It’s Time for an Intervention in Washington, DC (Part 1 of 2)

By now, many Americans have seen the headline of at least one editorial (there are several) written by one or more mental health professionals proclaiming that Donald Trump is mentally unfit for the office of the Presidency, that he has Narcissistic Personality Disorder (NPD). Unfortunately due to the meaning of the term ”narcissist” among mental health professionals and the meaning of the term among the greater population, many people likely responded to such editorials with a shrug: “So he’s vain, what’s the big deal? He’s got a good track record in the business world, and we need someone in Washington who has some business sense to shake things up. Besides, anyone who runs for President is bound to have a big ego.”

So one thing that needs to be clarified is that Narcissistic Personality Disorder is not the same thing as the character trait of being narcissistic: NPD is a serious and diagnosable personality disorder with significant negative implications, particularly when embodied in the President of the United States.

Mental health is an inexact science. It often requires an assessment of thoughts, which cannot be seen. Since there is no way to determine for certain what a person is thinking, their thoughts must be understood based upon their words and actions in the world. In order to bring some standardization to the diagnostic process, several decades ago the American Psychiatric Association developed the “DSM” (Diagnostic and Statistical Manual of Mental Disorders), which is updated periodically based on new understandings. The DSM describes the behaviors and expressed beliefs that are associated with each mental illness. When a person is observed to fit most or all of the criteria for a particular illness, a mental health professional can diagnose the person with relative confidence.

What is it about Donald Trump’s behaviors and expressed beliefs that have led thousands of mental health professionals to break with the long-held traditions and ethical standards of their practice – potentially risking their licenses – to sign a petition warning the public about what they are seeing?

Below is a series of links to information about the “Cluster B” personality disorders listed in the DSM, of which “histrionic ” (code 301.50, F60.4) and narcissistic (code 301.81, F60.81) are the most worthy of attention. It is not uncommon for more than one Cluster B personality disorder to occur simultaneously in one person (a phenomenon referred to as “comorbidity”). Please read through the relevant sections of any or all of the links. It is rather staggering.

(Note: The actual DSM is not available online and may not be reprinted without permission from the American Psychiatric Association)

The Cluster B Personality Disorders (includes both Narcissistic and Histrionic)

Described by Mayo Clinic

Described by

Described in Psychology Today

Described by Psych.TheClinics

Narcissistic Personality Disorder

Described on Wikipedia

Described in Psychology Today

Histrionic Personality Disorder

Described on Wikipedia

The top concerns with a high profile government leader who has narcissistic personality disorder, histrionic personality disorder, or both are the effects of the behaviors on their ability to form stable and positive relationships with other world leaders, the impact of their rash decision-making on policy and global relations, the potential for their weaknesses to be exploited by others within the US government, and the potential for their weaknesses to be exploited by foreign governments.

Let’s hope that the thousands of mental health professionals who have gone out on a limb to publicly diagnose President Donald Trump are wrong.

– rob rünt

“I’ve been in this town for 26 years. I have never seen anything like this. I genuinely do not think this is a mentally healthy President.”

Eliot Cohen
Former State Department Official under George W. Bush
(Full Article – Huffington Post)

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