Jul 16th 2024

How being shot might affect Donald Trump’s mental health – and that of millions of others

by Simon McCarthy-Jones

 

Simon McCarthy-Jones is Associate Professor in Clinical Psychology and Neuropsychology at the Trinity College Dublin.

 

After the attempted assassination of Donald Trump at his Pennsylvania campaign rally, there is much speculation about how this will affect the 2024 US election. However, no one is yet asking how these events may affect Trump himself.

Many appear to assume that because Trump walked away with seemingly minor injuries, he will continue with business as usual. For anyone who thought society now understood the potential mental health effects of trauma, this assumption is both disappointing and troubling.

Trump may not experience any psychological effects, but given that he could soon be re-elected, the potential effect of these events on his mental health — whether negligible, negative or positive — cannot be ignored.

These tragic events also offer an opportunity for both society and Trump to reignite the wider conversation about the effect and management of trauma and to spur new action.

Trump joins tens of thousands of Americans treated for non-fatal gunshot wounds each year. Such experiences can shatter people’s assumptions that they are living in a safe, understandable and controllable world, leaving them feeling unworthy, unsafe and unsure.

As a result, survivors of non-fatal gun violence face increased risks of depression, anxiety, substance use and post-traumatic stress disorder (PTSD). PTSD can feel overwhelming. People may re-experience the event through flashbacks or nightmares. They may also have palpitations, sweating or breathlessness when reminded of the event.

PTSD also often sees people trying to avoid reminders of the event, losing interest in activities, and feeling numb, irritable and jumpy. They may be constantly watching out for threats, have difficulty concentrating, have angry outbursts and experience overwhelming emotions.

Indeed, many trauma survivors struggle with their emotions. The person may not understand or be aware of their emotions, find it hard to control them, and struggle to stay focused and avoid impulsive actions. Given Trump’s previously reported “uncontrollable” experiences of anger, his emotions and ability to manage them will come under scrutiny.

Conversely, some trauma survivors experience post-traumatic growth. They may develop greater empathy, stronger relationships, deeper spirituality and find new meaning in life. After being shot in 1981, the then president Ronald Reagan’s trauma seemed to deepen his sense of empathy and humility. He felt God had spared him for a reason, spurring him to reduce nuclear tensions with the Soviet Union.

Reactions to trauma vary widely. The outcome is influenced by a person’s personality and biology. The meaning people make of their experience and the available social support also play a key role.

Being an extrovert, as Trump is argued to be, is linked to a better ability to adapt to stress and fewer PTSD symptoms. However, other personality traits, including low agreeableness, low conscientiousness and low emotional stability, also attributed to Trump, are associated with greater levels of PTSD. Finally, high levels of narcissism, as Trump is said to display, also encourage the development of PTSD and can cause people to react to even limited threats with aggression.

How someone makes sense of their trauma can be crucial for its consequences. Feeling shame or anger with others after experiencing violent crime is associated with a greater likelihood of developing PTSD.

If the person can make sense of why the event happened or can draw something positive from it, better outcomes can be expected. The meaning Reagan made of his shooting was that it was a sign of divine protection and destiny, which appears to have reinforced his commitment to his presidential duties.

Social support can be vital to recovery from trauma. Having high levels of social support before experiencing a trauma makes one less likely to develop PTSD. And high levels of social support after PTSD help with recovery.

Such support can come from family, friends or a community, who can help by providing safety and belonging, helping them make sense of events, helping with problem-solving and discouraging risky behaviour. Trump’s family and team will be essential in helping him process this weekend’s events.

On which note, the ability of trauma to powerfully ripple out from an event also needs to be recognised. Those at Trump’s rally, including his security detail, as well as his friends, family and the wider public who witnessed the event on TV, all need to be aware of potential signs of trauma in themselves and each other.

Opportunity for positive effects

Thankfully, there is now a wide range of psychological therapies to help people with PTSD. Many mental health charities also offer suggestions and support. Yet there remains much to be done, including a need for more mental health staff training in trauma-informed care and greater government support and funding for services.

