Donald Trump’s disordered personality—his unhealthy patterns of thinking, functioning, and behaving—has become the defining characteristic of his presidency. It manifests itself in multiple ways: his extreme narcissism; his addiction to lying about things large and small, including his finances and bullying and silencing those who could expose them; his detachment from reality, including denying things he said even when there is video evidence to the contrary; his affinity for conspiracy theories; his demand for total loyalty from others while showing none to others; and his self-aggrandizement and petty cheating.
It manifests itself in Trump’s impulsiveness and vindictiveness; his craving for adulation; his misogyny, predatory sexual behavior, and sexualization of his daughters; his open admiration for brutal dictators; his remorselessness; and his lack of empathy and sympathy, including attacking a family whose son died while fighting for this country, mocking a reporter with a disability, and ridiculing a former POW. (When asked about Trump’s feelings for his fellow human beings, Trump’s mentor, the notorious lawyer Roy Cohn, reportedly said, “He pisses ice water.”)
The most recent example is the president’s bizarre fixation on falsely insisting that he was correct to warn that Alabama faced a major risk from Hurricane Dorian, to the point that he doctored a hurricane map with a black Sharpie to include the state as being in the path of the storm.
“He’s deteriorating in plain sight,” one Republican strategist who is in frequent contact with the White House told Business Insider on Friday. Asked why the president was obsessed with Alabama instead of the states that would actually be affected by the storm, the strategist said, “You should ask a psychiatrist about that; I’m not sure I’m qualified to comment.”
We have repeatedly heard versions of that sentiment over the course of Trump’s presidency. It’s said that speculating on Trump’s mental health is inappropriate and unwise, especially for those who are not formally trained in the field of psychiatry or psychology.
That’s true, up to a point. Yes, it is best to leave it to experts to determine whether Trump satisfies the criteria for a clinical diagnosis of antisocial personality disorder, narcissistic personality disorder, some combination of both, or nothing at all.
But if a clinical diagnosis is beyond my own expertise, Trump’s psychological impairments are obvious to all who are not willfully blind. On a daily basis we see the president’s chaotic, unstable mind on display. Are we supposed to ignore that?