I just finished the slightly dated book The Dangerous Case of Donald Trump (it was published in 2017, during Trump 1.0). The book contains a variety of essays written by 27 psychologists, offering their perspectives on Trump’s fitness to preside and his mental health. The book also talks a lot about the Goldwater Rule, which originated in 1964 when an article was published gauging Barry Goldwater to be mentally unfit to be president. Goldwater sued the magazine and won. The rule remains controversial. Per the rule, psychologists who are part of the APA (American Psychiatric Association) agree not to offer their personal opinions about public figures they have not personally examined and from whom they do not have consent. Psychologists who disagree with the rule can practice outside the APA, or can write about their objections to the rule, and many have.

The main objections psychologists have to the rule are:

  • Free speech. They should be able to share their professional insights without being gagged in the public sphere. It’s like telling EPA employees they can’t say anything about pollution when WaPo calls to chat them up.
  • Public figures’ actions are observable. This is a critical point because it’s different than trying to opine on someone whose behavior you can’t see. You have hours and hours of footage of public figures in which they reveal their character, their strengths & weaknesses, and their traumas and pathologies.
  • Duty to warn. If the public is in danger (as in the EPA example), psychologists argue that they should use their knowledge to educate others, particularly the voting public, before dangerous persons are given access to the codes.
  • Evolving ethical standards. They argue that the Goldwater Rule is outdated from a time when there were paper publications, not social media. Any fool can Tweet, but psychologists are gagged.

My personal opinion is that I’m not sure the rule really matters for several reasons. One reason is that people know Trump is “unfit” per these definitions and see it as a strength, or his supporters do. They define mental health differently than do those on the left–as I’ll explore in a moment. Many of the critiques made by (predominantly left-leaning) psychologists are things that conservatives see as positives. Here are the things the article claimed made Barry Goldwater unfit:

  • Overly aggressive foreign policy. He was viewed as trigger-happy, suggesting a tactical nuclear strike in Vietnam. There was fear that he would spark nuclear war. These exact same fears were expressed throughout the book about Donald Trump, and let’s be honest, they still exist–but conservative hawks might see this as a show of strength, not of instability and danger.
  • Perceived emotional instability and paranoia. Goldwater believed and spread conspiracy theories, claiming that the East Coast establishment and the media were marshalled against him. Again, these are things that conservatives believe about Trump, but to some extent, that’s just politics. I’m not excusing conspiracy theories, especially given how extreme they are, but media can be partisan and so can elites. There’s a fine line between being paranoid and someone actually being out to get you (e.g. opposing your candidacy or ideas).
  • Rigid ideological thinking. Goldwater’s strong adherence to conservative and libertarian ideals was seen by psychologists as inflexible, and that his anti-government, anti-communist views would make him unwilling to compromise in governance. Well, 1964 folks, in the words of the immortal (and ex-Mormon) Randy Bachman, you ain’t seen nothin’ yet.

I mean, let’s get real–those three criticisms, which may not exactly connote perfect mental health, also describe Nixon very, very well.[1] They describe a lot of politicians, frankly. There’s also an undertone of hysteria (perhaps rightly so) in some of the essays when it comes to fears of someone pushing the button, causing global nuclear war. Look, I don’t want nuclear war either, but this is the playing field we are on. It’s terrifying that Trump has openly stated that there’s no point to having these nuclear weapons if we aren’t willing to use them.

Psychologists have also assessed that probably 49% of US Presidents were narcissists, and that was without the TikTok trend of armchair diagnosing everyone as a narcissist–which of course a lot of them probably are. Biden sure as hell acted like one at the end with his refusal to get out of the race (will the real “I alone can fix it” guy please stand up?). If we’re going to start disqualifying narcissists from political office, well, I’m not sure who’s going to run.

But in general, conservatives are pretty skeptical about psychology, and many psychologists lean left. Over a decade ago, my second kid was having some depression and anxiety, and some ward members who knew them talked about stopping by their work. I thought that sounded like a nice gesture until they elaborated. The husband said he’d talk some sense into my kid and basically bully them out of their depression (from my perspective, since apparently depression was just mind over matter to this yahoo). Yeah, that was not gonna fly. It’s definitely not the only time I’ve heard someone on the right deride mental health issues as not real. Here are a few reasons conservatives are skeptical of psychology:

  • Concerns about political bias. As I’ve already pointed out, this is a fair point. Psychology is dominated by those who hold liberal and progressive perspectives.
  • Disagreement over diagnoses of public figures. Already covered this–to the right, it’s viewed as using psychology as a political weapon. More to say on this in a moment.
  • Disagreement over religious or other social issues. Many conservatives argue that religious views are pathologized by psychologists. They also may disagree with the diagnosis of gender dysphoria or sexual orientation or may believe that conversion therapy is legitimate, arguing that the scientific basis is wrong or politically motivated. I personally disagree, but I also grew up watching old movies like the Tender Trap in which psychologists treated homosexuality as a mental illness. Meaning, OK, yes, I agree that “new” or “changing” psychological treatments or diagnoses can feel either like progress (how I see them), overcorrections (how general conservatives might see them, and how I might see some things in psychology), or fabrications (how a bunch of assholes who were just elected doubtless see them so they can ruin people’s lives and strip away civil rights).
  • Skepticism toward therapy culture and victimhood narratives. I recently re-watched the pilot episode of All in the Family, which was like current Twitter with broader ties, and this is one of the main themes of that show–that those on the left all see everyone as victims, while those on the right (like Archie Bunker and his peace-keeping but enabling wife Edith) incorrectly see themselves as having overcome everything on their own, but are also completely incapable of dealing with emotions (good or bad) and will not admit to their victimization of others and their obvious bigotry.

