Tag Archives: US Politics

Also Coming in January – Two Years of Trump on the Psychiatrist’s Couch

By Dr David Laing Dawson

cover dawson trump

To be released January 15, this is a collection of the blogs written in the past two years and a bit about Donald Trump and American politics. The excerpt below is from the introduction.

It is perilous for a psychiatrist to write about a political figure. First it is unethical to analyze or diagnose someone without actually examining that person within the social contract of a doctor/patient relationship. And to make those findings public one needs the consent of the patient.

And our analyses, formulations or diagnoses are context dependent. That is, the purpose of these labels and interpretations is to help (alleviate suffering first) someone who is a patient.

No matter how much science lies behind these formulations and diagnoses they are still words, words that carry implications, much baggage, and interpretation is required.

Let’s take the word “narcissism” for example. We all know what it means, roughly, and how it is derived from a Greek Myth of a beautiful hunter who had so much self-regard that he fell in love with his reflection in a pool and could not leave the pool. Eventually his passion for himself and his reflection consumed him and he turned into a flower.

Curiously that myth also includes devoted followers who commit suicide for him.

Of course narcissism is not a thing. It is a spectrum of implied inner traits (implied by others from observations of behaviour) of self-regard. How much is too little? How much is too much? How much is extreme? We all need a little just to get out of bed in the morning.

Within the social contract of a doctor/patient relationship, this idea of narcissism only arises when we see these implied traits limiting or hurting our patient. When they seem to be the central problem, limiting relationships, limiting vocations, causing harm to self and others, then we might add the words Narcissistic Personality Disorder.

Even then we might argue whether it is a bona fide fixed trait, or an extreme overcompensation for its opposite. And what is an appropriate (or good, functional) level of self-regard for a child, a teenager, a young person, a mature person, especially in an age of “identity politics” and “being the best self you can be.”? At what point for a political leader does narcissism contribute to success, or make someone a wonderful subject for satire, or be dangerous for others?

And when we colloquially call someone “narcissistic” it is never meant as a compliment.

So many caveats.

But, but, we live in a moment of history when the leader of the free world (as the president of the United States is so often called) may hold in his hands the future path of democracy, the fate of millions all over the world, and, ultimately, the fate of our planet.

And that fact, I think, trumps (sorry) all the caveats. It is a time that anyone who can see the dangers posed by this man has a duty to speak up.

I started these blogs before Donald J. Trump was improbably elected. The most popular among them has been my assessment of Donald J. Trump’s mental and emotional age. I arrived at an age simply from observations of his behaviour and his statements, while asking the question, “At what age in development would one expect, or not be too shocked, to observe this behaviour?” I came up with an average of 14. Though occasionally his displays of sibling rivalry and his assessment of his own greatness are definitely pre-pubescent.

We become easily inured, desensitized. The outrageous and abnormal can be made to feel normal. A step at a time. The German government enacted something like 50 laws over a short historical period, starting with restricting Jews from Union Leadership.

Some of the political pundits on television comment regularly on the “abnormal” becoming “normal”. But the very presentation on TV contributes to the desensitization.

These blogs constitute my interpretation of the journey we are on with the Presidency of one Donald J. Trump as it is happening.

¬†Two Years of Trump on the Psychiatrist’s Couch will be released on January 15 in print and in e-book formats. It is available now for pre-order at Amazon for the kindle version. Visit https://www.amazon.com/dp/B07LCSWKNF

Mind You: The Realities of Mental Illness by Dawson and Ross will also be released on January 15 in print and e-book formats. It is available now for pre-order at Amazon for the kindle version. Please visit https://www.amazon.com/dp/B07LCT2V4V

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The Ministry of Silly Walks

By Dr David Laing Dawson

We are living within a Monty Python skit. I must try returning my dead parrot to a Pet store and see what happens.

The American Congress has just granted Charlie Gard and his parents resident status in the U.S. so that Charlie can “receive the first rate American Medical care that he needs”.

This is the same Congress trying to repeal and replace Obamacare with a plan that would eventually deny health care for 30 million Americans, many of them children.

Polio is making a comeback. Measles is making a comeback, thanks to the antivaxers. Cholera is sweeping through Yemen.

Today, a child with cystic fibrosis in Canada will live, on average, ten more years than the same child in the United States.

A doctor from the U.S. flew to England to examine Charlie. The money spent to fly him there and back could feed 10 starving children in the Sudan for a year if he flew economy, perhaps 5 years if he flew first class. Or bottles of clean salty water and a dose or two of tetracycline for thousands of cholera victims.

This doctor, who has been experimenting on rats, would like to try his therapy on a human. He guesses at a 10% chance of “some improvement”.

With the goal being “some improvement” and the odds only 10%, most placebos do better. And I am not sure what “some improvement” looks like with an infant who cannot breathe or eat on his own, has brain damage at the structural and cellular level, and is dying from an incurable progressive genetic disease involving the mitochondria, one of those essential bits in every cell.

As with much of American culture and politics, I guess this isn’t about health care, saving and improving lives, treating illness, preventing disability. It is about money, self-aggrandizement, career, and celebrity.

In another real life skit NASA has had to officially deny that it is running a child slave camp on Mars. Or was that a child sex slave camp?

And in an open hearing a Republican Congressman asks “if Mars was different thousands of years ago, could there have been a civilization on Mars?” The scientist on the panel tells him Mars was different billions of years ago, but there is no evidence of any civilization ever existing on Mars.

The chairman thanks the congressman and says, “Looking forward to finding what’s up there, for sure.”

This last statement is interesting. Besides the notion that Mars is “up there”, this chairman doesn’t seem to know that with probes, orbiting satellites, and rovers, we have been receiving information about Mars for over 40 years.

Donald Trump thinks the “biggest crowd that ever gathered around the Eiffel Tower” came to see him dine, shortly after he made the “best speech any president has ever made on foreign soil.”

Ground Control to Major Tom.