Unpacking Donald Trump’s Psychopathology

trump-mentally-ill

Although Donald Trump does not have an official diagnosis of a personality disorder, many mental health experts believe him to have some combination of Narcissistic Personality Disorder, Antisocial Personality Disorder (sociopathy), and Paranoid Personality Disorder.  When these disorders appear together in the same person, we call it malignant narcissism.

Malignant narcissism is different from garden variety NPD in that, due to the presence of ASPD, the person very often has a blatant disregard for the law or the rights of others. There is also an element of paranoia, which lends itself to a toxic belief in conspiracy theories and a belief everyone is against them. The malignant narcissist will often seek retribution or revenge on others they believe have wronged them.   Often, they are sadistic and actually enjoy inflicting pain on others (I believe Trump is one of these).  Garden variety narcissists are toxic and usually unpleasant to be around, and they can certainly be abusive if you are unlucky enough to have to live with or be in close contact with one, but unless they are also malignant, they aren’t necessarily sadistic or likely to engage in criminal or deliberately cruel behavior.  A few might even have selective empathy, though their “empathy” could just be an act to get what they want.  A malignant narcissist has no empathy and no conscience, and they cannot change.

Donald Trump certainly appears to be a malignant narcissist, based on what he says and does.  The Dark Triad is another term for this combination of dangerous disorders.  Trump seems to have all 9 traits of NPD (per DSM IV, which I prefer to DSM V), and most or all of the traits of ASPD.  He also has some traits of PPD.   While most mental health professionals still stand by The Goldwater Rule and refuse to give Trump a formal diagnosis, some are so certain that he is a malignant narcissist that they chose to disregard this tradition due to the clear and present danger they believed Trump posed to the country and the world.  They believed it was their duty to warn others.  Their conviction resulted in a book that was published early in Trump’s presidency called “The Dangerous Case of Donald Trump,” a compilation of essays by 27 psychologists and psychiatrists describing what makes  Trump so dangerous and which serves as a warning of the existential danger of a Trumpian future.

Due to this book, as well as a number of other well known people, books, and groups openly discussing Trump and his likely personality disorder has broadened the reach of the narcissistic abuse community and made terms such as gaslighting, NPD, narcissism, and blame shifting household words.   We are all victims of narcissistic abuse under this man.  Before Trump, the concept of narcissistic abuse wasn’t well known outside of the online narcissistic abuse community. That is no longer the case, so in a way, Trump has indirectly helped to educate the world about narcissism and the suffering and chaos it can create in relationships, families, countries, and the world.

This article I’ve linked to doesn’t describe Trump’s narcissism so much as it explains how someone like Trump could rise to power and infect an entire country with his pathology.  A Trump (or a Hitler or a Stalin or a Duterte or a Bolsonaro) cannot rise to power without the cooperation and encouragement of a sizable segment of the populace who can relate to or share Trump’s rage or even his pathology, and a political environment that is rife for someone like Trump.  The United States, a country that has rewarded narcissism and selfishness and punished empathy in recent years (a good example is Border Patrol police arresting Good Samaritans who left food and water in the desert for  migrants), was a Petri dish for someone like Trump.   He could not have risen to power forty or fifty years ago or even twenty or thirty years ago, when the idea of the greater good and the values of democracy were still the rule, not the exception, in the top tiers of of government.  Trump isn’t the cause of our downfall, but he is the glaring sympton of a desperately sick society and is certainly helping to fan the flames of destruction.  We can either address the problems that led to a demagogue like Trump, and fix the things that made us so sick, or we can ignore the warning siren and fall even deeper into the abyss of fascism.

The only issue I have with this article (and it’s a small one) is that I’m pretty sure more than 1% of the population (at least in America) suffers from NPD.  But as a society that rewards narcissistic behavior and punishes compassion, it might just seem that way, as such a society encourages even non-disordered people to emulate the traits of narcissism.

Unpacking Donald Trump’s Psychopathology Helps Explain the Toxic Reality Facing America 

*****

Further Reading:

Narcissistic Abuse in Trumpistan

We Need a Lot More Awareness About Narcissism and Psychopathy

Sociopaths Rule America

Trump’s Personality Disorder Brings Out the Worst in Everyone 

Hypermasculinity and Trumpism 

Deconstructing Cluster B stereotypes.

clusterb

This is a cute drawing circulating Facebook depicting the “typical” person with each of the four Cluster B personality disorders (I cannot give credit for it since I have no idea who drew it or where it originated).   While I understand it’s meant to streamline the overall feel of each of these disorders, they’re still stereotypes. Stereotypes certainly may have a grain of truth behind them, but it’s important to realize they are convenient shortcuts at best, and quite negative and damaging at worst.