Another argument explored in the book is whether conservatives are, to some degree, mentally ill.

“Dad comes home and he’s pissed. He’s not vengeful, he loves his children. Disobedient as they may be, he loves them, because they’re his children. … And when Dad gets home, you know what he says? You’ve been a bad girl. You’ve been a bad little girl and you’re getting a vigorous spanking right now. And no, it’s not going to hurt me more than it hurts you. No, it’s not. I’m not going to lie. It’s going to hurt you a lot more than it hurts me. And you earned this. You’re getting a vigorous spanking because you’ve been a bad girl, and it has to be this way.” – Tucker Carlson, referring to the American public as a spoiled teenager who is about to be beaten by an angry father, Donald Trump. [2]

Does that sound normal and mentally healthy to you? Whether this constitutes mental illness or not, as the saying goes, hurt people hurt people. Additionally, Trump and others on the right are in fact dishing out the same exact “insult” that their political opponents are mentally ill. “These are sick, sick people.” The issues the right point to as mental illness are: being transgender, rejecting traditional gender roles or social structures, promoting victimhood, and seeking mental healthcare (e.g. going to therapy). Ergo, if you aren’t mentally ill, why would you go to therapy?

The core issue between these two extremes, and they are extreme, is the balance between affirmation and challenge. As I mentioned in the story about my kid, I assumed these ward friends had an affirming attitude, that they were going to support my kid. They assumed that what my kid needed (from them? why?) was a swift kick in the pants, in other words, to be challenged. Personally, I do think affirmation can go only so far before it becomes pointless navel gazing. If you are in therapy for life, well, maybe you just need some friends, or someone who actually wants you to “graduate” from therapy rather than continuing to make money from your distress. But at the other extreme, you’ve got bullying, repression, and denial, and that can lead to suicide, depression, anxiety, and a host of other problems. Neither extreme is productive. Both can be harmful.

It’s not to say that everyone who is conservative is against psychology. There are conservative psychologists like Jordan Peterson (yes, that Jordan Peterson) who dislike identity politics, safe spaces (well, unless the safe spaces are designed to protect conservatives, natch), and “woke” mental health frameworks. Instead, these folks focus on:

  • CBT or Cognitive Behavioral Therapy. In this, the focus is on personal responsibility, resilience, and practical coping skills. It’s highly regarded, although not everyone out there who is doing CBT is actually accredited, so caveat emptor.
  • Use of psychology in law enforcement. ACAB, but they do a little better when they can use psychological understanding in working with victims and perpetrators rather than just relying on the old “rubber hose treatment.”

While we’re discussing this, it’s probably not a huge surprise that the Hamakers of the Latter-day Struggles podcast announced this week that they are resigning their Church membership ahead of a church court in which they are pretty convinced their local leaders intended to excommunicate them. Valerie is a trained psychologist (Nathan her husband is not, just her fellow podcaster). This is partly a reminder of Natasha’s excommunication several years ago, but it’s also quite different. Clearly they have a wider audience due to their podcast, but (interestingly) at no time did their local leaders tell them to quit podcasting. Aside from the conservative disagreement with psychology as I’ve outlined it here, I will also add that conservative churches in particular seem to have some real problems with psychologists, at least with those who aren’t “approved” by them. There are many church members who won’t go to a non-LDS therapist, and many ex-Mormons who won’t go to an LDS one.

To me it also looks like another area where Church leaders find experts threatening. When you persistently take stances that don’t line up with psychology or science (to the extent psychology is scientific), you can either change your stance or you can discredit and fire the scientists and psychologists, and we can all see what the current trend is politically.

  • Do you see the current conservative culture on a collision course with mainstream psychology?
  • Do you think Church leaders find psychologists threatening or (as Valerie & Nathan shared) is it fine what they say behind closed doors, so long as they pretend the church is right in public?
  • How do you deal with issues like loss of faith, trans or queer identities, etc., in a conservative religion while also fostering mental health?
  • What’s the point of going to a therapist who only agrees with you? How do you strike the right balance between affirmation and challenge?
  • Do fields like science and psychology undermine church narratives? Are they a threat to church authority (I almost said Papal Authority, LOL)?

Discuss.

[1] Was Nixon mentally ill? I mean, sure, maybe. Was he unfit? I think so, but then I have the benefit of hindsight. A really great case could be made for him descending into alcoholism, depression and paranoia as Watergate unfolded–if we had political will to enact the 25th amendment, and had he not resigned, we could have seen where that would have gone.

[2] There’s also a reason Carlson used the analogy of spanking a teenage girl (aside from the titillating Matt Gaetz related implications). There’s a view of psychology on the right as being soft, feminine, and weak. Stereotypically, girls are taught social skills and soft power skills like persuasion, discussion, and diplomacy, and boys are taught physical skills like competition, strength, and hiding your feelings. It’s no wonder that the two parties as presently constituted also have a gender gap.