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Bush on the Couch: Inside the Mind of the President Hardcover – June 15, 2004
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With the Bush administration in permanent crisis, a renowned Washington psychoanalyst updates his portrait of George W.'s public persona—and how it has damaged the presidency.
Insightful and accessible, courageous and controversial, Bush on the Couch sheds startling new light on George W. Bush's psyche and its impact on the way he governs, tackling head-on the question few seem willing to ask: Is our president psychologically fit to run the country? With an eye for the subtleties of human behavior sharpened by thirty years of clinical practice, Dr. Justin A. Frank traces the development of Bush's character from childhood through his presidency, identifying and analyzing his patterns of thought, action, and communication. The result is a troubling portrait filled with important revelations about our nation's leader—including disturbing new insights into:
- How Bush reacted to the 2006 Democratic sweep in Congress with a new surge of troops into Iraq
- His telling habits and coping strategies—from his persistent mangling of English to his tendency to "go blank" in the midst of crisis
- The tearful public breakdown of his father, George H. W. Bush, and what it says about the former president's relationship to his prominent sons
- The debacle of Katrina—the moment when Bush's arrogance finally failed him
With a new introduction and afterword, Bush on the Couch offers the most thorough and candid portrait to date of arguably the most psychologically damaged president since Nixon.
- Print length272 pages
- LanguageEnglish
- PublisherHarper
- Publication dateJune 15, 2004
- Dimensions6 x 0.93 x 9 inches
- ISBN-100060736704
- ISBN-13978-0060736705
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About the Author
Justin A. Frank, M.D., is a clinical professor in the Department of Psychiatry at George Washington University Medical Center. Since 1980 he has been a teaching analyst at the Washington Psychoanalytic Institute. He is past president of the Greater Washington Chapter of Physicians for Social Responsibility. Dr. Frank lives and practices psychoanalysis in Washington, D.C.
Product details
- Publisher : Harper; First Edition (June 15, 2004)
- Language : English
- Hardcover : 272 pages
- ISBN-10 : 0060736704
- ISBN-13 : 978-0060736705
- Item Weight : 1.1 pounds
- Dimensions : 6 x 0.93 x 9 inches
- Best Sellers Rank: #1,295,034 in Books (See Top 100 in Books)
- #1,385 in United States Executive Government
- #2,460 in US Presidents
- #5,056 in History & Theory of Politics
- Customer Reviews:
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About the author

Justin Frank M.D. is a highly regarded psychoanalyst and teacher. A clinician with more than thirty year's experience, Dr. Frank used the principles of applied psychoanalysis to assemble a comprehensive psychological profile of President George W. Bush in his 2004 New York Times bestselling book Bush on the Couch: Inside the Mind of the President (HarperCollins). His newest book, Obama on the Couch: Inside the Mind of the President is being published by Free Press/Simon & Schuster on October 18, 2011.
Dr. Frank currently writes a biweekly column for Time.com. He also contributes to HuffingtonPost.com, DailyBeast.com and Salon.com, and is a frequent writer and speaker on topics as diverse as politics, film, and theater. He is Clinical Professor in the Department of Psychiatry at George Washington University Medical Center, and the co-director of the Metropolitan Center for Object Relations in New York.
Dr. Frank did his psychiatric residency at Harvard Medical School and was chief resident at the Cambridge Hospital. He was also awarded the DuPont-Warren Fellowship by Massachusetts General Hospital.
Dr. Frank lives in Washington DC.
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- Bush's dissociation, revealed in the disconnection and often overt contradiction between his words and actions;
- the incoherence, simplicity and polarizations evident in his thinking and communications;
- his inability to acknowledge and take responsibility for his mistakes;
- his tendency to project all evil outside himself;
- his paranoid and persecutory behavior, focused on an obsessive desire to "get the enemy" and glee in his and his administration's ability to flaunt its power and unmask and punish "evildoers";
- his blind aggression often masked by sarcasm and rationalization;
- his certainty that he is chosen by God and that his actions are blessed by God and beyond questioning;
- his tendency to seek solace in rigid beliefs even in the face of contrary evidence;
- his "outlaw" mentality that leads him to believe he is above the law;
- his determination to stifle dissent and inclination to view all those who disagree with him as unpatriotic enemies;
- his obvious contempt for the weak and vulnerable, including those who are victims of his policies, and those fighting and paying the price for his war.
Frank very effectively addresses all of the above and more - exploring the roots of Bush's psychodynamics in his childhood history, and clearly explaining the psychological theory that helps even readers not trained in developmental psychology understanding exactly how and why Bush developed his pathology, and how it manifests. Of particular interest also is how Frank characterizes much of the American public - and media - as enablers, responding as many children might who have a destructive alcoholic parent. Anxious and insecure in these highly troubled times, seeking to suppress fears that the Bush administration and media continually inflame, we may have too easily sought to protect ourselves from the truth so that we might believe we have a competent leader (father figure) who can protect us from the evils we fear will infringe upon our personal lives.
This is an important book, probably the most important book of many revealing political books published so far in 2004. Americans need to understand more fully exactly how serious Bush's pathology is, and how destructive his actions are and are likely to continue to be, with ramifications for many years to come.
Psychological understanding often leads to empathy, but an empathic understanding of G.W. Bush is no excuse for supporting him in his quest to continually wreak havoc in the U.S. and abroad. Frank concludes by emphasizing how it is essential that we vote Bush out of the White House. Although Bush supporters might believe that Frank skews his interpretations in order to pathologize Bush - Frank's psychological theory, analysis and interpretation are sound, accurate ... and extremely important.
This book is enlightening, frightening, disturbing, indeed chilling. Hopefully it will motivate readers not only to vote Democrat in November, but to become politically active to make sure that Bush will not be re-elected and not able to continue with policies which are so profoundly hurting our nation, international relations, and the planet.
From heaven we look down upon your tongue
and ponder on past promises eclipsed,
as sycophantic aides you strut among
who hail your empty words and arrant quips.
For flowers were never strewn at our feet
and siren songs for us were never sung;
our mission met a deadlier drumbeat
as vaunted claims of conquest came unstrung.
Yet still you swagger, surly as you bleat,
propped by opulent puppeteers galore,
and fawning, fulsome phrases of deceit
come wafting from your acquiescent jaw.
Those words hang briefly in the air like chaff,
but your lies will rise as your epitaph.
--Ethan Alter
20th January 2005



