Clinician's guide to severe hoarding : a harm reduction approach / Michael A. Tompkins.

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, professionals are desperate to find more eff...

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Bibliographic Details
Online Access: Full Text (via Springer)
Main Author: Tompkins, Michael A. (Author)
Format: eBook
Language:English
Published: New York : Springer, [2014]
Subjects:
Table of Contents:
  • Part I: Hoarding and Harm Reduction: Hoarding Behavior and Hoarding Disorder
  • Harm Reduction
  • Part II: The Approach: Harm Reduction Process for Severe Hoarding
  • Engaging the Client Who Hoards in the Harm Reduction Approach
  • Assessing Harm Potential
  • Building and Facilitating a Harm Reduction Team
  • Creating a Harm Reduction Plan
  • Managing the Harm Reduction Plan
  • Part III: Other Considerations: Special Populations
  • Legal Considerations.
  • Dedication; Foreword; Preface; Acknowledgements; Contents; Chapter 1: Introduction; 1.1 Definition of Severe Hoarding; 1.2 Definition of Harm Reduction; 1.3 Rationale for Harm Reduction to Manage Severe Hoarding; 1.3.1 Refusal to Accept Treatment; 1.3.2 Significant Health and Safety Risks to the Client Who Hoards; 1.3.3 Significant Health and Safety Risks to the Public; 1.3.4 Significant Costs of Managing Severe Hoarding; 1.4 Intended Audience for This Book; 1.5 How to Use the Book; Part I: Hoarding and Harm Reduction; Chapter 2: Hoarding Behavior and Hoarding Disorder; 2.1 Hoarding Behavior.
  • 2.1.1 Hoarding Behavior and Dementia2.1.2 Hoarding Behavior and Diogenes Syndrome, Self-neglect, and Squalor; 2.1.3 Hoarding Behavior and Other Medical Conditions and Genetic Disorders; 2.1.4 Hoarding and Obsessive-Compulsive Disorder; 2.1.5 Hoarding and Obsessive-Compulsive Personality Disorder; 2.1.6 Hoarding Behavior and Other Psychological Disorders; 2.2 Hoarding Disorder; 2.2.1 Persistent Difficulty Discarding or Parting with Possessions; 2.2.2 Save Items to Avoid Distress of Discarding; 2.2.3 Accumulation of Possessions Results in Significantly Cluttered Living Spaces.
  • 2.2.4 Significant Distress and Impairment2.3 Features of Hoarding Disorder; 2.3.1 Prevalence of Hoarding Disorder; 2.3.2 Gender Differences in Hoarding Disorder; 2.3.3 Onset and Course of Hoarding Disorder; 2.3.4 Etiology of Hoarding Disorder; 2.3.5 Hoarding Versus Collecting; 2.4 Faces of Hoarding Disorder; 2.4.1 Hobbyist; 2.4.2 Sentimentalist; 2.4.3 Librarian; 2.4.4 Curator; 2.4.5 Frugal Saver; 2.4.6 Girl or Boy Scout; 2.4.7 Handyman; 2.4.8 Global Resource; 2.4.9 Personal Historian; 2.5 Cognitive-Behavioral Model of Hoarding Disorder; 2.5.1 Information-Processing Deficits.
  • 2.5.2 Emotional Attachment to Possessions2.5.3 Distress and Avoidance; 2.6 Why They Refuse Help; 2.6.1 Poor Insight; 2.6.1.1 Anosognosia; 2.6.1.2 Overvalued Ideation; 2.6.1.3 Defensiveness; 2.6.1.4 Fear of Discovery; 2.6.1.5 Deeply Held Personal Values; 2.6.1.6 Hopelessness, Surrender, and Depression; 2.6.2 A Final Word About Insight; Chapter 3: Harm Reduction; 3.1 Definition of Harm Reduction; 3.2 Harm Reduction Versus Treatment; 3.3 Principles of Harm Reduction Applied to Severe Hoarding; 3.3.1 First, Do No Harm; 3.3.2 It Is Not Necessary to Stop All Hoarding Behavior.
  • 3.3.3 No Two Hoarding Situations Are Identical3.3.4 Client Who Hoards Is an Essential Member of the Harm Reduction Team; 3.3.5 Change Is Slow; 3.3.6 Agreement Failures Do Not Mean the Harm Reduction Approach Is Failing; 3.3.7 Client Who Hoards May Have Other, More Pressing Problems than Hoarding; Part II: The Approach; Chapter 4: Harm Reduction Process for Severe Hoarding; 4.1 Phases of the Harm Reduction Process; 4.1.1 Initial Phase; 4.1.2 Ongoing Phase; 4.2 Features of the Harm Reduction Process; 4.2.1 Initiating the Harm Reduction Process.