Concerning the health of Donald J. Trump!

TUESDAY, FEBRUARY 21, 2017

This discussion ain't going to happen:
What is the state of Donald J. Trump's mental health?

Is it possible that he suffers from some sort of early onset dementia? Is it possible that he is "mentally ill" in some way?

Despite an array of peculiar behaviors by the aforementioned President Trump, it seems fairly clear that this discussion isn't about to happen. We say that in spite of Lawrence O'Donnell's intriguing segment last night.

Should we have some such discussion? The New York Times has made a few feints in that direction, but Sunday's column by Professor Richard Friedman struck us as maybe, possibly and perhaps typical New York Times work.

According to the Times, Friedman is "a professor of clinical psychiatry and the director of the psychopharmacology clinic at the Weill Cornell Medical College." He's a "contributing opinion writer" to boot.

In his somewhat frustrating piece, Professor Friedman asserted several somewhat contradictory points. The gentleman's nuance was running amok. Let's get started with this:
FRIEDMAN (2/19/17): [I]n 1973 the A.P.A. developed the Goldwater Rule. It says that psychiatrists can discuss mental health issues with the news media, but that it is unethical for them to diagnose mental illnesses in people they have not examined and whose consent they have not received.
It sounds like it would be unethical for a psychiatrist to tackle this type of topic. Hold on though! Not so fast, Friedman says:
FRIEDMAN (continuing directly): Contrary to what many believe, this rule does not mean that professionals must remain silent about public figures. In fact, the guidelines specifically state that mental health experts should share their knowledge to educate the public.

So while it would be unethical for a psychiatrist to say that President Trump has narcissistic personality disorder, he or she could discuss common narcissistic character traits, like grandiosity and intolerance of criticism, and how they might explain Mr. Trump’s behavior. In other words, psychiatrists can talk about the psychology and symptoms of narcissism in general, and the public is free to decide whether the information could apply to the individual.

This may seem like splitting hairs, but it isn’t. Diagnosis requires a thorough examination of a patient, a detailed history and all relevant clinical data—none of which can be gathered from afar. Narcissism, for instance, isn’t the only explanation for impulsive, inattentive and grandiose behavior. Someone could be suffering instead from another clinical problem like attention deficit hyperactivity disorder; the abuse of drugs, alcohol or stimulants; or a variant of bipolar disorder, to name just a few.

This is all to say that when mental health professionals label public figures with mental illnesses, it is not just unethical—it’s intellectually suspect. We don’t have the requisite clinical data to know what we are talking about.
We'd hate to see the professor start "splitting hairs" if he feels this passage doesn't qualify as an example of same. And uh-oh! As several commenters noted, he said it's unethical and intellectually suspect to label public figures with mental illnesses, but then went on to say this:
FRIEDMAN (continuing directly): Besides, even if you posit that a president has a mental disorder, that in itself may say little about his fitness to serve. After all, Lincoln had severe depression. Theodore Roosevelt was probably bipolar. Ulysses S. Grant was an alcoholic. According to a study based on biographical data, 18 of America’s first 37 presidents met criteria suggesting they suffered from a psychiatric disorder during their lifetime: 24 percent from depression, 8 percent from anxiety, 8 percent from bipolar disorder and 8 percent from alcohol abuse or dependence. And 10 of those presidents showed signs of mental illness while they were in office.
Some commenters said he ended up diagnosing everyone but Trump!

Last evening, on The Last Word, Lawrence O'Donnell hosted two guests who seemed to reach different conclusions. One of Lawrence's guests said that "a thorough examination of a patient" ha been shown to be the least effective available way of reaching a diagnosis.

We'd love to show you what these guests said, but MSNBC hasn't come up with a transcript yet. Nor has it posted the videotape of this intriguing segment.

The Channel tends to function this way. So much for thoughtful discussion! Have we mentioned the fact that Donald J. Trump has the nuclear codes?

In our view, we've been well served, in the past fifty years, by the general rule which held that psychiatric analysis should be eliminated from political discussion. In view of Trump's many peculiar behaviors, including his strange intellectual conduct, it seems to us that it may be time a change, challenging though such a discussion would be.

The Time has responded to this concern with a somewhat puzzling essay. MSNBC can't seem to get around to posting its work at all.

In theory: In theory, our dear Watsons, the transcript will show up here.

117 comments:

  1. Presumably, the president will be receiving regular checkups each year at the Bethesda Naval Hospital. It wasn't my impression that these were optional for previous presidents.

    If Trump has dementia, it wouldn't be "early onset," given that he is 70.

    Examination of his mental health should be part of a comprehensive physical examination, result of which are something else that he never provided during the campaign. He may be hiding quite a bit wrong.

    Why has the public let him get away with this? Why isn't the press calling for release of this info along with his tax returns?

    ReplyDelete
    Replies
    1. Because he is not a Democrat.

      Delete
    2. Your presumption is wrong. A president has no obligation to receive a checkup or disclose the result.

