In Our Guts, We Know They’re Nuts

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I’m not old enough to remember Barry Goldwater’s presidential campaign. But because the late senator is a hero of mine, I have read quite a bit about what happened. I am, therefore, well aware that President Lyndon B. Johnson’s people put out a TV ad implying that if the Republican challenger triumphed in the 1964 election, he would blow up the world. Reportedly the spot only aired once, but that was all it took. A nuclear bomb doesn’t need to go off twice.

“In your heart, you know he’s right” was Goldwater’s campaign slogan. This was changed, by the Democrats, to “In your guts, you know he’s nuts.” The political Left has a long history of smearing those it doesn’t like with accusations of insanity.

During that tumultuous campaign, a now deservedly defunct magazine called Fact put out an article whose headline screamed, “1,189 Psychiatrists Say Goldwater Is Psychologically Unfit To Be President!” If facts really mattered to this publication, one detail might have given it pause. Absolutely none of those 1,189 self-proclaimed experts ever actually examined the senator.

The political Left has a long history of smearing those it doesn’t like with accusations of insanity.

Goldwater sued the magazine’s editor, Ralph Ginzburg, for libel, and won $75,000 in damages. Though that was, at the time, a lavish sum — the equivalent of approximately $592,000 in today’s funds — the case exerted an influence that was larger still. It resulted in what has come to be known as the “Goldwater Rule.” Officially designated paragraph 7.3 of the Principles of Medical Ethics by the American Psychiatric Association in 1973 (and still in effect today), the rule reads as follows:

On occasion psychiatrists are asked for an opinion about an individual who is in the light of public attention or who has disclosed information about himself/herself through public media. In such circumstances, a psychiatrist may share with the public his or her expertise about psychiatric issues in general. However, it is unethical for a psychiatrist to offer a professional opinion unless he or she has conducted an examination and has been granted proper authorization for such a statement.

Of course the same president whose campaign accused his challenger of insanity is the one who accelerated US military involvement in Vietnam. It was outside his White House that the protestors chanted, “Hey, Hey, LBJ! How many kids did you kill today?” The nation didn’t need to wonder whether President Johnson’s abuses of political power would lead to the deaths of massive numbers of people, because they undeniably did.

But like every other ethical constraint in 21st-century politics, the professional responsibility we might expect from media shrinks is probably not long for this world. Now that Donald Trump is president, his adversaries have the Goldwater Rule in their crosshairs. Some know-it-all in the psychiatric industry rises up to tell us, almost on a daily basis, that if the present occupant of the Oval Office is not a raving maniac, he is, at the very least, teetering on the brink.

The nation didn’t need to wonder whether President Johnson’s abuses of political power would lead to the deaths of massive numbers of people, because they undeniably did.

Though I think the former assessment is extreme, there are a lot of days when I agree with the latter. The Donald often strikes me as an oversized and very spoiled child, who’s been indulged with dangerous toys. Unlike Little Ralphie in A Christmas Story, he probably never had grownups in his life with the nerve to tell him, “You’ll shoot your eye out!” But then again, I don’t regard politicians in general as the most stable or mature specimens of humanity. It could be credibly argued that no mentally healthy adult would ever run for president of the United States.

What really seems to set Donald Trump apart from the rest of the field is the undisguised, boyish glee with which he lives his presidential dream. He’s Big Ralphie, and his BB gun is apocalyptically yuge. He lacks the veneer of sophistication and glibness — an aura of helmsmanship that is probably never more than tissue-thin — that we’ve seen in almost every other aspirant to high office. I suspect, however, that far from making him more destructive than any potential rival, Trump’s weird childishness makes it easier for a majority of us to keep from trusting him overmuch.

Yet the armchair headshrinking is threatening, as well as unethical, because when such “professional” conduct is treated as legitimate, everyone who disagrees with the “experts” runs the risk of being branded as “crazy” — a term that has long been synonymous not only with “dangerous” but also with “evil.” A phony diagnosis is evil in itself. And it subjects people who actually suffer from mental problems to stigma, isolation, and, potentially, far greater dangers than the vast majority of them pose to anyone else.

It could be credibly argued that no mentally healthy adult would ever run for president of the United States.

Thus does the quest for political power threaten to obliterate the very line between sanity and insanity. An insatiable lust for power is coming to be accepted as mentally healthy, and the belief that there are more important things in life is widely dismissed as a disease of moral irresponsibility. But to those who love liberty, tyranny is insane. If liberty is to be preserved, that line must continue to be sharply and clearly drawn.

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