Object attachment in hoarding disorder and its role in a compensatory process

Hoarding disorder (HD) is characterised by compulsive acquisition and extreme difficulty discarding possessions, resulting in clutter that substantially impacts upon functioning. Heightened object attachment is a central feature of HD according to prominent theoretical models. We review current research on the nature and function of object attachment in HD. In particular, we describe growing evidence that object attachment in HD is a compensatory response to unmet relatedness needs, and recent research underscoring the insecure nature of object attachment in hoarding. Critical gaps include the lack of longitudinal studies and research examining the effects of interpersonal interventions on object attachment in HD. Further elucidation of the compensatory process in HD will have important implications for the treatment of this disabling disorder.

Automated summary

Hoarding disorder is characterized by compulsive acquisition and difficulty discarding possessions, resulting in significant clutter that impacts functioning. Research suggests that object attachment in hoarding may be a compensatory response to unmet relational needs, with growing recognition of its insecure nature. However, critical gaps exist in longitudinal studies and exploration of the effects of interpersonal interventions on object attachment in hoarding. Further understanding the compensatory process in hoarding will have important implications for treating this disabling disorder.