Psychiatrist cannot and should not say Trump is a psychopath. Experientially- and ethically-derived best practices correctly prevent them from doing so for many excellent reasons. But the emperor has nuclear missiles and no clothes. Absence of a conscience matters.
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But he has repeatedly demonstrated no guiding principle save his ego and a delight in cruelty. People have been hoping that this team could act as a substitute for a conscience -- that team is gone. His mental state needs to be part of the experientially-validated threat model.
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(That being said, I'm still uncomfortable / apprehensive saying it, because I'm not the one harmed in doing so.)
End of conversation
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