Trump on the Couch: Inside the Mind of the President – Justin A. Frank, MD – Avery – 304 pages – Hardcover – 9780735220324 – $26.00 – September 25, 2018 – ebook editions available at lower cost.

Inside the mind of this president is a scary place to be, as Dr. Justin Frank aptly tells us in this frightening and compelling book. In an interview with the Guardian newspaper, Dr. Frank said: “Yes, we should be scared,” Frank, a clinical professor of psychiatry at George Washington University, told the Guardian. “We have to accept that he is the president and we also have to accept that he’s never going to change because he can’t. Once we accept those things, we can then figure out what to do with our fears.”

Almost everyone I know has thought about the psychology of Donald Trump. So in some ways he might be the most analyzed person in the history of the world. Ironically, that appears to be exactly what he wants. Funny how whether one loves or despises Donald Trump, he wins, because his narcissistic, empty soul requires the full attention of the entire world and still cannot be satisfied.

In this book, like his two previous books on Obama and Bush, Dr. Frank has applied the principles of applied psychoanalysis, which allows him to at least somewhat clearly understand the mind of Donald Trump. While it is true that the American Psychiatric Association’s Goldwater Rule prevents psychiatrists from offering diagnoses on public figures who are not their own patients, Frank has invoked the moral responsibility that compels him to speak out, something which all of us can understand and appreciate. So much is at stake and so much is in the hands of someone who is demonstrably unstable, and as Dr Frank shows in this book, someone who is riddled with pathologies, and quite evidently, deeply disturbed.

From his close study of Trump’s patterns of thought, action, and communication, and an analysis of his personal life story, Dr. Frank uncovers a personality deeply distorted by mental health problems. His work reveals many insights about Trump and his behavior, including some highly disturbing glimpses into his childhood, his family, his business dealings, and Trump’s unique way of literally inventing his own reality.

While most of us can see for ourselves that our president is wildly unhinged, Dr. Frank’s more clinical description and analysis of Trump’s narcissism, misogyny, racism, and untruthfulness are highly useful in helping us to understand more fully the reasons and causes behind Trump’s pathologically disturbed behavior. Whether it can help us prevent him from leading us into disaster is unclear. But this book should be required reading for anyone, supporters and opponents alike. It might also help us to better understand his appeal to those who do find him compelling. At least for me, it made me want to turn off the television and stop giving him the attention he craves. I wish the news media would do the same.

I very much enjoyed the opportunity to talk about this book with Dr. Frank, and to learn so much from a professional analyst.

Read more about the book at the author’s website.

“I’ve known Trump a long time and I have even tried my own hand at psychoanalyzing him on television. But, Dr. Frank has shown a more complete picture inside our 45th President’s mind than I ever dared to consider. Behind all Trump’s tough guy theatrics, his petty cruelties and bloated ego is a tangled knot of pathologies that should terrify us all. Trump on the Couch is a great first step to sizing up the President’s inner demons.”
—Donny Deutsch, Co-Host on MSNBC’s Morning Joe

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