Categories
Nonfiction Observations

Trump and Bundy.

When I read what Donald Trump said, it immediately made me think of comments by Ted Bundy.

From today’s New York Times:

“Ownership is very important,” Mr. Trump said as he discussed, with a real estate mogul’s eye, the landmass of Greenland….

When asked why he needed to possess the territory, he said: “Because that’s what I feel is psychologically needed for success. I think that ownership gives you a thing that you can’t do, whether you’re talking about a lease or a treaty. Ownership gives you things and elements that you can’t get from just signing a document.”

From the Wikipedia page about Ted Bundy:

Possession proved to be an important motive for rape and murder as well. Sexual assault, [Bundy] said, fulfilled his need to “totally possess” his victims. At first, Bundy killed his victims “as a matter of expediency … to eliminate the possibility of [being] caught”; but later, murder became part of the “adventure”. “The ultimate possession was, in fact, the taking of the life”, he said. “And then … the physical possession of the remains.”

And further elaboration:

“[Bundy] said that after a while, murder is not just a crime of lust or violence”, [FBI Special Agent] Hagmaier related. “It becomes possession. They are part of you … [the victim] becomes a part of you, and you [two] are forever one … and the grounds where you kill them or leave them become sacred to you, and you will always be drawn back to them.”

When one covets this much, it is no longer possible to recognize the humanity of others.

Categories
Consult-Liaison Observations

Regime Change and Labels.

Not everyone buys into the idea that people have “personalities”. Sure, you may think that your friend acts in predictable ways. But you’ve also seen your friend change their behavior in different settings. In front of their parents they become someone else.

Heck, let’s not talk about your friend. Let’s talk about you. Do you adjust your behavior when you’re at work? (Have you ever peeled off your socks at the workplace and left them bunched on the floor?) Do you use different words when you’re with your parents versus when you’re with your friends? (If you text your parents, look at the emojis you use with them versus the emojis you use with your friends. Are they the same set?)

Maybe not so consistent and predictable, huh.

But for those who do believe in the concept of a personality—”a set of distinctive traits and characteristics“—then the idea of a “personality disorder” seems reasonable. It makes sense that people with personality disorders would have a set of “abnormal” traits and characteristics.

Over the past year(s) and maybe in response to the yesterday’s news, some have wondered if people in positions of power have personality disorders. Their rhetoric, policy decisions, and implementation of regime change via kidnapping—their emotional and behavioral characteristics—all seem abnormal. Our frowns do not turn upside down. They deepen with ongoing and worsening misbehavior.

It is imprudent to diagnose public figures with physical or psychological conditions. I don’t know these people; I will never be in a position to assess them. As an academic exercise, though, let’s look at what it means to have a “personality disorder”. This is how the most recent version of the Diagnostic and Statistical Manual defines a general personality disorder:

A. An enduring pattern of inner experience and behavior that deviates markedly from the expectations of the individual’s culture. This pattern is manifested in two (or more) of the following areas:

  1. Cognition (i.e., ways of perceiving and interpreting self, other people, and events).
  2. Affectivity (i.e., the range, intensity, lability, and appropriateness of emotional response).
  3. Interpersonal functioning.
  4. Impulse control.

B. The enduring pattern is inflexible and pervasive across a broad range of personal and social situations.

C. The enduring pattern leads to clinically significant distress or impairment in social, occupational, or other important areas of functioning.

D. The pattern is stable and of long duration, and its onset can be traced back at least to adolescence or early adulthood.

E. The enduring pattern is not better explained as a manifestation or consequence of another mental disorder.

F. The enduring pattern is not attributable to the physiological effects of a substance (e.g., a drug of abuse, a medication) or another medical condition (e.g., head trauma).

It is hard to argue that the elected leader of a nation has “impairment in social, occupational, or other important areas of functioning”. To achieve that level of power one must be able to navigate (nay, dominate!) social relationships and occupational duties. Maybe the methods they use seem “abnormal”, but “abnormal” and “impaired” don’t mean the same thing.

Consider the history of the United States. It includes ugly events—both distant and recent—of dehumanization, oppression, and exclusion. Aren’t these “expectations of the individual’s culture”? Are we witnessing any actual deviation from these expectations?

It’s true: We don’t know if these Very Important People experience “clinically significant distress”, even as they induce that in others. Maybe they have other medical, mental, or substance use disorders. We just don’t know.

“Personality disorders” are actual clinical conditions. They are not slurs. It’s okay to dislike the totality of someone’s emotional and behavioral characteristics. That doesn’t automatically mean, though, that they have a personality disorder. We can have low approval of someone with high status. They might simply be “a stupid, annoying, or detestable person“.

