TRUMP RULE OF MENTAL HEALTH: IF HE LOOKS, ACTS & GOVERNS CRAZY, HE’S CRAZY

There is an intense and amusing battle raging in the psychiatric community over whether the president is nuts. Specifically the controversy is focused on whether it is ethical for a shrink to declare Donald Trump insane without having examined him. There is a growing plethora of practicing therapists who have publicly diagnosed The Donald as bonkers, albeit in more elegant and clinical prose. And they have all incurred the wrath of the American Psychiatric Association whose rules prohibit members from publicly diagnosing political figures unless they have examined them and obtained their permission to release the findings.

This is known as the “Goldwater Rule”, and it evolved from a controversial psychiatric survey taken during the 1964 presidential campaign between Barry Goldwater and Lyndon Johnson. A magazine polled more than 2,000 psychiatrists and a majority said the Republican senator from Arizona lacked the mental stability to be president. After losing the election, Goldwater sued the magazine for libel and won. Years later, the psychiatric association adopted the rule now being invoked, without much success, to keep its members from commenting on Trump’s mental state.

Dr. Allen Frances, a psychiatrist at Duke University School of Medicine and an author of the standard manual on psychiatric disorders, wrote a letter to the New York Times defending the president against the insanity label lobbed at him by some of the doctor’s colleagues. He said the commander in chief lacks the “distress and impairment required to diagnose a mental illness.” Trump might have tweeted the good doctor’s endorsement, if not for the sentence that followed: “Nevertheless,” Frances wrote, “he can and should be appropriately denounced for his ignorance, incompetence, impulsivity and pursuit of dictatorial powers.”

Thankfully, bloggers are not covered by the Goldwater Rule. That means I can go out on a limb and say publicly what most world leaders have to be thinking: President Donald J. Trump is batshit crazy.

Let’s count the ways:

• Turned the Nuclear Codes into a Facebook Moment. Since the start of the arms race, a military attaché, clutching a briefcase that can be used to launch nuclear missiles, has always been in close proximity to the commander in chief. All previous presidents have treated this sobering arrangement with well-deserved discretion. Not The Donald. He invited fellow diners at his Mar-a-Largo resort to pose with the “nuclear football” and its carrier for cute social media fodder.

• Thinks Frederick Douglas is Still Alive. Trump kicked off Black History Month with a lengthy monologue about how the “dishonest media” incorrectly reported that Martin Luther King’s bust had been removed from the Oval Office. Then, trying to think of other black people to mention, he gave a shout out to Douglas, saying the abolitionist who died 122 years ago “is an example of somebody who’s done an amazing job.”

• Called for the Destruction of a Court that Ruled Against Him. Trump went to Nashville this week to deliver a carefully scripted speech in support of the Republican health insurance bill. Minutes before taking the stage, the president learned that his second attempt at an anti-immigration order had been blocked by a federal judge. So he jettisoned the insurance pitch and ranted about how he’d like to “break up” the Ninth Circuit.

• He Sees Some Holocausts as Better than Others. Asked what he learned in his first intelligence briefing, Trump said, a “nuclear holocaust would be like no other.”

• Declared Unconditional Love for Himself. In an interview with an ABC reporter, Trump said, “I don’t want to change . . . I can be the most presidential person ever, other than possibly the great Abe Lincoln, but I may not be able to do the job nearly as well if I do that.”

• Repeatedly Sticks his Foot in his Mouth. As his lawyers draft briefs supporting his second travel ban order on the basis that it substantially resolved legal objections in the original document, Trump grabs a microphone and says the new order is “just a watered down version” of the first one.

• Thinks he is the Least Racist Person Ever. Seconds after making that declaration during a news conference, Trump asked a black reporter if she could set up a meeting for him with the Congressional Black Caucus since they must be her friends.

• Comes out of his Own Little World Just Long Enough to Create International Incidents. The Obama-wiretapped-me fantasy now seems destined to have a longer life than the Iraq War. By now, Trump’s belief that the former president electronically surveilled him has been repudiated by every major Republican leader in Congress and the head of the FBI. But being The Donald means never having to say you’re sorry, or wrong. He doubled down this week and suggested that British spies planted the bugs for Obama. The Brits were enraged, but Trump wouldn’t back off, insisting he heard it on Fox News so it must be right. Fox News quickly said there was no truth to the story, but Trump kept right on mumbling about it, and even tried to drag a mystified German Chancellor Angela Merkel into the fracas late last week.

And on and on the list grows. As New York Times columnist Gail Collins noted yesterday, the insanity of the Trump administration can be measured by the fact that the new secretary of the interior rode to work on a horse named Tonto, and nobody paid much attention. Somewhere, in some afterlife, a bemused, and oh-so-very sane, Barry Goldwater is shaking his head and muttering, “And they called me crazy!”