https://www.youtube.com/watch?v=QdaBsfu44ps

Dr. F. Perry Wilson: You authored the DSM criteria for narcissistic personality disorder. This is something that many people have attributed to President Trump. You are not one of them. Do you stand by the assertion that he does not have this disorder?

Dr. Allen Frances: Well, Trump is absolutely a world-class narcissist. He has every criteria met except for two. **In addition to having the features of being grandiose, unempathic, self-involved, selfish, all the things that go into being Trump, you have to have distress or impairment, significant distress or impairment. ** Trump is a man who causes immense distress in others, but doesn’t seem to experience it very much himself. Although he’s created tremendous impairment for our country and for his business colleagues, he, himself, has been very well rewarded in politics and also in business for being a narcissist. I think that it’s reckless for people to attribute the damage he’s causing to mental illness. He’s much more bad than mad.

To lump Trump with the mentally ill is a tremendous insult to them. It stigmatizes them. Most people who are mentally ill are well meaning and well behaved, and really fine people. Trump is none of those. So that when we confuse mental illness with bad behavior, we, first of all, insult the mentally ill, and secondly, we underestimate just how evil Trump is and how dangerous.