He's on the fetal alcohol syndrome disorder spectrum and has never been fully conscious. It fully explains his behavior over the course of his existence.
I didn't know that.
His cousin Mary, a psychologist, knows him well & has some 'charming' things to say about him.
Trump's father wound him up (power plays) & Norman Vincent Peale (The Power of Positive Thinking) fixed both of them for good.
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Additionally, FASD doesn't preclude other mental disorders. They ride on top of the FASD base.
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He has no conscience. It's estimated that 60% of prison inmates are on the FASD spectrum.