Archive for the ‘#montrealcognitiveassessment’ Tag

What If You Passed A Test … And Nobody Cared?   Leave a comment

I like tests. Puzzles fascinate me. I don’t even mind cognitive tests because I used to work for a mental health agency and so they don’t scare me.

Image result for image of trump's cognitive test resultsThe news that President Trump passed a mental acuity test was welcome news. I think the country is better off if the president doesn’t have Alzheimer’s. And a 30 out of 30 score indicates that he doesn’t.

By the way, most 71-year-olds could not score a 30 out of 30. In fact, many people in their middle-years would struggle with reverse serial sevens. I can’t pass that particular one without counting on my fingers. How do I know? Brad, Keirnan and I took the test last night.

Keirnan is 19 and suffers from bipolar, so he’s been through this test once before — and scored a 30 out of 30. The doctor was so amazed that he could do reverse serial sevens from 100 into the negatives that he just let him go until Keirnan said he needed water to continue. The kid has a diagnosed mental illness, but he doesn’t have dementia or any other sort of cognitive disorder. And bipolar, with appropriate medication, doesn’t really negatively affect his life. It’s just something he has to manage – like if you have diabetes or asthma. That attitude toward mental illness as a condition that can be managed comes from familiarity with mental illness.

Brad sucks at remembering sequences of numbers. So do I. I often can’t remember a phone number long enough to dial it — which is why I write them down — and have since I was about 15 years old. I passed the immediate recall on the assessment and the delayed recall because I knew it was important to remember them. Brad, however, flunked the delayed recall question. It doesn’t mean he has dementia. He didn’t flunk the assessment overall, just that one section.

I didn’t do so well on the tap for the letter A. It’s deliberately hard and none of us did well on it, though we all passed. Keirnan almost lost a point on it because Brad was saying the letters way too fast and he made two errors which is still allowable to get a perfect score.

So, the results of our tests mean very little. It was a fun exercise and we now understand what President Trump was tested on. We know that none of the four of us has dementia.

Well, our family knows that, but I think we knew it before we took the test. President Trump’s supporters are probably relieved that what they thought was true has been proven true, but his detractors don’t care.

“Well, this is a really easy test,” someone on the radio said while I was brushing my teeth this morning.

Yeah, if you’re mentally fit, it is an easy test. If you have dementia, it’s not.

“There are other tests that would show his mental fitness better.”

Yeah. there are. If I were President Trump, I’d request a full psychological assessment. They take about two hours and they include some of the same questions as the Montreal Cognitive Assessment. They would detect mental illness such as bipolar, schizophrenia and major depression and they would also indicate whether screening for personality disorders is in order.

I don’t think anyone seriously believes a successful businessman in his 70s has been a schizophrenic for decades.┬áBut that doesn’t matter to his detractors. Even if he took a full psychological assessment, they’d insist the results were wrong. And of course, they’d insist he be assessed for “Narcissistic Personality Disorder”.

Let’s talk about that for a moment. First, it’s not a disease. It’s a spectrum of personality traits. Most people fall somewhere on the scale. I took the assessment and I scored in the bottom 30. I took the test as if I were Donald Trump and he scores pretty high on the scale. According to the psychiatrists I worked with, so does Barack Obama and George W. Bush, Lincoln, George Washington, John F. Kennedy, Bill Gates, Steve Jobs, Angela Merkel, Elon Musk, every psychiatrist except the one you’re speaking to at the moment, and almost all of the actors in Hollywood.

Basically, anyone with any self-esteem at all will score at least at the lower end of the scale. That doesn’t mean they are crippled by NPD. It means they know their worth and there’s nothing wrong with that. If they don’t know their worth, there’s another personality disorder they might qualify for.

People who aspire to be President of the United States typically score in the top 70% of this scale. Why? Because it takes a lot of chutzpah to believe you can be one of the most powerful people in the world and do the job competently. Some of these narcissists were so certain they’re right that they declared independence from Britain and founded a whole new country. Others decide to challenge NASA in the space race or create a company that dominates the tech world. A narcissist found a way to stop the scourge of polio. Some day a series of narcissists will cure cancer. Narcissism, evidenced by the belief that God was on her side, allowed Mother Theresa to minister to the poor of Calcutta and eventually be named a saint.

Look behind almost every successful and well-known person and you will find a degree of narcissism. But that doesn’t matter to Trump’s detractors. They don’t see that their own idols were often as narcissistic or more than the object of their Derangement Syndrome. They don’t care what the truth is, they only want what they want …

Which is itself a sign of scoring pretty high on the Narcissistic Personality Disorder spectrum.

Yeah. It doesn’t surprise me that it’s mostly the young and liberal who hate Trump to the degree that they don’t care what the tests say about his mental fitness. Baby boomers, who themselves scored higher than their parents on the scale of narcissism, raised a generation of raging narcissists. Everywhere you turn, you find scores of people who believe they have a “right” to other people’s stuff because they’re “special.” That narcissistic trait is a liberal ideal and I find most liberals to be at least moderately narcissistic. They believe they know better than everyone else how we all should live our lives and they cannot be dissuaded from that belief. They will do anything to force others to comply with what they consider to be best practices.

So, maybe it’s not surprising that they are allergic to everything Donald Trump does. Narcissists usually can’t stand to be in the room with other narcissists. It steals the limelight from them. It explains, to a certain degree, the conservative opposition to Barack Obama, himself a raging narcissist. Conservatives also believe that they know better than everyone else how we should all live our lives. It pissed them off that Obama thought he knew better.

Which brings the question — in this day where nobody knows humility, can anyone actually lead us? And should they try?

My fear is that a society of narcissists would have a good deal of trouble staying out of each other’s business without a government to impose some boundaries and, yet, as long as they have a government, they will seek to use it to insinuate themselves into everyone’s business.

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