"There is truth in the tale of the Ugly Duckling. If you are a swan and unrecognised as such, living with a duck family, that thinks you are a duck, expects you to behave like a duck, and at times might coerce you to be more like a duck – you have a problem… You will have poor self-esteem and the need to isolate yourself at the same time that you try not to be isolated. Indeed, if things get bad enough, you will eventually decide that further attempts at communication will only bring on more trouble, so you stop trying to communicate."