But I don't think we should change how we reward these kids, because in a number of cases that reward keeps them alive, and outcomes from adverse childhood experiences that are not obsessive competitiveness and huge success in a specific area are typically much, much worse.
Yes "normal" people often have trouble seeing this (& it's frustrating as a suffering kid, that adults who are very much not suffering are using your story and taking pride in your accomplishment, as though it's theirs also, not knowing what you narrowly escaped to get there), but it may bring worse outcomes if they did (for example I would never tell my child that Little Johnny is better at basketball than they are because they play every night till 10 because that's all they have to do until their mom gets home and on the courts no one beats them up, even if it's true, because I'm not confident that my "normal" kid would use the information in a way that's wise and kind).