She was indeed not quite right in the head to begin with. The misfortune during the piano exam was just minor one episode that gave her psychosis a focused direction. Other events could've also easily triggered its development. I used to play the piano as well and her exam piece wasn't that difficult. During my piano plays days, I knew other kids who were able to play much more complicated works at an even younger age than she was. She was definitely not some extraordinary prodigy, just a young girl with a passion and a fair amount of talent.
Her reaction was a very unusual one, esp. for a kid - giving up the piano completely, putting the figurine back into its box, closing and locking up her piano forever - that is just not what a more well-adjusted kid would do. They might cry, throw a tantrum, get angry, etc but eventually, if one really wanted to have a career as a professional pianist, one would persevere. She was strangely silent and self-contained, channeling her anguish and bitterness inwards. A seriously disturbed, creepy individual! Had she gone on to become a pianist, I could imagine her psychosis manifesting in all sorts of other dangerous, malicious ways!
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