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Why does it feel like something is seriously wrong about Donald Trump's mental health?

Roland Temmerman
·
Updated December 21, 2019
Studied Social Sciences & Political Science at Stanford University (Graduated 1990)
Roland Temmerman

Ask just about anyone about Trump’s psychology, and they conclude that, like all bullies, he is a very insecure person. As many have noted: “You don’t need a fancy diploma to figure out what is wrong with Trump.” I would agree.

After so much has been written about Trump’s behavior by psychologists and many others, I continue to be extremely frustrated with the way the national news media struggle to speak accurately about Trump’s behavior. They also routinely comment themselves or invite non-professionals to comment on it, rather than asking mental health experts.

One TV anchor recently opined about Trump’s increasingly erratic behaviors: “There’s not really a vocabulary for this…” and “It’s really a series of questions no one can answer: Why does he make it all about himself? … Why does he lie so often? Is there a method to the madness? Or is Something wrong. Is he suffering from some sort of illness? … No satisfying answers.”

I completely disagree. There are good answers and a very specific vocabulary for exactly what is wrong with Trump and if you asked a mental health professional with expertise in these matters, perhaps you would get those answers.

Most diagnoses can be explained by one powerful, primal emotion -- shame.

More specifically, nearly all mental disorders are, in fact, shame intolerance disorders. A child who feels unworthy and unloved, usually due to childhood developmental trauma (aka bad parenting) learns maladaptive ways of coping with these feelings. To manage fears of inadequacy, rejection and failure, individuals behave in three very predictable patterns I call Blame-shifting Strategies:

- Other-Blaming: “You are at fault.”

- Self-Blaming: “I am at fault.”

- Blame Avoiding: “No one is at fault.”

The key assessment for the three strategies is: When criticized or held accountable, what does the person do? A cornerstone of psychological wellness is the ability to hear criticism or experience failure, accept the t***h, and acknowledge one’s faults with equanimity.

In contrast, Other-blamers feel inadequate but lack self-compassion to deal with their mistakes. When they fear the experience of shame they become hyper-vigilant to perceived or real criticism. They are unwilling to look honestly at their faults and may over-react and lash out to preempt, defend against, or attack criticism. Some with poor shame tolerance may even become enraged, abusive and violent, because criticism feels like such a deep, personal wound.

The DSM ( the medical profession’s Diagnostic and Statistical Manual ) identifies these people with diagnostic labels of Narcissistic, Borderline, Paranoid, Delusional and Antisocial personality disorders. However, millions of Other-blamers present with sub-clinical levels of difficult behavior that is not addressed by the DSM, yet causes significant disruption and trauma to the people in their lives.

Ironically, Other-blamers are so busy managing shame in counterproductive ways that they act in shameful and immoral ways. The pro-social self-conscious emotions work to hold most people accountable, though they have little efficacy with Other-blamers who have learned to disconnect from guilt through habitual blame-shifting. Other-blamers have difficulty following the normal moral and social codes that healthy individuals find to be a fundamental guide to their behavioral choices.

The character traits of Other-blamers may seem unconnected but they are all in service of protecting their fragile psyche. They lie to themselves continuously, so they have no difficulty lying to others. Other-blamers demand loyalty, control, manipulate, or intimidate to set up relationships with people who will be submissive and will not challenge them, correct them, or blame them. The t***h is a threat, so they blame the messenger (“F**e News!”). To avoid responsibility, they justify, make excuses and rationalize. They crave power because it helps insulate them from criticism and accountability. Some engage in strategies that enhance their social status, (self-aggrandizing, boasting, greed, vanity) but they also destroy relationships by c***ting, conniving, and manipulating others. Fear can take over, leading to paranoia and delusional thinking as they imagine that others are out to humiliate them. They can be physically and emotionally abusive, angry, h**eful, and stubborn. The result is high-conflict relationships because of their inability to admit fault or compromise. They are vindictive against those they feel have insulted them (See: Trump’s Obama envy.)

Obviously, Trump is an extreme Other-blamer. So, to answer the questions posed by the TV anchor: Why does Trump lie? To protect himself from shame. Why does he make it all about himself? To protect himself from shame. Is there a method to his madness? Yes, to protect himself from shame. While this may seem like a simplistic explanation, this is really all anyone needs to know to understand Trump or any of the millions of Other-blamers like him.

If we look at shame intolerance from a different perspective, we can see that the behaviors exhibited by Other-blamers can clearly be described as immoral. Shame is the foundation of morality because it mediates fairness and kindness in relationships. As social animals, we succeeded based on our ability to care, share, and cooperate. Prosocial emotions are survival-related because they prevent or control inappropriate behavior and encourage moral conduct, ensuring continued acceptance in our tribe.

