In the introduction of "Buried in Treasures", Tolin, Frost and Steketee offer two cautions to the reader. Caution 1 "this book will not solve your hoarding problems". They state "this book is a guide that will provide you with the necessary information to understand the problem of compulsive hoarding and will give you tools to help beat the problem". Caution 2 is that "overcoming compulsive hoarding will be hard work".
The authors emphasize that hoarding is "a problem of emotional, mental, behavioral, and social well-being" and that "some scientific evidence suggests that there may be a genetic component to hoarding". It is basically a description of the treatment program that they have developed over many years of treating patients at their hoarding clinic. While the book discusses the physical side regarding sorting and purging as well as the stopping of the acquiring, its' emphasis is on the mental/emotional side of hoarding.
As opposed to other similar books, this book is based on science and ongoing clinical research. The book is essentially a guide to change and the authors note that "people start to work on their hoarding problem when the reasons for change outweigh the reasons for not changing, and not a moment sooner". Their suggested treatment is based on CBT (cognitive-behavioral therapy) which is solution focused.
This is somewhat of a workbook. It includes many exercises to help the hoarder to consciously change their thinking. Some examples are a self-assessment test in the chapter "What is Compulsive Hoarding?", a hoarding severity scale that is very similar
to the NSGCD Hoarding Scale, Visualization Exercises, Category & Location lists and questionnaires such as "Comparing Your Perceptions with Those of Others".
Early in the book, the authors introduce and discuss the Bad Guys: 1 - It's Just Not My Priority, 2 - Letting Unhelpful Beliefs Get In Your Way, 3 - Overthinking or Confusing Yourself, 4 - Avoidance and Excuse Making and 5 - Going for the Short-Term Payoff. Then they introduce the Good Guys: 1- Keeping Your Eyes on the Prize, 2 - Downward Arrow, 3 - Thinking It Through, 4 - Behavioral Experiments and 5 - Developing the Right Skills. The authors revisit the Bad Guys and the Good Guys again later in the book when dealing with motivation and "taking on your brain".
An interesting observation noted by the authors was that when hoarders attempted to sort their own items, they tended to have lots of little categories but when sorting similar items that belonged to other people, they were able to sort into a few large general categories. This suggests that when dealing with their own possessions, "their emotions get in the way and cause them to process information differently".
As a Professional Organizer, I consider this book a tool. It is not a `how to' that a hoarder could pick up, read and follow to a successful conclusion. On their own, most hoarders are just not capable of following some of the suggestions, such as, "you might want to think a step or two ahead"! However this is an excellent book if used as part of a larger treatment program.
