Authors: Gail Steketee
Jerry spoke with dismay about the state of the apartment. He recognized that the works of art were in danger of being damaged by the clutter, but he was at a loss about what to do. "Our parents would be horrified if they saw our apartments," he said. We spoke briefly about strategies for organizing Jerry's great room. He said that at one time, early in their stay here, the room was beautiful, and they had used it to entertain dignitaries, politicians, and royalty.
The next day when I returned to meet Alvin, I waited in the lobby of the hotel. Jerry came in, obviously upset with Alvin. He said that Alvin had blown off the appointment. I asked Jerry if he would like to talk without his brother. He thought for a moment and with a wave of his hand and a pained expression said, "No, it's just hopeless." At that he walked off, and I wondered whether either of the twins wanted anything more to do with me. Jerry explained later that shortly after I had left the day before, he had returned to his apartment and tried to do some of the sorting we had talked about. He got confused and frustrated trying to make decisions about what to move and ended up breaking a wooden sculpture. At that moment, he gave up all hope of changing. Apparently, Alvin felt similarly. He called me a few days later to apologize. He said, "This is like a stool sample, and Doctor, there's blood in this stool. I don't like to think about it." The odd analogy was apt.
Over the next several years, I learned a great deal about the twins and their history. Their father had been distant and strict, clearly not one to communicate warmth. Alvin described him as "verbally rough." Jerry recalled that his maternal grandmother intervened on several occasions when she felt her son-in-law's strictness had crossed the line with the boys and his wife. Both of the twins were afraid of him and his temper, and their relationship with him grew worse as they got older. Our recent research indicates that an absence of warmth, acceptance, and support characterizes the early family life of many hoarders, perhaps leading them to form strong emotional attachments to possessions.
Their father collected books, magazines, and travel information, but he always kept his things well organized. "Everything in its place" was his motto. His mother, the twins' grandmother, also collected. She was a schoolteacher who had acquired and inherited a great deal of things and had kept all of them. When she died, the moving company that cleaned out her house wrote to the twins' parents to say that they had never seen a Victorian house so full.
The twins' mother saved things as wellâvases, china dolls, and teddy bearsâand she was a world-class shopper. Both brothers reported never having seen her throw anything away. Only the intervention of the twins' maternal grandmother kept the house uncluttered. By the time their parents reached their sixties, however, the home had begun to fill up. When their mother became ill near the end of her life, Jerry estimated that there were five thousand paper bags scattered about the house. Although the twins kept their parents' house, they spent little time there. The basement was still filled with Kleenex boxes, paper towels, and more than one hundred dried-out deodorant tubes from the 1960s. Most of the other rooms were too crowded to use. Jerry said that when he visited the house, he slept on the floor in the living room because none of the beds were accessible.
Jerry had a special relationship with his mother. He spent hours with her watching soap operas and shopping. During the twins' early twenties, their relationship with their father soured. According to Alvin, "Father used to say we had minds like snapping turtles. We just bit the wrong things." He became more and more critical of them. Their mother tried to make up for it by taking them shopping. They shopped for everything from bric-a-brac to fine art. When Jerry spoke of his mother and her death, his eyes filled with tears. "I think about her every day, Dr. Frost. Do you think I'll ever see her again? I keep the house just the way it is thinking she might return. If I get rid of anything, it's like giving up on her." He admitted that this was an irrational thought, but not one he could easily ignore. Before she died, she asked him to do two things for her: not to let any of her things be sold to relatives and to look after Alvin. Jerry had fulfilled both of these promises, but at quite a price.
The twins' mother was overprotective and did not allow them to have much contact with other kids in the neighborhood. She preferred to keep them at home, studying. She never permitted other kids to come over and play, fearing they would mess up the house. According to Alvin, "Too much change upset Mother." He remarked that most of the time his mother stayed home, where she felt safe and protected. "She treated our home like a cocoon," he said. Few of the mansion's nineteen rooms were accessible to the twins. Once their mother arranged the rooms the way she wanted them, she allowed no one to use them.
