Lady Gaga is overly concerned with being unique, isn't that obvious? Her
crazy outfits (and very name) are such a cry for attention and being loved for her uniqueness (very 4w3). Marilyn Manson does the same thing (but with a darker and less popularity concerned w5 spin). They push their uniqueness or "deranged-ness" unto society with their secondary SO.
Btw, found this simple Lady Gaga quote:
"I was so ashamed of who I was."
P.S: The more unhealthy a Type 4, the more ashamed they'll be. She obviously used to be more unhealthy in the past and is doing better now.