With compulsive hoarding now forming a discrete diagnostic category, there has been a recent increase in its visibility in both the clinical and the cultural milieu. However, understanding of the meaning and possible emotional underpinnings of hoarding lags behind. This qualitative study reports findings from in-depth interviewing of 5 participants using a psychoanalytic interview method and analysis, in an effort to integrate and convey conscious and unconscious responses to the process and provide some insight into the participants’ internal worlds and their object-relating. Three themes emerged from this data: In Two Minds, Covered-up Shame, and Meaningless Carrying-On. The interrelated themes are offered as an entry into thinking about key intrapsychic conflicts in hoarding behavior. These are discussed in relation to relevant psychoanalytic concepts, particularly Bion’s Container-contained function, and the contention that it is the primary goal of the person to maintain a good object in the world and to sustain relations with this. Implications for further research and for working clinically with people who hoard, including aspects of treatment engagement, are considered.

中文翻译：

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“无意义的携带”：一项以精神分析为导向的强迫性囤积定性研究。

随着强迫性囤积症现在形成一个独立的诊断类别，其在临床和文化环境中的知名度最近有所增加。然而，人们对囤积的意义和可能的情感基础的理解滞后。这项定性研究报告了使用精神分析访谈方法和分析对 5 名参与者进行深入访谈的结果，以努力整合和传达对过程的有意识和无意识反应，并提供对参与者的内部世界及其与客体相关的一些见解. 从这些数据中出现了三个主题：In Two Minds、掩饰的羞耻和毫无意义的继续。提供相互关联的主题作为思考囤积行为中关键内部心理冲突的入口。这些都与相关的精神分析概念相关，特别是 Bion 的容器包含功能，以及关于人的主要目标是在世界上维持一个好的对象并维持与此的关系的论点。考虑了对进一步研究和与囤积者进行临床合作的影响，包括治疗参与的各个方面。