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    Closing the Political Divide: Compromise, Don’t Demonize

    More from our inbox:Defending GiulianiAntidepressants on Shirts: Don’t Trivialize Mental Illness Illustration by The New York Times. Photographs by Getty ImagesTo the Editor:Re “My Fellow Republicans Need to Grow Up,” by Bob Inglis (Opinion guest essay, Oct. 3):We are divided not by ideology but by a deep lack of willingness to consider ideas before party alliances.I wasn’t paying attention to politics until 2015. But Donald Trump was so outrageous I was shocked into political activism. I speak out often because silence is not an option.The MAGA followers I encounter on internet political sites call me Communist, Marxist, treasonous and fascist. I find their attitudes loathsome. I blame Mr. Trump’s constant attacks on anyone who speaks out against him — his most virulent and nasty attacks being against Democrats. We have become deeply divided because Mr. Trump models divisive behavior. I fear for our Republic.But, if I am honest, it is Mr. Trump who has taught me something vital. I must be careful of rejecting someone just because they are on the other side. At least I must be able to define our differences and find our similarities. As a result I may expand my point of view to be richer, more inclusive and balanced. And that is what our system of debate and compromise demands.Jo TraffordPortland, MaineTo the Editor:I appreciate Bob Inglis’s call for Republicans to stop with the mindless vilifying of their Democratic colleagues (and with them the millions of Americans who voted for them), and start engaging on substantive issues that really matter.Elected Republicans prioritize demonizing and scapegoating and temper tantrums over concern for the challenges of the lived lives of their constituents. Those challenges are shared, to varying degrees, by most Americans. Look for legislative common ground there.When elected Republicans at all levels of government start noticing the specifics of their constituents’ suffering, and then start using their offices to do something about it — that’s when we’ll know they’ve really grown up.Jeri ZederLexington, Mass.Defending GiulianiRudolph W. Giuliani’s drinking was long whispered about by former City Hall aides, White House advisers and political socialites. Now it has become a factor in one of the federal cases against former President Donald J. Trump. Erin Schaff for The New York TimesTo the Editor:In “Giuliani’s Drinking Is Subplot in Trump Inquiry” (front page, Oct. 5), I was quoted as saying:“It’s no secret, nor do I do him any favors if I don’t mention that problem, because he has it. … It’s actually one of the saddest things I can think about in politics.”While I don’t deny the quote — Rudy Giuliani had a drinking problem that he has dealt with, and I believe he is no longer drinking — I also said a lot of good things about Rudy.He was one of our greatest mayors. He cleaned New York City up and made it livable. He was a national hero during 9/11, when the country needed leadership. He was “America’s Mayor” and beloved by many.We should also not forget that he was a great U.S. attorney for the Southern District and prosecuted many people who committed heinous crimes.I have the greatest respect and empathy for this man, who did so much good.Andrew SteinNew YorkThe writer is a former president of the New York City Council.Antidepressants on Shirts: Don’t Trivialize Mental IllnessTo the Editor:Re “Prozac Nation, Meet Lexapro Sweatshirts” (Style, nytimes.com, Oct. 2):I cringed when I read this article about using the names of antidepressants on shirts. I personally think it trivializes the seriousness of depression. Having suffered from manic depression for 50 years now, I don’t see that as reducing the stigma of mental illness. It reflects privilege if anything.Too many moan about being depressed or anxious, but some of us are battling a chronic illness. And we see no point in publicizing our conditions. We are too busy taking care of ourselves.Nancy C. Langwiser-KearWellesley, Mass. More

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    Does Therapy Culture Help or Hurt Us?

