It’s Not “Dementia Don” Anymore. Now It’s “Very Stable Genius”.

This morning, a few minutes after the president watched his admirers at Fox News talk about his mental health, three messages appeared on the president’s personal Twitter account. Here they are, presented as one amazingly coherent (for him) paragraph:

Now that Russian collusion, after one year of intense study, has proven to be a total hoax on the American public, the Democrats and their lapdogs, the Fake News Mainstream Media, are taking out the old Ronald Reagan playbook and screaming mental stability and intelligence. Actually, throughout my life, my two greatest assets have been mental stability and being, like, really smart. Crooked Hillary Clinton also played these cards very hard and, as everyone knows, went down in flames. I went from VERY successful businessman, to top T.V. Star to President of the United States (on my first try). I think that would qualify as not smart, but genius….and a very stable genius at that!

It’s very hard to believe that the president still has enough of his marbles to have written that all by himself. It’s false to the point of delusion, of course, but well-written. I would have said someone else definitely wrote it, except that the peculiar way “T.V.” is written is one of the president’s stylistic quirks. (“T.V.” written as an abbreviation appears 32 times in the searchable Trump Twitter Archive; the simple “TV” appears much more often.) Perhaps the president dictated his response to somebody familiar with his unique style, and that person polished his ravings for  public consumption.

If the president did write that paragraph this morning (which I doubt), the explanation could be that he’s more competent after he’s had some sleep. We know he tires easily. (That new Fire and Fury book says he often gets in bed by 6:30 p.m.) His dementia probably gets worse as the day wears on.

At any rate, the president’s poor mental health is receiving additional attention, which is a good thing. Vox has an interesting interview with Bandy Lee, a psychiatrist at the Yale School of Medicine, who strongly recommends that the president receive (or be forced to receive, if necessary) an emergency psychiatric evaluation. Its purpose would be to determine whether he is a threat to public health. Dr. Lee says it isn’t a question of diagnosing him. It’s a matter of determining how dangerous he is:

Assessing dangerousness is making a judgment about the situation, not the person. The same person may not be dangerous in a different situation, for example. And it is his threat to public health, not his personal affairs, that is our concern….

[Once] you declare danger, you are calling first for containment and removal of weapons from the person and, second, for a full evaluation — which may then yield diagnoses. Until that happens, physicians and mental health professionals are expected to err on the side of safety and can be held legally liable if they fail to act. So we’re merely calling for an urgent evaluation so that we may have definitive answers.

In doing that, we are fulfilling a routine, public expectation of duty that comes with our profession — the only part that is unusual is that this is happening in the presidency….

Those who most require an evaluation are the least likely to submit to one. That is the reason why in all 50 states we have not only the legal authority, but often the legal obligation, to contain someone even against their will when it’s an emergency.

So in an emergency, neither consent nor confidentiality requirements hold. Safety comes first. What we do in the case of danger is we contain the person, we remove them from access to weapons [Note: including nuclear weapons in this case] and we do an urgent evaluation.

This is what we have been calling for with the president based on basic medical standards of care.

We shouldn’t expect the president to be given a formal evaluation any time soon, of course. Josh Marshall of Talking Points Memo seems to think it isn’t necessary anyway, although he doesn’t distinguish between being diagnosed and being evaluated as a threat. That’s because we (including Republican politicians) already know there’s a very serious problem:

We are now back on to the feverish debate about whether or not Donald Trump is mentally ill or suffering from the onset of dementia. The most important thing to know about this debate is that it simply doesn’t matter. If the entire psychiatric profession got together and examined Trump and pronounced him entirely free of any mental illness, his behavior wouldn’t be any less whacked or dangerous in a President….

In common sense, everyday rather than clinical language, Trump is clearly unstable, erratic, impulsive. In a word, he’s nuts and not well. As citizens, we are entirely able and entitled to make these determinations. They are ordinary English language descriptors that the psychiatric profession doesn’t control and shouldn’t want to control. The entire debate over whether Trump is “mentally ill” is simply a diversion, premised on the idea that we need either permission or dictation to say he is not able to safely or competently fulfill the job of President. We don’t. The observed behavior is really all that is necessary and all that matters.

So where does that leave us? As the pressure mounts, the president will likely become more unhinged and more dangerous. Unless he goes totally batshit crazy, it’s unlikely that his staff or Congressional Republicans will do anything about it. Even then, they might cover up his incapacity. That’s what happened when President Woodrow Wilson had a series of strokes in 1919. His wife and the president’s associates secretly ran the government in his place.

Sometimes quietly, the Trump administration continues its assault on working people, the poor, immigrants and the environment. Republicans in Congress and the Department of Justice are increasing their efforts to protect the president and his co-conspirators, even as the evidence against them mounts. Now they’re even going after the president’s opponents (yes, let’s investigate the Clinton Foundation and her emails again). Fox News keeps broadcasting state propaganda. Puerto Rico is still suffering. War, either in Eastern Europe, East Asia or the Middle East, is probably more likely than it was a year ago.

Fortunately, we made it through 2017 without too many crises, aside from the disastrous effects of climate change on the weather. The various investigations now underway may interfere with the Republican agenda. January’s new Congress might provide some oversight of the executive branch. If we make it through 2018 relatively safely, there may be better times ahead.

In that positive vein, here are some words from Theodore Parker, a 19th century Unitarian minister who influenced Abraham Lincoln and Martin Luther King, among many others. Parker believed that slavery would be abolished one day:

I do not pretend to understand the moral universe; the arc is a long one, my eye reaches but little ways; I cannot calculate the curve and complete the figure by the experience of sight; I can divine it by conscience. And from what I see I am sure it bends towards justice.