I started to agree because I've also described it this way, it's definitely something very like mental illness, hoarding for sure combined with super low empathy.

But, I can't really let it lie there, because in general mental illness - while accurate - carries pretty deep assumptions of care and accommodation, for me, and these folks do not merit that. Can't merit that, sadly and frustratingly to me.

They cannot be healed, certainly cannot be accommodated. In the worst of em it's a deep hole in their humanity that nothing can fill. Nothing. They invent horrors which yet again fail to close that hole. And again. And again.

Not sure if I'm agreeing or disagreeing with you I spose, just unpacking.