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Hoarding involves the acquisition of and inability to discard large numbers of possessions that clutter the living area of the person collecting them. It becomes a disorder when the behavior causes significant distress or interferes with functioning. Hoarding can interfere with activities of daily living (such as being able to sit in chairs or sleep in a bed), work efficiency, family relationships, as well as health and safety. Hoarding behavior can range from mild to life-threatening. Epidemiological findings suggest that hoarding occurs in 2-6% of the adult population, making it two to three times more common than obsessive-compulsive disorder.
The fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) now includes Hoarding Disorder as a distinct disorder within the OCD and Related Anxiety Disorders section, creating a demand for information about it. The Oxford Handbook of Hoarding and Acquiring is the first volume to detail the empirical research on hoarding. Including contributions from all of the leading researchers in the field, this comprehensive volume is divided into four sections in addition to introductory and concluding chapters by the editors: Phenomenology, Epidemiology, and Diagnosis; Etiology; Assessment and Intervention; and Hoarding in Special Populations. The summaries of research and clinical interventions contained here clarify the emotional and behavioral features, diagnostic challenges, and nature of the treatment interventions for this new disorder. This handbook will be a critical resource for both practitioners and researchers, including psychiatrists, psychologists, neurologists, epidemiologists, social workers, occupational therapists, and other health and mental health professionals who encounter clients with hoarding problems in their practice and research.
Dr. Randy O. Frost is the Harold & Elsa Siipola Israel Professor of Psychology at Smith College. He was awarded the Lifetime Achievement Award for excellence in innovation, treatment, and research in the field of hoarding and cluttering by the Mental Health Association of San Francisco.
Dr. Gail Steketee is Dean and Professor at the Boston University School of Social Work, and a member of the American Academy of Social Work and Social Welfare. Her scholarly work has focused on developing and testing treatments for obsessive compulsive spectrum disorders, and especially hoarding.
Both Dr. Frost and Dr. Steketee received the Outstanding Career Achievement Award from the International Association for Obsessive Compulsive Disorders.
Table of Contents
Part One: Introduction
1. Introduction and Overview
Randy O. Frost and Gail Steketee
2. Hoarding In History
Part Two: Phenomenology, Epidemiology, and Diagnosis
3. Phenomenology of Hoarding
Gail Steketee and Randy O. Frost
4. Ownership and Collecting
5. Diagnosis of Hoarding Disorder
David Mataix-Cols and Lorena Fernández de la Cruz
6. Hoarding Behavior in Other Disorders
Alberto Pertusa and Andres Fonseca
7. Comorbidity in Hoarding Disorder
Michael G. Wheaton and Anna Van Meter
8. Acquisition of Possessions in Hoarding Disorder
Randy O. Frost and Astrid Müller
9. Information Processing
Kiara R. Timpano, Ashley M. Smith, Julia C. Yang, and Demet Çek
10. Emotional Attachment to Objects in Hoarding: A Critical Review of the Evidence
Stephen Kellett and Kathryn Holden
11. Animal Hoarding
Gary J. Patronek and Catherine R. Ayers
12. Severe Domestic Squalor
Melissa M. Norberg and John Snowdon
Part Three: Etiology
13. Genetics and Family Models of Hoarding Disorder
Matthew E. Hirschtritt and Carol A. Mathews
14. The Neurobiology of Hoarding Disorder
Kristin Slyne and David F. Tolin
15. Hoarding in Animals: The Argument for a Homology
Stephanie D. Preston
16. Psychological Models of Hoarding
17. The Economics of Hoarding
Brian D. Vickers and Stephanie D. Preston
Part Four: Assessment and Intervention
18. Assessing Hoarding and Related Phenomena
Jessica R. Grisham and Alishia D. Williams
19. Insight and Motivation
Blaise L. Worden, James DiLoreto, and David F. Tolin
20. Individual Cognitive and Behavioral Treatment for Hoarding
21. Alternative Treatment Modalities
22. Pharmacotherapy of Compulsive Hoarding
23. Family Interventions for Hoarding
Michael A. Tompkins and Tamara L. Hartl
24. Community Interventions for Hoarding
Christiana Bratiotis and Sheila Woody
Part Five: Hoarding in Special Populations
25. Compulsive Hoarding in Children
Jennifer M. Park, Joseph F. McGuire, and Eric A. Storch
26. Hoarding in Older Adults
Catherine Ayers, Sadia Najmi, Ian Howard, and Melanie Maddox
Part Six: Future Directions
27. Future Directions for Hoarding Research
Gail Steketee and Randy O. Frost