Twilight of American Sanity

The title of this post is identical to the title of an important book by Allen Francis, MD. The subtitle is “A Psychiatrist Analyzes the Age of Trump.” The book begins with the following epigraphs:

The iniquity of the fathers will be visited on the children and the children’s children, to the third and fourth generation.
———EXODUS

As democracy is perfected, the office of the president represents, more and more closely, the inner soul of the people. On some great and glorious day the plain folks of the land will reach their heart’s desire at last, and the White House will be adorned by a downright moron.
——— H. L. MENCKEN

A human being is a part of the whole, called by us “universe,” a part limited in time and space. He experiences himself, his thoughts and feelings as something separated from the rest, a kind of optical delusion of his consciousness. This delusion is a kind of prison for us, restricting us to our personal desires and to affection for a few persons nearest to us. Our task must be to free ourselves from this prison by widening our circle of compassion to embrace all living creatures and the whole of nature in its beauty.
———ALBERT EINSTEIN

The title of the Prologue
Trump Isn’t Crazy, We Are

followed by this quote from FRIEDRICH NIETZSCHE
Insanity in individuals is somewhat rare. But in groups, parties, nations, and epochs, it is the rule.

Dr. Francis holds the distinction for being the author of the criteria for Narcissistic Personality Disorder. He writes, “Trump’s amateur diagnosticians have all made the same fundamental error. They correctly note that the disorder’s defining features fit him like a glove (grandiose self-importance; preoccupations with being great; feeling special; having to hang out with special people; requiring constant admiration; feeling entitled lacking empathy; and being exploitative, envious, and arrogant.) But they fail to recognize that being a world-class narcissist doesn’t make Trump mentally ill. Crucial to the diagnosis of Narcissistic Personality Disorder is the requirement that the behaviors cause clinically significant distress or impairment.” But Dr. Francis does concede that Trump is a bad person. Psychiatrists do have this requirement that the individual must be personally suffering distress to have a diagnosis of mental illness. By doing this, psychiatrists are making their job much easier. Unless a personal realizes they have a problem, the chances of treating it are remote. So to have the symptoms of Narcissistic Personality Disorder, but not being diagnosed as being mentally ill is actually worse, as there is virtually no hope of this individual being successfully treated for this disorder.

Dr. Francis goes on to state that there are three harmful unintended consequences of using psychiatric tools to discredit Trump. “First, lumping him with the mentally ill stigmatizes them more than it embarrasses him. Most mentally ill people are well behaved and well meaning, both of which Trump is decidedly not. Second, medicalizing Trump’s bad behavior underestimates him and distracts attention from the dangers of his policies. Trump is a political problem, not one for psychoanalysis. Instead of focusing on Trump’s motivations, we must counter his behaviors with political tools. And, third, were Trump to be removed from office, his successors (Pence and Ryan) would probably be much worse—more plausible purveyors of his very dangerous policies.” Although what Dr. Francis writes is true of domestic policies, he does not adequately consider the risks Trump presents with respect to foreign policies, control of the military and the nuclear football.

Dr. Francis continues, “But what does it say about us, the we elected someone so manifestly unfit and unprepared to determine mankind’s future? Trump is a symptom of a world in distress, not its sole cause. Blaming him for all our troubles misses the deeper, underlying societal sickness that made possible his unlikely ascent. Calling Trump crazy allows us to avoid confronting the craziness in our society—-if we want to get sane, we must first gain insight about ourselves. Simply put, Trump isn’t crazy, but our society is.”

More posts on this important book will directly follow.

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