Clinician's Guide to Severe Hoarding A Harm Reduction Approach

The cat lady. The couple who won't let anyone in their apartment. The old man with all that junk in his yard. Their severe hoarding puts them, and often others, at risk for injury, disease, and even death. Most deny needing help, and for this reason, prof

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Clinician’s Guide to Severe Hoarding A Harm Reduction Approach

Clinician’s Guide to Severe Hoarding

Michael A. Tompkins

Clinician’s Guide to Severe Hoarding A Harm Reduction Approach

Michael A. Tompkins San Francisco Bay Area Center for Cognitive Therapy and University of California Oakland, CA, USA

ISBN 978-1-4939-1431-9 ISBN 978-1-4939-1432-6 (eBook) DOI 10.1007/978-1-4939-1432-6 Springer New York Heidelberg Dordrecht London Library of Congress Control Number: 2014950923 © Springer Science+Business Media New York 2015 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. Exempted from this legal reservation are brief excerpts in connection with reviews or scholarly analysis or material supplied specifically for the purpose of being entered and executed on a computer system, for exclusive use by the purchaser of the work. Duplication of this publication or parts thereof is permitted only under the provisions of the Copyright Law of the Publisher’s location, in its current version, and permission for use must always be obtained from Springer. Permissions for use may be obtained through RightsLink at the Copyright Clearance Center. Violations are liable to prosecution under the respective Copyright Law. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. While the advice and information in this book are believed to be true and accurate at the date of publication, neither the authors nor the editors nor the publisher can accept any legal responsibility for any errors or omissions that may be made. The publisher makes no warranty, express or implied, with respect to the material contained herein. Printed on acid-free paper Springer is part of Springer Science+Business Media (www.springer.com)

For Luann, Madeleine, and Olivia

Foreword

During the past 10 years, I’ve focused nearly all of my academic research and direct practice efforts on the problem of hoarding and the people who live with this complex mental illness. I met extraordinary women and men with great intellect and talent who struggled mightily to gain the awareness, motivation, and skills to address their hoarding behavior. Each client brought with them a lesson for me. Some of these lessons were about bravery, others about humility or patience. Time and again, clients would ask me why there wasn’t more help available for people who hoard— where were all the “hoarding therapists” and the community services that existed