In 2017, The Dangerous Case of Donald Trump, a book edited by Dr Bandy X. Lee, presented the assessments of 27 psychiatrists, psychologists, and other mental health professionals, argued that Trump’s mental condition constituted a “clear and present danger” to the nation.
However, it is important to acknowledge the ethical debate within the mental health community regarding the public diagnosis of political figures. On one side, proponents of speaking out argue that when a leader’s behaviour appears to threaten public safety or welfare, mental health professionals have a “duty to warn,” even if it means commenting without a direct evaluation.
They believe that their responsibility to the public outweighs traditional restrictions. On the other side, critics invoke the American Psychiatric Association’s (APA) Goldwater Rule, emphasising that publicly diagnosing a public figure without a face-to-face assessment and consent undermines professional ethics, risks personal bias, and can erode trust in the profession. This debate remains unresolved, with experts divided over what best serves ethical standards and public interest.
The APA’s Goldwater Rule cautions professionals against offering a diagnosis without a personal examination and proper authorisation. This ongoing controversy reflects broader concerns about professional ethics, public responsibility, and the challenges of analysing the mental health of high-profile leaders.
In 2021, some members of Trump’s own Cabinet, shocked by the violence at the Capitol on January 6 and his slow response, discussed whether to use the 25th Amendment to remove him from office because of concerns about his mental fitness.
During his 2024 campaign, he attacked Kamala Harris and then launched into a wild and confusing rant:
“She destroyed the city of San Francisco, it’s – and I own a big building there – it’s no – I shouldn’t talk about this, but that’s OK, I don’t give a damn because this is what I’m doing. I should say it’s the finest city in the world – sell and get the hell out of there, right? But I can’t do that. I don’t care, you know? I lost billions of dollars. You know, somebody said, ‘What do you think you lost?’ I said, ‘Probably two, three billion. That’s OK, I don’t care.’ They say, ‘You think you’d do it again?’ And that’s the least of it. Nobody. They always say, I don’t know if you know. Lincoln was horribly treated. Uh, Jefferson was pretty horrible. Andrew Jackson, they say, was the worst of all, and he was treated worse than any other president. I said, ‘Do that study again, because I think there’s nobody close to Trump.’ I even got shot! And who the hell knows where that came from, right?”
These persistent displays of paranoia, his continuing ICE raids, his use of the Justice Department to target his enemies, his shameless corruption rage, volatility, delusions, vengefulness, foul-mouthed posturing, his bottomless vengeance toward Iran and the Pope and increasing detachment from reality directly undermine the expectations of mental stability and sound judgment outlined in the thesis.
As such, they provide substantial evidence that calls into question the President’s capacity to fulfil the responsibilities and demands of the office.
Why did Trump and Vance pick a fight with Pope Leo? His exchange with the Pope was unsightly, unnecessary and regrettable.
Despite all these warning signs, his Cabinet members and aides keep their heads down. Republican members of Congress pretend not to notice, and his billionaire supporters dare not speak of his rapid decline. Media coverage of the President’s conduct remains contested.
Some critics argue that significant portions of the media engage in “sanewashing,” thereby downplaying or rationalising the President’s erratic behaviour. Others point out that both partisan and mainstream outlets have at times foregrounded his controversial statements and actions, which suggests a level of critical scrutiny.
This divergence highlights the unevenness of media responses: while certain outlets may frame the President’s behaviour as authentic or a populist connection, others interpret it as evidence of instability and potential danger.
These framing choices shape both public opinion and elite responses by influencing how the general population perceives these actions and how policymakers justify their stances. Ultimately, this complexity in media coverage reflects deeper debates over the press’s responsibilities and the challenges of interpreting signs of instability at the highest levels of government.
But some people on the political right, including longtime Trump supporters, have had enough.
The public is starting to notice. Sixty-one per cent of Americans think he’s become more unpredictable as he gets older, while only 45 per cent say he is “mentally sharp and able to deal with challenges.”
For the good of the country and the world, we need to face the truth. Based on his actions and words, the most powerful man in the world seems unfit for the job because of mental instability.
We are all endangered. What happens if, in a fit of rage, he presses the nuke button and “chucks a wobbly”? Is hewatching the “football” with the atomic codes in his lap? Who’s ready to stop him to save the world?
It is not as though Congress doesn’t have the power to dismiss this ratbag. They could “Impeach” him now.
In conclusion, the 25th Amendment to the Constitution of the United States explicitly provides a constitutional mechanism for removing a President deemed unable to discharge the powers and duties of the office. This provision underscores Congress’s responsibility to act decisively in the face of clear evidence of presidential incapacity.
However, in practice, there are significant political and procedural barriers to invoking the 25th Amendment. The process requires the Vice President and a majority of the Cabinet to agree that the President is unfit, which can be difficult to achieve given political loyalties and fear of reprisals.
Even if this initial hurdle is cleared, the President can contest the decision, and ultimately, it falls to a supermajority in Congress to resolve the dispute. These requirements make the real-world use of the 25th Amendment extremely challenging, especially in a polarised political environment.
As such, while the 25th Amendment serves as a critical safeguard for the stability of American democracy and global security, its practical application remains fraught with obstacles.
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