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date: 06 March 2021

Abstract and Keywords

Approximately 3–5% of the U.S. population suffers with clinically significant hoarding (Samuels et al., 2008), but others suffer as well, in particular the family members who care about them. At the same time, people who hoard exhibit little willingness to accept help for the problem. This is perhaps the most frustrating feature of the condition for family members and likely only adds to the distress that already exists in the relationship with the loved one who hoards. This chapter describes the effects on family members with a loved one who hoards and posits that the interpersonal distress between the relative who hoards and family members may be one factor among several others that lower the willingness of the person who hoards to accept help. The chapter then presents several family-based interventions, such as harm reduction, that focus on enhancing the willingness of the one who hoards to accept help through improving relationships with family members. The chapter concludes with a description of the central features of family-focused harm reduction.

Keywords: hoarding, family, harm reduction, insight, family intervention

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