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The central characteristic of a paranoid person is their unjustified distrust and suspicion of others. They fear exploitation and will not confide in those whose behaviors should have earned their trust. Such people are rigid, often litigious, and have an especially urgent need to be self-sufficient. To others, they appear to be cold, calculating, guarded people who avoid both blame and intimacy. When interviewed, they appear tense and often have trouble relaxing. This disorder is especially likely to create occupatonal difficulties: These people are so aware of rank and power that they frequently have trouble dealing with superiors and coworkers. (DSM-IV)
Clearly our ship of state is in the hands of a truly incompetent person who has surrounded himself with equally dysfunctional people. As his universe shrinks (approval of others) he will become more desperate to protect himself (his country). We can expect more and more desperate measures from this person as his time in power fades.