Recent events offer Trump an opportunity to positively drive such change. He could help destigmatise the struggles that many survivors of trauma experience. This could include busting the myth that it is a sign of weakness to seek support and help. Conversely, were Trump to make any disparaging remarks about survivors of trauma, akin to those he is alleged to have made before about wounded veterans, this would be profoundly damaging.

Trump could also help dispel the lingering idea that PTSD is primarily linked to guns, combat and warfare. He could highlight how around half of rape survivors experience PTSD. Indeed, as psychologist Judith Herman points out, “the most common PTSDs are those not of men in war, but of women in civilian life”.

Trump could also help society better understand non-fatal gun violence and enhance the provision of effective care for both survivors and their families.

As the world watches, the effect of these events on Trump, both personally and politically, will unfold. Everyone is deserving of compassion. Effectively dealing with the psychological effects of trauma will be crucial, not just for Trump but for society as a whole.

Simon McCarthy-Jones, Associate Professor in Clinical Psychology and Neuropsychology, Trinity College Dublin

This article is republished from The Conversation under a Creative Commons license. Read the original article.

Browse articles by author

More Essays

Sep 26th 2024
EXTRACT: "When it comes to economic policy, Carter is sometimes blamed for excessive regulation, government spending, and runaway inflation. His successor, Ronald Reagan, is often credited with ending the era of “big government.” But the conventional narrative fails to acknowledge that it was Carter who launched the deregulatory push that bore fruit during the Reagan years."
Sep 26th 2024
EXTRACT: "Buffett's status as the Oracle of Omaha stemmed from his ability to develop the wisdom and judgment that transformed him from a good conceptual investor into an exceptional experimental one."
Sep 26th 2024
EXTRACT: "Last year, a social-media trend featured women asking men how often they thought about the Roman Empire. The answer, it seemed, was “very”: many men claimed that the ancient empire crossed their minds weekly or even daily. That did not surprise Mike Duncan, the host of the popular 'History of Rome' podcast, and probably not Tom Holland, who has written multiple bestselling books on the topic. Mary Beard certainly understands the popular fascination, too. Her study of ancient Rome – together with her unpretentious style and brash charisma – has made her what one observer called 'a national treasure, and easily the world’s most famous classicist.' ” ----- "Beard challenges this mythology of whiteness, arguing in her 2016 book SPQR: A History of Ancient Rome that the story of the Roman Empire, which was necessarily ethnically diverse, is 'the history of people of color'. In fact, the book concludes with Emperor Caracalla’s grant of citizenship to all the empire’s subjects. The old Roman aristocracy lost its privileges, because it had not shared them."
Sep 22nd 2024
EXTRACTS: "Since the golden age of Athenian democracy, freedom of speech has been viewed as a defining feature of open societies, even as it remains under constant attack. The Athenians believed that the proper functioning of government depended on free and honest exchange of ideas, no matter how controversial or unpopular. In ancient Rome, by contrast, only senators enjoyed anything resembling free speech – and even then, as the statesman Marcus Tullius Cicero learned the hard way, speaking out could have deadly consequences." ----- "In our hyper-connected world, where mobile phones outnumber people and most of the global population has internet access, the decline of traditional news outlets has deepened our dependence on social media. As opaque algorithms shape the news we consume and our perception of reality, the corporations and oligarchs controlling these platforms pose a growing threat to free speech. Although they claim to be its ultimate defenders, their business model, by amplifying disinformation and identity-based grievances for profit, renounces the responsibility that sustains it."
Jul 27th 2024
EXTRACT: "Some conservative intellectuals think the west has already adopted Christianity-lite. Many point to the book Dominion: The Making of the Western Mind (2019), by historian Tom Holland. Holland argues that despite declining religious belief, Christian ideas remain central to western civilisation. He views liberalism – our dominant political philosophy – as secularised Christianity. For him, core western ideas, like universal human rights, equality and dignity, stem from Christianity."
