You have to rotate it (two full turns) to get back to where you started.

However, if you rotate a 360 degrees, its mathematical sign flips (it becomes negative).

Dirac needed to find the "square root" of the wave equation. Specifically, he needed a way to linearize the energy-momentum relationship

To understand Clifford Algebras and Spinors, think of them as the mathematical "DNA" of rotation and symmetry. Their story begins in the 19th century, weaving through the abstract curiosity of a Victorian mathematician to the very foundation of quantum mechanics. 1. The Victorian Architect: William Kingdon Clifford

The classic way to visualize this is the (or Dirac’s Belt): If you rotate an object 360 degrees, it looks the same.