She even refused to let the twins organize their shared room or their dressers. She insisted on doing it for them. She laid out their clothes each day, choosing what they would wear without consulting them. They could keep only a very few clothes in their room. Their closets full of newly purchased clothes were off-limits. Many of these clothes were never worn and still hung in the mansion with the sales tags attached. The house remained much the way it was when their parents died nearly a decade earlier. Jerry visited sometimes, but Alvin did not.
Although the twins occasionally played at other kids' homes and they had friends at school, both felt that many of their peers resented their wealth and their intelligence. Both boys qualified as geniuses and found it difficult to relate to their classmates. Alvin said that the first time their parents noticed their penchant for collecting was when they were three years old. On a walk with their nurse, they filled their "perambulator" with a collection of sticks and leaves. They wouldn't allow the nurse to get rid of any of them. When the boys discovered a particular branch missing on reaching home, they put up such a fuss that the nurse had to retrieve it. The boys also collected other things, such as shells, pinecones, and, later, porcelain figurines. Jerry recalled having great difficulty getting rid of school papers. He still had his first- and second-grade papers stashed away somewhere in his parents' house.
Neither Alvin nor Jerry actually lived in the apartments Jerry showed me. They had moved out because living there had become impossible. Instead of clearing some space to live, they simply left everything as it was and moved into other apartments in the hotel. Jerry lived in a small suite that was also filled to the point of being nearly uninhabitable. Mostly, the suite contained a random scattering of papers, clothes, and books, as well as a few pieces of art. As in their penthouse apartments, there were no pathways, and when we entered, we had to wade through a foot of stuff littering the floor. In the kitchen, the piles were not as high, but little of the floor showed. The kitchen sink was full of an assortment of junk and jewelry, with no place to make a meal.
Beyond the kitchen was the bathroom, the floor of which was covered with vitamin bottles. To use the sink, Jerry had to straddle the pile of pill bottles. The bathroom light fixture was broken, but Jerry would not allow anyone in to fix it because he was embarrassed by how the place looked and worried that someone might steal something. He relied on the light from the kitchen to see in the bathroom. He said, "I don't know what I'll do if the kitchen light breaks. I guess I'll have to move to yet another apartment." In fact, he confessed that he was considering doing just that because it had become difficult for him to live in this one. Occasionally, he slept in one of the other rooms in the hotel to which he had a key when he was too tired to navigate this apartment.
The bed was covered as well, and Jerry admitted that he often just slept on the floor, or on the papers and clothes piled on the floor. Sometimes he swept things off his bed onto the floor so that he could sleep in the bed. This left him feeling uncomfortable, though, because he lost the sense of where things were in the room.
Jerry had brought some of his artwork from his penthouse apartment to this one, mostly smaller pieces. One kitchen cupboard was filled with jewelry and a second with crystal vases and decorative glass. Jerry said that there were several larger paintings under the clothes on one side of the room. He explained that he liked to have these works nearby. "These things make me feel safe. This is like my cocoon." It was a refrain we had heard before. He said that when he had gone out of town recently, he had been afraid that someone might come into the apartment and steal his things, so he had piled clothes on top of them, and he just hadn't gotten around to removing them.
Unwittingly, both Jerry and Alvin had repeated their childhood experience of owning a large number of clothes but wearing very few of them. But instead of keeping them neatly packed away in their original wrappings, the twins strewed their clothes helterskelter about their suites. The piles of clothes on the floor had been there for months and in some cases years. Jerry wore none of the clothes from the floor. The few clothes he did wear hung from the upper cabinet knobs in the kitchen. A small armoire built into the wall contained more unworn clothing.
