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So Much Clutter, So Little Room: Examining the Roots of Hoarding
The New York Times ^ | Sunday, January 4, 2004 | NINA BERNSTEIN

Posted on 01/04/2004 6:17:43 AM PST by TroutStalker

The cases never cease to fascinate: reclusive people trapped by their own accumulations, in rooms made unlivable by floor-to-ceiling heaps of newspapers, books and saved objects — from twist ties to grand pianos.

Some pass into legend, like the Collyer brothers, "the hermit hoarders of Harlem," who in 1947 were buried by the piles of urban junk that filled their four-story Harlem brownstone. But even less extreme examples, like that of the Bronx man rescued on Monday after being trapped for two days under an avalanche of magazines and catalogs, haunt the public imagination.

Such compulsive hoarding is being recognized as a widespread behavioral disorder, one that is particularly acute in cities like New York, where space is at a premium. The pack rat behavior ranges from egregious cases that endanger lives to more commonplace collecting that resonates with anyone who has ever stacked magazines to read later or bought more shoes than the closet will hold.

One woman, for example, found throwing out a newspaper so unbearable that her therapist instructed her never to buy one again. Another could not pass a newsstand without thinking that one of the myriad periodicals on sale contained some bit of information that could change her life.

And a third, trying to explain why she had bought several puppets that she did not want or need from a television shopping channel, spoke of feeling sorry for the toys when no one else bid on them.

The emotional investment that goes into hoarding makes it much harder to overcome than landlords or housing court judges often understand, said Randy O. Frost, a professor of psychology at Smith College in Northampton, Mass., and a national authority on the disorder who helped a group of medical, legal and social service agencies establish the New York City Task Force on Hoarding a year ago.

Similar groups exist in a dozen places, Dr. Frost said, including Seattle, Ottawa, Fairfax County, Va., and Dane County, Wis.

"I don't know if it's more of a problem in the city than elsewhere, but certainly the limited amount of space makes it come to a head," Dr. Frost added. "Most of this new attention is not coming from the mental health side of things, because many people with this problem don't seek help. It's coming from the housing side and services to the elderly."

Landlords, and lawyers and social workers who deal with elderly tenants, are often among the first to confront the problem.

Toby Golick, a clinical-law professor at Cardozo Law School, described the case of an elderly Manhattan man who rescued broken toys, discarded toasters and dilapidated umbrellas from the street until even his kitchen and bathroom were too crammed for use. The situation came to light only when the landlord could not squeeze in to fix a leaky faucet.

"He picked up things that he thought people were throwing away and still had life," said Ms. Golick, a founder of the hoarding task force, which will hold its second conference at Cardozo on Jan 21. "He was very upset that this was a disposable society and that people were very quick to disregard things of value."

In the end, she said, Cardozo's legal clinic prevented the man's eviction by working patiently with him on a compromise: the bathroom and kitchen would be cleared, and passageways tunneled through the piles of treasured junk in the other rooms. The turning point had been finding a resale shop that would accept some items, so the man would not have to throw them away.

Like the elderly tinkerer, the Bronx man, Patrice Moore, 43, saw treasure where others saw mainly trash. Interviewed yesterday at St. Barnabas Hospital, where he was recovering from leg injuries suffered when his collection collapsed on him, he said he might sue the landlord over the loss of comic books and articles from the 1980's about his favorite entertainer, Michael Jackson.

"I had to squeeze inside my apartment," he said of his 10-by-10-foot room, which rents for $250 a month. "I don't know how I lived that way. The problem was, I never got a storage space."

In one sense, Dr. Frost agreed, space makes the difference between eccentricity and pathology.

"People can collect and not throw things away without it really being a problem if they have the space and can organize it," he said. "It's only a pathology when it interferes with their functioning."

Pathological hoarding can affect people of all ages, and it seems to be related to obsessive-compulsive disorder, added Dr. Frost, who has researched the problem for a decade and recently received a grant to develop a model treatment to be tested on about 40 subjects at the Institute of Living in Hartford and at Boston University.

There are three facets to the problem, he said: enormous emotional difficulty throwing things away; compulsive acquisition — sometimes by buying things, but often by picking them up for free — and a high level of disorganization and clutter.

Many of the people afflicted seem to be unusually intelligent, he said. "They see more connections between things, which leads them to value those things much more than the rest of us do. "

But they also have difficulty finding conventional categories for the information they collect. Instead, they tend to organize their homes by visual or spatial cues — they might locate an electric bill, for example, on the left-hand side of a pile six inches deep, rather than where bills are filed.

This taxes their memory, so they tend to want to leave everything out in plain sight, piled in the middle of the room.

"They have to remember where everything is," explained Dr. Frost. "The rest of us only have to remember our system."

