8 The grammatical construction (conjunction + pronoun) highlights the contrast between the psalmist’s experience and that of his ancestors. When he considers God’s past reliability, it only heightens his despair and confusion, for God’s present silence stands in stark contrast to his past saving acts.
9 The metaphor expresses the psalmist’s self-perception, which is based on how others treat him (see the following line).
10 Or “not a human being.” The psalmist perceives himself as less than human.
11 Heb “a reproach of man and despised by people.”
12 Or “scoff at, deride, mock.”
13 Heb “they separate with a lip.” Apparently this refers to their verbal taunting.
14 Shake their heads. Apparently this refers to a taunting gesture. See also Job 16:4; Ps 109:25; Lam 2:15.

In other versions

But I am a worm and not a man,

scorned by mankind and despised by the people.

All who see me mock me;

they make mouths at me; they wag their heads;

But I am a worm and not a man,

scorned by everyone, despised by the people.

All who see me mock me;

they hurl insults, shaking their heads.

But I am a worm and not a man,

scorned by mankind and despised by people.

Everyone who sees me mocks me;

they sneer and shake their heads:

But I am a worm and not a man.

I am scorned and despised by all!

Everyone who sees me mocks me.

They sneer and shake their heads, saying,

But I am a worm and not a man,

scorned by humankind and despised by people.

All who see me mock me.

They open wide their lips;

they shake the head, saying:

But I am a worm, and no man;

A reproach of men, and despised of the people.

All they that see me laugh me to scorn:

They shoot out the lip, they shake the head, saying,

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