It's always hard to diagnose disorders from this far away, but I wonder if he was just a somewhat hyper kid who was never encouraged to develop self-discipline or if there was some actual mental problem. In this day and age of everything being given a syndrome name by drug companies who think they've found a remedy for it, it's easy to think of him as having bipolar disorder or something. But maybe, as the Queen said about the King of Morocco, perhaps he just lacked the attentions of a Scottish nanny.
It looks as though the author is saying that it's a combination of innate personality and mishandling by his family and other associates rather than something more clinical.
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