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She's not speaking metaphorically, in my read, she is saying people like "Thiel, Musk and Andreesen" don't just share an ideology, they share a personality disorder. The super-powerful companies they run and the ecosystem of people that idolize them for some reason are just outgrowths of their immaturity, self-centeredness, and so on.

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Even if I were to accept your premise, I’d disagree with your conclusion. There will be powerful people with “personality disorders” [0] in any sufficiently large group.

Her analysis just isn’t very interesting. It’s merely a well-written rant.

[0] I am deliberately ignoring the fact that if we are being literal, these people most certainly do not have a personality disorder, unpalatable though their characters may be.

No, she uses them as an avatar for the whole

> So, to the moderately powerful men who prop up and benefit from Silicon Valley’s ideology, and leave us the real work of fixing what it breaks...

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