Psychologist: Donald Trump's malignant narcissism is toxic

Mental health professionals have a 'duty to warn' about a leader who may be unfit to serve.

If you take President Trump’s words literally, you have no choice but to conclude that he is psychotic. A delusion is “a fixed false belief that is resistant to reason or confrontation with actual fact.” Despite all evidence to the contrary, Trump asserts that his New York office was bugged by President Obama, and that his inauguration had the biggest crowd size in history. Before the election, Right Wing Watch published a list of 58 conspiracies proclaimed by Trump.

Is it all for effect, to rile up his base, deflect blame and distract from his shortcomings, or does Trump really believe the insane things he says?

It’s often hard to know, because as Harvard psychoanalyst Lance Dodes put it, Trump tells two kinds of lies: the ones he tells others to scam them, and those he tells himself. “He lies because of his sociopathic tendencies," Dodes said. "There's also the kind of lying he has that is in a way more serious, that he has a loose grip on reality." Is he crazy like a fox or just plain crazy? Not a question we want to be asking about our president.

Much has been written about Trump having narcissistic personality disorder. As critics have pointed out, merely saying a leader is narcissistic is hardly disqualifying. But malignant narcissism is like a malignant tumor: toxic.

Psychoanalyst and Holocaust survivor Erich Fromm, who invented the diagnosis of malignant narcissism, argues that it “lies on the borderline between sanity and insanity.” Otto Kernberg, a psychoanalyst specializing in borderline personalities, defined malignant narcissism as having four components: narcissism, paranoia, antisocial personality and sadism. Trump exhibits all four.

His narcissism is evident in his “grandiose sense of self-importance … without commensurate achievements.”

From viewing cable news, he knows "more about ISIS than the generals” and believes that among all human beings on the planet, “I alone can fix it.” His "repeated lying," “disregard for and violation of the rights of others” (Trump University fraud and multiple sexual assault allegations) and “lack of remorse” meet the clinical criteria for anti-social personality. His bizarre conspiracy theories, false sense of victimization, and demonization of the press, minorities and anyone who opposes him are textbook paranoia. Like most sadists, Trump has been a bully since childhood, and his thousands of vicious tweets make him perhaps the most prolific cyber bully in history.

https://www.usatoday.com/story/opinion/2017/05/04/trump-malignant-narcissistic-disorder-psychiatry-column/101243584/

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