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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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True, but I cannot help to add my 21st mentality into the fray. I still think he had some disorder. Under his tutors he was, well, somewhat "normal", but once he was out of their sight he began to act out.
Clearly, all of the mothers -- Minny, Alexandra, and Vicky (though the latter not so much) -- were not a big help when it came to the development of their sons. All of them seem seriously screwed up in one way or another. I would also blame their surroundings as well, social and political. Things were on the verge of change at that time...