[quote]espenl wrote:
Since you are giving diagnoses, please keep the terms straight:
Psychosis is a loss of contact with reality that usually includes: False beliefs about what is taking place or who one is (delusions) ; Seeing or hearing things that aren’t there (hallucinations).
Psychopathy or sociopathy is traditionally defined as a personality disorder characterized by enduring antisocial behavior, diminished empathy and remorse, and disinhibited or bold behavior.[/quote]
I think everybody missed this.
Rather than “psychosis”, I think the word most of you are looking for is “psychopathology”. Psychopaths are by definition not psychotic. If psychotic symptoms were present, something else would probably describe their behavioural issues better.
Also, you alluded to something else that has been irking me for awhile. As far as I know, psychopathy is related to antisocial personality disorder (ASPD), not NPD, though ASPD and NPD are both part of the same cluster of personality disorders. If the DSM-V says otherwise, I apologize and please correct me. I’m only familiar with the DSM-IV-TR.
Additionally, I feel it is important to note the history of controversy in personality disorders. They are fairly low consensus and have a history of having lots of changes made, with disorders being added and/or taken out in every edition of the DSM as far as I know. Some critics argue that they are a bit of a catch-all category to account for vague or subclinical presentations of other stuff that aren’t easily classified. I’m inclined to agree with this viewpoint. Just look at BPD as an example. Throw someone with “BPD” in a room with 12 psychiatrists and you’ll probably get 8 or 9 different diagnoses. I’m not a terribly big fan of psychiatry in most cases. It’s like trying to shoot a fly with a shotgun. Sure, with enough tries you might actually get it, but you’ll probably fuck a lot of other things up in the process.
While I have a fairly jaundiced eye towards psych fields in general, diagnosing a person based on a very thin slice of often biased information is not something I would recommend. DB had it right when he said that a psychopathology requires significant distress or impairment. Presumably, none of us actually know Obama well enough to make that judgment.
In terms of making a diagnosis, I do think context should also be taken into account. While to you or me some of his actions may be questionable, I believe this is mitigated by the context of being a politician, and a very significant one at that. I don’t think it impossible or even unlikely that politicians would score as trending toward antisocial personality tendencies (e.g. low conscientiousness) if given a personality inventory (that is, if you could get them to answer honestly lol). Once again, this isn’t necessarily indicative of a pathology. I think most would describe it more accurately as a personality trait rather than a personality disorder.
Realistically though, this is a pretty ridiculous thread. SM, what exactly were you hoping to get out of it? Blind approval? I don’t think you’ll find much support for Obama here, but really??? We are armchair pseudo-intellectuals attempting to discuss the mental health of a man we probably don’t know and will most likely never know. To my knowledge no one here is even qualified to make a psych diagnosis and even if someone was, I think they would probably be hesitant to actually do so.