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.

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.

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.

Yes, I've been very preoccupied with the survivor all through my work.

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.

People with what we call mental illness can indeed serve well, and people who have no discernible mental illness - and that may be true of Trump - may not be able to serve, may be quite unfit. So it isn't always the question of a psychiatric diagnosis. It's really a question of what psychological and other traits render one unfit or dangerous.

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.