Obviously, not everyone with these disorders is going to act the way they’re depicted in the cartoon.  Human beings, even those with personality disorders, are complicated creatures, and just as there are many variations in the general population, so there are many variations among any group of people with one of these disorders.

Here’s another cartoon (which I have used in several posts) that also depicts these disorders in much the same way as the above drawing.

cluster_b

ASPD:

I think it’s interesting that in both of these cartoons, the person with Antisocial Personality Disorder is a criminal type of individual making threats, either with a weapon or he is already in jail.   Both wear a sadistic expression.  Both are also male figures.    The reality is, not all people with ASPD are criminals or in prison.   They aren’t all serial killers.  Some have never committed a crime (or at least have never been caught).  In fact, the other group of people statistically most likely to have ASPD (or psychopathy) are the very high functioning CEOs of big corporations.   Many people with ASPD are in high profile careers like politics or entertainment.  Their lack of conscience and guilt feelings, coupled with a nearly non-existent lack of empathy (even narcissists have more empathy than a person with ASPD), make it easy for them to rise high in their fields and have no compunctions about firing people or “downsizing.”  Other people’s feelings are much less important than the “bottom line.”  Many high ranking people with psychopathy or ASPD are actually women.

It’s fascinating to me that the two groups of people most likely to have ASPD/psychopathy appear at each extreme of modern society: the low functioning ones locked up in prison and/or running from the law, and the high functioning ones running everything from giant companies to powerful countries.

NPD:

The person pictured with NPD is also a male in both cases, and both guys are dressed up in business suits.   One is holding a wad of cash, and the other is just arrogant, with a PhD (of bullshit!) on his wall.   Both are wearing arrogant expressions.  The reality is, many women also have NPD–females may constitute as much as half of all people with NPD, and I think it’s becoming more common (why else would there be so many narcissistic mothers and websites about them??)

Also, not all narcissists are of this grandiose, arrogant, showoffy stereotype.   Many narcissists are the fragile, vulnerable or covert type, and use their “altruism” or “niceness” to get supply (or put others on a guilt trip).  Or they present themselves as pathetic, put-upon victims who never take any responsibility for themselves and blame others for their miserable lives and failing relationships.    Granted, the vulnerable or covert type of narcissist is probably more likely to be a woman, but this isn’t always the case.   My mother was quite grandiose and arrogant, and so are many women you meet in business.

HPD:

Histrionic Personality Disorder (HPD) and BPD are both depicted by women in these cartoons.  In both cases, the woman with HPD is a femme fatale, exuding sexuality and demanding attention using her body and come hither expression.    Some histrionics are men though, and just act dramatic and over the top for attention.  It’s not always sexual attention they’re after.   I’ve seen many men with what appears to be HPD in the gay community (this is in no way meant to disrespect gay men, it’s just something I’ve noticed).   HPDs do tend to be more extroverted than the average person.

BPD:

The BPD women in the cartoons vary the most.  In the first drawing she is crying; in the second, she is split between devaluation and idealization.   The emotional instability of a borderline is a fact; but not all borderlines are female.   Males with BPD can act a lot like men with ASPD, due to their tendency to act on impulse and have hair-trigger tempers and fly into violent rages.  Borderline males are more likely to be imprisoned or have a criminal record than men with NPD, who prefer to keep their hands and reputations clean.  BPD women with this disorder can also be abusive toward others or even criminally-minded.  Or they can be codependent, or primarily self-destructive (this is probably the more common type in females).    There are so many manifestations of BPD that it’s a hard disorder to diagnose, probably harder than the other three.   Many people with BPD have addiction issues or eating disorders and hurt themselves more than they hurt others.  .

Think stuff promoted to kids today encourage bad behavior? Think again.

1938ad

If you think we’ve reached a pinnacle of questionable marketing to kids, check out this 1938 novelty catalog.  Almost every ad promotes antisocial behavior of some kind.    By the way, the website I found it on (retrospace.org) is incredibly addictive.   (That’s why I haven’t posted in almost 2 days!)

http://www.retrospace.org/2013/03/catalogs-31-irresponsible-1938-novelty.html#more