• Best_Jeanist@discuss.online
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      11 hours ago

      The creator of the DSM-IV NPD diagnosis is on record as saying he doesn’t have NPD. There’s a lot of professional disagreement, both over whether he has it, and whether it’s appropriate for doctors to say a celebrity has a disorder. It’s called the Goldwater rule. A lot of doctors have broken the Goldwater rule to spout their uneducated opinions, but if you look at NPD specialists, they’ll generally have much more professional integrity than the generalists because they’re aware of the stigma their patients face, and they can clearly see Trump doesn’t have it.

        • Best_Jeanist@discuss.online
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          9 hours ago

          https://www.statnews.com/2017/09/06/donald-trump-mental-illness-diagnosis/

          I helped write the manual for diagnosing mental illness. Donald Trump doesn’t meet the criteria

          My long experience with psychiatric diagnosis has taught me a recurring and painful lesson: Anything that can be misused in the DSM will be misused, especially when there is an external, nonclinical reward for doing so. We decided to include narcissistic personality disorder in the DSM-III 40 years ago purely for clinical reasons. We never imagined it would be used as ammunition in today’s political warfare.

          To qualify for narcissistic personality disorder, an individual’s selfish, unempathetic preening must be accompanied by significant distress or impairment. Trump certainly causes severe distress and impairment in others, but his narcissism doesn’t seem to affect him that way.

          Buried in the noisy debate about Trump’s mental health is the misinformed and noxious assumption that mental illness somehow automatically disqualifies someone for high leadership position. If this were policy, Abraham Lincoln and Winston Churchill both would have been lost to history due to their battles with depression.