>>23389460It's hard to tell because he essentially is the only person on the planet confirmed to share Hideo Kojima's batshit insane ability to string together high concept ideas into a mostly coherent albeit utterly batshit insane conspiracy thriller storyline, so much so that had cancer not done him in Kojima had Itoh pegged as a creative successor for Metal Gear.
That said, firsthand experience being kept alive by the miracles of modern medicine go a long ways to explaining his rather fucked up approach to weaving medication therapy into his storylines, I recall part of Clavis' losing it at the end of being potentially the result of the emotional suppressants he's on for his military career utterly fucking his ability to healthily process his mother's death, among a handful of other bullshits dealt to him through the events of the story.