Is It Time to Call Trump Mentally Ill? [View all]
The Opinion Pages | Contributing Op-Ed Writer
Is It Time to Call Trump Mentally Ill?
Richard A. Friedman FEB. 17, 2017
A lot of people seem to be questioning President Trumps mental health. This month, Representative Ted Lieu, a California Democrat, went so far as to say he was
considering proposing legislation that would require a White House psychiatrist. ... More controversial is the number of mental health experts who are joining the chorus. In December, a
Huffington Post article featured a letter written by three prominent psychiatry professors that cited President Trumps grandiosity, impulsivity, hypersensitivity to slights or criticism, and an apparent inability to distinguish between fantasy and reality as evidence of his mental instability. While stopping short of giving the president a formal psychiatric diagnosis, the experts called for him to submit to a full medical and neuropsychiatric evaluation by impartial investigators.
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But the attempt to diagnose a condition in President Trump and declare him mentally unfit to serve is misguided for several reasons. .... {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.
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... 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, isnt 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 its intellectually suspect. We dont have the requisite clinical data to know what we are talking about.
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There is one last reason we should avoid psychiatrically labeling our leaders: It lets them off the moral hook. Not all misbehavior reflects psychopathology; the fact is that ordinary human meanness and incompetence are far more common than mental illness. We should not be in the business of medicalizing bad actors. ... So the nation doesnt need a shrink to help it to decide whether President Trump is fit to serve, mentally or otherwise. Presidents should be judged on the merits of their actions, statements and, I suppose, their tweets. No experts are needed for that just common sense.
Richard A. Friedman is a professor of clinical psychiatry and the director of the psychopharmacology clinic at the Weill Cornell Medical College, and a contributing opinion writer.
In other words, maybe ***** is just an @$$hole, and it's not fair to the truly mentally ill to associate them with *****. It gives them a bad name.