Former Defense Secretary Robert Gates Says Trump Is ‘Beyond Repair’

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13. They are.

PD's common feature is that the signs, symptoms and behaviors of concern are "ego-syntonic", meaning that they are not perceived as problems by the individual. As a logical result, PD individuals are always referred by others, not themselves. PDs are grouped in clusters. Cluster "B" encompasses histrionic, borderline, narcissistic and antisocial PDs and individuals belonging to this cluster are typically mixing features from any of those, with one that sometimes tend to dominate. In the pig's case, I would go for an histrionic dominance, with well-defined narcissistic and antisocial traits. There is an ongoing, subtext in his verbalization that compulsively refers to power, masculinity, seduction, fantasies of domination that have a strong, if covert and encoded, sexual flavor. Diagnosis of PD rests essentially on a record of signs, symptoms and behaviors and the longest the record, the more accurate the diagnosis. Medications have no effect on PD individuals. They hate psychotherapy. If they sit in a group of any kind, they will spoil it very rapidly.
Overall, PDs are bad news for providers and I personally consider them as deeply rooted in very early history and almost as difficult to deal with as psychoses.