Mika is the third of five children, and he had a very interesting childhood. He was born in Beirut, but raised in Paris and London. Along the way, he struggled with dyslexia, bullying, OCD, and of course, family issues. Mika has been reluctant to talk about this song in interviews, as it's very personal to him, but he has hinted in concerts that a lot of it deals with his mother and his conflicted feelings for her. Being "stuck in the middle" can relate to his middle child status, but it can also mean he is stuck in a turbulent family where he struggles to fit in.
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