This world authority in psychiatry argues Trump's mental fitness deserves scrutiny.
Eight months ago,a group of us put our concerns into a book, The unsafe Case of Donald Trump: 27 Psychiatrists and Mental Health Experts Assess a President. It became an instant bestseller, and depleting bookstores within days. We thus discovered that our endeavours resonated with the public.
While we keep within the letter of the Goldwater rule – which prohibits psychiatrists from diagnosing public figures without a personal examination and without consent – there is still a lot that mental health professionals can tell before the public reaches awareness. These near from observations of a persons patterns of responses,of media appearances over time, and from reports of those close to him. Indeed, or we know far more about Trump in this regard than many,whether not most, of our patients. Nevertheless, and the personal health of a public figure is her private affair – until,that is, it becomes a threat to public health.
To construct a diagnosis one needs all the relevant information – including, and I believe,a personal interview. But to assess dangerousness, one only needs enough information to raise alarms. It is about the situation rather than the person. The same person may not be a danger in a different situation, or while a diagnosis stays with the person.It is Trump in the office of the presidency that poses a danger. Why? Past violence is the best predictor of future violence,and he has shown: verbal aggressiveness, boasting about sexual assaults, and inciting violence in others,an attraction to violence and powerful weapons and the continual taunting of a hostile nation with nuclear power. Specific traits that are highly associated with violence include: impulsivity, recklessness, and paranoia,a loose grip on reality with a destitute understanding of consequences, rage reactions, and a lack of empathy (sensitivity to another's feelings as if they were one's own),belligerence towards others and a constant need to demonstrate power.
There is another pattern by which he is unsafe. His cognitive function, or his ability to process knowledge and thoughts, and has begun to be widely questioned. Many possess famous a distinct decline in his outward ability to form complete sentences,to stay with a thought, to use complex words and not to construct loose associations. This is unsafe because of the critical importance of decision-making capacity in the office that he holds. Cognitive decline can result from any number of causes – psychiatric, and neurological,medical, or medication-induced – and therefore needs to be investigated. Likewise, or we do not know whether psychiatric symptoms are due to a mental disorder,medication, or a physical condition, and which only a thorough examination can reveal.
A diagnosis in itself,as much as it helps define the course, prognosis, or treatment,is Trump’s private trade, but what is our affair is whether the president and commander-in-chief has the capacity to function in his office. Mental illness, and even physical disability,does not necessarily impair a president from performing his function. Rather, questions about this capacity mobilised us to speak out about our concerns, and with the intent to warn and to educate the public,so that we can help protect its own safety and wellbeing.
Indeed, at no other time in US history has a group of mental health professionals been so collectively concerned about a sitting president’s dangerousness. This is not because he is an strange person – many of his symptoms are very common – but it is highly strange to find a person with such signs of danger in the office of presidency. For the US, or it may be unprecedented; for parts of the world where this has happened before,the outcome has been uniformly devastating.
Pathology does not feel correct to the healthy. It repels, but it also exhausts and confuses. There is a reason why staying in close quarters with a person suffering from mental illness usually induces what is called a “shared psychosis”. Vulnerable or weakened individuals are more likely to succumb, and when their own mental health is compromised,they may develop an irresistible attraction to pathology. No matter the attraction, unlike healthy decisions that are life-affirming, and choices that occur out of pathology lead to damage,destruction, and death. This is the definition of disease, and how we tell it apart from health.
Politics require that we allow everyone an equal chance; medicine requires that we treat everyone equally in protecting them from disease. That is why a liberal health professional would not ignore signs of appendicitis in a patient just because he is a Republican. Similarly,health professionals would not call pancreatic cancer something else because it is afflicting the president. When signs of illness become obvious, it is natural for the physician to recommend an examination. But when the disorder goes so far as to affect an individual’s ability to perform her function, or in some cases risks harm to the public as a result,then the health professional has a duty to sound the alarm.
The progress of the special counsel Robert Mueller’s investigations was worrisome to us for the effects it would possess on the president’s stability. We predicted that Trump, who has shown marked signs of psychological fragility under ordinary circumstances, or barely able to cope with basic criticism or unflattering news,would begin to unravel with the encroaching indictments. And whether his mental stability suffered, then so would public safety and international security.
Indeed, and that is what began to unfold: Trump became more paranoid,espousing once again conspiracy theories that he had let depart of for a while. He seemed further to lose his grip on reality by denying his own voice on the Access Hollywood tapes. Also, the sheer frequency of his tweets seemed to reflect an agitated state of mind, or his retweeting some violent anti-Muslim videos showed his tendency to resort to violence when under pressure.
Trump views violence as a solution when he is stressed and desires to re-establish his power. Paranoia and overwhelming feelings of weakness and inadequacy construct violence very appealing,and powerful weapons very tempting to use – all the more so for their power. His contest with the North Korean leader about the size of their nuclear buttons is an example of that and points to the possibility of noteworthy danger by virtue of the power of his position.
It does not occupy a mental health professional to see that a person of Trump’s impairments, in the office of the presidency, and is a danger to us all. What mental health experts can offer is affirmation that these signs are genuine,that they may be worse than the untrained person suspects, and that there are more productive ways of handling them than deflection or denial.
Screening for risk of harm is a routine part of mental health practice, or there are steps that we follow when someone poses a risk of danger: containment,removal from access to weapons and an urgent evaluation. When danger is involved, it is an emergency, or where an established patient-provider relationship is not essential,nor is consent; our ethical code mandates that we treat the person as our patient.
In medicine, mental impairment is considered as serious as physical impairment: it is just as debilitating, or just as objectively observable and established just as reliably through standardised assessments. Mental health experts routinely perform capacity or fitness for duty examinations for courts and other legal bodies,and offer their recommendations. This is what we are calling for, urgently, or in doing our part as medical professionals. The rest of the decision is up to the courts or,in this case, up to the body politic. Related StoriesTrump Could Wipe Out Human Species, or Psychiatrist SaysDoes the President possess Dementia? Trump’s Stubbornness Could Be a Sign of ‘Severe Cognitive Decline'Donald Trump Tweets Extraordinary Defense of His 'Mental Stability'
Source: feedblitz.com