Categories
Observations Public health psychiatry Seattle

How Atmospheric Rivers Affect People in Jail.

An atmospheric river is a river in the sky.

I don’t remember these from my youth, though they seem to happen most years now on the West Coast.

An atmospheric river that reaches Seattle is often called a “pineapple express” because the long band of moisture in the atmosphere originates around Hawaii. When the pineapple express arrives, the temperatures here become unseasonably warm (mid to high 50s°F / 12 to 15°C) as the rain falls.

The thing about rain in Seattle is that it usually isn’t rain. It’s more like a mist, a quiet visitor that stops by maybe for an hour or two, then slips away. Within the hour the drizzle returns again, just to make sure you didn’t forget about it. This is why most people here don’t use umbrellas. Raincoats are enough; umbrellas are a burden.

In contrast, the rain of atmospheric rivers demands your attention. The droplets are heavy and full. The water falls in sheets. It’s the mob of young people dressed up like Santa who sing Christmas carols off-key on a crowded light rail platform.

A particularly long river in the sky recently passed above Washington State. Grey clouds rushed overhead, churning past each other like currents of a river, dark water soaring through the heavens. Mud slid, highways collapsed, and lakes formed.

Walking around in it was like walking through a warm blizzard: My face stung from all the water droplets slapping against my cheeks. I had to squint to keep the water out. One afternoon, despite only walking for about 30 minutes, the hems of my pants were soon dragging on the ground. The rain had penetrated every thread and the weight of the water stretched everything down.


There is a small city in South King County that operates its own jail. It has only around 100 beds. (Compare this to the main county jail, which operates two adult facilities with around 1500 beds.)

This small city jail is near one of the rivers whose levee failed. Even as of this writing, the major roads on three sides of the jail are closed, one of which is a state highway. At the height of flooding, the state ordered people to evacuate.

What do jails do when the state orders people to evacuate because of a flood?

Reputable word on the street is that this jail took two actions:

Some people were released from jail. I don’t know what system jail officials used to determine who should be released. Presumably there was some consideration about the severity of the alleged crime. Releasing people from jail, though, results in the former inmates themselves holding the hot potatoes: If people have been ordered to evacuate and roads are closed, how do they return to their homes? (What if they don’t have homes?) People leave jail with only the belongings they came in with (and sometimes not even that), so if they didn’t come in with rain gear, oh well.

Other people were sent to a jail on the other side of the Cascade Mountains. This means inmates piled into secured vans or buses and travelled about 150 miles to Central Washington. Again, I don’t know what system jail officials used to determine who to relocate. Jails are meant to serve the local community and people can be released from jail unexpectedly. Will these people get a ride back to this small city? Will they have to figure out their own way back? With the exit of the atmospheric river, a polar vortex has taken its place. There is snow on the pass.


May our federal government stop manufacturing artificial disasters through inhumane policies. Natural disasters are distressing enough.

Categories
Observations

A Pope’s Death.

If he views attention as a zero-sum game, then, today, he lost. To a dead man, no less—a man who did not even rule over a state. He was just a pope.

But he’s a president. What power he wields! World leaders must navigate around him. Stock markets tumble when words fall from his lips. His thumbs tap out a tweet, and the media pores over his words.

The Pope merely died — why did he get all the attention today?

Grief from the Pope’s death has led to his eternal life. When the newspapers aren’t writing about the president, why does it seem that he is no longer relevant? And if he’s not, has his power disappeared, too?

To confirm he exists, his presence must be felt. So he pulls levers. Some produce adoration; others produce anger. These emotional reactions are proof: He still exists. He still matters.

Here’s the betrayal: The absence of the Pope has cemented his presence forever. A dead man has stolen all the attention that the president believes is rightly his. What will he do now to get it back?

Today may remain quiet. But let’s see what happens tomorrow.

Categories
Consult-Liaison Observations

Observations from the Trump-Zelensky Meeting.

For your consideration, here are a few observations about the Trump-Vance-Zelensky argument in the Oval Office today from a psychiatrist:

Vice President Vance began attacking President Zelensky after Zelensky suggested that American diplomacy was not working. Vance started with: “What makes America a good country is America engaging in diplomacy. That’s what President Trump is doing.” After some back and forth, Zelensky said: “But after that, [Putin] broke the ceasefire, he killed our people, and he didn’t exchange prisoners. We signed the exchange of prisoners. But he didn’t do it. What kind of diplomacy, JD, you are speaking about? What do you mean?”

