As a kid I was fascinated with sports, and I loved sports more than anything else. The first books I read were about sports, like books about Baseball Joe, as one baseball hero was called.

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.

For anyone with the traits - of feeling himself victimized, of seeking to be the strongman who resolves everything, yet sees truth only through his own self and negates all other truth outside of it - is bound to become more malignant when he has power. Power then breeds an intensification of all this because the power can never be absolute power - to some extent it's stymied - but the isolation while in power becomes even more dangerous. Think of it as a vicious circle. The power intensifies these tendencies and the tendencies become more dangerous because of the power.

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.

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.

Donald Trump doesn't have clear contact with reality, though I'm not sure it qualifies as a bona fide delusion. He needs things to be a certain way even though they aren't, and that's one reason he lies. There can also be a conscious manipulative element to it. When he put forward, and politically thrived on, the falsehood of President Obama's birth in Kenya, outside the United States, he was manipulating that lie as well as undoubtedly believing it in part, at least in a segment of his personality.

Donald Trump both disbelieves and believes in falsehoods, so that when he did thrive on his longstanding - the claim that Obama was not born in the United States - he's crazy like a fox in manipulating it because it gave him his political entrée onto the national stage. In order to make your falsehoods powerful, you have to believe in them in some extent. And that's why we simplify things if we say that Trump either believes nothing in his falsehoods and is just manipulating us like a fox or he completely believes them.