With all the furor over the presidential candidates’ physical and mental health, I found myself wondering not about the ethics of armchair analysis or the quality and timing of the information released so far, but another question: What would happen if the medical records of someone running for president revealed any current or past treatment for mental health issues?
In 1972, Democratic Vice Presidential nominee Thomas Eagleton had to step down when news surfaced about his prior hospitalizations and electroshock treatment for depression. What would happen today if there was a notation about ECT, Prozac, Lithium, addiction, or the like in a candidate’s chart? Would it be disqualifying? Should it be?
Given the stigma and discrimination that still surround mental illness, it’s not surprising that very few politicians and no presidential candidates admit to struggling with or seeking treatment for psychological problems. This does not mean there haven’t been plenty of afflicted presidents; a 2006 study found that nearly half of 37 presidents whose historical records were reviewed met the criteria for psychiatric diagnoses. Some, like Lincoln, rank among our greatest presidents.
It’s a shame that stigma and discrimination discourage proactive and responsible responses to many treatable conditions. It’s not the presence or absence of a mental illness (or life circumstance) that counts, but how someone deals with it. As any therapist knows, what’s worrisome is not the person who knows something is wrong and seeks help, but the person who doesn’t.
Not all mental illnesses are the same. Nor are all jobs. Military personnel and commercial airline pilots routinely face the quandary that acknowledging significant psychological distress may derail their careers not only because of stigma, but due to legitimate concerns about risk to self and others.
What about the presidency, a high-stress, high-responsibility job if ever there was one? People often quip that you’d have to be crazy to want to be president. It’s no joking matter, though: for decades there have been serious proposals for an independent and impartial evaluation of the physical and mental health of all presidential candidates. Assuming we could find such examiners and eliminate stigma, though, diagnosis is an imperfect art and poorly predictive of performance. (Thomas Eagleton, for example, went on to have a long and distinguished career in the Senate and academia.)
Anti-social personality disorder, malignant narcissism, and paranoia have been commonly cited as conditions that ought to raise alarm, if not disqualify someone from the presidency. There is often a partisan slant to these opinions. But even if an official and impartial diagnosis could be made, why would it be persuasive when the traits and behaviors in question are already perfectly obvious for all to see? Besides, such characteristics may or may not have anything to do with a candidate’s mental health.
Perhaps we should be more concerned about the ill state of the body politic: We are too often split into polarized camps, divorced from reality, and suffering from anxiety, paranoia, withdrawal, and despair.
These problems are much more difficult to diagnose and treat.
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What are your thoughts about this?
Please! Make it stop!
It’s been fifteen years since nineteen men on a suicide mission turned the Twin Towers into smoldering rubble and America into a traumatized nation. I turned off the TV soon after the horror broke. Back then, I had no need of seeing the black billows of toxic smoke on continuous loop, the skyscrapers imploding again and again. Instead I fastened on stories of humanity’s best in response to humanity’s worst—people standing in line for hours to donate blood; young kids emptying their piggybanks for the Red Cross; volunteers forming brigades to get food and supplies to rescue workers; the heroism of first responders; outpourings of sorrow and support from all over the globe.
On the morning of the California primary, I waved my “Hillary” sign at a major intersection during rush hour. When my shift was over, I stopped to chat with two young women on the opposite corner who were holding “Feel the Bern” signs.
In a major
“Do you think I should still go to Israel?” our 25-year-old daughter Ally asks. She’s nervous after the June 8th shooting deaths in a popular Tel Aviv market.
On Sunday I got lost in the hills of a nearby neighborhood canvassing for my candidate in the Democratic presidential primary. This is not something we Californians normally do, since the contest is usually put to bed by the time we vote in the primary. And since California is the deepest shade of blue among the blue states, hand-to-hand combat with our neighbors in the fall is unnecessary. Mostly we just write checks and work the phones so we can disrupt people’s dinners in swing states.
At a rally for Hillary Clinton, Madeleine Albright declared, “There’s a special place in hell for women who don’t help each other.” A fierce debate about gender, the generational divide, and feminism in presidential politics ensued.
When my daughter was little, my husband and I tried to safeguard her against people who might do her harm. “It’s OK to kick and scream,” we told Emma. “You don’t have to be nice if someone tries to hurt you. Not everyone is a good person.”