Is It Time To Assess The Mental Fitness Of Our Presidents?

Psychiatrists have been around since the beginning of Donald Trump’s campaign unprecedented ways To warn against entrusting the US presidency to anyone whose mental aptitude for the Oval Office was more than suspect. At the beginning of 2017 I organized one ethics Conference at Yale School of Medicine to Clarify Our Public Health Duty, later published with 27 similarly concerned colleagues The dangerous case of Donald Trump (Macmillan, 2017 and 2019), a New York Times Bestsellers – suggesting that the worries of the American people coincided with ours.

When the coronavirus reached our coast, we declared in January 2020 that Donald Trump’s handling of the crisis would result in a large number of unnecessary deaths. Two months later we gave a “Recipe for survivalInsisting that the ousting of the president may be necessary to avoid a national tragedy. We predicted Step by step how Mr. Trump, as a major, would catastrophically abuse the pandemic lancet items recently confirmed.

We also predicted that at some point violent events would occur, such as the massacre of our Kurdish allies and the assassination of a top Iranian general. Well before January 6, 2021, the violent uprising in the Capitol that disrupted our democratic foundation, we have specified that the period after the November elections would be “the most dangerous time of this presidency”.

Finally, we warned that Donald Trump’s destructive psychology would spread without intervention and become unstoppable. Now the acceleration is from right-wing propaganda, Imitate lawmakers its ways and the blossoming of QAnon conspiracy theories continue to threaten the republic.

Despite the advanced scientific and clinical knowledge we have, the public has not been able to protect itself. at first no Fitness requirements exist for a US president before he or she takes office. In contrast to all the others Military officers, Prosecution Staff and other key decision-makers must pass psychological tests before going to work, but not a president before they have their finger on the job Atomic button!

Second, the American Psychiatric Association imposed a gag orderand not allow mental health professionals to speak about what they were observing. This was unusual: for example, legal professionals are not required to personally represent a public figure and obtain consent before disclosing general information that would be useful to the public. But unlike in any other areaand every other medical specialty, the APA made this a requirement at the start of Mr. Trump’s presidency, and essentially banned all Expert opinion on its suitability for the office.

Psychiatric knowledge should be shared with the public more, rather than less, when there are signs of public danger political area, especially since Spread of symptoms makes the intervention very difficult. The bigger Contagion of Symptoms how delusions versus strategic lies is a well documented phenomenon this has been variably referred to as “shared psychosis”, “folie à deux, plusieurs, you millions“(Insanity among two, several, or millions) or“ induced delusions. ”Psychiatrists who have practiced in prisons or in the public sector, like me, often experience how severely impaired and untreated they are influential figures can quickly transfer their symptoms to vulnerable, previously healthy individuals who are emotionally attached to them.

A case in point might be a family I once treated on the outskirts of Boston who believed that aliens from space were invading their neighborhood. The parents both worked and the five children were between 8 and 16 years old. They seemed respectable in public, but privately they were convinced that an alien force had taken over their neighbors and heralded the end of the world. They thought they were the only “healthy” ones left.

The mother, a domineering figure, scourged the only unbelieving member, her 16-year-old daughter. The daughter called the emergency room when her parents started barricading doors and sleeping by their beds with knives. She feared that her paranoia could escalate into an aggressive attack as they mistakenly believed they were under attack. The mother, identified as the “primary” patient with schizophrenia, was taken to the emergency room and hospitalized. Within a few days, the “secondary” family members improved dramatically.

Strong emotional pressure encourages the spread of symptoms, especially from influential people, as I have seen several times among gang members, co-conspirators, and cell block inmates in my 22-year career in prisons. This phenomenon is similar to what has occurred in Jonestown or other cults that I have previously researched and written about. And I believe it will continue as long as Mr. Trump’s spell remains unbroken continuous rewards and the lack of a referendum

Because of these dangers, it couldn’t be more important to apply mental fitness standards before a U.S. president takes office – and if that fails, use Psychiatrists so they can use their experience and skills to identify hard-to-detect psychiatric conditions.

Would we interview a neurologist or cardiologist who shares relevant knowledge in the same way, for example if a president had a stroke or a heart attack? Would we prevent a legal or constitutional professional from educating the public about the social implications of the misdeeds of a public figure? Of course not. For more dangerous psychiatric conditions that have greater consequences – the Usurpation of family, friends and fellow citizens and the loss of Hundreds of thousands of lives – We as a nation have accepted that Choking experts.

Prevention is always much easier than trying to intervene after the situation has gotten out of hand. Because it is difficult to foresee things that haven’t happened yet, we rely on the elucidation of the Publicity, essentially based on sharing research and scientific evidence that signal danger and prescribe action.

If the public had been informed earlier and Given access From the science-based knowledge that mental health professionals had, it might have stepped in and potentially significantly reduced suffering and death. In a recent interview with CNN, Dr. Deborah Birx, a former member of the Trump Covid Task Force that the Trump administration acted earlier, reported numerous deaths could have been averted. “The first time we have an excuse,” which means the initial increase. “In my opinion, all the others could have been considerably mitigated or reduced.”

This also applies to growing Culture of violence, another highly contagious phenomenon.

The Fitness test One of our bodies acted as a public service in April 2019 fully predicted the outcome of the coronavirus pandemic eleven months earlier – but without media exposure, it was ignored. It shows the usefulness of fitness screening before someone can take office as important as the U.S. President.

Bandy X. Lee, MD, is an American psychiatrist who specializes in prison and community violence prevention programs. She has been active in prison reform in at least five states and helped initiate reforms on Rikers Island in New York City.

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