which attempt to deal with a range of issues. However, as urbanisation continues, frequent migration and the increasing importance of the nuclear family, means that traditional mutual aid groups no longer perform their roles effectively.
This paper draws on qualitative interview data from women in Tokyo who have experienced mental health difficulties in relation to family issues. It explores the role of social support, especially informal types, in providing help for these women. It concludes by suggesting that alternative types of support within the community need to be developed in order to provide effective support for Japanese women experiencing mental health problems.
Full paper: Kamozawa_2009_family_mental_distress.pdf