Every adult in the world has some sense that he or she might be obliterated at any time by these weapons that we have created.

Every adult in the world has some sense that he or she might be obliterated at any time by these weapons that we have created.

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 scientists who made the atomic bomb are, in my sense, people with a tragic destiny. You know, there was the US race with Nazi Germany and good evidence that the Germans were more advanced in nuclear physics, and we had to get the bomb first. But then there was the use of that dreadful weapon, or instrument of genocide, and many of the more sensitive scientists turned quickly into anti - nuclear people - and very effective ones.

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.

The language of the totalist environment is characterized by the thought-terminating cliché. The most far-reaching and complex of human problems are compressed into brief, highly reductive, definitive-sounding phrases, easily memorized and easily expressed. These become the start and finish of any ideological analysis.

But I spent just two calendar years at Cornell University, though it was covering more than three years of work, and then went to medical school and did become interested in psychiatry, and even helped form a kind of psychiatry club in medical school.