Trump's Psychological Problems Make Him Dangerous

(This caricature of Donald Trump is by DonkeyHotey.)

The following post is a small part of an interview with Bill Moyers and Robert J. Lifton. Mr. Lifton wrote the foreword for a new book (to be released on October 3rd) by 27 psychiatrists, psychologists, and mental health experts called The Dangerous Case of Donald Trump.

Moyers: Some of the descriptions used to describe Trump — narcissistic personality disorder, antisocial personality disorder, paranoid personality disorder, delusional disorder, malignant narcissist — even some have suggested early forms of dementia — are difficult for lay people to grasp. Some experts say that it’s not one thing that’s wrong with him — there are a lot of things wrong with him and together they add up to what one of your colleagues calls “a scary witches brew, a toxic stew.”

Lifton: I think that’s very accurate. I agree that there’s an all-enveloping destructiveness in his character and in his psychological tendencies. But I’ve focused on what professionally I call solipsistic reality. Solipsistic reality means that the only reality he’s capable of embracing has to do with his own self and the perception by and protection of his own self. And for a president to be so bound in this isolated solipsistic reality could not be more dangerous for the country and for the world. In that sense, he does what psychotics do. Psychotics engage in, or frequently engage in a view of reality based only on the self. He’s not psychotic, but I think ultimately this solipsistic reality will be the source of his removal from the presidency.

Moyers: What’s your take on how he makes increasingly bizarre statements that are contradicted by irrefutable evidence to the contrary, and yet he just keeps on making them? I know some people in your field call this a delusional disorder, a profound loss of contact with external reality.

Lifton: He doesn’t have clear contact with reality, though I’m not sure it qualifies as a bona fide delusion. He needs things to be a certain way even though they aren’t, and that’s one reason he lies. There can also be a conscious manipulative element to it. When he put forward, and politically thrived on, the falsehood of President Obama’s birth in Kenya, outside the United States, he was manipulating that lie as well as undoubtedly believing it in part, at least in a segment of his personality. In my investigations, I’ve found that people can believe and not believe something at the same time, and in his case, he could be very manipulative and be quite gifted at his manipulations. So I think it’s a combination of those.

Moyers: How can someone believe and not believe at the same time?

Lifton: Well, in one part of himself, Trump can know there’s no evidence that Obama was born in any place but Hawaii in the United States. But in another part of himself, he has the need to reject Obama as a president of the United States by asserting that he was born outside of the country. He needs to delegitimate Obama. That’s been a strong need of Trump’s. This is a personal, isolated solipsistic need which can coexist with a recognition that there’s no evidence at all to back it up. I learned about this from some of the false confessions I came upon in my work. . . .

Moyers: It’s as if he believes the truth is defined by his words.

Lifton: Yes, that’s right. Trump has a mind that in many ways is always under duress, because he’s always seeking to be accepted, loved. He sees himself as constantly victimized by others and by the society, from which he sees himself as fighting back. So there’s always an intensity to his destructive behavior that could contribute to his false beliefs. . . .

Moyers: What other hazardous patterns do you see in his behavior? For example, what do you make of the admiration that he has expressed for brutal dictators — Bashar al-Assad of Syria, the late Saddam Hussein of Iraq, even Kim Jong Un of North Korea — yes, him — and President Rodrigo Duterte of the Philippines, who turned vigilantes loose to kill thousands of drug users, and of course his admiration for Vladimir Putin. In the book Michael Tansey says, “There’s considerable evidence to suggest that absolute tyranny is Donald Trump’s wet dream.”

Lifton: Yes. Well, while Trump doesn’t have any systematic ideology, he does have a narrative, and in that narrative, America was once a great country, it’s been weakened by poor leadership, and only he can make it great again by taking over. And that’s an image of himself as a strongman, a dictator. It isn’t the clear ideology of being a fascist or some other clear-cut ideological figure. Rather, it’s a narrative of himself as being unique and all-powerful. He believes it, though I’m sure he’s got doubts about it. But his narrative in a sense calls forth other strongmen, other dictators who run their country in an absolute way and don’t have to bother with legislative division or legal issues. . . .

Moyers: There’s a chapter in the book entitled, “He’s Got the World in His Hands and His Finger on the Trigger.” Do you ever imagine him sitting alone in his office, deciding on a potentially catastrophic course of action for the nation? Say, with five minutes to decide whether or not to unleash thermonuclear weapons?

Lifton: I do. And like many, I’m deeply frightened by that possibility. It’s said very often that, OK, there are people around him who can contain him and restrain him. I’m not so sure they always can or would. In any case, it’s not unlikely that he could seek to create some kind of crisis, if he found himself in a very bad light in relation to public opinion and close to removal from office. So yes, I share that fear and I think it’s a real danger. I think we have to constantly keep it in mind, be ready to anticipate it and take whatever action we can against it. The American president has particular power. This makes Trump the most dangerous man in the world. He’s equally dangerous because of his finger on the nuclear trigger and because of his mind ensconced in solipsistic reality. The two are a dreadful combination. . . .

Moyers: Some people who have known Trump for years say he’s gotten dramatically worse since he was inaugurated. In the prologue to The Dangerous Case of Donald Trump, Dr. Judith Lewis Herman writes this: “Fostered by the flattery of underlings and the chance of crowds, a political leader’s grandiosity may morph into grotesque delusions of grandeur.” Does that —

Lifton: That’s absolutely true. It’s absolutely true. And for anyone with these traits — of feeling himself victimized, of seeking to be the strongman who resolves everything, yet sees truth only through his own self and negates all other truth outside of it — is bound to become much more malignant when he has power. That’s what Judith Herman is saying, and she’s absolutely right. Power then breeds an intensification of all this because the power can never be absolute power — to some extent it’s stymied — but the isolation while in power becomes even more dangerous. Think of it as a vicious circle. The power intensifies these tendencies and the tendencies become more dangerous because of the power.