Harvard psychiatrist Lance Dodes: "Donald Trump i

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Harvard psychiatrist Lance Dodes: "Donald Trump is a sociopath and a very sick individual"

. . . What is to be done if this evidence collectively suggests that the president of the United States is mentally ill?
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I recently spoke with Dr. Lance Dodes. He is assistant clinical professor of psychiatry at Harvard Medical School (retired) and a training and supervising analyst emeritus at the Boston Psychoanalytic Society and Institute.

Dodes is a signatory to the much-discussed February 2017 open letter to The New York Times that sought to warn the public about the dangers posed by Donald Trump’s mental health. He is also a contributing writer for the new book “The Dangerous Case of Donald Trump: 27 Psychiatrists and Mental Health Experts Assess a President”

Clinically, if we were to look at the checklist for sociopathy, what are some of the indicators that Trump is presenting?

It is people who lie and cheat. Everybody lies some of the time, but in this instance we mean people who lie as a way of being in the world, to manage relationships and also to manage your feelings about yourself. People who cheat and steal from others. People who lack empathy . . . the lack of empathy is a critical aspect of it. People who are narcissistic.

Trump’s case of narcissism is particularly severe because he also is out of touch with reality whenever he becomes upset. When he says, “I had the largest crowd at an inauguration in history,” it does not matter that you can tell him that it is not true, he still insists on it. Well, that is very troublesome because what it means is that he needs to believe it.

He is able to give up reality in exchange for his wished-for belief. Sometimes we call that a delusion. We have not used that word much with Donald Trump because that does get confused with people who think that they are Napoleon. But Trump has a fluid sense of reality, which is a sign of a very sick individual.

Sociopathy itself is a sign of a very sick individual, someone with a lying, cheating and emotional disorder. The intersection of those two occurs in sociopathy. It is not just bad behavior that people have to lie and cheat the way he does, it is an incapacity to treat other people as full human beings. That is why his focus is on humiliating others to aggrandize himself, as he did in the Republican primaries when he was debating and calling people names.

The same thing applies to Hispanic immigrants and separating the children from their parents. That is a very, very serious mental and emotional problem. Normal people have normal empathy. It is part of being a human being. Lying and cheating and humiliating others and grinding them into dust in order to triumph is not just bad behavior. It is a serious mental illness.
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The best diagnosis for Trump is that he is a malignant narcissist. It contains the narcissistic part, which is no big deal alone — lots of people are narcissistic — but the malignant part is the sociopathy dimension.

These terms suggest that Trump is a very primitive man. He is also a man who has a fundamental, deep psychological defect. It is expressed in his inability to empathize with others and his lack of genuine loyalty to anyone. You will notice that Trump wants everyone to be loyal to him, but he is loyal to nobody.

It is a one-way street. Trump appears to have no sense of social obligation or reciprocity.

Yeah, that is right. He has no sense of that because it is all about him. That is narcissistic, but it is much worse than the ordinary person with narcissistic personality. You know, I have known lots of people like that, and none of them are as evil or dangerous as Donald Trump because they do not have the sociopathy part. They may be oriented towards themselves, they may be self-centered, they may care mostly about themselves.

But when it comes right down to it, they have some compassion; they have a conscience. But not Donald Trump. That is the malignant part. So yes, you want to say he is narcissistic personality, yes. Malignant narcissism? Yes. Sociopathy? Yes. Antisocial personality? Yes. Paranoia? Absolutely. He is quite paranoid, but again, if you look at it from underneath, it all fits together.

www.salon.com/2017/09/12/harvard-psychiatrist-lance-dodes-donald-trump-is-a-sociopath-and-a-very-sick-individual/

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