The island of Manhattan has grown, vertically of course with skyscrapers but outwardly as well as dirt and the garbage generated by all those people was used to expand the area they could live on.
As a double whammy, that stereotype leads to those seriously suffering depression sometimes being unfairly called out or slandered for faking depression when they're seem smiling or leading an outwardly normal life.
A person who according to Kierkegaard as someone who outwardly is indistinguishable from the crowd, but inwardly is constantly making this movement of infinity, this relating oneself to a higher source of the infinite.
There are also other emotional and behavioral changes that tend to accompany these symptoms, like disorganized thoughts and speech, and flat affect, where someone basically never shows emotions outwardly.
At the heart of this kind of love is an effort to see beyond the outwardly unappealing surface of another human in search of the tender, interesting, scared and vulnerable person inside.
Half of these are behavioral disorders, while one-third are emotional disorders such as stress, anxiety and depression, which often become outwardly apparent through self-harm.
Outwardly, those with Marfan's tend to to be especially tall and thin, like Flo Hyman, with loose, flexible joints and noticeably longer limbs and fingers.