It’s possible that no previous presidential candidate, at least in 
contemporary American history, has exhibited the range of aberrant, 
offensive and outrageous behaviors Donald Trump has. Belligerent, 
unstable and anything but presidential, Trump has turned much of the 
country into armchair psychotherapists. His behavior is so undisciplined
 and erratic, he’s even prompted licensed clinicians to break with 
orthodoxy—not to mention 
rules—to 
declare he suffers from a personality disorder.
Despite
 all this, Trump rose to the top of the Republican ticket, and as 
recently as September, posed a real and viable threat to Hillary 
Clinton’s candidacy. Even with his chances of a successful Hail Mary 
growing slimmer by the day, Trump seems poised to collect about 40 
million votes, a sizeable segment of the voting populace. Those numbers 
should force those of us who oppose Trump to understand what motivates 
those who support him.
One contributing factor is how 
ideologically, economically and socially divided America is. Those 
factors are compounded by elevated—if not unprecedented—levels of 
anxiety, fear and trauma.
Much of the country’s wealthiest and most 
highly educated citizens live along its coasts and in its major cities. 
Trump supporters not only live outside those areas, they feel as if 
they’re foreign in nearly every conceivable sociocultural way. This goes
 hand-in-hand with a number of other social ills: a raging opiate 
epidemic, persistent gun violence, the disappearance of manufacturing 
jobs. It’s no wonder America now finds itself coping with a troubling 
trend of middle-aged white, mostly working-class 
men and 
women prematurely succumbing to the wages of despair: drug abuse, alcoholism and suicide.
Trump
 has expertly exploited the pervasive pain, anger and marginalization of
 millions. From the outset—and far more than most of us realized 18 
months ago—Trump recognized that politics is an emotional business, and 
that people’s political thoughts and allegiances are often shaped by 
fear, lack of knowledge and trauma. Trump’s overt expressions of racism,
 misogyny and homophobia have been ugly, naked appeals to those 
feelings.
Much of Trump’s campaign is fear based. For a variety of
 reasons, many people are fearful of many things, and their fears are 
egged on by a news media that thrives on creating anxiety. Advertising, 
political ads, news coverage and social media all send the constant 
message that people should be afraid, very afraid. The result is that 
many people are fearful of the wrong things, which makes our society 
ripe for militarism, spying and Trump’s own messaging. These fears often
 have little to do with the things people should really be afraid of. 
But the constant fear-mongering explains a lot of Trump’s appeal. As 
AlterNet said last year, “
People
 cannot think clearly when they are afraid. Fear is the enemy of reason.
 It distorts emotions and perceptions, and often leads to poor 
decisions.”
The best way to make sense of the Trump campaign’s 
success is by examining its impact on millions of Americans’ mental 
states. When Donald Trump says some outlandish thing and then denies it 
in the same breath, how does that affect our perceived reality? If a 
presidential debate starts to feel like a sick twist on 
The Most Dangerous Game,
 how can we name and cope with the unsettling feelings we experience? 
Why does fact-checking mean absolutely nothing to a wide swath of the 
American populace? And perhaps the most obvious question of all: are we 
watching an illogical fool or a masterful psychopathic, narcissistic, 
master manipulator at work? Or perhaps both?
We’ve created this 
handy guide to identify the brain games we’ve witnessed over this 
seemingly eternal race. We begin with the psychopathic and narcissistic 
personality, which includes traits Trump so often exhibits. Then, we’ll 
look at some of the realities of life for so many Americans, which make 
them vulnerable to Trump’s appeals. We take apart the tactics and 
defense mechanisms used to cope with the economic and social changes 
that have changed the nature of life in America for so many.
Here’s your useful political glossary of psychological terms for the 2016 presidential election.
Psychopathology and Sociopathology
Though both fall under the designation of 
antisocial personality disorder, psychopathology and sociopathology differ in critical ways.
The general consensus is that psychopaths 
are born, while sociopaths 
are made. That is, while psychopaths are hardwired, sociopaths are products of their (often troubled) upbringings and environments.
