Is Donald Trump mad? (Asks Britain’s leading psychology writer)

PUBLISHED: 03:54 13 March 2017 | UPDATED: 03:54 13 March 2017

Trump conducts a press conference at the White House

Trump conducts a press conference at the White House

Archant

We’ve asked whether he is a fascist, now – after that press conference meltdown – should we also question whether Donald Trump is mad?

During the election, we got used to seeing billionaire businessman Donald Trump as the car-crash candidate, forever coming up with gobsmacking schemes and wild accusations that made him stand out from the political pack. Incredibly, it’s one of the factors that got him elected: he was so different to the established order, which is just what a large number of Americans wanted.

But rather than moderate his behaviour to appear more presidential, Trump’s tone has become even more shocking and combative since his inauguration. Apart from what has been activated by his executive orders, people are hugely concerned by his use of Twitter to impart information and opinions, and the erratic style of his press briefings. He has accused the country’s most reputable news sources of lying and making up fake news; he claims he won the biggest electoral college since Ronald Reagan, in the face of the evidence; he’s repeatedly called out non-existent voter fraud; he’s singled out Sweden as an example of a country with problems with immigrants, then blamed the misinformation on a television programme he’d watched.

Even those who are traditionally his supporters are sounding worried. Fox News broadcaster Shepherd Smith – surely someone who would have been expected to come down on Trump’s side if he could – sounded confused and sceptical as he introduced a debate between various pundits. Facing the viewers he said: “It’s sort of our job to let you know when things are said that aren’t true – when that’s demonstrable – and there were a lot of them today: the biggest electoral win since Ronald Reagan, he says it over and over again, and every time he does it, it’s not true. We don’t get a straight answer on Russia. He says it’s a ruse. But it’s the reason he fired Mike Flynn. He yells at us for pointing it out, but it’s another untrue thing from the president of the United States.”

Now, five weeks into the presidency, lots of people have started to ask: could Donald Trump actually be mad?

Short of getting the man on the couch, any such suggestion is hard to prove, but that hasn’t stopped people trying. When it was raised during the campaign, most psychiatrists declined to comment on account of what’s known as the Goldwater rule. This refers to Barry Goldwater, Republican presidential candidate in 1964. American magazine Fact had asked more than 12,000 psychiatrists if politically conservative Goldwater was fit to become the president. Of the 2,417 who answered, 1,189 believed he was psychologically unsuited to the job calling him “paranoid”, “grossly psychotic” and a “megalomaniac”. Some even provided diagnoses, like schizophrenia and narcissistic personality disorder.

After he’d lost the election, Goldwater successfully sued the magazine, but more importantly, in 1973 the American Psychiatric Association decreed that having professionals assess individuals without an actual consultation was unethical. This belief has stood for more than 40 years, but now some psychiatric professionals believe it should no longer prevail. If the President is mentally ill, surely they ought to say so?

On February 13, 35 psychiatrists, therapists and mental health practitioners signed a letter to the New York Times saying their silence up until that point had “resulted in a failure to lend our expertise to worried journalists and members of Congress at this critical time. We fear that too much is at stake to be silent any longer.

“Mr. Trump’s speech and actions demonstrate an inability to tolerate views different from his own, leading to rage reactions. His words and behaviour suggest a profound inability to empathise. Individuals with these traits distort reality to suit their psychological state, attacking facts and those who convey them (journalists, scientists).

“In a powerful leader, these attacks are likely to increase, as his personal myth of greatness appears to be confirmed. We believe that the grave emotional instability indicated by Mr. Trump’s speech and actions makes him incapable of serving safely as president.”

There have also been a number of petitions calling for action based on this sort of hypothesis. Psychologist John Gartner has garnered more than 25,000 signatures on change.org, calling for the chief executive to be removed from office on the grounds he is mentally ill and unfit to perform the duties of president. Gartner acknowledges that “armchair diagnosis” is frowned upon, but told Forbes website, the Trump situation is “from a psychiatric point of view the absolute worst-case scenario … if I were to take the DSM (Diagnostic and Statistical Manual of Mental Disorders) and try to create a Frankenstein’s monster of the most dangerous and destructive leader and had freedom to create any combination of diagnosis and symptoms,” Trump would be the result.

But as the words narcissistic personality disorder started to ring around the newsrooms, in weighed another expert who demured. Allen Frances, an emeritus psychiatrist at Duke University School of Medicine does not believe that Trump qualified for this psychiatric label.

