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Was Elon always this way? Or did he end up working on one trait that was lagging behind?

Interesting quote and I think it rings true. Though I think it's not uncommon for someone to posses two of those three qualities, certainly having all three is rare.

Tim Ferriss had a very interesting podcast with Walter O'Brien which touches on teaching those with incredibly high IQ to develop their EQ (Intelligence:Emotional) to bridge this gap—including himself.

If you're interested: http://fourhourworkweek.com/2016/02/16/scorpion/