While
 psychopaths and sociopaths share some traits—a disregard for laws and 
societal rules; lack of conscience; little concern for others’ 
well-being; frequent use of lies and deception; impulsivity—they present
 in highly different ways socially. Sociopaths, 
according to
 psychologist Scott A. Bonn, “are likely to be uneducated and live on 
the fringes of society, unable to hold down a steady job or stay in one 
place for very long.” People may categorize them as “disturbed,” and in 
some cases, they exist as the stereotypical “drifter.” They’re able to 
form social and emotional bonds, though with greater difficulty than 
most people.
Psychopaths don’t have deep, meaningful connections 
to others; they lack the empathy to do so. That said, they’re able to 
convincingly mimic those feelings, so that those around them might be 
oblivious to their disconnectedness. They often appear to be more 
charming and engaging than the average person, and often attain high 
levels of education and 
career success.
For
 the record, while Trump outranked Hitler when Oxford University ranked 
the candidates according to the standard Psychopathic Personality 
Inventory, he wasn’t the only one who scored high numbers. According to 
the 
UK’s Telegraph, the study placed Clinton somewhere “between Napoleon and Nero.”
Narcissism
Narcissism isn't all
 bad; most of us possess some narcissistic traits that ensure we have 
healthy levels of self-confidence and positive self-images. The 
unhealthy kind of narcissism happens when self-assuredness grows out of 
control, 
resulting in grandiosity and what might be dubbed a superiority complex, serving to mask an otherwise astoundingly fragile ego.
"Narcissists feel superior to others," Stanford University developmental psychologist Eddie Brummelman explained to 
Psychology Today, "but they are not necessarily satisfied with themselves as a person."
For
 this reason, narcissists desire control to maintain their precarious 
sense of self, and the illusion of being the best. They may be bullies, 
making others feel small to make themselves feel big (or 
bigly).
 They’re self-absorbed, concerned with appearances, prone to 
overestimating their competency at any number of things, and often 
vicious in response to the tiniest perceived criticisms, which threaten 
their shaky self-image.
Anita Vangelisti, a UT Austin psychologist, told 
Psychology Today
 that “tactics in the narcissist’s toolbox include bragging, refocusing 
the topic of conversation, making exaggerated hand movements, talking 
loudly, and showing disinterest by ‘glazing over’ when others speak.”
Psychologists Nicholas Holtzman and Michael Strube, also speaking to 
the site,
 have found that “subjects who scored higher in narcissism engaged in 
more disagreeable verbal behaviors, arguing and cursing more—and using 
more sexual language than their more modest counterparts.”
If this
 reminds of you of behavior you’ve seen on the campaign trail, you’re 
not alone. Several mental health clinicians interviewed by 
Vanity Fair expressed the same thoughts.
“Remarkably
 narcissistic,” said developmental psychologist Howard Gardner, a 
professor at Harvard Graduate School of Education, [about Donald Trump].
 “Textbook narcissistic personality disorder,” echoed clinical 
psychologist Ben Michaelis. “He’s so classic that I’m archiving video 
clips of him to use in workshops because there’s no better example of 
his characteristics,” said clinical psychologist George Simon, who 
conducts lectures and seminars on manipulative behavior. “Otherwise, I 
would have had to hire actors and write vignettes. 
He’s like a dream 
come true.”
Narcissists also lack empathy, a trait Joe Biden 
pointed to when he noted that for years, Trump delighted in firing people on national TV.
Projection
This
 defense mechanism, first recognized by Sigmund Freud over 100 years 
ago, projection causes people to deny negative aspects of themselves and
 instead attribute them to others. Virtually everything Trump says, 
particularly during debates, is a projection.
When Trump—the man you can “
bait with a tweet”—
says Hillary Clinton does not have the temperament to be president, that’s sheer projection. He 
tweets that Clinton is “pandering to the worst instincts in our society,” a classic example of projection. Telling 
his base
 that Clinton is "running a hate-filled and negative campaign with no 
policy, no solutions, and no new ideas,” is the ultimate projection. 