Jul 26th 2024
EXTRACTS: "We often hear about the importance of the human microbiome – the vast collection of bacteria and fungi that live on and inside us – when it comes to our health. But there’s another, equally important part of this microbial community that remains far less known: the virome." ----- "Viruses are the most abundant biological entities on Earth, with an estimated 10³¹ viral particles globally and about 10¹³ in each human being." ----- "Understanding the virome could revolutionise medicine and public health."
Jul 16th 2024
EXTRACTS: "Trump joins tens of thousands of Americans treated for non-fatal gunshot wounds each year. Such experiences can shatter people’s assumptions that they are living in a safe, understandable and controllable world, leaving them feeling unworthy, unsafe and unsure. As a result, survivors of non-fatal gun violence face increased risks of depression, anxiety, substance use and post-traumatic stress disorder (PTSD). PTSD can feel overwhelming." ---- ".... some trauma survivors experience post-traumatic growth. They may develop greater empathy, stronger relationships, deeper spirituality and find new meaning in life. After being shot in 1981, the then president Ronald Reagan’s trauma seemed to deepen his sense of empathy and humility. He felt God had spared him for a reason, spurring him to reduce nuclear tensions with the Soviet Union."
Jul 15th 2024
EXTRACTS: "Artificial sweeteners such as sucralose are not metabolised by the human body so they are excreted – this is what makes them low-calorie sugar alternatives. And that’s where the environmental problem begins. Current wastewater treatment plants are unable to remove these sugar mimics, meaning they end up in our environment – in our water, rivers and soil." --- "Forever chemicals are increasingly present in our streams, rivers and oceans – most notably per- and polyfluoroalkyl substances (PFAS) that don’t degrade. PFAS are synthetic chemicals found in many consumer products, including skincare products, cosmetics and waterproof clothing. PFAS can remain in the human body for many years, and some present significant risks to our health – potentially causing liver damage, thyroid disease, obesity, infertility and cancer."
Jul 3rd 2024
EXTRACTS: "Psychologist, James Hillman had concerns about what I like to call the 'loneliness-as-pathology' "---- "....Hillman went on to argue...: 'If loneliness is an archetypal sense built into us all from the very beginning, then, to be alive is also to be lonely. Loneliness, therefore, will come and go as it chooses in the course of a lifetime, quite apart from our efforts to deny or avoid this reality.' "
Jul 3rd 2024
EXTRACT: "How can we be at least 15 times richer than our pre-industrial Agrarian Age predecessors, and yet so unhappy? One explanation is that we are not wired for it: nothing in our heritage or evolutionary past prepared us to deal with a society of more than 150 people. To operate our increasingly complex technologies and advance our prosperity, we somehow must coordinate among more than eight billion people."
Jun 25th 2024
EXTRACTS: "What’s interesting about the entire Russia-North Korea showy display of camaraderie is China’s response: silence. China has misgivings about how things are unfolding, which reports suggest prompted Chinese president Xi Jinping’s call to Putin to call off the latter’s visit to Pyongyang. Obviously, Putin didn’t heed Xi’s request." ----- "The Sino-Korean animosity dates back centuries and took shape when Korea was a vassal state of imperial China. Unfortunately, this animosity extended to modern times when Mao Zedong decided to station Chinese troops in North Korea even after the conclusion of the Korean war, and when Beijing did not aid Pyongyang in its nuclear ambitions. It didn’t help either that the founding leader of North Korea, Kim Il-sung, was suspected of espionage and was nearly executed by the Chinese Communist party in the 1930s."
Jun 19th 2024
EXTRACT: "Ultra-processed foods (such as packaged snacks, sugary drinks, instant noodles and ready-to-eat meals) often contain emulsifiers, microparticles (such as titanium dioxide), thickeners, stabilisers, flavours and colourants. While research on humans is limited, studies on mice have shown that these ingredients alter the gut microbiome (the community of microorganisms living in the intestines) in several ways. These many microbiome changes can in turn affect the way the immune system functions."
Jun 9th 2024