      Delete
    3. Given the medical report on him we saw during the campaign, I doubt he will avail himself of the doctors at Bethesda. I suspect his physical health will take him out before his mental health, but we won't know until it happens,

      Delete
    4. Why has the public let him get away with this? Why isn't the press calling for release of this info along with his tax returns?

      Republicans are writing new rules, setting new precedents. Forever and ever they have forfeited any pretense to concerns about lying by the president, or the need to divest from your business to avoid the appearance of conflict of interest. It seems almost quaint how the republicans made Jimmy Carter sell his little peanut farm, feels like centuries ago. Now Trump can say his sons will run his international business (Uday and Qusay) but they promise not to talk to their father about it, as they travel the world from Uruguay to Dubai, all with secret service protection making deals with foreign nations and apparently this is all fine now. Trump still owns the hotel in DC at which he encourages foreign visitors to stay at.

      No longer will any politician have to disclose their tax returns. Transparency?!!!! Ha, republicans say fuck you with your transparency. You want to see my tax returns? Trump says fuck you. You want to see his medical exam? Bwahahahaha!!!! Trump trots out a bullshit letter that reads like he wrote it himself and says, fuck you America, that's all your getting.

      It's a new world now and republicans are writing the new rules. You can brag about sexual assault, sick perverted acts like creeping into a beauty pageant dressing room to watch underage girls undressing. We live in pussygrabbing America now and republicans like DinC are just fine and dandy with it.

      Delete
    5. I agree mm, Republicans have now made lacking integrity a point of pride.

      Delete
    6. Yes, Silly Boy, it is so liberating. Anything goes!!!

      Who knew republicans were at their core just a bunch of anarchists.


      In olden days, a glimpse of stocking
      Was looked on as something shocking.
      But now, God knows,
      Anything goes.

      Delete
    7. In Arizona, and other states, new laws are hastily going through Repblican controlled legislatures. They make peaceful assembly that COULD be perceived as potentially leading to a riot unlawful. In Arizona, this law includes parts
      Of the RICO laws, which means anyone participating may be arrested and their property seized and sold or appropriated by law enforcement agencies. Their only recourse is a civil lawsuit.
      This law will posit that if ONE person at a demonstration commits an act of violence or property damage, or can be shown to have a past history of being a paid protestor, all protesters can be arrested and charged.

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    8. Have a drink, mm.

      Delete
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      i want to say a very big thanks and appreciation to Dr. Keke Odin the chief priest of all spell casters worldwide for bringing back my husband who left i and the kids for almost three months within the space of two days after following all instruction given to me. i am very much grateful for restoring peace in my marital home, and i pray God almighty give you the strength and wisdom to continue helping more people having similar relationship and marital problem like mine. for help you can contact him now through his email and mobile number below

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      i want to say a very big thanks and appreciation to Dr. Keke Odin the chief priest of all spell casters worldwide for bringing back my husband who left i and the kids for almost three months within the space of two days after following all instruction given to me. i am very much grateful for restoring peace in my marital home, and i pray God almighty give you the strength and wisdom to continue helping more people having similar relationship and marital problem like mine. for help you can contact him now through his email and mobile number below

      Email: greatkekespelltemple@gmail.com

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      i want to say a very big thanks and appreciation to Dr. Keke Odin the chief priest of all spell casters worldwide for bringing back my husband who left i and the kids for almost three months within the space of two days after following all instruction given to me. i am very much grateful for restoring peace in my marital home, and i pray God almighty give you the strength and wisdom to continue helping more people having similar relationship and marital problem like mine. for help you can contact him now through his email and mobile number below

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  2. Just because President Grant enjoyed alcohol, that does not make him an alcoholic. Many tales have been told regarding his drinking. What were the sources of that information. I suspect that he had enemies, just as Bill Clinton had enemies. Clinton's enemies were interviewed by a hack reporter for The New York Times. We all know what followed.

    ReplyDelete
  3. How many politicians would come out looking good after a mental exam? Pelosi, Waters, both Clintons, McCain,? How many leaders are sociopaths?

    I love how the APA says it is unethical to make a diagnosis without an exam and then the shrinks do exactly that. Politics trumps ethics.

    ReplyDelete
    Replies
    1. Failure to diagnose Trump won't make his symptoms go away. In the meantime, he keeps saying and doing things that are damaging to our nation, such as that botched Seal raid, the incompetent roll out of his Muslim ban, and his ongoing failure to fill government jobs and staff his administration. While he tweets and plays golf and exhibits no sense of urgency beyond his own needs.

      Trump is being accused of narcissism not sociopathy. Sociopaths can be effective in their jobs. Narcissists, not so much. But it doesn't matter who else has problems. Trump is the one who is president and who is failing in his job.

      Delete
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    ReplyDelete
  5. Let's just start with understanding that all mental illness diagnoses are differential diagnoses; that is, they are all bunk. Naming something adds nothing to the discussion. Trump is bizarre and dysfunctional regardless of whether we can assign a name to his pathological behavior.

    ReplyDelete
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