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My guess is that it's a combination of pornography and alcohol/drugs. One of his great-grandmothers dying of cirrhosis of the liver makes me think...

The protracted death of a young sister probably didn't help. Words and letters, letters and words all I see sense, they make not

He almost seems like he suffers from “mediocre person with more talented sibling” syndrome in his desperate need to be uwu special. And then her...