Bandy X. Lee and Tony Schwartz
Why is President Donald Trump behaving in ways that seem ever more irrational, impulsive, self-destructive, dangerous and cruel? Many Americans have been shocked by Trump’s behavior, most recently by his taking the side of a known enemy in Vladimir Putin and Russia over his own intelligence community. It isn’t possible to reliably diagnose any individual from a distance, but it is reasonable to flag clear, observable signs of impairment and to make inferences based on repetitive patterns of behavior. There is a significant difference between diagnosing a specific disorder and analyzing the meaning of the qualities Trump exhibits, such as paranoia, grandiosity, lack of empathy and pathological deceit. Trump’s behavior, we believe, is the predictable outgrowth of this psychological disposition, exacerbated by the stress of the intensifying criminal investigations he faces.