Then there are the one-word, catchphrase-style projections: Hillary is a
 crook, crazy, etc.
Wikipedia
 notes that projection “is more commonly found in the neurotic or 
psychotic personalities functioning at a primitive level as in 
narcissistic personality disorder.” As we know from this glossary, 
psychopathic and narcissistic personality traits seem to accurately 
capture Donald Trump's personality disorders, and he has often often 
operated on a primitive level unprecedented in modern presidential 
campaigns.
Displacement
For Trump voters, 
and millions of Americans of all political stripes, much of the fear and
 anxiety of this moment can be boiled down to one powerful psychological
 and emotional experience: displacement.
Displacement is 
defined
 as “the moving of something from its place or position.” In physics, 
displacement occurs when an object is submerged in water, causing an 
equal volume of water to be displaced to make room for it. Freud’s 
psychological definition of displacement suggests that when we cannot 
express fear or anger at a person or situation, our minds unconsciously 
transfer/reassign that anger to a safer target. For example, a worker 
who’s angry at his boss might displace his feelings by taking out his 
anger on his family. A teenager who experiences abuse by a parent might 
become a school bully, redirecting misplaced aggression toward fellow 
students.
The concept is particularly relevant in the context of 
our current reality. When millions of immigrants, legally documented and
 otherwise, flock to the U.S., some—often white Christians—perceive that
 these new arrivals take up space they believe is rightfully theirs. 
It’s easier to express rage, rancor or blame toward powerless others 
than to consider the complexities of issues that can feel out of one's 
control. Many have embraced Trump's anti-immigration stance and the 
fantasy of building a “
big,
 beautiful, powerful wall.” Few have likely given real thought to what 
it would require to track down and forcibly remove 11 million people 
from the country, as Trump says he'll do.
Arlie Hochschild, author of 
Strangers in Their Own Land: Anger and Mourning on the American Right writes that
 displacement among Trump supporters “reflects pain” rooted in the 
feeling that “you've done everything right and you're still slipping 
back.”
The displacement defense “focuses blame on an 
ill-intentioned government,” Hochschild writes. “And it points to 
rescue: The Tea Party for some, and Donald Trump for others.”
Robert P.  Jones, the founding CEO of the Public Religion Research Institute and author of 
The End of White Christian America, explained in an 
AlterNet interview
 that “conservative white Christians, who could see themselves in [a] 
mythical depiction of 1950's America...are having a more difficult time 
seeing their place in a rapidly changing country.” For tens of millions 
of people, this displacement reflects feelings of loss—of culture, jobs,
 community, religion, economics, identity, and hope for the future. 
Jones says Trump has transformed these “self-described ‘value voters’” 
into “nostalgia voters,” casting their ballots less for any one 
candidate than for a return to a past in which their place in the social
 order was secure.
Post-Traumatic Stress Disorder (PTSD)
Trauma
 is the emotional response to a distressing life event. For many victims
 and survivors of trauma, such as sexual abuse, personal violence, war 
combat, natural disasters and beyond, remnants of the pain, anguish and 
suffering from the original incident remain within. Post-traumatic 
stress disorder, or PTSD, is a mental health condition that develops 
when bygone traumas continue to live on in the psyche. They can be 
triggered by any number of factors, causing the person to re-experience 
the feelings they had during the traumatizing event.
PTSD kick starts our innate drives toward fight-or-flight, or even freeze. It 
is likely that both severe trauma and PTSD are under-reported and affect
 a much broader slice of the population. 
This article,
 in the British Journal of Psychiatry, showed that life events and 
divorce are likely to cause more symptoms of PTSD than recognized 
triggers such as car accidents or brushes with death.