As he wrote in Psychology Today, “Trump’s consensus diagnosis among amateur, at-a-distance diagnosticians is Narcissistic Personality Disorder. They have reviewed the DSM definition (which I wrote) and found him to meet all the criteria: grandiose self-importance; preoccupations with being brilliant and successful; feeling special and having to hang out with special people; requiring constant admiration; feeling entitled; being exploitive; lacking empathy; being envious; and being arrogant. Bingo. Trump is all this in spades.

“But they ignore the further requirement that is crucial in defining all mental disorders — the behaviours also must cause clinically significant distress or impairment.

“Trump is clearly a man singularly without distress and his behaviours consistently reap him fame, fortune, women, and now political power. He has been generously rewarded, not at all impaired by it. Dismissing Trump as simply mad paradoxically reduces our ability to deal with his actions.”

But it seems narcissistic personality disorder is only one of the disorders that have sprung to the minds of people who think he is mentally ill. Some commentators have noted that Trump’s father had Alzheimer’s and posited that he has inherited it. However, according to Professor Nick Fox, honorary consultant neurologist at the Institute of Neurology, in London, most cases of Alzheimer’s are not inherited.

Another angle comes from physician Dr Steven Beutler writing in The New Republic. He points out that many conditions “exhibit their first symptoms in the form of psychiatric issues and personality changes. One condition in particular is notable for doing so: Neurosyphilis.”

Untreated syphilis, 30 or so years after the initial infection can lead to “irritability, loss of ability to concentrate, delusional thinking, and grandiosity. Memory, insight, and judgment can become impaired. Insomnia may occur. Visual problems may develop, including the inability of pupils to react to the light. This, along other ocular pathology, can result in photophobia, dimming of vision, and squinting. All of these things have been observed in Trump. Dementia, headaches, gait disturbances. And patchy hair loss can also be seen in later stages of syphilis.”

It may sound like a low blow to accuse the president of the United States of harbouring an untreated sexually treated disease. But Beutler uses Trump’s own quotes, on Howard Stern’s radio show about his promiscuity during the 80s – a period when syphilis cases were rapidly increasing in the US. “I’ve been so lucky in terms of that whole world,” he told Stern in 1997, referring to his dating life the decade prior. “It is a dangerous world out there – it’s scary, like Vietnam. Sort of like the Vietnam era. It is my personal Vietnam. I feel like a great and very brave solider.” An incredibly analogy from someone who avoided the draft during the actual Vietnam War.

This month we’ve also learnt that even at the Kremlin people are wondering what’s going on in Trump’s brain. According to former deputy foreign minister Andrei Fedorov a seven-page psychological dossier is being prepared in advance of the first meeting between Putin and Trump. Preparations are normal, but focusing on the mental state and the personality of a world leader is more unusual.

If you are on social media such as Twitter and Facebook you will wonder what we did before the Trump ascendancy, so overwhelming is the response to every news morsel. Its almost fun for people to pile in there, though the tone may risk getting Trump-like as people attack the man – pompous, aggressive, entitled – more than his message. By leaping to say he’s “crazy” we drop to his level, but also we demean anyone struggling with mental health issues. This is one of the reasons that professional associations suggest practitioners hold back. It could also weaken clients’ trust in their therapists.

All of this is, anyway, a long way from any certainty about what is up with President Trump. As Richard Friedman professor of Clinical Psychiatry at Weill Cornell Medical College pointed out in the New York Times, 10 presidents of the US showed signs of mental illness while they were in office. “You can be psychiatrically ill and be perfectly competent, just as you can be mentally healthy but totally unfit.”

An actual diagnosis comes via a thorough examination of a patient, a detailed history and all relevant clinical data, which, as Friedman says, can’t be done remotely. “Narcissism, for instance, isn’t the only explanation for impulsive, inattentive and grandiose behaviour. Someone could be suffering instead from another clinical problem like attention deficit hyperactivity disorder; the abuse of drugs, alcohol or stimulants; or a variant of bipolar disorder, to name just a few…. To label public figures with mental illnesses, it is not just unethical – it’s intellectually suspect. We don’t have the requisite clinical data to know what we are talking about.”

Which leaves us where exactly?

We shouldn’t look away when we think Trump is acting “like a madman”. We should look even more closely. He’s not a lovely chap, that’s for sure, but what he is saying is the key detail. Not the wild-eyed stare, but the words, the plans, the bans, the proposals, the treaties, the rows. As Friedman wrote: “Presidents should be judged on the merits of their actions, statements and, I suppose, their tweets. No experts are needed for that — just common sense.”

