10/06/2004
Super Savers
Last week, we attended a Friday afternoon concert of the New York Philharmonic Orchestra featuring Lang Lang, the acclaimed 20-year old Chinese pianist. Our concert group typically spends the morning at the Metropolitan Museum of Art, located on 5th Avenue at about 81st Street, on the east side of Central Park. Normally, our bus driver crosses through the park on a street that takes us to 5th Avenue just a few blocks north of the museum. This time we had a new driver who didn’t take that road because he saw a sign indicating low clearance and he didn’t trust the height measurement he was given for our vehicle. Every road through the park north of that one was blocked off and we ended up in Harlem.
We finally crossed over to 5th Avenue at about 110th Street and arrived at the museum a half hour later than usual. At the time, I didn’t realize that we had been close to 5th Avenue and 128th Street, site of the infamous Collyer mansion. Which brings us to our topic for this week – compulsive hoarding. The October issue of Discover magazine has a short, 2-page article by Mary Duenwald titled “The Psychology of Hoarding”. The article had pictures showing rooms and closets cluttered with clothing, boxes, papers, etc. in total disarray. The clutter belonged to an older New York City woman, who found it difficult to move around the apartment due to the mess. A poll of community service agencies that deal with older clients in Manhattan indicates that about 10 percent of them hoard things to such an extent that it becomes a problem.
Could I be a compulsive hoarder? We’re vacating our premises at UMDNJ Robert Wood Johnson Medical School and I’ve spent many hours throwing out books, papers, journals, etc. that I haven’t touched in years. It’s the same thing at home. We’re considering downsizing and the most daunting challenge is to decide what treasures to throw out. I’ve spent days shredding papers that should have been retired years ago.
However, after reading the Discover article, I decided that my hoarding problem pales when compared with those of cases cited in the article. Take a recluse named Moore, who lived in a 10- foot by 10-foot Manhattan apartment. For years, he just kept piling up papers, catalogs, magazines and other reading material he got in the mail. When I say “piling up”, I mean it was from floor to ceiling! Finally, late last year, the hoard overwhelmed him and he was actually buried standing up! It was two days before his landlord heard his moaning and pried the door open with a crowbar. It took firefighters and neighbors half an hour just to dig the fellow out of the debris and get him to a hospital for medical treatment. I checked the story and found a news release dated December 30, 2003 on sfgate.com stating that Moore was on public assistance and was selling magazines and books on the street for money.
But let’s return to that once luxurious 3-story Collyer mansion at 5th Avenue and 128th Street. Langley Collyer was an admiralty lawyer and brother Homer had a degree in engineering. Born in the 1880s, they lived in the mansion with their mother. After her death, they found themselves in a decaying neighborhood filled with poverty and crime. They secluded themselves, boarded up the windows and turned off the gas, water and electricity! They got water from a park and heated the place with a little kerosene stove, on which they cooked their meals. They began hoarding things, partly to use in booby traps and to block up the entrances to their home. Homer went blind in 1933.
On March 21, 1947, police were told there was a dead man in the house. I found a detailed account of what followed on the Web site tripod.com. The police couldn’t get in the doors or windows on the ground floor and finally gained entrance through a window on the second floor. There they found Homer’s body. It took 18 days before, after removing tons of junk, they found Langley’s body less than ten feet from his brother. The body was covered under bundles of newspapers, a suitcase, and three metal breadboxes. Police theorized that one of the booby traps had collapsed on him as he was crawling through the maze to feed his blind and paralyzed brother. Langley suffocated and Homer, without food, died of starvation.
Workers took out well over a hundred tons of junk, including such items as a horse’s jawbone, pianos, lots of outdated phone books, a dismantled car, to name just a few oddities. These guys were not only compulsive hoarders, they were really weird! The mansion was condemned and turned into a parking lot.
Compulsive hoarding isn’t a rarity in the animal world. Today, I see the squirrels in our neighborhood digging holes in our lawn, storing acorns, nuts, etc. in them and covering them up for future retrieval. Some birds hoard bits of food in thousands of places over a wide area. Other birds hoard stones, piling them up to impress potential mates, who apparently consider the number of stones a sign of the ability of the male to provide and store sustenance. Obviously, these examples of hoarding serve useful and even life sustaining purposes. Could human compulsive hoarding be an example of an inbred instinct gone amok?
Typically, the compulsive hoarder likes and enjoys what he or she is hoarding and may also envision different uses for the item in the future. A key factor in compulsive hoarding is indecision. The hoarder can’t decide whether to throw the item out or keep it and opts to do the latter. However, as a hoard builds, the normal person makes a decision to throw out some things before a hoard becomes life threatening. Is there something in the brain that causes compulsive hoarders to behave as they do? Scientists such as Sanjaya Saxena, head of the UCLA Neuropsychiatric Institute are looking into this question.
Saxena and his colleagues study obsessive-compulsive disorder (OCD) and use positron emission tomography (PET) to look at the brain functioning in OCD patients. In PET imaging, a radioactive substance is injected into the subject and the brain “lights up” in regions of high glucose metabolism. They are finding that OCD is not a single disorder. For example, one type of OCD that has received a lot of press involves neatness and/or hand washing carried to extremes. Saxena’s group is finding that their PET images show different regions of the brain are involved in different forms of OCD.
Compulsive hoarding correlates with decreased activity in a region of the brain known as the anterior cingulate gyrus when compared with the activity in that region in other OCD patients. This anterior cingulated gyrus is involved in decision-making, focusing, motivation and problem solving. These are the areas where compulsive hoarders have trouble, deciding what to throw out, focusing on the problem, getting up the energy to throw things out, etc.
Saxena’s group also found that in compulsive hoarders there is low activity in another region of the brain, the posterior cingulate gyrus, compared to that in normal subjects. This area of the brain deals with spatial orientation and memory. Speculation is that deficits in these areas may help explain the compulsive hoarder’s difficulty with clutter and a fear of losing belongings. The involvement of different regions of the brain for different forms of OCD has important implications in drug treatment of these disorders. Drugs that help some OCD patients have been found ineffective for compulsive hoarders. Studies are in progress to find alternative treatments.
Incidentally, we did make the Philharmonic concert on time and Lang Lang gave a fine performance, closing out the first half of the concert. We should have left at that point! The featured work of the second half was a premier of a work commissioned by the Philharmonic. In my experience, “commissioned” works are compositions of a “contemporary” nature, dissonant, devoid of melody and coherence and, in my humble opinion, are works best left undone. Augusta Read Thomas’s “Gathering Paradise: Emily Dickinson Settings” (for Soprano and Orchestra) proved no exception. Apparently, I was not alone in my evaluation of the piece. I have never seen so many members of an audience leave either before (warned in advance?) or during the performance of a work.
Allen F. Bortrum
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