Gabor Maté, a doctor and the author of 
In the Realm of Hungry Ghosts, 
suggests that most
 alcoholics and addicts endured childhood trauma. Drugs and alcohol, 
according to Maté, serve to dull the overwhelming emotional pain many 
addicts often feel. For any children who grow up in poverty, “the 
constant and sustained instability and stress of basic survival 
translates into a pervasive and unstinting trauma. The added issues of 
crime and violence in many low-income neighborhoods further traumatizes 
those who live in them...It makes sense that children living in constant
 low-grade terror, in homes and neighborhoods where the conditions can 
be similar to a war zone, complete with militarized police presences, 
would manifest the same conditions as soldiers who have endured combat 
or victims of war.”
Psychology Today
 notes that, "It has long been established that stress-related 
illnesses, such as post-traumatic stress disorder (PTSD) trigger changes
 in brain structure, including differences in the volume of gray matter 
versus white matter, as well as the size and connectivity of the 
amygdala.”
Long-term stress affects the brain by “decreas[ing] the 
number of stem cells that mature into neurons and might provide an 
explanation for how chronic stress also affects learning and memory.” It
 also raises the level of cortisol, dubbed the “stress hormone.” 
Researchers indicate this can lead to a “domino effect that hardwires 
pathways between the hippocampus and amygdala in a way that might create
 a vicious cycle by creating a brain that becomes predisposed to be in a
 constant state of fight-or-flight.”
It’s true that our electoral politics are often drive by fear. But as we've 
previously noted, “on the other hand, there are many millions of people who are afraid for very real reasons.”
These
 include bad policies and messed-up priorities resulting in half the 
country living on the economic margins or in poverty; widespread PTSD 
from our wars; and massive militarization of local police departments 
who use their equipment, gear and racist attitudes to treat citizens as 
if they were terrorists. These are real and valid fears. But they tend 
to be the ones politicians and the wealthy elites deny or ignore.
Triggers
Long
 after a traumatic event has ceased, the imprint—of the fear, sadness or
 panic it caused—may remain buried within. A trigger is an action or 
event that causes survivors to return to their initial trauma, causing 
those feelings to resurface, sometimes as viscerally as the moment in 
which they were first felt.
Trump, who has campaigned on hate and 
misogyny, has triggered millions of survivors with the toxic masculinity
 and sexism he has continuously put out for the last 18 months. Though 
many were already deeply troubled by Trump’s anti-women rhetoric 
throughout the primaries—he has insulted women in every way and at every
 turn—his leaked boasts about sexually assaulting women caused many to re-experience their trauma. During the second presidential debate, as 
Trump skulked creepily across the stage, lurking behind Clinton in 
vaguely menacing ways, calls to a 
national sexual assault hotline increased by a third.
“Symptoms
 of PTSD result when a person has been frightened to the degree where 
they frequently have no words,” Gail Wynn, a sex therapist and professor
 in the Department of Psychiatry and Biobehavioral Sciences at UCLA, 
said during an interview for a 
related piece.
 “They have no behavior, no response that they know of that they can use
 to stop whatever is happening, that is frightening them and terrorizing
 them. This is the body’s way of registering to an individual that 
whatever they’re experiencing is really beyond what the body can 
process. The body frequently goes back to those same symptoms and those 
same kinds of reactions with other experiences that may be similar to 
what they went through, or even where the same language might be used.”
Triggers
 set off responses that are beyond the control of those who experience 
them. They tend to take the form of fight-or-flight, or the survivor may
 freeze, immobilized by the overwhelming rush of feelings they’re 
experiencing. Survivors describe reactions from sleeplessness to 
flare-ups of chronic pain to uncontrollable crying. Many went offline or
 turned off their televisions when Trump and other related election 
stress became too much to bear.
Cognitive Dissonance
Cognitive
 dissonance is what we call the tension and anxiety that result from 
holding, and attempting to reconcile, two contradictory or conflicting 
ideas, thoughts or opinions. We all experience cognitive dissonance at 
some point; think of it as a kind of internalized, nagging discomfort 
over our own hypocrisy. Vegans who wear leather, or joggers who smoke 
cigarettes, could possibly experience cognitive dissonance. In the case 
of the election, patriot hawks supporting a five-time 
draft dodger; pious evangelicals voting for a thrice-married philanderer who publicly cheated on his 
first two wives; conservative moralists boosting a man who brags about grabbing women “by the pussy”; and long-time Kremlin critics 
rooting for the guy who can’t say enough good things about Putin could likely be afflicted with cognitive dissonance.
