Wednesday, August 30, 2017

Megalomaniac

Many of us wonder what drives President Trump.  Or more uncharitably, what is the nature of his mental instability. The natural place to turn is the psychiatric community, but they have walled themselves off from the discussion because of the American Psychiatric Associations's Goldwater Rule, which prohibits them from diagnosing anyone they have not personally examined. Now a few people are peeking out from that wall.

In an Op-Ed piece yesterday in the New York Times, under the cover of a broad discussion of how decisions should be made on whether someone, say Trump, is unfit to govern, the authors, two psychiatrists, (one by the way a Democrat and the other a Republican), wrote this:

"Today, diagnosis is often linked to observable traits, making evaluation at a distance plausible. Even if Mr. Trump refused to cooperate, diagnosis might be the easy part — perhaps too easy. Whether or not they can say so, many experts believe that Mr. Trump has a narcissistic personality disorder." 

Starting with this opening, we have a comment from a reader, a professor emeritus of psychology, featured as one of the NYT picks, who wrote that "Donald Trump, in words and behavior, has every single symptom needed for an unequivocal diagnosis of Narcissistic Personality Disorder according to the latest diagnostic manual (DSM-V) of the American Psychiatric Association." 

I have heard people casually being described as narcissists, so I checked out what Narcissistic Personality Disorder really is. In the Wikipedia entry, the first thing I saw is a synonym: Megalomania. This does not bode well -- it is one thing call someone a narcissist, or to go further and have a serious clinical discussion a personality disorder.  It is another to be saying, in different words, that your country is run by a megalomaniac. 

Then I skipped down to the symptoms:

  1. Grandiosity with expectations of superior treatment from others
  2. Fixated on fantasies of power, success, intelligence, attractiveness, etc.
  3. Self-perception of being unique, superior and associated with high-status people and institutions
  4. Needing constant admiration from others
  5. Sense of entitlement to special treatment and to obedience from others
  6. Exploitative of others to achieve personal gain
  7. Unwilling to empathize with others' feelings, wishes, or needs
  8. Intensely envious of others and the belief that others are equally envious of them
  9. Pompous and arrogant demeanor

Reflecting on these symptoms, I would submit that there is more clarity for a diagnosis of President Trump based on his observed behavior over the course of his presidency than there would be by having a personal examination by a psychiatrist. Trump is mentally ill, the diagnosis is clear, and it is time for those in the psychiatric community to come forward. Literally, our country is being run by a megalomaniac. 

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