These tid-bits describe Karl to the point where they accurate capture his “personality”:

Diogenes syndrome is a disorder that involves hoarding of rubbish and severe self-neglect. In addition, the syndrome is characterized by domestic squalor, syllogomania, social alienation, and refusal of help. It has been shown that the syndrome is caused as a reaction to stress that was experienced by the patient.

….The patients are generally highly intelligent, and the personality traits that can be seen frequently in patients diagnosed with Diogenes syndrome are aggressiveness, stubbornness, suspicion of others, unpredictable mood swings, emotional instability and deformed perception of reality.[11] Secondary DS is related to mental disorders.[11] The direct relation of the patients’ personalities to the syndrome is unclear, though the similarities in character suggest potential avenues for investigation.[11]

https://en.wikipedia.org/wiki/Diogenes_syndrome

Oh, wait: never mind: “Diogenes Syndrome” typically involves the “highly intelligent”.  Karl repeated Second grade.  I’m not entirely sure how it is possible to flunk Second Grade……

(Then again, by his own admission, other students tended to call him “Messyshit” — both as a “pun” on his last name, and the chronic bouts of fecal incontinence.  (IE: his tendency to shit himself uncontrollably.)

 

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