this is generally correct, although one of the exceptions is Trump are narcissistic personality disorder, which many psychiatrists say they can reasonably assess through media, assuming Trump isn't merely playing a "character" every time he's in front of a camera or microphone
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I'm sorry to beg more of your time, but at what point do we consider the persona taking over the personality. Trump may have started playing this character a long while ago, and it may be, if not ingrained, fully assimilated into the way he thinks and frames the world.
Just a thought, though.