Hoarding is the act of engaging in excessive acquisition of items that are not needed or for which no space is available. [1]
Hoarding is the act of engaging in excessive acquisition of items that are not needed or for which no space is available. [1]
Civil unrest or the threat of natural disasters may lead people to hoard foodstuffs, water, gasoline, and other essentials that they believe will soon be in short supply. Survivalists, also known as preppers, often stockpile large supplies of these items in anticipation of a large-scale disaster event. [2] [3]
Other items commonly hoarded include coins considered to have an intrinsic value, such as those minted in silver, or gold, as well as collectibles, jewelry, precious metals [4] and other luxuries.
According to previous [5] studies, Anthropomorphism, or the propensity to attribute human characteristics to non-human items, has been associated with hoarding. Additionally, the findings stated that younger individuals had more substantial hoarding and anthropomorphizing cognitions and behaviors, and women demonstrated stronger early anthropomorphizing behaviors compared to men. [6]
The first documented case of Hoarding was in the Collyer Mansion by the brothers Homer and Langley in 1947, New York. Their mansion became an attraction in 1938 because of the extreme level of accumulation and fortune found in their residence after their deaths. [7]
Individuals who meet the diagnostic criteria for hoarding disorder experience feelings of anxiety or discomfort about discarding possessions they do not need. This discomfort arises from an emotional attachment to possessions and a strong belief that their possessions will be needed in the future. Possessions will take on a sentimental value that outweighs their functional value. This is no different from someone without hoarding disorder; the difference lies in the strength of this sentimental value and in how many items take on a sentimental value. For this reason, when discarding items, hoarders may feel like they are throwing away a part of themselves. [8]
In severe cases, a house may become a fire hazard (due to blocked exits and stacked papers) or a health hazard (due to vermin infestation, excreta and detritus from excessive pets, hoarded food and garbage, or the risk of stacks of items collapsing on the occupants and blocking exit routes). [9] Thus, hoarding affects more than just the owner of the objects, as the state of a hoarded house can have a negative effect on all occupants and even neighbors. Furthermore, individuals with hoarding disorder may have a quality of life as poor as those diagnosed with schizophrenia. [10] Eventually, the disorder increases family strain, [11] work impairment, [12] and the risk of serious medical conditions. [13]
Hoarding disorder begins at an average age of 13 years old. [14] The general consensus is that men and women are equally prone to hoarding. [15] Hoarding can run in families, and it may be possible genetics play a role in developing hoarding behaviors. [16] Also, this behavior can be developed due to life circumstances such as difficult losses, depression, financial crises, and living small which make it difficult for people to get rid of their belongings. [14]
According to the Diagnostic and Statistical Manual of Mental Disorders, [17] the criteria for hoarding disorder boils down to five main points. Firstly, the hoarder experiences difficulty parting with items regardless of the item’s value. Secondly, the hoarder feels a need to save items, and when they do part with them, this leads to strong distress. This, in turn, leads to objects cluttering the home to the point that living is compromised and rooms can’t be used for their intended purposes. If the house has not fallen into such a state, it is only because of outside parties intervening. Fourthly, the hoarding has compromised the hoarder’s life in a clinically significant way, including an inability to maintain a safe living environment. Lastly, the diagnosis is only given if another psychological diagnosis doesn’t fit better and there is no physiological reason to explain the hoarding. For an exact quote of the diagnostic criteria, the Diagnostic and Statistical Manual of Mental Disorders is available to the public. [18]
There are no medications currently approved by the Food and Drug Administration for treating the symptoms of hoarding. Although, some medications, such as selective serotonin reuptake inhibitors (SSRIs) and serotonin/norepinephrine reuptake inhibitors (SNRIs), can be used off-label for individuals diagnosed with hoarding disorder. [19]
The primary treatment for hoarding disorder is individual psychotherapy. In particular, cognitive behavior therapy is regarded as the gold standard for treating the disorder. [20]
In the Divine Comedy , those who hoard are depicted as sinners locked in eternal battle with wasters. Overseen by Pluto (the former god of wealth now turned into a demon and that speaks in gibberish) they have to push heavy boulders (representing money) in opposite direction, each time the two lines of sinners meet they accuse and insult each other. The hoarders and wasters have been condemned to Hell for being unable to practice moderation with money. [21]
In William Shakespeare’s play Coriolanus , Caius Marcius and his followers hoard grain, only sharing it with those they deem worthy. [21]
Hypochondriasis or hypochondria also known as syndrome is a condition in which a person is excessively and unduly worried about having a serious illness. Hypochondria is an old concept whose meaning has repeatedly changed over its lifespan. It has been claimed that this debilitating condition results from an inaccurate perception of the condition of body or mind despite the absence of an actual medical diagnosis. An individual with hypochondriasis is known as a hypochondriac. Hypochondriacs become unduly alarmed about any physical or psychological symptoms they detect, no matter how minor the symptom may be, and are convinced that they have, or are about to be diagnosed with, a serious illness.
