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[ham]

Please explain how, on the internet, one can tell the difference between clinically crazy and normally crazy?

There is no "normally crazy", I think...I just surmise that the internet keyboard sociopath is the exact opposite of the kind of people one may meet during a trip to the mall, which is real life by the way.
Never during a trip to the mall will you meet the kind of people that typically welcome you from the podium of all popular internet venues: chat rooms, forums, discussion lists etc.
People you meet at the mall are average people of varying degrees of wealth, education and attractiveness, but all fit within "average Joe"'s mold.
You may also meet the weird, uncanny types: the braggart, the egocentric, the fraud, the apostle, the mentally unstable, but they are generally known and thus shunned.
Online nearly every man seems to be a celebrity raking in money like hay; women are typically cheerleaders; most people have glamour jobs and lives that read out of a modernist novel...
In my opinion it's all the late night fry cooks, welfare hogs, social misfits, trailer park residents, deviants and 'funny' people 'making it up online' for real life frustration and boredom; the very few who are real (the various Bear) just pursue their own vanity or monetary gain riding the wave that the unwashed make.
We all may have said or done something stupid at one point or another, but keyboard sociopaths tend to live the fictional life they carved for themselves online...and only sleepwalk through their daily drudgery; they put colossal, sustained efforts in maintaining their online persona...often several and at times conflicting personalities.
Come on... a real nuclear surgeon making "sixfigures" is highly unlikely to spend his time worth $1000 an hour trolling online...so is the Emmy award winner...the porn star...the statesman...the Ivy League scholar...
They are just pathetic social misfits who get even online for their daily life...they need licensed psychotherapy, but the internet's cheaper.
Uncle Janko the living encyclopaedia took in real life 12 years to squeeze a doctorate out of a ZA university...
Another clown who claimed had his way paved in gold to the center of Berlin turned out to be just another bum teaching ESL in Hungary...
PFFT!