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Authors: Gail Steketee

BOOK: Stuff
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Many people with hoarding problems have a predominant theme to their hoarding, such as fear of waste, the allure of opportunity, or the comfort and safety provided by objects. Irene possessed all of these traits. She is the first of many hoarders you will meet in this book (see chapter 1), all of whom helped us better understand the forces that drive them—and us.

It is no coincidence that most of the people described in this book are highly intelligent. Although hoarding is considered a mental disorder, it may stem from an extraordinary ability. For hoarders, every object is rich with detail. We disregard the color and hue of a magazine cover as we search for the article inside. But if we paid attention, we might notice the soothing effect of the colors, and the meaning of the object would expand in the process. In this way, the physical world of hoarders is different and much more expansive than that of the rest of us. Whether we look at them and see limitless potential, limitless information, limitless utility, or limitless waste, the people in this book are undeniably free of the usual rules that affect how we view and treat our stuff.

HOARDING CARRIES WITH IT
an agonizing stigma. We thank the people who so courageously shared their lives with us for this book. We have changed their names and other identifying details that were not germane to their stories in order to protect their anonymity and privacy.

1. PILES UPON PILES: The Story of Hoarding

I attach meaning to things that don't need it.

—Irene

I spotted Irene's home immediately. Despite its commanding view of the countryside from atop a hill, it was dark and gloomy. Overgrown trees and bushes hid much of the house from the street. The paint was peeling, and the fence needed mending. A car parked in the driveway was packed with papers and clothes. I had brought along my student assistant, Tamara Hartl, and as we walked toward the house, we could see boxes, newspapers, clothes, and an assortment of unidentifiable objects pressed against the windows.

We knocked on the front door but got no answer. We found a side door and knocked. Something stirred inside the house. Behind us, a door to the garage opened, and out stepped Irene, slightly overweight and rumpled, with straight brown hair and a friendly smile. She introduced herself with a nervous laugh and invited us in: "You can't get in that way. You'll have to come through the garage." A sea of boxes, bags, ski poles, tools, everything imaginable—all in a jumble, chest-high—covered the entire length and width of the garage. Along the wall was a narrow pathway to the only door to her house that was not blocked by debris.

The foreboding exterior of the house belied Irene's personality. She was friendly, bright, and engaging and very curious about our research. Like others we've interviewed, she was tormented by her situation and demoralized by her inability to do anything about it. Though happy to see us, she worried that she was wasting our time, since her problems were of "no consequence to anyone but me."

In Irene I'd found an extraordinarily articulate and insightful subject. I agreed to work with her as she tried to clear her home. In exchange, she agreed to describe everything she felt and thought during the process and not to filter out any reactions, positive or negative.

Irene lived about ninety miles from my college in Northampton, Massachusetts, which meant a long drive for each visit with her (forty-five visits over eighteen months). Each visit lasted about two hours. Tamara accompanied me on most of the trips. On our way to Irene's home, we'd review what we had learned the week before, and on the way back we'd discuss the visit as Tamara made notes on a laptop. By the last of our sessions with Irene, we had generated a theory for hoarding—a framework for future research and a major breakthrough in understanding the phenomenon.

Some theorists have posited that people with hoarding tendencies form attachments to possessions instead of people. Erich Fromm claimed that a "hoarding orientation" leads to social withdrawal. Hoarders, he suggested, are remote and suspicious, preferring the company of objects to that of people. Indeed, for some people prone to acute social discomfort, possessions can be stable and comfortable companions. Irene, however, defied this categorization. She had a wide circle of friends, some of whom I met in the course of my work with her. They displayed a great deal of affection for her, and she for them. She had a quick wit and a well-developed sense of humor. It was easy to see why people liked her. She laughed readily and was often amused by the ironies of her plight. One day, as she pondered why she had saved a newspaper ad for new tires, she fell into gales of laughter when she noticed the headline:
SAVE THIS AD
. She was also quick to shed tears when she encountered something sentimental, such as a picture drawn by her son when he was a toddler.

