Under the DSM-5, the diagnosis of a personality disorder requires a finding that a person suffers "clinically significant distress or impairment in social, occupational, or other important areas of functioning."
The only prominent mental-health professional I know of who has ever disputed that @realDonaldTrump suffers from a Cluster B personality disorder such as Narcissistic Personality Disorder is Allen Frances, who argued that ...
... @realDonaldTrump isn't impaired in his social or occupational functioning, even though he's unquestionably a "world-class narcissist."
nytimes.com/2017/02/14/opi…
That argument has always lacked factual foundation: consider Trump's failures as a businessman, and blundering over the past four years as president, which virtually all can be traced to his narcissism and sociopathy in some significant respect.
But the error in Frances's assessment has never been more apparent than it is today.
There can really be no question today that the president of the United States is mentally ill.
As I wrote in @TheAtlantic a year ago this week, you don't have to be a mental health professional to figure this out.
theatlantic.com/ideas/archive/…

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More from @gtconway3d

8 Oct
This is important. It won't pass as long as Trump is president or the Republicans control the Senate, but, given the nation's experiences with the current deranged chief executive, it's a reform that should be given strong consideration.
A brief explainer: As a default, Section 4 vests power in the Vice President and the Cabinet to make a determination of a president's inability to carry out his or her duties. But ...
... it gives Congress the option of creating another body to make that determination. That could be some group of legislators, or a group of experts—whatever Congress provides by law.
Read 5 tweets
5 Oct
I thought if might be helpful once again to review the DSM-5's criteria for antisocial personality disorder, or sociopathy.
There are seven principal criteria and it takes only *three* to determine that someone has this very serious disorder. The seven criteria are:
1. “Failure to conform to social norms with respect to lawful behaviors, as indicated by repeatedly performing acts that are grounds for arrest.”
businessinsider.com/women-accused-…
nytimes.com/2020/09/21/nyr… ImageImage
Read 12 tweets
2 Oct
If he tested positive, what do you think he would say?
And Trump is saying that he still doesn't know whether he has tested positive.
Read 5 tweets
29 Sep
In the 1980s, New York real estate tycoon Leona Helmsley renovated her palatial weekend home in Connecticut. But she stiffed the contractors. They sued her, and they sent some documents to the New York Post that showed she was billing some of the work to her businesses.
That triggered a federal criminal tax fraud investigation. In the end, some United States Attorney named, um ... I think, Giuliani—is that how you spell it?—prosecuted her.
A jury convicted her of one count of conspiracy to defraud the US, three counts of tax evasion, three counts of filing false personal tax returns, sixteen counts of assisting in the filing of false corporate and partnership tax returns, and ten counts of mail fraud.
Read 8 tweets
29 Sep
Prediction: Sooner or later, probably sooner, the @realDonaldTrump tax returns that the @nytimes obtained will be obtained by other journalists, and then put on the internet in full.
And all that expert crowdsourcing will not only produce more insight about Trump's finances, but also will cause even more evidence to come out.
No one will touch him financially, and he'll have no one to bail him out. Not even a line of credit to tide things over.

He'll end up personally bankrupt.
Read 6 tweets

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