Hypersexuality is a term used for a presumed mental disorder which causes unwanted or excessive sexual arousal, causing people to engage in or think about sexual activity to a point of distress or impairment. It is controversial whether it should be included as a clinical diagnosis used by mental healthcare professionals. Nymphomania and satyriasis were terms previously used for the condition in women and men, respectively.
Obsessive–compulsive personality disorder (OCPD) is a cluster C personality disorder marked by a spectrum of obsessions with rules, lists, schedules, and order, among other things. Symptoms are usually present by the time a person reaches adulthood, and are visible in a variety of situations. The cause of OCPD is thought to involve a combination of genetic and environmental factors, namely problems with attachment.
Pornography addiction is the scientifically controversial application of an addiction model to the use of pornography. Pornography may be part of compulsive behavior with negative consequences to one's physical, mental, social, or financial well-being. While the World Health Organization's ICD-11 (2022) has recognized compulsive sexual behaviour disorder (CSBD) as an "impulsive control disorder", CSBD is not an addiction, and the American Psychiatric Association's DSM-5 (2013) and the DSM-5-TR (2022) do not classify compulsive pornography consumption as a mental disorder or a behavioral addiction.
Body dysmorphic disorder (BDD), also known in some contexts as dysmorphophobia, is a mental disorder defined by an overwhelming preoccupation with a perceived flaw in one's physical appearance. In BDD's delusional variant, the flaw is imagined. When an actual visible difference exists, its importance is disproportionately magnified in the mind of the individual. Whether the physical issue is real or imagined, ruminations concerning this perceived defect become pervasive and intrusive, consuming substantial mental bandwidth for extended periods each day. This excessive preoccupation not only induces severe emotional distress but also disrupts daily functioning and activities. The DSM-5 places BDD within the obsessive–compulsive spectrum, distinguishing it from disorders such as anorexia nervosa.
Hoarding disorder (HD) or Plyushkin's disorder, is a mental disorder characterised by persistent difficulty in parting with possessions and engaging in excessive acquisition of items that are not needed or for which no space is available. This results in severely cluttered living spaces, distress, and impairment in personal, family, social, educational, occupational, or other important areas of functioning. Excessive acquisition is characterized by repetitive urges or behaviours related to amassing or buying property. Difficulty discarding possessions is characterized by a perceived need to save items and distress associated with discarding them. Accumulation of possessions results in living spaces becoming cluttered to the point that their use or safety is compromised. It is recognised by the eleventh revision of the International Classification of Diseases (ICD-11) and the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5).
Kleptomania is the inability to resist the urge to steal items, usually for reasons other than personal use or financial gain. First described in 1816, kleptomania is classified in psychiatry as an impulse control disorder. Some of the main characteristics of the disorder suggest that kleptomania could be an obsessive-compulsive spectrum disorder, but also share similarities with addictive and mood disorders.
Impulse-control disorder (ICD) is a class of psychiatric disorders characterized by impulsivity – failure to resist a temptation, an urge, or an impulse; or having the inability to not speak on a thought. Many psychiatric disorders feature impulsivity, including substance-related disorders, behavioral addictions, attention deficit hyperactivity disorder, autism spectrum disorder, fetal alcohol spectrum disorders, antisocial personality disorder, borderline personality disorder, conduct disorder and some mood disorders.
Sexual addiction is a state characterized by compulsive participation or engagement in sexual activity, particularly sexual intercourse, despite negative consequences. The concept is contentious; neither of the two major mainstream medical categorization systems recognise sex addiction as a real medical condition, instead categorizing such behavior under labels such as compulsive sexual behavior.
