'Citizens are under no ethical obligation to be silent when they see serious dysfunction. The challenge here is not merely the trashing of political norms. The main America has an unbalanced president during a period of high-stakes global testing. This is a civic and political judgment, not a clinical diagnosis, made necessary by the president’s own words and acts. Trump holds a job that requires, above all else, the ability to unite and steady the nation in a time This is not a new age in presidential communications. It is an ongoing public breakdown. And the question naturally arises: Is this the result of mental dysfunction?Most psychiatrists are uncomfortable with diagnosing from a distance, & the particular diagnosis of narcissistic personality disorder requires significant impairment. Republicans and conservatives could start by refusing to play down his revolting lunacy.'