Louise Chunn is the founder of find a therapist platform welldoing.org. She is former editor of Psychologies magazine

Support The New European's vital role as a voice for the 48%

The New European is proud of its journalism and we hope you are proud of it too. We believe our voice is important - both in representing the pro-EU perspective and also to help rebalance the right wing extremes of much of the UK national press. If you value what we are doing, you can help us by making a contribution to the cost of our journalism.

  • Become a friend of The New European for a contribution of £48. You will qualify for a mention in our newspaper (should you wish)
  • Become a partner of The New European for a contribution of £240. You will qualify for a mention in our newspaper (should you wish) and receive a New European Branded Pen and Notebook
  • Become a patron of The New European for a contribution of £480. You will qualify for a mention in our newspaper (should you wish) and receive a New European Branded Pen and Notebook and an A3 print of The New European front cover of your choice, signed by Editor Matt Kelly

By proceeding, you agree to the New Europeans supporters club Terms & Conditions which can be found here.



Supporter Options

Mention Me in The New European



If Yes, Name to appear in The New European



Latest articles

Trump makes Nixon look like the good guy

The US is stumbling towards an autocracy, as it emerges Donald Trump is exploring ways to pardon himself even before any accusations have been made.

What would Doctor Who do?

I find I’m just as uncomfortable with sneering schadenfreude when it’s our “side” doing it as when it comes from the opposition.

Why every philosopher’s death seems to hold meaning

The tragic drowning of French philosopher Anne Dufourmantelle while trying to rescue two stricken children has prompted tributes from across the globe.

Robert Miller update: “I don’t hate the EU… I just don’t want us to be in it”

The New European has finally decided to publish one of persistent Brexiteer Robert Miller’s letters. But was it worth the wait?

Football clubs were ethnically cleansed along with the population during the Bosnian War

The story of the Bosnian War is also the story of its football clubs which were ethnically cleansed along with the population

Fox says ‘I’ll take care of the chicken’ amid chlorine-washed meat fears

Trade secretary Liam Fox has played down claims importing foods under a new UK-US trade deal could mean a loosening of food standards post-Brexit.

Rattenkrieg 2017: How the destruction of Mosul was templated in Stalingrad

The haunting image of a ruined city is nothing new. Here we examine the horrors of urban warfare from Stalingrad to Mosul

Sexuality reality: How the first gay rights movement was destroyed

A burgeoning gay rights movement in Europe in the early decades of the 20th century was crushed by rising authoritarianism.

RIP common decency... welcome to the age of hate in belligerent Britain

We used to be a mild-mannered people. Now random spite is the cornerstone of our crumbling culture

British media fail: Why we need a new cultural education

The British media has always failed in its coverage of European affairs.

Cracks show for Labour as party fails to grasp anti-Brexit feeling of members

Labour’s Brexit divisions have become apparent once again with trade spokesman Barry Gardiner saying staying in the customs union would be a “disaster”.

Brexit will be the great environmental disaster

When it comes to Brexit and the environment our ties to the EU are complex.

What the UK means to me: “Britishness oftentimes hits me in the face”

The zealots who allow the Brexit fiasco to happen are diminishing the UK inch by inch, day by day.

Macron: the rule breaker who smashed up the system

Emmanuel Macron has been lucky. But also courageous. Here’s how the combination has led to a remarkable turnaround in previously gloomy nation

How the Dutch are falling out of love with Britain

We Dutch used to make fun of the Germans and admire the Brits, says Vanessa Lamsvelt. Now, we find ourselves laughing at, not with, the UK

Blow for Hard Brexit as Cabinet ‘unites’ behind transition deal

The Cabinet is “united” in backing a transitional Brexit deal which would mean continued access to migrant labour, Michael Gove has said.

What Euratom really stands for

The Euratom row lays bare the innate flaws of Brexit. But it also gives pro-Europeans their biggest chance yet to regain the initiative

How did Brexit Britain lose the spirit of the 2012 Olympics?

How did Brexit Britain lose the spirit of the 2012 Olympics?

Brexit could force UK to set up new healthcare scheme for tourists

Brussels is holding out on the government’s hopes of continuing membership of the European health insurance scheme post-Brexit.

Fox says UK does not need trade deal with Europe after Brexit

Brexiteer cabinet minister Liam Fox has reiterated the government’s widely ridiculed negotiating tactic of “no deal is better than a bad deal”.

Watch us on YouTube

The rollercoaster ride of Theresa May's plummeting approval ratings

Views: 325

A year of failure and fiasco in May’s Number 10

Views: 251

Tory minister Steve Baker demands the EU is to be ‘torn down’

Views: 451

Podcast

Trending

Newsletter Sign Up

Sign up to receive our regular email newsletter