A reader who is a mental-health professional in Australia responds to speculation in some previous posts (notably here) that Donald Trump’s public persona meets many of the criteria of actual mental disorders: (Emphasis added in his note.)
I am responding to the comment made by a clinical psychology doctoral student… I think that your reader made a very compelling case in their first paragraph as to why we can’t “safely say that Donald Trump has a narcissistic personality disorder”; namely that this requires extensive quantitative and qualitative assessment over a period of time with the individual’s personal engagement. Also, it's hard enough for those with NPD to seek help, without thinking they're going to be compared to this whole mess!
However, they missed one incredibly important reason why he probably doesn’t have a personality disorder: Trump’s narcissism is part of the product he’s selling.
Trump is one of the world’s most successful salespeople of a personal brand, a reality TV star and an American politician. Self assured attention seeking is the key to success in all these arenas. Trump’s had a long history of seeing how much people like him when he shows no doubt.
I think people are struggling to determine how much of what Trump does is a performance. But, the difference between performance and self-perception is vital. The lack of empathy is a performance of his non-PC persona. His disinterest in listening to experts is part of his ‘Übermensch of the people’ act. His desire to be seen as exceptional and to be admired by others is ultimately no different from that of any other presidential campaign pitch.
I would argue, however, that Trump’s inner world, how he really perceives himself and relates to others remains very much a mystery. That aspect, the self-perception, is crucial to diagnosing personality disorders. You would know better than I, but I imagine there is much about a politician’s inner world that we don’t see from the public performance.
Trump should not be subjected to armchair diagnoses. Not just because it’s a cheap shot, not just because it’s a profound misunderstanding of clinical psychology and an injustice to those who do suffer from personality disorders, but because the claim that Trump is mentally ill is too easy and too comforting.