The Dangerous Case of Donald Trump 37
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Table of Contents
About the Author
Copyright Page
Thank you for buying this
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believe the copy of this ebook you are reading infringes on
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us.macmillanusa.com/piracy.
This work is dedicated to my grandfather, Dr. Geun-Young Lee, who
believed medical practice always involves social responsibility; to my
mother, Dr. Inmyung Lee, who continues the tradition; and to
Mirabelle and Blake, for their futures.
FOREWORD TO THE SECOND
EDITION
The Dire Warning of Mental Health Experts
JEFFREY D. SACHS, PH.D.
Donald Trump is a profound danger to Americans and to the rest of
the world. He will remain a profound danger until he is no longer
president, since the dangers clearly result from Trump’s serious
mental impairments that are untreated and are most likely
impervious to treatment. The authors of this volume deserve our
nation’s gratitude and, most important, our deep attention and
political response. Special thanks are due to the editor, Dr. Bandy X.
Lee, who supplies (in economic jargon) the global public good of
assembling this remarkable set of analyses while adding her own
clear voice, leadership, and expertise.
The authors are all leading mental and public health professionals
who are speaking out on behalf of public safety, against the
misguided and misjudged “Goldwater rule” of the American
Psychiatric Association (APA). As several authors make clear, the APA
has a lot of soul-searching and self-correction to undertake. Its
psychological counterpart has already been an institutional party to
the government’s regime of torture during the Bush administration
and has generally refrained from educating the public regarding the
imminent dangers caused by mentally impaired political leaders,
perhaps out of fear of retribution from those leaders. A glimmer of
hope for the APA is the association’s recent attention to the mental
health consequences of human-induced climate change despite the
Trump administration’s strident and hugely destructive efforts to
block effective actions on climate change.
The new set of essays mostly highlights the profound public
dangers of Trump’s manifest psychological disorders. While the
essays do not in general aim to settle on a single diagnosis (and
many authors call urgently for an independent psychological
examination), Ian Hughes’s description of the “toxic triangle” of
destructive leaders, susceptible followers, and conducive
environments offers the reader a plausible starting point for
assessing the dangers of Trump as president. As Hughes
summarizes, the disorders common in these leaders “make it
impossible for such persons to feel empathy for others, to view
others as anything other than objects to be used or threats to be
eliminated, and for whom the concept of equality is impossible to
conceive.”
The scintillating essay by Jerrold M. Post, expert in psychological
profiling and author of the recent Narcissism and Politics, reminds us
that Trump manifests a special relationship with his base. Trump is a
“mirror-hungry” leader, that is, a narcissist whose private feelings of
inadequacy must be quenched by the constant adulation of his
followers, hence the nonstop rallies in front of Trump followers filled
with chants of hatred, threats of violence, and constant references
to Trump’s serial lies and fantasy world. Yet the followers make the
leader. In particular, Post describes the followers as “ideal-hungry” or
“wounded” followers, who look to mirror-hungry leaders for salvation
from some wounds or perceived injustices. Trump is not Adolf Hitler,
but he shares many of Hitler’s disorders, addiction to lies, and appeal
to wounded followers through the dehumanization of target groups.
In Trump’s case, those include African Americans, Muslims, women,
Hispanics, and migrants.
Dr. Lee and her colleagues have been in the forefront of warning
society of the profound dangers of such an impaired individual in
power. They have warned of the inevitable rise of violence, fear, and
suffering that would follow. And Trump has proved them right.
Trump has blood on his hands, and the threats continue to mount.
Like many past presidents, the blood starts with the reckless
unleashing of U.S. military might through covert operations, drone
attacks, and supplies of deadly munitions to killers. American bombs
are taking the lives of children in Yemen, and America’s overt and
covert wars continue under Trump in Africa, the Middle East, and
Asia. Trump aims to sell more than $100 billion of new advanced
military hardware to Saudi Arabia despite the likelihood of escalating
wars and deaths as a result. Trump’s anti-Iran policies and rhetoric
may foretell yet another major and catastrophic war in the Middle
East. And on the economic side, his unilateral tariffs aimed at many
countries, but most notably China, undermine global rules, global
trust, and even perhaps global peace in the future.
Yet the toxicity goes far beyond conventional (if devastating) war
and dangerously broken trade rules. Trump is also unleashing a new
nuclear arms race that could end up in global nuclear annihilation.
Any knowledgeable student of modern history knows of the
numerous close calls, both deliberate and accidental, that have
brought the world repeatedly to the brink of nuclear war. The
Bulletin of Atomic Scientists has now advanced the Doomsday Clock
to two minutes to midnight, the direst proximity to doomsday since
1953, when the thermonuclear arms race between the United States
and the Soviet Union began.
Trump’s recent call to withdraw from the Intermediate-Range
Nuclear Force Treaty with Russia, against the counsel of foreign
policy experts in the United States and Europe, not to mention
Russia (including our age’s preeminent peacemaker, Mikhail
Gorbachev), is yet another marker of rising dangers. The essay by
James R. Merikangas and Dr. Tarannum M. Lateef on the nuclear
threat is powerful, poignant, and terrifying. As the authors put it:
“Those who pretend that we are in the realm of politics when we are
really in the realm of psychopathology make the situation even more
dangerous, because they will not be prepared while the future of the
planet and the human race are at stake.”
The dangers stoked by Trump and his toxic triangle of conditions
go beyond war. Trump is stoking mass violence in America. Hate
crimes and deaths from mass shootings are soaring. And when they
occur, as with the horrific attack on the synagogue in Pittsburgh,
Trump’s response is almost always more violence, calling for more
guns, not fewer, and for the death penalty, while denying any role of
his own toxic hate-filled speech. Herein is another sign of Trump’s
pathology, an utter inability to face the consequences of his own
actions.
The authors powerfully document the enormous toll on society of
this hate-filled political agenda. Rosa Maria Bramble describes the
pain and suffering of migrants facing Trump’s taunts and threats.
Kevin Washington describes the pain felt by African Americans as
“Persistent Enslavement Systemic Trauma” as opposed to
posttraumatic stress disorder. Ellyn Uram Kaschak describes the
suffering and anxiety of women in response to Trump’s misogyny,
once again under display by Trump during and after the Kavanaugh
confirmation process. And several authors note the profound pain
caused to children by the stresses of society and those faced by their
own parents, not to mention the inhumane and blatantly illegal
Trump administration policy of separating parents and children at the
Mexican border.
Trump’s responsibility for needless deaths and suffering extends
to his reckless and corrupt repudiation of responsibility for human-
induced climate change, as underscored by the important essay by
Lise Van Susteren and H. Steven Moffic. Trump not only is
endangering the world by repudiating the Paris Climate Agreement
and putting oil industry lobbyists into positions of authority in the
government; he is also failing to help the nation to prevent and
respond effectively to the rising risks of extreme climate disasters,
such as hurricanes, floods, and massive wildfires. The Trump
administration’s shockingly inadequate response to Hurricane Maria,
which devastated Puerto Rico in September 2017, left thousands to
die in the aftermath of the storm. Trump’s characteristic response
was to deny, flippantly and ignorantly, the deaths that had been
meticulously assessed by two independent epidemiological studies.
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