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п»ї<title>Diogenes Syndrome, a neglected syndrome</title>
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The “Diogenes Syndrome” is the name given to a set of behavioral patterns, whose main features are social isolation, neglect of personal hygiene and a marked tendency to accumulate useless objects. This syndrome mainly affects people over the age of fifty, but also people suffering from addictions or other mental disorders.
Diogenes syndrome is sometimes confused with compulsive hoarding disorder. Although they have similarities, the main difference is that those who suffer from Diogenes Syndrome not only accumulate useless objects, but also garbage and garbage itself and take to the extreme the neglect of their personal appearance.
“Men, notwithstanding the fact that it is impossible for them to exist in isolation, feel as an intolerable burden the sacrifices which civilization imposes upon them to make life in common possible.”
-Sigmund Freud
A common element in those who suffer from this syndrome is loneliness. There is evidence that the disorder appears during a period of bereavement and is usually associated with some form of depression, obsessive disorder or paranoid tendencies.
This syndrome was named “Diogenes”, alluding to Diogenes of Sinope, a Greek philosopher of antiquity who inspired the cynics of his time. Those cynics, of course, have nothing to do with today’s cynics. In antiquity, the Cynics represented a school of thought that considered that civilization and its way of life was wrong and that happiness came from living a simple existence in harmony with nature.
Diogenes of Sinope lived alone in a barrel and had little affection for company. He despised the manners and customs of his time and made a scathing criticism of social mores. To many, his teachings were scandalous.
However, unlike those who suffer from the syndrome, Diogenes was absolutely detached from all material possessions. His thing was to go against luxuries and ambitions.
The characteristics of those suffering from Diogenes SyndromeThere are some well-defined traits in those affected by Diogenes Syndrome. The main ones are:
Social isolation. They are people who can spend weeks, and even months, without leaving their home and without talking to anyone.
Sullen behavior. They are extremely critical of others and express open rejection of others.
They have a very bad personal hygiene. They do not take care of their appearance, nor of their health, in the least. They can easily be mistaken for a beggar.
They save money compulsively. One of their obsessions is saving money, since they feel very poor even though they have accumulated large sums of money.
They cannot establish the value of things. For them, an orange peel is as valuable as a piece of jewelry. They do not want to throw anything away.
They experience constant fear and insecurity. They tend to believe that others want to harm them or steal their possessions.
They frequently adopt stray animals. They are like another object. They pick up dogs, cats, whatever, and keep them by their side, but without lavishing them with care or affection.
Can Diogenes Syndrome be overcome?
The diagnosis of Diogenes syndrome involves some difficulty, since it shares several symptoms with other pathologies. In addition, not all people who present certain traits of isolation, lack of hygiene or tendency to accumulate suffer from this syndrome. Hence, the diagnosis can only be established by a mental health professional.
People affected with this syndrome usually refuse any kind of treatment. They do not want anything to alter their way of thinking, feeling and living, so they are very reluctant to accept any help.
If the person has relatives, the best thing to do is to work with them first so that an appropriate intervention can be made through them. Relatives can at least do some monitoring to prevent hygienic conditions from becoming dangerous for the health of the affected person or those around him/her.
In case they accept it, they should receive a comprehensive treatment that includes medical, psychological and psychiatric evaluation. In any case, it is always best to prevent this type of disorder from occurring. The best way to achieve this is to prevent older adults from living in complete loneliness and neglect.
Sometimes it is enough with periodic visits and small stimuli for a person not to be submerged in this world of isolation. In a healthy society, no older adult, nor any other type of person in trouble, should be exposed to this degree of oblivion.
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