It may sound terrible, but I often say that the military saved me from a conventional life in the United States and I've never really thanked them for it, because I haven't exactly been pro-military in my work.

In early psychoanalytic thought, narcissism was - and still, of course, is - self-love. The early psychoanalysts used to talk of libido directed at the self. That now feels a little quaint, that kind of language. But it does include the most fierce and self-displaying form of one's individual self. And in this way, it can be dangerous. When you look at Donald Trump, you can really see someone who's destructive to any form of life enhancement in virtually every area. And if that's what Fromm means by malignant narcissism, then it definitely applies.

It may sound terrible, but I often say that the military saved me from a conventional life in the United States and I've never really thanked them for it, because I haven't exactly been pro-military in my work.

The other thing that happened was my last military assignment - this was in the air force; I had enlisted in order to avoid being drafted as a private, and of course I only practiced medicine or psychiatry in the air force so I was never in any kind of violent combat.

While Donald Trump doesn't have any systematic ideology, he does have a narrative, and in that narrative, America was once a great country, it's been weakened by poor leadership, and only he can make it great again by taking over. And that's an image of himself as a strongman, a dictator. It isn't the clear ideology of being a fascist or some other clear-cut ideological figure. Rather, it's a narrative of himself as being unique and all-powerful. He believes it, though I'm sure he's got doubts about it.

Donald Trump gives the impression that he would like to govern by decree. He has that impulse in him and he wants to be a savior, so he says, in his famous phrase, "Only I can fix it!" That's a strange and weird statement for anybody to make, but it's central to Trump's sense of self and self-presentation. And I think that has a lot to do with his identification with dictators. No matter how many they kill and no matter what else they do, they have this capacity to rule by decree without any interference by legislators or courts.

There are people who believe that there should be a standard psychiatric examination for every presidential candidate and for every president. But these are difficult issues because they can't ever be entirely psychiatric. They're inevitably political as well. I personally believe that ultimately ridding the country of a dangerous president or one who's unfit is ultimately a political matter, but that psychological professionals can contribute in valuable ways to that decision.