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3,984 result(s) for "Hoarding"
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Hoarding Disorder
Accounts of hoarding behaviors have appeared in literature, as far back as 319 B.C.E. in the writings of Aristotle's student Theophrastus; in the news, like New York's infamous Collyer brothers in the 1940s; and more recently in popular reality television series. But it wasn't until the publication of DSM-5 in 2013 that hoarding was classified as a disorder in its own right rather than as a symptom of obsessive-compulsive disorder or obsessive-compulsive personality disorder. In this single source, readers can access the most up-to-date comprehensive information on what is known about the disorder. Drawing on the authors' own clinical experiences as well as the latest published research, Hoarding Disorder: A Comprehensive Clinical Guide examines key features of the disorder and treatment approaches, such as: • Phenomenology, including diagnosis, comorbidities, and assessment• Etiology, from both a cognitive-behavioral and a neurobiological perspective• Psychotherapeutic and pharmacological treatments, from cognitive-behavioral therapy, harm reduction strategies, and community approaches to the efficacy of specific drugs• Challenges, including working with elderly patients, managing cases of animal hoarding, and distinguishing and addressing squalor Key points for each chapter and numerous case studies will help readers easily reference and retain information, and the appendices feature useful symptom rating scales that can be applied to practice. For psychiatrists, psychologists, human service and other mental health professionals, peer support counselors, community advocates, and professionals in training, this invaluable book will improve the reader's knowledge and skill in treating patients with hoarding disorder, both those with straightforward presentations and those with complicated ones.
“In an ideal world that would be a multiagency service because you need everybody’s expertise.” Managing hoarding disorder: A qualitative investigation of existing procedures and practices
Hoarding disorder is characterised by the acquisition of, and failure to discard large numbers of items regardless of their actual value, a perceived need to save the items and distress associated with discarding them, significant clutter in living spaces that render the activities associated with those spaces very difficult causing significant distress or impairment in functioning. To aid development of an intervention for hoarding disorder we aimed to identify current practice by investigating key stakeholders existing practice regarding identification, assessment and intervention associated with people with hoarding disorder. Two focus groups with a purposive sample of 17 (eight male, nine female) stakeholders representing a range of services from housing, health, and social care were audio recorded, transcribed verbatim and analysed thematically. There was a lack of consensus regarding how hoarding disorder was understood and of the number of cases of hoarding disorder however all stakeholders agreed hoarding disorder appeared to be increasing. The clutter image rating scale was most used to identify people who needed help for hoarding disorder, in addition to other assessments relevant to the stakeholder. People with hoarding disorder were commonly identified in social housing where regular access to property was required. Stakeholders reported that symptoms of hoarding disorder were often tackled by enforced cleaning, eviction, or other legal action however these approaches were extremely traumatic for the person with hoarding disorder and failed to address the root cause of the disorder. While stakeholders reported there was no established services or treatment pathways specifically for people with hoarding disorder, stakeholders were unanimous in their support for a multi-agency approach. The absence of an established multiagency service that would offer an appropriate and effective pathway when working with a hoarding disorder presentation led stakeholders to work together to suggest a psychology led multiagency model for people who present with hoarding disorder. There is currently a need to examine the acceptability of such a model.
Treatment for hoarding disorder : workbook
\"This second edition ... is the culmination of more than 20 years of research on understanding hoarding and building an effective intervention to address its myriad components. Thoroughly updated and reflective of changes made to the fifth edition of the Diagnostic and statistical manual for mental disorders (DSM-5), this second edition of the client workbook and accompanying therapist guide outlines an empirically supported and effective CBT program for HD\"--Page 4 of cover.
Scrupulosity and hoarding
Recent evidence suggests that avoiding waste may be a prominent motive to save in hoarding disorder. Such beliefs are reminiscent of scrupulosity obsessions in OCD. This paper reports on three studies examining scrupulosity-like beliefs in hoarding and the development and validation of a measure of material scrupulosity. Study one examined the reliability and validity of a measure of material scrupulosity (MOMS) and its relationship to hoarding in a college student sample, as well as the relationship between hoarding and OCD-base scrupulosity. Study 2 examined the psychometric properties of the MOMS in a replication of study 1 with a sample of people with hoarding problems. Study 3 examined the reliability and validity of the MOMS in a large nonclinical/community sample. Findings across the studies provided evidence for the reliability and validity of the MOMS. It was highly correlated with hoarding symptoms, especially difficulty discarding, and hoarding related beliefs, especially responsibility beliefs. It accounted for significant variance in hoarding symptoms independent of other correlates, including other hoarding beliefs. OCD-based scrupulosity was correlated with hoarding in sample 1, but not in the hoarding sample in study 2. Material Scrupulosity refers to an exaggerated sense of duty or moral/ethical responsibility for the care and disposition of possessions to prevent their being harmed or wasted. It appears to be distinct from other hoarding-related beliefs and a significant predictor of hoarding symptoms. The MOMS appears to possess good reliability and validity in both clinical and nonclinical samples. •A measure of material scrupulosity (MOMS) was reliable and correlated with hoarding symptoms and beliefs.•Material scrupulosity accounted for variance in hoarding symptoms independent of other variables.•Material scrupulosity and excessive responsibility for possessions were greater in men than women.•OCD-based scrupulosity was associated with hoarding in a nonclinical, but not a clinical sample.
