Do you think Trump is truly exhibiting delusional or psychotic behavior? Or is he simply behaving like an autocrat making a bald-faced attempt to hold onto his power?
I believe it is both. He is certainly of an autocratic disposition because his extreme narcissism does not allow for equality with other human beings, as democracy requires. Psychiatrists generally assess delusions through personal examination, but there is other evidence of their likelihood. First, delusions are more infectious than strategic lies, and so we see, from their sheer spread, that Trump likely truly believes them. Second, his emotional fragility, manifested in extreme intolerance of realities that do not fit his wishful view of the world, predispose him to psychotic spirals. Third, his public record includes numerous hours of interviews and interactions with other people—such as the hour-long one with the Georgia secretary of state—that very nearly confirm delusion, as my colleague and I discovered in a systematic analysis.
Where does the hatred some of his supporters display come from? And what can we do to promote healing?
In Profile of a Nation, I outline the many causes that create his followership. But there is important psychological injury that arises from relative—not absolute—socioeconomic deprivation. Yes, there is great injury, anger and redirectable energy for hatred, which Trump harnessed and stoked for his manipulation and use. The emotional bonds he has created facilitate shared psychosis at a massive scale. It is a natural consequence of the conditions we have set up. For healing, I usually recommend three steps: (1) Removal of the offending agent (the influential person with severe symptoms). (2) Dismantling systems of thought control—common in advertising but now also heavily adopted by politics. And (3) fixing the socioeconomic conditions that give rise to poor collective mental health in the first place.
