From what I understand, there is a difference between hoarders and "clutterers". A person with a ton of clutter may keep things neat and organized but still have way too much of everything. A hoarder keeps just plain nonsense and filth. A hoarder cannot make a rational decision as to what is useful and what is not. A clutterer become overwhelmed by their possessions and has an emotional attachment to things but they do not save garbage. I guess this is why we never see people on this show that may be like the people we've met in our lives who have too much crap but it's neat and organized crap. Most of us know clutterers and not hoarders.