> Meditation could perhaps improve his ability to keep the mask on

Wasn't there a recent study that suggested that mindfulness meditation is correlated with an increase in narcissism, not a reduction?

There are other kinds of meditation, including some that are focused on cultivating empathy and concern for others. That might help, idk.

>he's on the psychopathy spectrum

Can't say if he's on the psychopathy spectrum or not, but he has admitted to be on the autistic spectrum, and I think that alone must be enough of a hinderance to running a social medial company.

He's not on the autism spectrum, that's just another one of his lies.

I think he self identifies as Asperger’s (sic). A lot of people in neuro-diversity movement are fine with people self identifying (though they prefer people stop using the Asperger’s in favor of Autism). Elon Musk can self identify on the autism spectrum if he wants, and there is no reason to doubt his own experience as being on the spectrum.

However being autistic is not an excuse for this kind of behavior. Many autistic people have sensory issues and will appear rude when they suddenly withdraw from a conversation, or have an unexplainable tantrum. However neither of these is what we are witnessing in Elon’s behavior. His is simply rude and disregarding of other people. That can be an indication of psychopathy (but doesn’t have to be). If this was a tantrum we wouldn’t be able to understand him this easily, and this is engagement—which is the opposite of withdrawal—so we can rule out over stimulation.

I think the most likely explanation here he is simply a bad person regardless of autism or other neuro-divergency.