"you don't get it, my behavior is just indistinguishable from being stupid, it's like being stupid but still smart at a really high dimensional level!"
If you have more information about how stupidity causes mistakes than about how psychosis causes mistakes then all things being equal (or even a few things being unequal) you are more likely to map a mistake to stupidity than to psychosis.
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It's intelligence hollowed out in a way that the remaining processes of thought produce similar output and outcomes to generic stupidity. Take the disease away and the intelligence hopefully returns. Pressure the disease and, unlike normal stupidity which is robust, it worsens
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