Equally important is their tendency to attach emotional significance to a wider variety of things. "For some it has to do with identity," he said. "I've had people tell me, `If I throw too much away, there'll be nothing left of me.' Almost like a Midas touch — if something comes into my ownership, it's part of me."

Finally, the psychologist said, "throwing something away makes them feel unsafe." The sense of security and comfort that most people feel in the familiar surroundings of home, hoarders may feel only when hemmed in by a nest of debris.

But there was no room for sentiment at the two-story brick apartment building on Morris Avenue in the Bronx from which police, firefighters and other city emergency workers extracted Mr. Moore. A man who would identify himself only as the landlord's brother said that he had stuffed Mr. Moore's trove of paper in garbage bags and stashed it in a back room for the night.

"Tomorrow is trash day," he said.

Janon Fisher contributed reporting for this article.


TOPICS: Culture/Society
KEYWORDS: behavior; clutter; disorders; filth; hoard; hoarder; hoarders; hoarding; mentalhealth; ocd; packrat; psychology; squalor; stuff
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To: TroutStalker
My mottos:
KISS (Keep It Simple Stupid)
When in doubt, throw it out (applies to girlfriends as well)

My gun collection is the only exception so far.
If I ever find a nice conservative gal, she'll be exception #2, lol.

181 posted on 01/04/2004 8:30:59 PM PST by jrp
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To: rabidralph
Worse yet, home owners associations will probably write into their covenants that no more than X amount of house space can contain clutter.

As if those communes don't have enough ways to bug the homeowners...

Join the Revolution! Start a Homeowners Association!

182 posted on 01/04/2004 8:36:04 PM PST by Tolerance Sucks Rocks (Strong enough for a man who wants to be a woman, but made for a woman who used to be a man)
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To: SeaDragon
.........the rest is prime estate sale stuff.

Oh boy pizza pie!!!! Can you post the Date and ADDRESS PLEASE!! LOL!!

183 posted on 01/04/2004 9:09:49 PM PST by pollywog (Psalm 121;1 I Lift mine eyes to the hills from whence cometh my help.)
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To: mtbopfuyn
BTW, the families on the show admit to doctoring up their mess for the camera.

Oh yeah? Then what's the point? Why would you bring in stuff from other rooms to make a mess? Why would you want people to think you can't even keep your bedroom straight? Weird.

184 posted on 01/04/2004 9:14:38 PM PST by radiohead
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To: pollywog
Oh boy pizza pie!!!! Can you post the Date and ADDRESS PLEASE!! LOL!!

I will definitely keep you posted........

LOLOL

185 posted on 01/04/2004 9:39:37 PM PST by SeaDragon
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To: Tax Government
I am quite worried about my sister. I never knew that this was a problem w/ a named disorder. She has stacks of newspapers from as far back as 1994. She can't throw anything away, her daughter took out 5 bags of newspapers and trash when my sister was gone once,when she came home, ny niece got in trouble and was shook and yelled at till she told ny sister where the dumpster was... she then went and got all 5 bags out. her house is a fire hazard, My nephew, age 7 has'nt ever been able to sleep in his room. There is trash piled every where, and dirty dishes a foot high all the time.My brother in law just doesn't want to deal with the problem or else he doesn't know how to. They rent. Any ideas on how to help? She gets angry and in denial that there is any thing wrong.Thanks
186 posted on 01/04/2004 9:58:00 PM PST by flowergirl
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To: All
Help! I can't seem to throw out all my old National Review magazines with Florence King essays on the back page! I need a subsidy, a government program, a dispensation under the American's with Disabilities Act! Where's my money? Where's Mike Wallace to do an in-depth expose on this pernicious disease that strikes millions and makes up virtual prisoners in our own homes? Quick, call Oprah, I need to speak out on this problem so that we can focus attention on it!

Forgive me, I couldn't resist....
187 posted on 01/04/2004 10:02:34 PM PST by Wombat101 (Sanitized for YOUR protection....)
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To: tgslTakoma
Yes --- I think some people never got with the "throw it away even if it's still good" approach. I know houses used to have basements and attics --- baby furniture and clothes were handed down for generations --- in the past generations, probably few people ever threw anything away unless it was completely useless --- landfills were probably unheard of.

Even us who can get rid of things kind of have to force ourselves --- maybe it's kind of natural to save.
188 posted on 01/04/2004 10:13:30 PM PST by FITZ
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To: Catspaw
Well it sounds like you and the other half (I'll assume you're the better half for arguments sake) are on your way to quite an adventure. I can't imagine pulling out of port and setting sail for what ever takes me there! I wish you both luck and hope you go to the local libraries and post your adventure.

I think I see a FReeper adventure / Survivor thread in the future.

