Understanding the Motivations Behind Hoarding

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Hoarding disorder is characterized by the persistent difficulty discarding or parting with possessions, regardless of their actual value (American Psychiatric Association, 2013). This results in the accumulation of clutter that crowds living areas and interferes with daily life. While the outward manifestation of hoarding is clear, the motivations behind it are complex and multifaceted. This blog post will explore the diverse motivations that drive hoarding behaviors.

Personality Traits

Recent research has also identified certain personality traits that may be associated with hoarding behavior. A study conducted in the United Kingdom during the COVID-19 pandemic found that individuals who engaged in stockpiling behavior, which can be considered a milder form of hoarding, exhibited lower levels of agreeableness and conscientiousness compared to those who did not stockpile (Roos, 2024). This was done through five rounds of web surveys in the spring of 2020 with over a thousand participants. Using the Big Five Inventory, researchers were able to measure personality traits. Agreeableness refers to traits such as being cooperative, trusting, and empathetic. Conscientiousness encompasses traits such as being organized, responsible, and goal-oriented. The study also found that individuals who engaged in stockpiling behavior scored higher in neuroticism, which is characterized by traits such as anxiety, worry, and emotional instability. While this study focused on stockpiling behavior during a specific event, it suggests that certain personality traits may play a role in the development and maintenance of Hoarding Disorder.

Emotional Attachment and Sentimental Value

One of the most common motivations for hoarding is an intense emotional attachment to possessions. Individuals with hoarding disorder often attribute deep sentimental value to their belongings, even items that may seem insignificant to others. These objects may represent memories, relationships, or past experiences that the individual is unwilling to let go of (Rodriguez, 2022). For example, a person might hoard old concert tickets, greeting cards, or even broken appliances because they evoke strong emotional memories. This emotional attachment can be so strong that the thought of discarding these items triggers intense anxiety and distress. Individuals with hoarding disorder may fear losing the memories or emotions associated with the objects, or they may feel a sense of guilt or responsibility for discarding something that was once meaningful to them.

Fear of Waste and the Need to "Save for Later"

Another common motivation for hoarding is the fear of wastefulness. Individuals with hoarding disorder may have difficulty discarding items because they believe they might need them in the future, even if the likelihood of this is low (Rodriguez, 2022). This can extend to items that are broken, outdated, or unusable. For example, a person might hoard old newspapers, magazines, or plastic containers because they believe they might be able to reuse them someday. This fear of waste can be driven by a sense of frugality, a belief in "saving for a rainy day," or a general anxiety about scarcity. Individuals with hoarding disorder may have experienced deprivation or hardship in the past, which can contribute to this fear of waste and the need to hold onto everything "just in case."

Anxiety and Control

Hoarding behavior can also be driven by underlying anxiety and a need for control. The accumulation of possessions can provide a sense of security and comfort for individuals with hoarding disorder. The presence of familiar objects can create a sense of order and predictability in an otherwise chaotic world. Conversely, the thought of discarding possessions can trigger intense anxiety and a feeling of loss of control (Mayo Clinic, N.D.). Anxiety can be made worse by the perceived judgment or criticism of others. Individuals with hoarding disorder may fear that others will disapprove of their possessions or their living conditions, which can lead to further isolation and avoidance.

Co-occurring Disorders

It is important to note that hoarding disorder often occurs alongside other mental health conditions. For example, obsessive-compulsive disorder (OCD) is commonly associated with Hoarding Disorder. Individuals with OCD may have intrusive thoughts and compulsive behaviors related to their possessions, such as an overwhelming urge to acquire new items or a fear of discarding anything. Other mental health conditions that may co-occur with hoarding disorder include attention-deficit hyperactivity disorder (ADHD), depression, and anxiety disorders. In some cases, hoarding behavior may be a coping mechanism for underlying emotional distress or trauma.

In a study to find the comorbidity patterns within people who hoard and those already diagnosed with OCD. With a sample size over two hundred; the study found high comorbidity rates for Major Depressive Disorder as well as acquisition-related impulse control disorders, like compulsive buying or kleptomania, in people with hoarding disorder. Fewer than 20% of Hoarding Disorder participants met the criteria for OCD (Frost, 2011). Additionally, rates of Major Depressive Disorder and acquisition-related impulse control disorders were higher among Hoarding Disorder than OCD participants. No specific anxiety disorder was more frequent in Hoarding Disorder, but social phobia was more frequent among men with Hoarding Disorder than among men with OCD. Inattentive ADHD was diagnosed in 28% of Hoarding Disorder participants and was significantly more frequent than among OCD participants (3%). Understanding the motivations behind hoarding is essential for developing effective treatment approaches. While the accumulation of possessions may seem irrational to outsiders, it is driven by complex psychological factors that require compassionate and individualized care.

Audrey's Story: A Journey to Recovery

While hoarding can seem like an inescapable prison, there has been success with recovery. Audrey's experience, as documented by Ellen Delap, a professional organizer specializing in ADHD patients, offers a compelling example of the challenges and triumphs associated with hoarding disorder. Audrey's journey began in 2007 when she initially struggled to recognize the severity of her hoarding problem. She didn't perceive her cluttered home as an issue until it started affecting the health and well-being of those she cared about. Despite recognizing the need for change, Audrey faced immense difficulty parting with her possessions. She searched for solutions that would satisfy everyone involved, hoping to find a way to keep her belongings while addressing the concerns of others. However, this proved to be an impossible task, and she ultimately realized that change required letting go. By 2010, after three years of working with a professional, Audrey made significant progress. She began to clear out her home, donating items and creating space for a healthier and more fulfilling life (Delap, 2011). Her story demonstrates that while overcoming hoarding disorder is a challenging process, it is possible to achieve lasting positive change with professional support and personal commitment.

Conclusion

To conclude, understanding the motivations behind hoarding is crucial to deepen our understanding of its functionality. While the accumulation of possessions may appear irrational to outsiders, it stems from complex psychological factors that necessitate compassionate and individualized care. Hoarding behavior is often driven by a combination of factors, including personality traits, emotional attachment, fear of waste, anxiety, and co-occurring mental health conditions. Recognizing that hoarding is not simply about clutter but rather a manifestation of deeper emotional and psychological struggles is essential. Finally, recovery from hoarding disorder is attainable with professional support and personal commitment, leading to a healthier and more fulfilling life.

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References

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). https://doi.org/10.1176/appi.books.9780890425596 Delap, E. (2011, October 10). Clutter: A hoarder’s success story. Ellen’s Blog, Professional Organizing for Kingwood & Houston. https://professional-organizer.com/WordPress/a-hoarders-success-story-2/ Frost, R. O., Steketee, G., & Tolin, D. F. (2011). Comorbidity in hoarding disorder. Depression and anxiety, 28(10), 876–884. https://doi.org/10.1002/da.20861 Magnus Roos, J. (2024). Personality traits and stockpiling in the United Kingdom during the COVID–19 pandemic. European Journal of Psychology Open, doi:https://doi.org/10.1024/2673-8627/a000060 Mayo Foundation for Medical Education and Research. (2023, January 26). Hoarding disorder. Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/hoarding-disorder/symptoms-causes/syc-20356056 Rodriguez, C. I. (2022, September 29). Hoarding: A look at the motivations to save things. Psychiatry.org - Hoarding: A Look at the Motivations to Save Things. https://www.psychiatry.org/news-room/apa-blogs/hoarding-a-look-at-the-motivations-to-save-things