And I thought about the psychic numbing involved in strategic projections of using hydrogen bombs or nuclear weapons of any kind. And I also thought about ways in which all of us undergo what could be called the numbing of everyday life.

There's an all-enveloping destructiveness in Donald Trump's character and in his psychological tendencies. But I've focused on what professionally I call solipsistic reality. Solipsistic reality means that the only reality he's capable of embracing has to do with his own self and the perception by and protection of his own self. And for a president to be so bound in this isolated solipsistic reality could not be more dangerous for the country and for the world. He's not psychotic, but I think ultimately this solipsistic reality will be the source of his removal from the presidency.

With the nuclear threat we know that if sufficient weapons are used, human civilization - all of humankind - could be extinguished literally by "nuclear winter." So we have to see ourselves as part of the ultimate human group, just as we have to do with global warming.

We have a duty to warn on an individual basis if we are treating someone who may be dangerous to herself or to others - a duty to warn people who are in danger from that person. We feel it's our duty to warn the country about the danger of this president. If we think we have learned something about Donald Trump and his psychology that is dangerous to the country, yes, we have an obligation to say so.

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.

When I was still in my psychiatric residency training in New York City, I was subjected to the doctor draft of that time, during the early fifties, at the time of the Korean War.

Again, I was influenced by my father, who was very much an atheist and took pride in combating the traditional or orthodox forms of Judaism, which his parents and which my mother's parents were very steeped in.