Yes, there is something more to it, a quite extreme personality disorder. The idea that they don't suffer from self-esteem issues, I think, is what is up for d

Yes, there is something more to it, a quite extreme personality disorder. The idea that they don't suffer from self-esteem issues, I think, is what is up for debate. Clearly if he wasn't a billionaire, he would have some pretty bad life outcomes as a personality disorder that severe would be completely debilitating. However, even for a billionaire, you have to think that the fragility of their ego, the instability of their self-image, their vulnerability to external indicators of value, their lack of self knowledge, must lead to a quite unsatisfying life experience? But who knows, I don't doubt there are limits to the ability of a normal human to empathise with one of these people.