Donald Trump's behavior is imminently dangerous to the health and safety of all Americans and to democracy. Despite losing the 2020 election, he has been fighting relentlessly to stay in power.

He has called for a protest in DC on Wednesday (Jan. 6), promising it will be "wild", to which the misogynist and violent "Proud Boys" responded. His conspiracy-mongering has enlisted 140 Republican representatives to plot to overturn the election by getting Congress to contest the validity of votes that are unfavorable to him, while Sen.Ted Cruz (R-Texas) has recruited at least 11 other senators to delay election ratification by 10 days, opening room for further disruption and upheaval.

Meanwhile, there have been warnings that Trump could invoke the Insurrection Act at any sign of discord in the streets, or begin a war with Iran to interrupt the inauguration.

On Sunday, the Washington Post released a recording of Trump's hour-long call to Brad Raffensperger, Georgia's secretary of state overseeing elections, first to berate, bully, and beg him into changing the vote totals, and then to threaten him when he refused. The full recording reveals the president to be highly irrational and unstable, confirming better than any interview our previous assessment of lack of capacity for rational decision-making, but above all showing the president to be highly symptomatic and dangerous. Here are some of our alarming findings.

A person who cannot tolerate certain realities may use various conscious and unconscious methods of minimizing those disturbing feelings by trying to change reality in their minds. At the extreme end of this continuum, emotionally fragile persons can rely on delusions, or false beliefs that are rigidly fixed in order to support a vitally-needed belief, such as in their superior value. Not only are these beliefs unamenable to facts and evidence, but they may bring a need to control what other people believe and say in order to ensure that the unbearable reality does not upset them. Here are some examples:

• • "I think it's pretty clear that we won. We won very substantially in Georgia."
  • "We have many, many times the number of votes necessary to win the state. And we won the state, and we won it very substantially and easily."
  • "They say it's not possible to have lost Georgia. It's just not possible to have lost Georgia, It's not possible. When I heard it was close, I said there's no way."
  • "We won this election by hundreds of thousands of votes. There's no way I lost Georgia. There's no way. We won by hundreds of thousands of votes…. I won the state by hundreds of thousands of votes."
  • "Your numbers aren't right. They're really wrong, and they're really wrong, Brad…. Look, ultimately, I win, okay? Because you guys are so wrong."

The presence of delusions does not negate criminal intent. Donald Trump appears rather to rely on and maintain them interpersonally, by using denial, dismissal, contempt, ridicule, domination, invalidation, belittling, ignoring, and psychological annihilation to advance his agendas and to control others. His inability to hear anything that threatens his ability to feel good about himself pressures others to comply, and his actual conviction makes his false beliefs more persuasive. Psychic annihilation of others implies that others believe what he believes, and may: tell others what they know or do not know; or entirely discredit and bulldoze over the perceptions of other people as if to implant his reality inside their minds.

• • "They dropped a lot of votes in there late at night. You know that, Brad."
  • "But in Fulton, where they dumped ballots, you will find that you have many that aren't even signed, and you have many that are forgeries. Okay, you know that. You know that. You have no doubt about that."

Donald Trump's emotional vulnerability relentlessly drives him to force external reality to conform to his internal reality—in this case, that he won the state of Georgia and also the election. The need to assert this belief is evident in the phone call to Georgia Secretary of State Brad Raffensperger in several ways: Donald Trump dominates the hour-long conversation, repeatedly asserting on Raffensperger his fixed false belief that he won the election. He tries to annihilate the other person's independent perceptions by assuming a kind of ownership over them. He projects his feelings onto him and fails to differentiate between himself and "the state." Failure of differentiation manifests in ascribing to others one's own thoughts, feelings, or motives, failing to recognize the difference between what he feels and what others feel, conflating his feelings and the needs of "the state," or "the people." This facilitates narcissistic entitlement, which Donald Trump also displays, assuming that he should be able to get whatever he wants if he simply lets it be known and applies the right kind of pressure.

• • "So there were many infractions, and the bottom line is, many, many times the 11,779 margin that they said we lost by—we had vast, I mean the state is in turmoil over this."
  • "We have won this election in Georgia based on all of this. And there's nothing wrong with saying that, Brad. You know, I mean, having the correct—the people of Georgia are angry."
  • "And I hate to imagine what's going to happen on Monday or Tuesday, but it's very scary to people. You know, when the ballots flow in and out of nowhere. It's very scary to people."
  • "I think we should come to a resolution of this before the election. Otherwise, you're going to have people just not voting. They don't want to vote. They hate the state, they hate the governor, and they hate the secretary of state."

Donald Trump also refuses to acknowledge the legitimacy of any statement of fact that threatens his false beliefs. On the one hand, he must dominate in order not to have to hear information that in any way disconfirms the reality he needs to believe. On the other hand, any spreading of hearsay, childlike conclusions, fantasies, cajoling, or attempts to humiliate, intimidate, and threaten are acceptable.

Trump: … why did they put the votes in three times? You know, they put 'em in three times.

Raffensperger: Mr. President, they did not put that. We did an audit of that, we proved conclusively that they were not scanned three times.

Trump: (Changing the subject) Where was everybody else at that late time in the morning?

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Raffensperger: Mr. President, we'll send you the link from WSB.

Trump: I don't care about the link. I don't need it.