White dresses : a memoir of love and secrets, mothers and daughters
\"In this riveting, poignant memoir of three generations of women and the white dresses that adorned them--television producer Mary Pflum Peterson recounts a journey through loss and redemption, and her battle to rescue her mother, a former nun, from compulsive hoarding\" -- provided by publisher.
COGNITIVE BEHAVIORAL THERAPY FOR HOARDING DISORDER: A META-ANALYSIS
Background Hoarding disorder (HD) is a new diagnosis in DSM‐5 (American Psychiatric Association, 2013). Cognitive‐behavioral therapy (CBT) appears promising for the treatment of HD, and has been tested in both individual and group settings. Methods The present study used meta‐analytic techniques to examine the overall strength of effect of CBT on HD, as well as on its component symptoms (clutter, difficulty discarding, and acquiring) and associated functional impairment. Potential demographic and treatment‐related moderators of CBT response, as well as the presence of clinically significant change were also examined. From 114 published articles, 10 articles comprising 12 distinct HD samples (N = 232) met inclusion criteria and were retained for analysis. Results HD symptom severity decreased significantly across studies with a large effect size. The strongest effects were seen for difficulty discarding, followed by clutter and acquiring. Functional impairment showed the smallest effect in the moderate range. Female gender, younger age, a greater number of CBT sessions, and a greater number of home visits were associated with better clinical outcomes. Reliable change was found in the majority of samples for each outcome domain. Rates of clinically significant change, however, were lower (percentage ranged from 24 to 43). Thus, in most cases, study patients’ post‐treatment scores remained closer to the HD range than to the normal range. Conclusions CBT is a promising treatment for HD, although there is significant room for improvement. Results are discussed in terms of treatment refinement for HD, and additional moderator variables are suggested for further study.
Careful what you wish for : a novel of suspense
Emily Harlow is a professional organizer who helps people declutter their lives; she's married to man who can't drive past a yard sale without stopping. He's filled their basement, attic, and garage with his finds. Like other professionals who make a living decluttering peoples' lives, Emily has devised a set of ironclad rules. When working with couples, she makes clear that the client is only allowed to declutter his or her own stuff. That stipulation has kept Emily's own marriage together these past few years. She'd love nothing better than to toss out all her husband's crap. He says he's a collector. Emily knows better-he's a hoarder. The larger his \"collection\" becomes, the deeper the distance grows between Emily and the man she married. Luckily, Emily's got two new clients to distract herself: an elderly widow whose husband left behind a storage unit she didn't know existed, and a young wife whose husband won't allow her stuff into their house. Emily's initial meeting with the young wife takes a detour when, after too much wine, the women end up fantasizing about how much more pleasant life would be without their collecting spouses. But the next day Emily finds herself in a mess that might be too big for her to clean up. Careful what you wish for, the old adage says...now Emily might lose her freedom, her marriage...and possibly her life.
An examination of the role of intolerance of distress and uncertainty in hoarding symptoms
Hoarding disorder (HD) is a common and debilitating disorder characterized by an accumulation of and failure to discard one's possessions. The identification and examination of underlying factors that may contribute to hoarding symptoms are needed to elucidate the nature of the disorder and refine existing treatments. Two transdiagnostic vulnerability factors that have been associated with hoarding symptoms are distress intolerance (DI) and intolerance of uncertainty (IU). This study examined the relationships between DI, IU, and symptoms of hoarding in two samples consisting of outpatients and individuals recruited from Amazon's Mechanical Turk. We hypothesized that DI and IU would show unique and interactive associations with hoarding symptoms. Across both samples, DI and IU were significantly associated with hoarding symptoms. However, DI and IU did not interact in their prediction of symptoms, and only IU remained a significant predictor, when accounting for relevant covariates. Results suggest that IU is a robust predictor of hoarding symptoms and may be a promising and novel treatment target for HD.