Poor shame tolerance results in lack of empathy, guilt, or conscience. Hatred, greed, violations of the law, and violence are clearly the opposite of tolerance, generosity, and fairness. Most would agree they violate essential human decency and morals.

With just this brief description of Other-Blamer behaviors, it should be clear that Trump and authoritarians are always Other-blamers. Blame-shifting strategies occur at the individual level, but autocrats throughout history have encouraged Other-blamer tendencies in their followers. Authoritarian systems are actually societal-level blame-shifting patterns that serve the psychological needs of the participants in alleviating feelings of unworthiness. When Trump blames immigrants, the media, the Democrats, and anyone or anything else he can think of, it suits him and his followers who cannot tolerate accepting fault.

The biggest problem of our blame-shifting president and his followers is that they do not respond normally to shame or t***h. They have come to believe — through a lifetime of lying to themselves — that they have no faults. They are expert at ignoring and deflecting facts, criticism, and blame. Their conscience is not triggered when they see the pain their lying and immorality are causing.

Of course a diagnosis or label is not required to determine that Trump is dangerous. Those who cannot feel guilt and shame are always dangerous, because these pro-social emotions are what lead humans to moral behaviors, a healthy conscience, and accountability.

Edit: I want to add this great analysis in addition to my answer, by the wonderful Cindy Atha-Weldon

As many medical professionals have noted, they have seen and heard more from Trump on a daily basis than they would be able to view from most patients over many years of therapy (Glass, Lee, & Fisher, 2019). Therefore, the evidence is blatant, and their analysis should not be considered as casual comments. Consider the facts of his family history and his childhood behavior. Trump definitely exhibits Narcissistic Personality Disorder which actually is designated under the Reward Deficiency Syndrome RDS (Kenneth Blum, 1996–2019; Blum now edits the Reward Deficiency Syndrome peer-reviewed journal). The effects of defective dopamine receptors continue to be investigated in the families of addicts where a range of these behaviors are found.

Trump’s family history details the addiction patterns from his mother’s family on the Isle of Lewis, the island where the addiction rate is twice the rate in the rest of the UK (Ross, 2015). His brother Fred died from alcoholism (suicide; Birchall, 2017). Even if a person does not drink as Trump claims he does not (evidence exists to refute this probable lie; Badash, 2019), he still carries the genetics for the syndrome and shows may of the additional negative traits. The RDS disorder reveals the defective D2-D4 dopamine receptors in the reward pathway from the ventral tegmentum to the nucleus accumbens. The result is the sense of a lack of reward and a feeling of extreme need. It often results in an addiction to drugs, food, money, sex, or attention (the narcissism and extreme jealousy) which leads to the scapegoating, lying and personal attacks on those he knows are better at something than he is. Even as a child, he attacked other children and destroyed their birthday cakes or toys (D’Antoinio, 2016; Schwartzman & Miller, 2016). Empathy is facilitated by dopamine (Deans, 2011; Nauert, 2018); so, the defective dopamine receptors are related to a lack of empathy, hostile attribution bias, and a lack of impulse control as well as learning disorders, bullying, dyslexia, bipolar disorder, anorexia or obesity. Trump has displayed almost all of these negative behaviors throughout his life.

This answer is attributed to: Brian Stelter (@brianstelter) | Twitter We Actually DO Know What Is Wrong With Trump’s Mental State .

Bad Bob Loc: Virginia

saltwind 78 Loc: Murrells Inlet, South Carolina

There has never been any doubt in my mind that Trump's mental health is pathological. Nobody lies that much without having some kind of personality disorder. At first I thought it was a case of narcissistic personality disorder. As time went on, I became suspicious that this wasn't the case. I then came to the conclusion that it was an obvious case of him being a sociopath. Narcissism is one of the characteristics of a sociopath, and he has all of the characteristics of a sociopath.
His niece, Mary Trump, PhD. has known him her entire life and has been a victim of his. In her book, she calls him the most dangerous man on earth, and a sociopath. She blames his father for this.
I have mentioned many times that I was a special education teacher of seriously disturbed adolescents at the Regional Institute for children and adolescents in Rockville , Maryland, RICA-Rockville) and the Hannah More Center in Pikesville, Maryland which I believe has gone out of business. I would say that at least twenty five percent of my students were personality disordered, so I have a great deal of experience in dealing with this kind of pathology. There is no doubt in my mind that Trump is a sociopath.

Dwbill Loc: Sunvalley,NV

How long did it take you to think up all this CRAP????

Auntie Dee

Dwbill Loc: Sunvalley,NV