http://www.larouchepub.com/other/interviews/2006/3314justin_frank.htmlexcerpt from interview with Dr. Justin Frank, psychoanalyst and psychiatry profesor, and the author of "Bush on The Couch":
I've never seen anybody so distort external reality the way Bush does. What he does not like, he just closes his eyes to. He's sort of like an ostrich, who puts his head in the sand, only he puts his head in the Crawford desert sand.
The other thing he does when he's anxious, is that he dissociates, which means that he switches off part of his mind, and disconnects in order to manage anxiety. Disturbing news is like water going off a duck's back; if you saw the pictures of him in the " 9/11" movie by Michael Moore, reading the book when he was told about the attack on the Twin Towers, you see a kind of vague, glazed look in his eyes. And you see the same thing when he's being briefed about the Katrina flood, the day before it happened: He has a way of disconnecting inside, whenever he's flooded with anxiety he cannot manage.
Dissociation is a simple but profound way to manage overwhelming emotion. Bush has what psychiatrists call a problem with "affect regulation"; he cannot regulate his feelings by thinking them through, which is why he has to increase his exercise routines, increase his prayers, increase his time away from the White House, have only very brief meetings. He just does not want to do anything that will cause him pressure.
So, the diagnosis is very hard to make, and something I'm reluctant to do. I prefer to think much more of a long-range character diagnosis, which is that he is fundamentally a dissociated man, with paranoid and grandiose features. And the grandiose elements are really compensatory for feeling quite inadequate and frightened.