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Hal Brown's avatar

Sabrina, if you weren't on the midnight visit from the Trump Gesatapo list before this, by punishing these details you may very well be now. I'd be there along with our friend Greeley.

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Greeley Miklashek, MD's avatar

Great effort, Hal, and much appreciated. I read the McAdams link as far as the ATLANTIC would allow and recalled the confusion I experienced as a psychiatry resident when presented with all of the "just so" hypotheses regarding personality development and structure, like the McAdams piece. However, McAdams makes a glaring omission and misstatement regarding Trump's childhood and early development, it was not a bowl of cherries as he suggests. I am not digging out all of my many references here, but, trust me, Little Donnie was traumatized by the sudden abandonment of his dying mother following the "complicated" birth of Robert, just 2 yrs. after Trump's arrival as the 4th of 5 children.

No mention of the true diagnosis of "Borderline Personality Disorder" and the many associated traits in Trump's case: narcissism, sociopathy, hysterical, paranoid, sadistic, and mood disturbed elements complicating the picture. Also, ADHD and Bipolar type 2 are provisional diagnoses. Rejection sensitivity and the obsession with "loyalty" follow from the BPD diagnosis. The BPD diagnostic criteria are easily found on the net.

DJT's developing dementia is seen not only in the obvious short-term memory lapses like the current signing of the document he does not recall, although his signature is on it. More subtle features are his compensations for memory loss: confabulations, perseverations, and other neurological signs: garbled speech, gaslighting to cover-up forgetfulness, his constant repetitions of the "5 item" memory test he was given that was a fraud, "person, woman, man, camera, TV". This test must not have any elements easily associated with any other of the 5 elements, so, for instance: "person, car, TV, desk, whale". I continue to be surprised that none of my colleagues have weighed-in here. What could be more important than the mental status of our sitting president?

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