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Trump: Dominion [Voting Systems] is really moving fast to get rid of their, uh, machinery. Do you know anything about that? Because that's illegal, right?

Ryan Germany (lawyer for Raffensperger, on the phone call): No, Dominion has not moved any machinery out of Fulton County.

Trump: But have they moved the inner parts of the machines and replaced them with other parts?

Ryan Germany: No.

Trump: Are you sure, Ryan?

Ryan Germany: I'm sure. I'm sure, Mr. President.

Trump: Have they been shredding ballots?

Ryan Germany: They have not been shredding any ballots.

Trump: It doesn't pass the smell test because we hear they're shredding thousands and thousands of ballots…. I'm just telling you, Ryan. They're shredding ballots.

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Raffensperger: Mr. President, the problem you have with social media, they—people can say anything.

Trump: Oh, this isn't social media. This is Trump media…. Social media is Big Tech. Big Tech is on your side, you know. I don't even know why you have a side because you should want to have an accurate election.

Raffensperger: We believe that we do have an accurate election.

Trump: No, no, you don't. No, no, you don't. You don't have. Not even close.

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Trump: We won Georgia easily. We won it by hundreds of thousands of votes.

Ryan Germany: Well, that's not the case, sir. There are things that under law we are not allowed to give out.

Trump: Well, you have to. Well, under law, you're not allowed to give faulty election results, okay? And that's what you've done. This is a faulty election result…. The real truth is, I won by 400,000 votes. At least. That's the real truth.

Incapacity to discharge the duties of office does not equal incapacity to stand trial or exemption from criminal responsibility. Rather, the presence of mental impairment may contribute to how dangerous a person is, and in the context of unfettered authority to launch nuclear weapons at any time for any reason, this is a serious issue.

We as a nation need to ask ourselves: Does it matter if the President of the United States is delusional? Do we care if the poor functioning of a president's mind adversely affects the ability of the people who keep our democratic institutions to function ethically, morally, and in keeping with the Constitution? Should we be concerned about the influence the mental condition of those in power has on the population, and how their decisions affect us?

And what are our limits? How long do we look away from a person who, in every other situation, would be deemed a danger to himself, others, and the public and be evaluated under an involuntary mental health hold—just because he is president? How far do we subordinate our safety, the nation's survival, and the wellbeing of all society to the privilege of one person?

Featured image: CBS News

Madeline Taylor, Ph.D., is a member of the World Mental Health Coalition (worldmhc.org) and a licensed marriage and family therapist residing in Los Angeles. She has a petition for the public, approved by Dr. Lee.

What you saw on Election Night from Trump and his entire "cast" was a performance, an event orchestrated to send a message to you and to Trump, himself, regarding his greatness and his singular importance.

What happens during charades like this is that Trump, just like a child playing "let's pretend," actually believes that he is truly the great and important man that the audience and the presidential setting imply.

Even though Trump likely wrote the entire script and cast the actors in their respective parts, he lives it out as if it were real. For these moments as the undisputed center of attention, he is finally the adored one...a feeling he never had as an infant or young child. He expresses his unconscious, archaic grievances against the inattentive mother and indifferent father of his childhood, tonight played by the Americans who didn't vote for him, but this time he has a rapt audience applauding his anger and outrage and expressing its undying affection and support.

This is a grand enactment of something Trump longed for but never had at the developmentally appropriate ages. So now, when he has the chance, he expresses the delusional and paranoid belief that Joe Biden, who is getting the attention that Trump "deserves," is stealing the election from him. How can it be that more people want Joe than want him? That is shatteringly inconceivable to Trump so he calls it a hoax, a fraud, a theft, a rigged election, and by golly he'll get his followers to agree and then he'll get the courts to agree. A power greater than Joe Biden will restore Trump to his rightful place as the undisputed center of attention which he desperately needs to believe he is.

Sadly for us and for him we are watching a delusional man re-enact a longed-for scenario from his achingly lonely childhood and we are observing the people in the present moment who are enabling this charade by playing the parts he demands that they play.

How much of this compensatory scenario will Americans agree to co-enact if it means we have to neglect our own life and death concerns such as Covid and the climate crisis? How can we allow ourselves to be bullied into abandoning our own health and safety so that one man gets to finally feel important?

And by the way, Trump's unconscious, deep well of need will never be fulfilled no matter how his followers adore him and sacrifice themselves. He leaves them stranded in the cold, waiting for buses, because he doesn't care anything about them except that they provide him with the momentary attention and approbation that he repeatedly needs. An actor in a play accepts the applause of his audience but never concerns himself with how they are going to get home.

On a psychological level, is Trump chronically enacting his own play and are we just his momentary, but perpetually captured audience, silently colluding by permitting the play to go on? Is it acceptable that a man like this has the nuclear codes and the power to decide the fate of all of us, perhaps even the entire planet?

If it's not acceptable, we must act. Even if Biden legally wins the presidency, we will have to contend with Trump's reaction. Will we, the people, the media, the Congress, the judiciary, continue to passively collude in his delusion that he was deprived of what was rightfully his? Or will we firmly protect our democratic institutions from abuse by an angry toddler in a suit and tie? I sense that the country is frightfully divided on this.

Madeline Tayler, Ph.D., is a licensed marriage and family therapist residing in Los Angeles.