Disinhibition

Useful.

Trump’s Bizarre Behavior Has a Clinical Name: Disinhibition

Colby Hall, January 20.

One of the earliest and most underreported warning signs of certain forms of dementia is not memory loss. It is disinhibition — a deterioration of impulse control, judgment, and social restraint that often manifests as reckless behavior, inappropriate speech, and diminished concern for consequences. By the time forgetfulness becomes obvious, the disease process is often well underway.

That framework matters because it closely tracks what President Donald Trump has been displaying with increasing frequency.

And increasing revoltingness.

Grievance has long shaped Trump’s behavior. His fixation on the 2020 election, anger over criminal investigations, and instinct for escalation remain constant. What has changed is the degree to which those impulses now appear untethered from outcome. Actions that weaken alliances, undercut stated objectives, and generate chaos without payoff suggest something beyond anger or strategy at work.

Disinhibition offers a framework that fits the observable pattern.

Clinically, disinhibition often appears before memory loss, particularly in frontotemporal dementia. Individuals may seem energetic, confident, even dominant. What erodes first is judgment. Filters weaken. Social norms lose force. Behavior becomes impulsive, inappropriate, and unconcerned with consequence. That framework does not establish a diagnosis. It explains why behavior changes in ways that feel abrupt and destabilizing.

Trump himself has intensified attention on the issue. In recent weeks, he has repeatedly and unpromptedly defended his cognitive fitness, boasting about mental sharpness and tests no one was publicly challenging. Clinicians recognize this pattern. People respond defensively to doubts that have already begun to surface.

Trump’s recent behavior presents a coherent and escalating pattern. The loss of restraint is public, persistent, and increasingly disconnected from consequence. Disinhibition is a clinical concept, not a political insult, and it describes how judgment can fail before memory does.

The danger lies not only in the behavior itself, but in the absence of any visible response to it. Advisers remain quiet. Party leaders defer. Congressional oversight is dormant. The presidency is operating as if impulse carries authority and escalation requires no check.

It all seems to fit.

Comments

6 responses to “Disinhibition”

  1. Omar Avatar

    It all seems to fit.

    The way his finger fits the nuclear button.

  2. guest Avatar

    I’m sure this author is correct, but I also think he ‘generate(s) chaos without payoff’ is part of a deliberate strategy. He is constantly saying things like ‘something big’s going to happen, stay tuned to find out’ – it’s TV advertising. (And it works – he gets all eyeballs on him.)

  3. Sumi Avatar

    Guest, getting all the eyeballs on him is part of Trump’s malignant narcissism. What we’re seeing is increasingly disinhibited malignant narcissism — a very bad combination.

    The author of this piece leaves out other important signs of frontotemporal dementia, such as Trump’s gait, front-leaning posture, slurred speech and increasing glitches when speaking. I have no doubt that Trump has FTD, as this has been suggested by geriontologists and mental health specialists for some time now. The problem is the unwillingness among elites to do anything about it.

  4. Bjarte Foshaug Avatar
    Bjarte Foshaug

    guest #2

    I also think he ‘generate(s) chaos without payoff’ as part of a deliberate strategy. He is constantly saying things like ‘something big’s going to happen, stay tuned to find out’ – it’s TV advertising. (And it works – he gets all eyeballs on him.)

    I wouldn’t call it a “strategy”, though. I suspect it’s more accurate to say, as e.g. Charlie Sykes does, that he has* a certain “reptilian instinct” for what is going to work with his base (and let’s face it, their standards have to be pretty fucking low – like at minus infinity – to be part of his base in the first place). As usual, I think Anne Applebaum puts it better than most. As she has commented many times Trump is not a strategic thinker and doesn’t evaluate situations in terms of long-term interests or goals or consequences. No “4D chess” going on here, folks! Instead he evaluates each new situation in a vacuum and wants to be seen (in the eyes of himself and his sycophants) as “winning” (as in making his designated “opponents” lose) the situation he is in at any given moment. And, as David Frum has pointed out, the concept of a positive sum game, a mutually beneficial arrangement, a “win-win” situation etc. doesn’t compute in his brain. The only way he is able to make sense of the world is in terms of zero-sum conflicts in which one side’s gain is the other side’s loss, hence if, say, his trading partners are happy with their current deal, it has to mean he got screwed for which somebody has to pay!

    * Or used to have. It has been suggested that more recently his instincts have began to fail him on the Epstein issue etc (perhaps because of mental decline?). Let’s hope so.

  5. guest Avatar

    @4 I wouldn’t argue that he’s any kind of deep thinker, or that he has any sophisticated understanding of or approach to achieving his goals – just that in addition to simply not having any self-control (due at least in part to never having had to have any, as well as the progression of this disease) there’s also a deliberate plan to keep people on the edge of their seats – ‘want to know what happens next? we’ll be back after this commercial break!’ It’s embarrassing (and exhausting) that the entire world has fallen for this very basic advertising trick – but it’s clearly effective.

  6. iknklast Avatar

    Trump is not a strategic thinker and doesn’t evaluate situations in terms of long-term interests or goals or consequences

    This has been a forever problem with him, too, which is why he managed to make so many businesses fail A successful business requires a long-term strategy, with at least a three to five year plan for going forward. Even if you don’t follow the plan exactly, you need to have some sort of road map. Trump seems incapable of seeing beyond the moment.

    This could also relate in some ways to his apparent failure to have a theory of mind. With his narcissism, he is unable not only to care about other people, but to recognize that they are other people independent of his need for them or desire for them. They are all part of his world, with their proper role to be applauding him or servicing him.

    ‘want to know what happens next? we’ll be back after this commercial break!’

    So much this! He wants to continue to shout ‘you’re fired!” at anyone who displeases him. Sometimes I get the feeling he would rather be like the queen in Alice in Wonderland and shout ‘off with their head!’ He envisions himself as Julius Caesar, Henry VIII, and Napoleon all rolled into one for some sort of elaborate Hollywood spectacular. The problem is, they were intelligent, capable men, even if they didn’t always get things right (especially if you consider them in terms of today’s values). Trump is the very quintessence of dust – unfeeling, unthinking, just blowing wherever the wind takes him. In this case, of course, the wind is his id.

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