Today in “The Globe and Mail” (Thursday February 23rd, 2017,p. A11) an article is placed by Peter Silverstone, a Professor of Psychiatry at the University of Alberta. He writes that the current president of the USA cannot be diagnosed with “madness” but can be seen as bad. Silverstone writes that Trump cannot be diagnosed with a mental illness. Silverstone writes that the actions, beliefs, statements, instability, lying, bullying, and misogyny make the person bad.

Of course, Silverstone knows as he is a psychiatrist and he knows the DSM-5. The behaviours as displayed by the current president of the US do not fit any of the descriptions of Mental Illness, but it sure fits the description of more than one “Personally Disorder”.

Personality Disorders are “enduring patterns of inner experience and behaviour that deviate markedly from expectations of the individual’s culture, are pervasive, and inflexible, have an onset in adolescence or early adulthood, are stable over time, and lead to distress, or impairment” (DSM-5, 2013, p. 645).

The proposed research model for personality disorder lists 6 of the original 9 (10) personality disorders as listed in the DSM-IV-TR.

The six proposed listings are antisocial PD, Avoidant PD, Borderline PD, Narcissistic PD, Obsessive-Compulsive PD, and Schizotypal PD.

Those who read the descriptive features of Antisocial PD, and Narcissistic PD, and to a lesser extent Borderline PD, cannot deny that many of these descriptive statements are abundantly displayed by Mr. Trump.

In the past I combined these traits and listed them under “megalomania”, which is not listed in the DSM anymore. The descriptive features of narcissistic PD overlap those of megalomania.

The DSM-5 (proposed model) states, however, two pathological personality traits under Narcissistic PD: “Grandiosity: Feelings of entitlement, either overt or covert, self-centeredness, firmly holding the belief that one is better than others and condescension toward others” (and) “Attention seeking, excessive attempts to attract and be the focus of the attention of others; admiration seeking”.

Mr. Trump became immensely popular….to such an extent that it is creating hatred…Making fun of him, imho will make it worse as those who admire Mr. T., will feel more hatred toward those (often the more educated) who make them feel inferior. In Mr. T., they see an ally.

Yes Silverstone, Mr. Trump might not fit the label “madness”, but he certainly is bad, and his actions lead to distress and who is going to stop this bad man? Where are the boundaries and who is going to say “Now the boundaries have been violated”!




  1. Yes, I pegged him as a narcissist early in his campaign, and nothing has changed my mind yet. Moreover, I believe the man has no conscience. None. At all. I still fail to understand how anybody did not see this side of him and how anybody voted for him. Worse yet, how do some people still support him?

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    1. The sad truth is that apparently a large group of people perceive the strategies used by those who we perceive as unethical (i.e. an understatement) as a strength. There is a reason why in upper management we still find bullies. People fail to see that it is not good leadership when intimidation tactics are used. Eventually the entire company suffers.

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      1. So very true … my daughter works for one such manager, and it makes her job so much more difficult than it need be. It seems to me, based on conversations with a number of friends, that this is becoming the norm in big companies. I worked for a publishing company that had been in business for 145 years … it was a company that truly cared about its staff. It was sold to a big corporation, they sent in a CEO whose mission was nothing more than cut expenses and increase the bottom line. Turnover increased and it was no longer a happy place to work. I took early retirement. The company went out of business in under 10 years. If the only thing that matters is the bottom line, there is no strong foundation, nothing to make people loyal to the company.

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        1. Thanks Jill,
          I see this happening a lot. It is also the main reason why I am going to make changes in my workload. I am going to work more for companies and want to focus on recruitment in particular in higher management positions. There are ways to filter out these toxic people. HR might need some help to prevent negligent hiring, as there are always signs. Cutting expenses is at times needed, but the way it is done makes all the difference.
          When employees feel cared for and respected, they will be loyal and will understand when times are hard. If they are loyal they stick to the company and they make it through and come out of it better overall.

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              1. Self-confidence is often a struggle for most of us, I think. I am the same with my writing. Those who do not lack self-confidence at one point or another … well … think current president … enough said. 😀

                Liked by 1 person

                1. I know…One of the things a consultant in recruitment listens for is the expression of over-confidence and often it is misplaced and not consistent with qualifications and experience.
                  Oh no, DT again!

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