Is it Nature or Nurture, congenital or acquired? The answer is actually quite simple: everything is Nature and Nurture. The structure of the brain determines what we can learn and what we learn determines the structure of the brain.
What is the relation between what the neurologist calls amazing and the psychiatrist paradoxical? Our impression of the world around us is not formed on the basis of what we actually perceive with our senses. Instead, we carry a preexisting image of our surroundings in our head, and we check if that matches with our perceptions. Sometimes this goes awry.