EXTRACT: "Alzheimer’s disease can be split in two subgroups, familial and sporadic. Only 5% of patients with Alzheimer’s are familial, inherited, and 95% of Alzheimer’s patients are sporadic, due to environmental, lifestyle and genetic risk factors. Consequently, the most effective tactic for tackling Alzheimer’s is preventative and living a healthy lifestyle. This has led researchers to study risk factors associated with Alzheimer’s."
Mar 8th 2024
EXTRACT: "This study suggests that around 10% of people diagnosed with dementia may instead have underlying silent liver disease with HE causing or contributing to the symptoms – an important diagnosis to make as HE is treatable."
Jan 28th 2024
EXTRACT: "Health disparity is a powerful weapon in the savage class warfare otherwise known as neoliberalism. (In 2020, the RAND Corporation did a study of the transfer of wealth over the last several decades from the working-class and the middle-class to the top one percent. Their estimate is a staggering $47 trillion – that is how much the “upward redistribution of income” cost American workers between 1975 and 2018.) Neoliberalism is a brutal form of labor suppression, which uses health as a means of maintaining and reproducing a condition in which wealth is constantly being redistributed upwards, and the middle-class is kept in a constant state of fear of sinking into the ranks of the poor. Medical expenses are the leading cause of bankruptcies in America – and that’s according to the American Bankruptcy Institute. The ballooning costs of healthcare serve to maintain a system marked by morally unacceptable health inequity and injustice."
Jan 28th 2024
EXTRACT. "But living longer has also come at a price. We’re now seeing higher rates of chronic and degenerative diseases – with heart disease consistently topping the list. So while we’re fascinated by what may help us live longer, maybe we should be more interested in being healthier for longer. Improving our “healthy life expectancy” remains a global challenge. Interestingly, certain locations around the world have been discovered where there are a high proportion of centenarians who display remarkable physical and mental health. The AKEA study of Sardinia, Italy, as example, identified a “blue zone” (named because it was marked with blue pen),....."
Jan 4th 2024
EXTRACT: ""Tresors en Noir et Blanc" presents 180 prints from the collection of the Musee des Beaux-Arts de la Ville de Paris, also known as the Petit Palais.  The basis of the museum's print collection is 20,000 engravings amassed by a 19th-century collector, Eugene Dutuit, " ----- "This wonderful exhibition, the tip of a great iceberg, serves to emphasize how unfortunate it is that the tens of thousands of prints owned by the Petit Palais are almost never seen by more than a handful of scholars who visit them by appointment.  Nor is the Petit Palais the only offender in this regard,....."
Jan 4th 2024
EXTRACTS: "And that is the clue to Manet’s work. He paints painting, regardless of his subject: he paints the medium itself, it as if he is constantly reminding us that this is a painting," ..........."This is a new conception of painterly truth at play here, a new fidelity to truth. Manet is the Kant of painting because he initiates a similar kind of “Copernican revolution” – we do not see the world as it is but as we are. " -------- " Among the most remarkable but unfamiliar of Manet’s work on display are those depicting the bloody aftermath of the Paris Commune of 1871.There is no question regarding Manet’s condemnation of the Versailles government’s actions following the defeat of the Commune, when some 25,000 Parisians were gunned down, including women and children."
Dec 27th 2023
EXTRACT: "Think of our brain like a map. When we’re young, we explore all corners of this map, sending out connections in every direction to make sense of our environment. Before long, we figure out basic truths – such as how to secure food, or where we live – and the neurological paths that make up these connections strengthen. Over time, a network emerges that reflects our unique experiences. Regions we re-visit often will develop established paths, whereas under-used connections will fade away. ---- Conditions such as addiction, chronic depression and post-traumatic stress disorder (PTSD) are characterised by processes such as repetitive negative thinking or rumination, where patients focus on negative thoughts in a counterproductive way. Unfortunately, these strengthen brain connections that perpetuate the unfavourable mental state."
Dec 14th 2023
EXTRACT: "While no one was looking, France has become a melting pot of European peoples. Its neighbors have traditionally been welcomed, and France progressively turned them into French boys and girls in the next generation."