The insinuation here is that if the diplomacy of Trump, the face of America, was effective, Putin would have not broken the ceasefire and killed people. Vance reacted to Zelensky without providing an actual description of diplomatic efforts. He instead immediately pivoted: “Mr. President, with respect, I think it’s disrespectful for you to come into the Oval Office to try to litigate this in front of the American media.”

A couple things here: Zelensky’s body language prior to Vance’s reaction is open and engaged. He is leaning forward and making solid eye contact in Vance’s direction. He is making emphatic gestures. The tone of his voice when he asks, “What kind of diplomacy, JD, you are speaking about?” suggests disagreement, but not hostility.

When Vance responds, Zelensky’s body language immediately shuts down: He sits back and crosses his arms. He looks away. His eyebrows do heavy lifting here; he looks perplexed. His mouth hangs open a bit. Perhaps he is restraining himself from saying things he will later regret. Vance, for his part, gets pointy, both in his speech and with his index finger.

There is little that is respectful in Vance’s statement of “Mr. President, with respect, I think it’s disrespectful for you to come into the Oval Office to try to litigate this in front of the American media”. To criticize a leader’s character in front of cameras is not respectful. To physically point and wag the pointing finger at the president is not respectful. Just because you say “with respect” doesn’t make it respectful. Whenever speech and behavior contradict each other, behavior is more likely to convey the true sentiment.

President Trump began to attack President Zelensky after Zelensky used the word “feel”. Here’s the exchange:

Zelenskyy: “First of all, during the war, everybody has problems, even you. But you have nice ocean and don’t feel now. But you will feel it in the future. God bless –”

Trump: “You don’t know that. You don’t know that. Don’t tell us what we’re going to feel. We’re trying to solve a problem. Don’t tell us what we’re going to feel.”

It’s not even clear what feelings either man is talking about. Zelensky tries to elaborate by saying “You will feel influenced.” Trump immediately disagrees: “We are going to feel very good and very strong.”

Let me get pedantic here: “Influenced” is not an emotion. Neither is “very good” or “very strong”. In reading context clues, my guess is that Zelensky was trying to convey that the United States would feel “threatened” (which is not an emotion, either; fear is the emotion that underlies threats). Trump, whose behavior consistently reveals that he is obsessed with status, can’t tolerate the idea of feeling fear. He seems to believe that feeling fear means you are a beta.

Furthermore, Trump likely views Zelensky as having lower status than him. How dare someone who is “lower” than him tell him how he is going to feel! And in front of cameras! You are not the boss of me!

Maybe I am reading too much into Trump’s reactions to “feelings”, but…

President Trump gets red in the face as they continue to talk about feelings. They don’t linger on feelings for long; soon the conversation shifts to the metaphor of playing cards.

Trump becoming red in the face at this point is noteworthy because once Trump and Zelensky are talking at and over each other, Zelensky’s body language opens up. He uncrosses his arms, drops them to his lap, and makes some gestures. His eyebrows return to heavy labor; he again looks perplexed and ultimately looks away. These changes in body language indicate an effort (maybe nonconscious, though Zelensky has a history as an actor) to de-escalate the situation. What we learn here is that Zelensky is showing some deference to Trump that he did not show to Vance. Trump either doesn’t recognize or acknowledge Zelensky’s efforts to re-establish rapport. He gets red in the face, his voice gets louder, and he becomes more animated. What button did Zelensky push? Was the button labeled “feelings”?

President Trump settles down after Vice President Vance intervenes. What breaks the cross-talk between Trump and Zelensky is Vance asking Zelensky, “Have you said thank you once?”

I wonder if Vance has learned when to intervene to uphold Trump’s perceived status. Maybe Vance knew that, if this interaction continued, Trump would say or do something foolish that would result in an undeniable drop in his status in front of cameras. Zelensky’s body language was beginning to match Trump’s, suggesting that his deference from moments before was disappearing. What better way to artificially elevate one person’s status by coercing the other person to say “thank you”?

Among pro-social people, saying “thank you” is a gracious way to promote and sustain social bonds. We say “thank you” because it is an expression of cooperation, not conflict. However, some people view the phrase “thank you” as an act of submission: YOU are thanking ME because I bestowed something on YOU which means I have more power than YOU.

Following this cue, we hear Trump make comparisons to elevate his status because Zelensky does not say “thank you” to Trump; he does not submit. Trump says Biden is “not a smart person” (implying that he is); Trump asserts that “Obama gave sheets, and Trump gave Javelins”.

Zelensky, ambushed and outnumbered, looks resigned: His shoulders droop, he slowly rubs his fingers over his clasped hands. His eyebrows can no longer do all the work, so the worry spills all over his face.


What we witnessed today, like so many days in the past month, was ugly and cruel. Cowards only jeer when they are playing at home.