With Irene as a model, the classic definition of hoarding as a socially isolating syndrome appeared to be flawed. One of Irene's favorite things, she said, was to make connections between people with mutual interests. She would frequently give me the names of people she thought would click with me. She planned to give many of the things she saved to friends and acquaintances for whom they seemed suited. Unfortunately, her gift of seeing these connections was a factor in her keeping virtually everything she acquired.

Irene was intelligent and well educated. She seemed to know something about almost every subject and displayed curiosity and a wide range of interests. She had a story to tell about each possession—most of them remarkably detailed and engaging. For instance, one day she found a piece of paper with a name and phone number on it among the pile of things on her kitchen table and excitedly recounted its history: "This is a young girl I met at a store about a year ago. She's Hawaiian and had such wonderful stories about Hawaii that I thought Julia [Irene's daughter] would like to write to her. They are about the same age. She was such an interesting person, I was sure Julia would enjoy getting to know her."

Her face lit up at the prospect of making this connection.

"But Julia wasn't interested. I thought about writing her myself, but I never did. Still, I don't want to get rid of the contact. Julia might change her mind."

I have met few people who are as interested in the world around them as Irene, though I later learned that this attribute is fairly common in people with hoarding problems. As she talked, I could see the way each of her things was connected to her and how they formed the fabric of her life. The advertisement for the tires led to a story about her car, which led to a story about her daughter wanting to drive, and so on. A piece of the hoarding puzzle seemed to be falling into place. Instead of replacing people with possessions, Irene was using possessions to make connections between people and to the world at large.

As we were soon to learn, the hoarding phenomenon is composed of a number of discrete factors, some well hidden and unexpected. But the most obvious factor was the simple problem of accumulation: from a scrap of paper with an unidentified and long-forgotten phone number on it to a broken vase purchased at a tag sale, Irene had great difficulty getting rid of things. The value she assigned to objects and the reasons she had for saving them were many and varied. Irene's beliefs about what should be saved seemed isolated from everything going on around her. She was truly baffled that her son and daughter didn't share her penchant for keeping things. One day, as she went through the mound on her kitchen table, she found instructions for one of her son's toys. "I'll put it here in this pile of your stuff, Eric," she told him when he got home from school. Eric immediately picked up the instructions, walked to the wastebasket, and threw them away. She stopped what she was doing, looking surprised. Eric saw her and responded angrily, "I don't need it. I know how it works." She didn't say anything. A few minutes later, she found a bookmark. "Oh, this has all the book award people on it. Do you want it, Eric? I'll put it in your pile."

"No," he responded before she'd finished her sentence.

"Don't you even want to look at it?" she asked incredulously.

A few minutes after that, she found an old birthday card someone had sent Eric. She put it on top of the pile of things she was saving for him without saying anything. Almost as if on cue, he walked by, picked it up, and threw it out. Irene stared at him in disbelief. She simply could not comprehend his lack of interest in things she considered full of significance.

The sense of emotional attachment that Irene felt for her possessions has been shared with us over and over by people seeking help with their hoarding problems. These sentiments are really not that different from what most of us feel about keepsakes or souvenirs—the abnormality lies not in the nature of the attachments, but in their intensity and extremely broad scope. I find many articles of interest in the newspaper, but their value to me is reduced when piles of newspapers begin to impinge on my living space and overwhelm my ability to read what I have collected. For Irene, the value of these things seemed unaffected by the trouble they caused.

Hoarding involves not only difficulty with getting rid of things but also excessive acquisition of them. Irene's upstairs hallway contained hundreds of shopping bags filled with what she described as gifts for other people. Whenever she saw something that she thought might make a great gift, she purchased it, even though she had no particular recipient in mind. The items were all still in their original wrappings. Many people shop ahead to have gifts on hand when the need arises, but Irene and many like her cannot control their urge to buy when they see something they fancy. In addition to buying excessively, Irene collected things that could be had for free. She had an agreement with the postmaster of her town: he placed any newspapers or magazines that were undeliverable in a box, and on Saturday morning he put the box in the foyer of the post office, where Irene picked it up. Her home was stuffed with these free newspapers and magazines.