The
 ways we cope with cognitive dissonance include rationalizing the 
schisms in our thinking; for example, dismissing a candidate’s vivid 
description of sexual assault as mere locker-room talk. It might also 
include modifying our opinions to eliminate discrepancies in thinking. 
Case in point: a recent 
study by
 the Public Religion Research Institute found that just five years ago, 
only 30 percent of white evangelical Protestants and 36 percent of 
Republicans agreed that “an elected official can behave ethically [in 
public office] even if they have committed transgressions in their 
personal life.” In the age of Trump, that number has more than doubled 
to 72 percent among white evangelicals, and increased to 70 percent 
among Republicans overall—the largest gains among any demographic 
groups.
Dunning-Kruger Effect
A 
psychological phenomenon first identified in 1999 by Cornell 
University’s David Dunning and Justin Kruger, the effect describes the 
tendency of those who lack information on a subject or topic to 
erroneously overestimate their knowledge or skill in said area. In other
 words, to know how bad you are at something, you need to have some 
knowledge of what it takes to be good at it, without which, you’re 
likely to be overconfident about your competency. (Conversely, if you 
have a lot of knowledge about a certain thing, and a fairly good 
understanding of its complexity, you’re more likely to underestimate 
your abilities.) The principle might be regarded as the inverse proof of
 the famous Einstein truism, which states, “The more I learn, the more I
 realize how much I don't know.” It also brings to mind the old adage, 
“A little knowledge can be a dangerous thing.”
In a recent op-ed for 
Politico titled,
 “The Psychological Quirk That Explains Why You Love Donald Trump,” 
Dunning concluded that the effect extends to “political judgment”:
“In
 voters, lack of expertise would be lamentable but perhaps not so 
worrisome if people had some sense of how imperfect their civic 
knowledge is,” he writes. “If they did, they could repair it. But the 
Dunning-Kruger Effect suggests something different. It suggests that 
some voters, especially those facing significant distress in their life,
 might like some of what they hear from Trump, but they do not know 
enough to hold him accountable for the serious gaffes he makes. They 
fail to recognize those gaffes as missteps…[T]he key to the 
Dunning-Kruger Effect is not that unknowledgeable voters are uninformed;
 it is that they are often misinformed—their heads filled with false 
data, facts and theories that can lead to misguided conclusions held 
with tenacious confidence and extreme partisanship, perhaps some that 
make them nod in agreement with Trump at his rallies.”
Throw in a little 
confirmation bias—a
 cognitive bias that makes people interpret new information, including 
facts that directly contradict what they believe, in a way that confirms
 their preconceived ideas—and we're off to the races.
The numbers bear this out. In 
study after study,
 researchers find that college-educated voters are statistically far 
more likely to vote for Clinton than for Trump. What’s more, Fox News 
watchers are the 
most misinformed of television news consumers, scoring even lower than those who consume no news at all, and Fox viewers 
mostly fall into the Trump camp.
Gaslighting
The term gaslighting comes from the classic 1944 psychological thriller 
Gaslight,
 starring Charles Boyer and Ingrid Bergman as a married couple. Boyer 
plays an unscrupulous husband who secretly dims and brightens a 
gaslight, then denies any change has happened when his wife questions 
him about the shifting light levels. He follows up the gaslight trick 
with a number of other manipulations, all while maintaining that his 
spouse is imagining the changes around her. The maddening ruse has its 
intended effect, with Bergman’s character growing to doubt her own eyes,
 judgment, and ultimately, her sanity.
Psychotherapist and author Christine Louis de Canonville 
describes gaslighting
 as "a form of psychological abuse used by narcissists in order to 
instill in their victims an extreme sense of anxiety and confusion to 
the point where they no longer trust their own memory, perception or 
judgment."
