does he see himself as being lonely, or crazy or what?
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He sees himself as being pretty lonely and shy, unable to act on his desires. Prufrock agonizes over his social actions, worrying over how others will see him. He thinks about women's arms and perfume, but does not know how to act. He walks through the streets and watches lonely men leaning out their windows. The day passes at a social engagement but he cannot muster the strength to act, and he admits that he is afraid. Check out "Prufrockian paralysis" in the GradeSaver link below,