Tag: 25th amendment

Should We Diagnose Donald Trump?

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I have been involved in hundreds of commitment hearings in which psychiatric diagnoses were crucial. In that context, I have never witnessed the presence of all three factors: (1) the transparent (honest) use of diagnostic labels (which includes the acknowledgment of the inherent biases built into the labels as well as their limited validity), (2) allowing full voice to and full acknowledgment of the labeled person’s view of reality, and (3) using the labels in a manner that produced a useful understanding, which in standard mental health practice would require that the understanding be significantly more beneficial to the labeled person rather than the labeler.

The President’s Fitness: Can Professionals Help Decide?

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For psychiatrists, psychologists, social workers, and other therapists to claim that they are essential for warning people that Trump is dangerous is to claim special expertise and insight to which they are not entitled, and it simultaneously demeans the judgment of nonprofessionals and helps strengthen the power of their guilds.