Friday, August 17, 2018

Is Trump mentally ill? Or is America? Psychiatrists weigh in.

Review of "The Dangerous Case of Donald Trump" by Bandy X. Lee (ed.), "Twilight of American Sanity" by Allen Frances, and "Fantasyland" by Kurt Andersen.




Gone are the days when euphemisms about President Trump’s mental health insulated the man like so many padded walls. ErraticUnpredictableUnstableUnmooredTemperamentally unfit. This was what politicians and commentators said when they wished to question Trump’s state of mind but feared the consequences of a more colloquial assessment. Yet the deeper we plunge into this presidency, the more willing people become to call it like they see and hear it.
“I think he’s crazy,” Sen. Jack Reed (D-R.I.) confided to his colleague Sen. Susan Collins (R-Maine) in a July exchange inadvertently caught on a microphone. (“I’m worried,” she replied.) CNN’s Don Lemon, flabbergasted after a Trump speech last month, concluded that “he’s unhinged. . . . There was no sanity there.” Even some Republicans have grown more blunt, with Sen. Bob Corker (Tenn.) recently suggesting that Trump “has not yet been able to demonstrate the stability nor some of the competence” to succeed as president.
Now, some psychiatrists and other mental-health professionals are shedding long-held norms to argue that Trump’s condition presents risks to the nation and the world. “The Dangerous Case of Donald Trump”features more than two dozen essays breaking down the president’s perceived traits, which the contributors find consistent with symptoms of narcissistic personality disorder, sociopathy and other maladies. “Collectively with our coauthors, we warn that anyone as mentally unstable as Mr. Trump simply should not be entrusted with the life-and-death powers of the presidency,” Judith Lewis Herman of Harvard Medical School and Bandy X. Lee of the Yale School of Medicine write in the book’s prologue.
If so, what should we make of the nation that entrusted him with precisely such powers? In his new book, “Twilight of American Sanity,” psychiatrist Allen Frances asserts that Trump is not mentally ill — we are. “Calling Trump crazy allows us to avoid confronting the craziness in our society,” he writes. “We can’t expect to change Trump, but we must work to undo the societal delusions that created him.” And those delusions, Kurt Andersen contends in “Fantasyland,” have been around for a long time. “People tend to regard the Trump moment — this post-truth, alternative facts moment — as some inexplicable and crazy new American phenomenon,” he writes. “In fact, what’s happening is just the ultimate extrapolation and expression of attitudes and instincts that have made America exceptional for its entire history.”
So, depending on which of these books you trust — and their persuasive powers vary considerably — you might conclude that Trump is of unsound mind, or that we’re the deranged ones for electing him, or that America has always been disturbed, with Trump’s presidency just the latest manifestation.
And here’s the really crazy thing: These options are not mutually exclusive.
***
Mental illness hardly disqualifies one from the presidency. Abraham Lincoln is thought to have suffered from severe depression, but he held himself together and the union, too. “Equating mental illness with incapacity merely stigmatizes the mentally ill,” clinical psychologist Craig Malkin writes in “The Dangerous Case of Donald Trump.” But Malkin and other contributors argue that Trump’s behavior — his political statements and actions as well as his interviews, books and social-media activity — suggest more ominous possibilities.
Trump displays signs of “extreme present hedonism,” the tendency to live in the moment without considering consequences, seeking to bolster one’s self-esteem no matter the risk. Or he exhibits “narcissistic personality disorder,” which includes believing you’re better than others, exaggerating your achievements and expecting constant praise. Combine hedonism, narcissism and bullying, and you get “an impulsive, immature, incompetent person who, when in the position of ultimate power, easily slides into the role of the tyrant,” Philip Zimbardo (of the famous Stanford prison experiment) and Rosemary Sword write. Others suggest that Trump shows indications of sociopathy, including lack of empathy, absence of guilt and intentional ma­nipu­la­tion. Put it all together and you have “malignant narcissism,” which includes antisocial behavior, paranoid traits, even sadism.
“Mr. Trump’s sociopathic characteristics are undeniable,” retired Harvard psychiatry professor Lance Dodes concludes. “They create a profound danger for America’s democracy and safety. Over time these characteristics will only become worse, either because Mr. Trump will succeed in gaining more power and more grandiosity with less grasp on reality, or because he will engender more criticism producing more paranoia, more lies, and more enraged destruction.” And when the president stands before the U.N. General Assembly and threatens to “totally destroy” an enemy country of 25 million people, enraged destruction seems on point.
Full article at > https://tinyurl.com/ya2nf6ns

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