Compulsive behavior is defined as performing an action persistently and repetitively. Compulsive behaviors could be an attempt to make obsessions go away. Compulsive behaviors are a need to reduce apprehension caused by internal feelings a person wants to abstain from or control. A major cause of compulsive behavior is said to be obsessive–compulsive disorder (OCD). "The main idea of compulsive behavior is that the likely excessive activity is not connected to the purpose to which it appears directed." There are many different types of compulsive behaviors including shopping, hoarding, eating, gambling, trichotillomania and picking skin, itching, checking, counting, washing, sex, and more. Also, there are cultural examples of compulsive behavior.
Exposure therapy is a technique in behavior therapy to treat anxiety disorders.
Compulsive buying disorder (CBD) is characterized by an obsession with shopping and buying behavior that causes adverse consequences. It "is experienced as a recurring, compelling and irresistible–uncontrollable urge, in acquiring goods that lack practical utility and very low cost resulting in excessive, expensive and time-consuming retail activity [that is] typically prompted by negative affectivity" and results in "gross social, personal and/or financial difficulties". Most people with CBD meet the criteria for a personality disorder. Compulsive buying can also be found among people with Parkinson's disease or frontotemporal dementia.
Hoarders is an American documentary reality television series that debuted on A&E on August 17, 2009. The show depicts the real-life struggles and treatment of people who suffer from compulsive hoarding disorder.
Behavioral addiction, process addiction, or non-substance-related disorder is a form of addiction that involves a compulsion to engage in a rewarding non-substance-related behavior – sometimes called a natural reward – despite any negative consequences to the person's physical, mental, social or financial well-being. In the brain's reward system, a gene transcription factor known as ΔFosB has been identified as a necessary common factor involved in both behavioral and drug addictions, which are associated with the same set of neural adaptations.
Obsessive–compulsive disorder (OCD) is a mental and behavioral disorder in which an individual has intrusive thoughts and feels the need to perform certain routines (compulsions) repeatedly to relieve the distress caused by the obsession, to the extent where it impairs general function.
David F. Tolin is an American clinical psychologist.
The psychology of collecting is an area of study that seeks to understand the motivating factors explaining why people devote time, money, and energy making and maintaining collections. There exist a variety of theories for why collecting behavior occurs, including consumerism, materialism, neurobiology and psychoanalytic theory. The psychology of collecting also offers insight into variance between similar behavior that can be recognised on a continuum between being beneficial as a hobby and also capable of being a mental disorder. The large diversity of different types of collected objects and variance of collecting behaviors across these types has also been subject to research in psychology, marketing and game design.
Jonathan Stuart Abramowitz is an American clinical psychologist and Professor in the Department of Psychology and Neuroscience at the University of North Carolina at Chapel Hill (UNC-CH). He is an expert on obsessive-compulsive disorder (OCD) and anxiety disorders whose work is highly cited. He maintains a research lab and currently serves as the Director of the UNC-CH Clinical Psychology PhD Program. Abramowitz approaches the understanding and treatment of psychological problems from a cognitive-behavioral perspective.
The Dimensional Obsessive-Compulsive Scale (DOCS) is a 20-item self-report instrument that assesses the severity of Obsessive-Compulsive Disorder (OCD) symptoms along four empirically supported theme-based dimensions: (a) contamination, (b) responsibility for harm and mistakes, (c) incompleteness/symmetry, and (d) unacceptable (taboo) thoughts. The scale was developed in 2010 by a team of experts on OCD led by Jonathan Abramowitz, PhD to improve upon existing OCD measures and advance the assessment and understanding of OCD. The DOCS contains four subscales that have been shown to have good reliability, validity, diagnostic sensitivity, and sensitivity to treatment effects in a variety of settings cross-culturally and in different languages. As such, the DOCS meets the needs of clinicians and researchers who wish to measure current OCD symptoms or assess changes in symptoms over time.
A hoarder house, or "garbage house", is a term in Japan for a building or a piece of land that is not intended to be a refuse dump, but where garbage is left piled up. In addition to the resident's own garbage, the resident may bring in trash from nearby garbage collection points or accumulate junk as if they were running a recycling business.
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