Anyone who studied sociopathy or done any research on it or treated it clinically (I'm probably the only person on the forum who can say yes to all three of those things) who spent any time watching Trump's behavior could tell you that he is clearly and unequivocally a sociopath. Bear with me - this will be a longer post, but where the relevance to the COVID-19 crisis becomes clear.
First of all here are the criteria from the Mayo Clinic website - it should be obvious to anyone watching Trump, Putin, Balsonaro, Duterte, Erdoğan et al. that there is a very high overlap between authoritarian/autocratic leaders and sociopathy. Trump has frequently expressed his affection, admiration and preference for these types of 'strong' leaders, who, like himself, and his father presumably, were quite sociopathic. He trusts sociopaths, because he understands how they work, and he doesn't have to worry about any departure from transactional approaches, like, caring about what is right or wrong, that might make someone less predictable in a you-scratch-my-back-I'll-scratch-yours deal. Those transactional types can be counted on to do unethical things, if that's part of the deal. Other less corrupt leaders cannot.
Overview
'Antisocial personality disorder', sometimes called sociopathy, is a disorder in which a person consistently shows no regard for right and wrong and ignores the rights and feelings of others. People with antisocial personality disorder tend to antagonize, manipulate or treat others harshly or with callous indifference. They show no guilt or remorse for their behavior. Individuals with antisocial personality disorder often violate the law. They may lie, behave violently or impulsively, and can have more frequent problems with drug and alcohol use.
Symptoms
Antisocial personality disorder signs and symptoms may include:
- Disregard for right and wrong
- Persistent lying or deceit to exploit others
- Being callous, cynical and disrespectful of others
- Using charm or wit to manipulate others for personal gain or personal pleasure
- Arrogance, a sense of superiority and being extremely opinionated
- Recurring problems with the law, including criminal behavior
- Repeatedly violating the rights of others through intimidation and dishonesty
- Impulsiveness or failure to plan ahead
- Hostility, significant irritability, agitation, aggression or violence
- Lack of empathy for others and lack of remorse about harming others
- Unnecessary risk-taking or dangerous behavior with no regard for the safety of self or others
- Poor or abusive relationships
- Failure to consider the negative consequences of behavior or learn from them
- Being consistently irresponsible and repeatedly failing to fulfill work or financial obligations
OK, so what does that have to do with COVID-19? Wouldn't strong authoritarian leadership make for a better public health response? One might think that (and China is a counter example of an authoritarian regime that has been on top of their response after a dismal start) but then that would require genuinely caring about people's suffering and death, not the strong suite of sociopaths, most of whom have taken a stance similar to Trump's position of poo-pooing the virus, and even suggesting that its a hoax, aimed at him.
Mexico, India, Russia, Brazil, and of course the US all suffer from poorly controlled outbreaks, mixed messaging, and even a real lack of interest on the part of their chief executives in containing COVID-19. Autocrats generally speaking also don't like the hard work involved in coordinating and leading a central/cohesive PH response because oftentimes they are easily bored with actual management work, feel highly entitled to the privileges of office without any sense of reciprocal obligation, and distrust scientists and experts as threats to their bully pulpit, and as less corruptible and less manipulable. Last but not least, they have a tendency to poor reality testing about threats, and as we see in Trump, heavy reliance on magical thinking that threats are simply going to disappear.
The results have been deadly. We are on course to have ~300,000 deaths by the end of 2020 - roughly .1% of the US population. We have only ourselves to blame. It's an open question whether we will throw Trump out, or whether he will steal, or simply invalidate, any election that might go against him. We are only about two feet from a full transition into an autocratic regime, if he succeeds in cancelling out the results of the election through the corrupt use of his office and the many levers of power, including now controlling the DOJ, the State Dept, and the Senate. Anyone who thinks that is only a remote risk is simply not seeing what is unfolding in public view, and has been for 3+ years. If Trump is allowed to remain in power, it is not impossible that the US would cross the threshold of 500,000 to 800,000 deaths sometime in 2021. If there is no cohesive PH approach to COVID-19 informed by real science, it is hard to see how we don't remain in a recession/depression for however long it might take us to generate an effective vaccine.