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date: 06 March 2021

Abstract and Keywords

Many clinicians consider patients with hoarding disorder (HD) to be characterized by low insight and low motivation for change. Low insight and motivation are likely to be common barriers to the successful treatment of HD. However, it is unclear whether an inability to recognize a hoarding problem is attributable to anosognosia, the rigidity of overvalued ideation, and/or defensiveness. The authors review the evidence base for the presence of these constructs within HD and discuss possible interventions to target each of these domains of insight. The chapter then reviews models of conceptualizing motivation in HD and how these models relate to the construct of insight. The chapter concludes with a discussion of future directions for assessing insight and motivation in HD.

Keywords: Insight, motivation, overvalued ideation, anosognosia, defensiveness, hoarding

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