Donald Trump, Mental Illness, and Us
I can’t imagine there’s not a serious observer who doesn’t assume that Donald Trump suffers from some form of serious mental illness. Possibly multiple illnesses. As far as we know, they’ve never been officially diagnosed by a medical professional, and it seems highly unlikely that he’s ever been seriously treated. And this is at the core of what America has always gotten, and continues to get wrong about him and his presidency. I’m not a professional; it would be irresponsible of me to publicly guess which illness(es) Trump suffers from. And besides, that’s not my point. Rather, it’s that people who don’t have training in or substantial experience with serious mental illness can often be quite naive about it. And we, as a society, have been extremely naive about Donald Trump. Without a clear understanding of mental illness, or often even recognition of it, people typically make an enormous mistake: they think that someone suffering from serious mental illness can, like the rest of us, simply learn to “behave better.” That you can explain to them what they’ve done wrong, and they’ll learn and adjust. Or that if problems continue, you can successfully use a system of rewards and punishments to reinforce better behavior, like you would with a dog or a child. And if they don’t adjust, they’re just being stubborn, or they’re “bad apple.” But that’s not how it works. And not because mental illness is so different from other illness, but because it’s so similar in certain ways. As with any serious illness, band aids and pep talks accomplish next to nothing. Serious mental illness requires serious mental health care treatment, which may include medication. Seriously ill people can’t simply be encouraged or shamed into being better. Why?
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