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.

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 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.

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.

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.

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.

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.