"By his description he didn't mind the various surgical interventions that led to him looking like Miles irrespective of genetic destiny very much - but the rest of his upbringing was not so pleasant either and that's had what may well be a stronger, if less visible, effect. The way Miles put it was that he's so horrifyingly deprived of positive touch that being picked up and kissed by someone who thought he was her husband nearly gave him a heart attack."