Most often, gaslighting is used in romantic relationships by 
one partner trying to manipulate the thinking of the other. Think 
cheaters attempting to make their spouses doubt evidence of infidelity, 
controlling lovers who wield confusion and blame to crush their 
partners’ self-esteem, leaving dependence and over-reliance in its 
place. By pretty much every measure, Donald Trump is the king of 
gaslighting, a mind game he’s employed on a massive scale to disorient 
tens of millions of people in his quest for the presidency.
Trump 
has deftly used gaslighting throughout his campaign to avoiding 
responsibility for pretty much anything, employing topsy-turvy “logic” 
to instead place blame on everyone else. So, the media is out to get 
him, the election is rigged and debate moderators are unfair. 
New Republic's
 Brian Beutler highlights Trump’s attempted gaslighting of voters to 
deny his use of “birtherism and other forms of racist agitation to build
 a political base for himself" by pointing the finger at Hillary 
Clinton’s long-term adviser Sidney Blumenthal. Even electronics do not 
escape unscathed: Trump's 
debate mic was purposely sabotaged, and a “
lousy earpiece” is to blame for his refusal to disavow David Duke and the Ku Klux Klan.
Perhaps
 Trump’s most blatant use of gaslighting came just after the leak of the
 2005 Access Hollywood video. Following the revelations, a number of 
women—
at least 11
 so far—have publicly stated, using detailed examples of Trump’s alleged
 sexual abuse, that Trump behaves in real life as he described on the 
tape. Trump’s response has been to dub all the women liars, accuse 
Clinton, a Mexican 
billionaire and a 
globalist conspiracy of trying to destroy him, and suggest that 
he’ll sue them all. 
According to
 Paul Rosenberg, Trump’s reaction "was not surprising: a wholesale 
denial, accusing everyone else of lying, secrecy and bad faith, thus 
creating an alternate reality and claiming it to be true." In other 
words, textbook gaslighting. Rosenberg cites psychotherapist and 
political analyst Leah McElrath, who writes that “Trump’s statement is 
an eerie replica of psychological manipulations made by abusers after 
episodes of abuse.”
Trump Anxiety
For millions of Americans and people 
around the world, the
 thought of having a race-baiting, sexual assault-promoting, xenophobic,
 policy-ignorant demagogue in the White House is a genuinely scary 
prospect, one frightening enough to keep them up at night. Back in 
April, the 
Washington Post
 spoke with numerous psychologists and massage therapists who reported 
seeing a new strain of fear and stress among their patients. They 
identified this as Trump Anxiety, a crippling psychological condition 
that has everything to do with potential for Trump to become president, 
and falls under the umbrella of Election Seasonal Affective Disorder. 
All of the factors described above—narcissism, gaslighting, projection, 
trauma and PTSD, etc.—contribute to Trump Anxiety.
“Usually it’s 
combined with other anxiety triggers that they may be having, and it can
 cause sleeplessness, restlessness, feeling powerless,” Kimberly 
Grocher, a psychotherapist in New York, told 
Slate’s Michelle Goldberg. “It can lead to feelings of depression.”
The
 pressure seems even more acute among those with histories of personal 
or familial trauma. Goldberg spoke to a therapist who said one patient, 
from a family of Holocaust survivors, told her “it feels to her like all
 the stories she heard from her grandparents.” Grocher, who is African 
American, says her patients of color have expressed fear about, “What’s 
going to happen in my community if this person is in office?”
The fear and anxiety surrounding Trump’s ascent haven’t only affected adults. A Southern Poverty Leadership Conference 
survey
 found “more than two-thirds of the teachers reported that 
students—mainly immigrants, children of immigrants and Muslims—have 
expressed concerns or fears about what might happen to them or their 
families after the election.”
In the end, many are finding that 
their fear has been heightened by the prospect of a Trump presidency, 
and the question of what will come next.
     
 
  
          
                  
 Don Hazen is the executive editor of AlterNet.
 
 Kali Holloway is a senior writer and the associate editor of media and culture at AlterNet.