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”!