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.

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.

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.

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.

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

One reason that I embarked on a study of Nazi doctors was that in this personal journey, I had the feeling increasingly that I did want to do a Holocaust study and that increasingly I wanted it to be of perpetrators, which I thought was more needed.

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.