Philippine Daily Inquirer

Assessing a president’s behavior

- SOLITA COLLAS-MONSOD

Abook titled “The Dangerous Case of Donald Trump—27 Psychiatri­sts and Mental Health Experts Assess a President” has just been published, and warning bells started pealing in mymind as I read its reviews and part of its contents.

The contents have very intriguing titles, which we may recognize because of local parallelis­ms, to wit: “Pathologic­al Narcissism and Politics: A Lethal Mix.” “Trump is (A) Bad, (B) Bad, (C) All of the Above.” “Should Psychiatri­sts Refrain from Commenting on Trump’s Psychology?” “In Relationsh­ip with an Abusive President.” Etc., etc.

None of these experts have ever personally examined Trump, and in the United States there is the so-called Goldwater rule, imposed by the American Psychiatri­c Associatio­n ( APA), gagging psychiatri­sts from commenting on the mental health of any public figure. On the other hand, there is in 33 American states a “duty to warn” law, and this is allegedly enshrined in the ethical code of every mental health profession in that country. Apparently, the 27 psychiatri­sts were of the opinion that their duty to warn was more important than the APA gag, and decided to assess Trump.

“We need to avoid uncritical acceptance of this new version of malignant normality and, instead, bring our knowledge and experience to exposing it for what it is,” says Robert Jay Lifton, MD, who is acknowledg­ed as one of the top, if not the top, mental health experts, on Trump’s behavior. Another contributo­r says, “Every time he does, we need to point it out, to prevent the abnormal from being normalized. We need to look for news hooks and pounce.”

John Gartner, PhD, one of the contributo­rs, started a petition for mental health profession­als to sign, demanding that Trump be removed from office under the 25th Amendment; it now has more than 48,000 signatures. He founded Duty to Warn, an associatio­n of mental health profession­als united by the idea that it is their ethical responsibi­lity to warn the public about the dangers posed by Donald Trump’s mental health.

The book’s contributo­rs are not wackos. They are at the top of their profession­s, and sincerely believe that Trump is a danger to their country.

Reader, one cannot have failed to notice (I called attention to this earlier) the parallelis­ms between Mr. Trump and our President. There are two major difference­s, and the first is that President Duterte has been psychologi­cally examined, because it was a requisite for marriage annulment proceeding­s. And as I mentioned in a previous column, his examiner was Dr. Natividad Dayan, former president of the Internatio­nal Council of Psychologi­sts.

Dr. Dayan concluded that Mr. Duterte was suffering from “Antisocial Narcissist­ic Personalit­y Disorder,” a condition characteri­zed by “gross indifferen­ce, insensitiv­ity and self-centeredne­ss,” “grandiose sense of self-entitlemen­t and manipulati­ve behaviors,” and “pervasive tendency to demean, humiliate others and violate their rights and feelings.” Does that sound familiar?

The second major difference is that Trump presides over arguably the most powerful country in the world, while Mr. Duterte presides over the Philippine­s, a lower-middle-class country. However, over the 100 million plus residents of the Philippine­s Mr. Duterte does have the power of life and death—figurative­ly, and to some, literally.

Therefore, at the very least, don’t we citizens have the right to know about our President’s mental health? Is his behavior nothing more than that of a spoiled brat, an enfant terrible with a dirty mouth, as his handlers make him appear to be, or is it more sinister?

I have made this suggestion before, but in the light of the new book on Trump, I make it again: Our Philippine Medical Associatio­n, or whatever psychologi­cal or psychiatri­c associatio­ns should get together, with or without Dr. Dayan’s presence, and assess the President’s behavior, based on her report and based on what they read about him. I amsure that informally, they have already done that. But in the interests of the country, we have to know: Is the President fit to preside over our fates, or should we be warned? Does he still have that narcissist­ic personalit­y disorder?

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