“I might think I’m smarter than everyone else, or a great person. These seem positive and yet, as with believing I’m stupid, I’m likely to feel isolated and separate from others, misunderstood, and underappreciated. I may well become protective of my “status,” which could be the only value I feel I have as a person and the only characteristic through which I can relate to people. I would become less and less willing to look the fool, or risk revealing myself as “normal” or fallible, and so cut myself off from any real and honest interactions or self-expressions. We can see how this will feed upon itself and how the condition could easily become more and more intolerable as it grows.”