Two years earlier, a heating pipe had burst, and water had leaked throughout the apartment, soaking all of Jerry's things. The paint had peeled and blistered from the water damage. He had let workmen in to remove the soaked papers, but he wouldn't allow anyone else in to fix the pipe or the walls. The apartment had been without heat since then. During the previous two winters, he had slept with a stocking cap and heavy blankets to ward off the cold. Jerry hated being in the apartment and seldom spent time there. He took all his meals at the restaurant downstairs and spent most of his days at his brother's workplace.
Though identified as geniuses early in life, neither of the brothers was able to finish college. Alvin complained that his mind was "too difficult to navigate." He went on, "It's like a tree with too many branches. Everything is connected. Every branch leads somewhere, and there are so many branches that I get lost. They are too thick to see through." He said his thoughts came so rapidly and spun from topic to topic so fast that he couldn't keep things straight. He likened it to an old episode of the TV comedy show
I Love Lucy
in which Lucy and her friend Ethel work in a chocolate factory picking chocolates from a conveyor belt and putting them into boxes. As the conveyor belt speeds up, Lucy and Ethel fall behind. As it continues to accelerate, chocolates collect everywhere, resulting in chaos. The mess resembled not only the twins' minds but each of their rooms as well.
Jerry echoed Alvin's description in a note he sent me.
I think somehow this "paper" situation is like an embarrassing secretânormal people cannot fathom or understand this predicament or overwhelming situation. Also, keeping my important stuff (driver's license, credit card, garage key card etc.) together is a real daily feat! My head has so many spinning plots and my dreams at night are turbulent and unsettlingâEvery day I wonder if I will ever have freedom from chaos.
Alvin's experience of getting lost in the complexity of his thoughts is common among hoarders. At first we thought that people who hoard might be more intelligent than those who don't. Although that is probably not true, hoarders do appear to think in more complex ways. In particular, their minds seem flooded with details about possessions that the rest of us overlook. Irene frequently commented, "I'm a detail person, not a big-picture person, but I've been saving the details for so long, I need to put them together."
The complexity of thought extends beyond possessions. A curious commonality among people who hoard is how they talk on the telephone: they leave long, rambling, almost incoherent messages filled with irrelevant details. My voice mail records up to six two-minute messages. Often it is filled with messages from a single caller, such as one woman who contacted me recently. At the end of two minutes, when the machine cut her off the first time, the woman still had not gotten to the point of her call. She called back and repeated half of what was in the first message. She described her background and how she thought she might need help, then told a story about a comment her brother had made regarding her collecting. She argued with herself briefly about exactly when he had made the remark, concluding that it had been about Christ mastime. That was the year her mother burned the turkey and it snowed on Christmas Day. The machine cut her off again. In her third message, she apologized for the first two and launched into yet more details about her life. She left her phone number just as her time ran out. She never asked a question or asked me to call her.
Dr. Sanjaya Saxena, a University of California, San Diego, psychiatrist who studies the neuroscience of hoarding, described this tendency as giving "a twenty-minute answer to a twenty-second question." People who hoard often speak in overly elaborate ways, including far too many details and losing the main themes, as with Daniel's tangential stories in chapter 9. It seems as though they are unable to filter out irrelevant details. Each detail seems as important as the next. People with hoarding problems can't sort them out or draw conclusions from them. Alvin tried to explain his predicament this way: "Everything is compelling, like it's attached to something else. I can't interrupt the stream of things without ruining it."
This might explain the problems with decision making that accompany hoarding. Even making simple decisions such as ordering from a menu can be excruciating. Alvin showed me a wad of twenty ties in his room. He said, "I have trouble deciding which of these ties to put on in the morning. I could spend all day just deciding that." Jerry reported similar problems: "If I'm going away for the day, I have to pack six or seven sets of clothes. I can't decide what is too much." Alvin recalled his mother having similar problems. When the boys were young, their parents booked a cruise but nearly missed it when their mother couldn't finish packing. Their grandmother came to the rescue once again and did the packing.