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Obsessive-Compulsive Hoarding: A Cognitive-Behavioural Approach

Published online by Cambridge University Press:  16 June 2009

Roz Shafran and
Frank Tallis
Roz Shafran
Affiliation:
Institute of Psychiatry, London
Frank Tallis
Affiliation:
Charter Nightingale Hospital, London
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Extract

Obsessive-compulsive hoarding can be viewed within personality, neuroethological and cognitive-behavioural frameworks. Three cases of obsessive-compulsive hoarding are described in detail. All cases had some insight (albeit fluctuating) into their problem and were seeking treatment. There was evidence of abnormal risk assessment, fear of criticism, excessive guilt, overconscientiousness and inflated responsibility. Depression, emotional or material deprivation and significant loss during childhood and adolescence were experienced by all cases. The cases are considered to be consistent with a cognitive-behavioural model of obsessive-compulsive disorder emphasizing the importance of learning and cognition. Implications for treatment are discussed.

Information

Type
Research Article
Information
Behavioural and Cognitive Psychotherapy , Volume 24 , Issue 3 , July 1996, pp. 209 - 221
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 1996

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