The Tour: "Homogenized" Clutter

On our first visit, Irene gave us a tour of her house. Hustling through each room, she held her arms up in front of her bent at the wrists with her hands drooping down, like a surgeon who had just scrubbed for an operation. Her small steps propelled her deftly through the maze in each room. She insisted that we not touch anything, and she watched us carefully as we negotiated the space. It was hard to avoid touching things in some places because there was so little room to move; the stacks rose to the ceiling. Several things struck me about her hoard. She saved pretty typical stuff, the sorts of things we'd seen in other homes: stacks of newspapers going back years, newspaper clippings of interesting articles, thousands of books, mountains of clothes, containers of various sorts from previous attempts to organize. And also as we'd seen with other hoarders, the piles had no apparent organizational scheme.

We moved through each room on "goat paths" (a phrase well-known in the hoarding self-help world), narrow trails not more than a foot wide where the floor was occasionally visible. My hand brushed the top of a chair back in the dining room. She saw it and immediately rushed over with a moist towelette to wipe off the chair. This curious behavior and the way she held her hands, as if to shield them from germs, led me to wonder whether she also suffered from more classic OCD contamination and washing symptoms. At this point in our research, we had seen few houses in worse shape than Irene's. (Since then, we have seen many homes more extreme.)

Irene was apologetic to the point of tears about her situation. Her husband had just left her because of the clutter. She had no money. She was afraid her children would be taken away because of the condition of her home if her husband were to petition for custody. Her daughter had developed severe dust allergies, making it difficult for her to stay in the house. Irene recognized that she had a problem and needed to do something about it. Some people who hoard never have lucid moments about their habits, so Irene was fortunate in this respect. She at least had what psychiatrists and psychologists call "insight" into the irrationality of her hoarding behavior. Yet despite having insight when talking generally about her problem, when trying to decide whether to discard a five-year-old newspaper, she could not see the absurdity of keeping it.

Our first stop, the kitchen, showed the enormity of her predicament. A two-foot pile of stuff covered her kitchen table. The pile contained a wide assortment of things—old newspapers, books, pieces of children's games, cereal boxes, coupons, the everyday bric-a-brac of family life. Only a small corner of the table's surface was visible, about the size of a dinner plate. The table had been cleared once, according to Irene. Five years earlier, she'd removed everything to the floor so that her son could have a birthday party. After the party, the stuff went back on the table. Four chairs were covered with clothes, boxes filled with long-forgotten things, and more. It was possible to walk around the table, but the floor under the table and chairs was packed with boxes and paper bags. The kitchen counters were completely covered, their surfaces obviously long buried in the mess. A pile of unwashed dishes balanced precariously in the sink. Bottles of pills and piles of pens and pencils were strewn among the dishes, utensils, and containers covering the countertops. As Irene was going through each of the items in her kitchen, it became clear to me that there was something peculiar about the clutter. Most descriptions of hoards include piles of worthless and worn-out things. Initially, the clutter in Irene's kitchen seemed consistent with this model—empty cereal boxes, expired coupons, old newspapers, plastic forks and spoons from fast-food shops. But mixed among the empty boxes and old newspapers were pictures of her children when they were young, the title to her car, her tax returns, a few checks. Once when I had convinced her to experiment with getting rid of an old Sunday
New York Times
without first looking through it for interesting or important information, she agreed but said, "Let me just shake it to make sure there is nothing important here." As she did so, an ATM envelope with $100 in cash fell out. This wasn't exactly the outcome I'd expected from this experiment, but it did illustrate something important. Irene's clutter contained a mixture of what seemed to me both worthless and valuable things but what was to her a collection of equally valuable items. She described it herself one day as we worked through one of her many piles: "It's like this newspaper advertisement is as important to me as a picture of my daughter. Everything seems equally important; it's all homogenized."

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