Let us know when you're having the garage sale!
189 posted on 01/04/2004 10:17:34 PM PST by NYTexan (Dean is too short to get elected!)
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To: flowergirl
Your sister might have something worse than just a hoarding problem --- I know some hoarders who seem pretty happy --- they admit they have too much, I know a few who won't change but it does affect them in a negative way. Maybe she has some kind of depression --- and it sounds like she's bordering on abuse of her kids.
190 posted on 01/04/2004 10:33:32 PM PST by FITZ
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To: Auntie Mame
Yep.....I am a flybaby!!! Mostly on no mail though!! HA HA HA!!!
191 posted on 01/04/2004 10:36:08 PM PST by pollywog (Psalm 121;1 I Lift mine eyes to the hills from whence cometh my help.)
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To: NYTexan
I wish you both luck and hope you go to the local libraries and post your adventure.

That's part of the plan :-))

We're really looking forward to leaving. It's a big life change, but we're ready for it.

192 posted on 01/05/2004 5:40:51 AM PST by Catspaw
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To: Wombat101
Help! I can't seem to throw out all my old National Review magazines with Florence King essays on the back page! I need a subsidy, a government program, a dispensation under the American's with Disabilities Act! Where's my money? Where's Mike Wallace to do an in-depth expose on this pernicious disease that strikes millions and makes up virtual prisoners in our own homes? Quick, call Oprah, I need to speak out on this problem so that we can focus attention on it!

Forgive me, I couldn't resist....

I guess you've never had to wade knee deep in cr@p (sometimes literally) in someone's house with this disorder then? Trust me, it's no laughing matter. Most *don't* want any attention at all. They want to be left alone for the most part, however, if they have children they are putting them in real physical danger.

When someone literally can not throw away rotting food or insist on retrieving what was thrown away something isn't working in their brains.

193 posted on 01/05/2004 6:05:57 AM PST by CajunConservative
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To: CajunConservative
Nope, can't say as I have lived with somone that has this problem. I too am a pack rat when it comes to certain things. However, if someone is hoarding rotting food and fecal matter (which you seem to imply) then there is something else wrong with them besides the inability to throw something, anything, away.

In this day in age we seem able to find the teensiest little personality quirk and turn it into a full-blown medical problem that needs to be covered by Medicare or something. Keeping stuff is not a problem, it's keeping weird/useless stuff that is, without any idea or intention of finding a use for it, and it's symptomatic of another disorder and does not require it's own name and syndrome.

I apologize if you were offended by moy post, and suggest that you invest in a good pair of hip-waders while you get whoever is keeping all that junk medicated.
194 posted on 01/05/2004 9:52:04 AM PST by Wombat101 (Sanitized for YOUR protection....)
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To: Wombat101
I wasn't offended, but I have had to assist hoarders (which is a symptom of Obsessive Compulsive Disorder)of various degrees. This isn't something new either. Most don't get to the extreme, but there are quite a few who literally can't let go of their stuff when it starts to overtake everything including the physical and financial safety of their family. There's nothing wrong with being a pack rat as long as your and others safety isn't compromised.
195 posted on 01/05/2004 12:33:00 PM PST by CajunConservative
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To: Auntie Mame; tiamat
Now if I could only limit my FR time to 15 minute allotments!
196 posted on 01/05/2004 12:37:47 PM PST by stainlessbanner
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To: stainlessbanner
There needs to be a 12 Step program for Freeping! LOL!

Tia

197 posted on 01/05/2004 12:54:56 PM PST by tiamat ("Just a Bronze-Age Gal, Trapped in a Techno World!")
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To: All
Well, if nothing else, this thread has certainly motivated me to clean up more. I'm naturally messy, but I don't want to end up like the people in the article.
198 posted on 01/05/2004 1:06:35 PM PST by Hawkeye's Girl
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To: jellybean
's ok.
199 posted on 01/05/2004 4:33:47 PM PST by sauropod (Excellence in Shameless Self-Promotion)
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To: flowergirl
Well... I don't know the best answer. Omenous problems looming in the background include: 1) the property owner will demand a clean-up or evict them (that might be what would get her/them in gear); 2) someone in government will intervene for the child's welfare. Moving a long distance would help with the clutter, of course.

What she needs is counseling and psychological treatment. Not being a doctor, I can't really say she would benefit from medication but that's my guess. I've lived around/near one or two people like you describe. It's a real illness, imho, with immoblizing depression at its root. The stigma attached to mental disorders, including depression, has prevented many people from seeking treatment.

Try this: Many hospitals have a clergy person on staff, to help people in times of crisis. Find one or two such people, and ask for mental-health alternatives. Those clergy tend to be well connected, and refer a lot of people.
200 posted on 01/05/2004 9:06:48 PM PST by Tax Government
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