When the handicapped youth, however, is in full possession of his faculties, and can move about freely, he is perforce drawn into all the currents of life. Particularly if he has his own way in the world to make, his road is apt to be hard and rugged, and he will penetrate to an unusual depth in his interpretation both of the world’s attitude toward such misfortunes, and of the attitude toward the world which such misfortunes tend to cultivate in men like him. For he has all the battles of a stronger man to fight, and he is at a double disadvantage in fighting them. He has constantly with him the sense of being obliged to make extra efforts to overcome the bad impression of his physical defects, and he is haunted with a constant feeling of weakness and low vitality which makes effort more difficult and renders him easily faint-hearted and discouraged by failure. He is never confident of himself, because he has grown up in an atmosphere where nobody has been very confident of him; and yet his environment and circumstances call out all sorts of ambitions and energies in him which, from the nature of his case, are bound to be immediately thwarted. This attitude is likely to keep him at a generally low level of accomplishment unless he have an unusually strong will, and a strong will is perhaps the last thing to develop under such circumstances. The handicapped man is always conscious that the world does not expect very much from him. And it takes him a long time to see in this a challenge instead of a firm pressing down to a low level of accomplishment. As a result, he does not expect very much of himself; he is timid in approaching people, and distrustful of his ability to persuade and convince. He becomes extraordinarily sensitive to other people’s first impressions of him. Those who are to be his friends he knows instantly, and further acquaintance adds little to the intimacy and warm friendship that he at once feels for them. On the other hand, those who do not respond to him immediately cannot by any effort either on his part or theirs overcome that first alienation.