    More from our inbox:Trump Pardoning Himself? An ‘Appalling Idea’Trump’s WeightImproving Access to E-BooksGraphicaArtis/Getty ImagesTo the Editor: Re “Hey, America, Grow Up!” by David Brooks (column, Aug. 11), about how an emphasis on trauma makes adults immature:As a psychiatrist, I feel that Mr. Brooks makes several valid points regarding trauma but fails ultimately to thread the needle.A good psychiatrist or therapist identifies the real trauma in a patient’s past — typically from events in childhood at the hands of parents or other family members — while simultaneously discouraging the kind of victim mind-set that displaces past pain onto present-day scapegoats.The goal is to illuminate the real trauma, which requires re-evaluating what is often an idealized remembrance of one’s upbringing, so that the patient can stop projecting malice onto anyone and instead regain a sense of agency. As the saying goes, those who forget the past are condemned to repeat it.If we fail as a culture to acknowledge the well-established long-term consequences, both physical and psychological, of legitimate trauma, we will wind up creating more people who identify as victims, not fewer.Christopher BaileyKirkland, Wash.To the Editor:One thing David Brooks’s good column leaves untouched is how much resistance to the hyperinflation of “trauma” there has been among psychotherapists themselves.In 1967, Anna Freud, Sigmund Freud’s daughter, wrote that the concept had become so “carelessly used” that its “blurring” could lead to “abandonment and loss of a valuable concept.” In 1978, psychiatrist Henry Krystal, an Auschwitz survivor and founder of contemporary trauma theory, said flatly that the use of the term “has become so loose that it has become virtually useless.”Of course, “trauma culture” has a life of its own, independent of psychiatric or psychological knowledge. And no small number of therapists have fully cashed in from Trauma, Inc., which is, indeed, big business.But my sense is that, even in the culture at large, “trauma” hype may have run its course. What follows may be greater “maturity,” as Mr. Brooks and many others would hope, or it may be just the next form of mishegoss.Henry GreenspanAnn Arbor, Mich.The writer is an emeritus psychologist at the University of Michigan.To the Editor:Wouldn’t it be nice if David Brooks’s ideas about how people should “throw off some of the tenets of the therapeutic culture” and “weave their stable selves through the commitments to and attachments with others” in order to build a culture of maturity were realistic?But try telling that to people who have grown up in poverty, who have never had adequate health insurance or medical care, who grew up in families rife with violence and abuse, who live in communities with chronic gun violence, and who have to drop out of high school to give birth to a baby.What can you weave in there? And who can you attach to when your life and the lives of those around you are a mess, and you live in a world that you have little hope of escaping?Debra KuppersmithDobbs Ferry, N.Y.The writer is a psychoanalyst.To the Editor:David Brooks made some excellent observations about our country’s growing narcissism. But he missed a key prescription for change: helping Americans develop a sense of purpose.This starts with treating challenges as temporary setbacks and harnessing our talents and efforts in the service of something bigger than ourselves. We need to lose the “me” and find the “we.”Studies show that people who feel a sense of purpose in their lives — through family, friends, work or community — are overall more resilient and report a greater sense of well-being. This message feels especially urgent for adolescent girls in America who are experiencing record levels of isolation, depression and suicidal thoughts.Until Americans commit to a purpose-driven mind-set, we will continue to wallow in our current obsession with victimization and search out cheap ways to validate our self-worth.Suzanne ChazinChappaqua, N.Y.Trump Pardoning Himself? An ‘Appalling Idea’Haiyun Jiang for The New York TimesTo the Editor: It has become commonplace to suggest that one difference between a state and a federal conviction of Donald Trump is that Mr. Trump could not pardon himself from a state conviction if he is elected president, implying that he could pardon his own federal offenses. It’s long past time to stop giving this appalling discussion of self-pardons any air.A president pardoning himself for his own crimes is the very definition of unchecked power. Revolutionaries called it tyranny, which in this context is a better word. The idea that our executive has so much power that the rule of law does not apply to him because he could forgive himself betrays what the Revolutionary War was about.The Constitution separated the powers of the government into three branches. It empowers Congress with the legislative power and the courts with the judicial power. The idea that a president could make himself immune from both other branches — in the furtherance of a crime — is inexcusable.Mr. Trump has floated this idea before and some allies are resurrecting it again. It’s born in the brevity of the Constitution’s pardon power. But it flouts both the rule of law and the separation of powers essential to the Constitution. We should be outraged.Andrew J. KennedyMonroeville, Pa.The writer is a lawyer.Trump’s WeightTo the Editor: Re “Trump Is Booked at Jail in Atlanta in Election Case” (front page, Aug. 25):Donald Trump weighs only 215 pounds? Forget the mug shot T-shirts; his campaign should be selling whatever brand of scale he’s using.Alan RutkowskiVictoria, British ColumbiaImproving Access to E-BooksAnn Johansson for The New York TimesTo the Editor: Re “What Does It Mean to Own a Book?” (Business, Aug. 13):I would like to thank David Streitfeld for his piece shining a light on the innovative and visionary work done by Brewster Kahle and the Internet Archive. In the discussion about the complexity of providing digital access, the work of our nation’s libraries and nonprofits like the Digital Public Library of America that support them should not be overlooked.Public libraries across the country offered access to over a billion digital e-books and half a billion digital audiobooks in fiscal year 2021. They circulated 460 million digital items and spent nearly $600 million to provide that access. And these numbers continue to grow.Mr. Streitfeld rightly points out that many titles are increasingly expensive for libraries to acquire, especially those from the “big five” publishers, which only offer licenses that are limited to a certain number of loans or length of time. However, the Digital Public Library of America works with hundreds of midsize and independent publishers to offer more reasonable terms including, for example, a perpetual one-user-at-a-time license that functions much like library ownership of a print book.Right now, legislators in several states are working with librarians to draft legislation that would enshrine the rights of libraries to acquire digital content on reasonable terms.Libraries need our support to ensure that as the transition into a digital world continues, access to knowledge becomes more and not less accessible.John S. BrackenChicagoThe writer is the executive director of the nonprofit Digital Public Library of America. More

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    A Generation of Women Named for Connie Chung

    More from our inbox:The Dangerous Debt Limit DebateRon DeSantis, AuthoritarianForming a Community With Homeless NeighborsU.S. Role in Sex Exploitation in South KoreaConnie Chung, center, is one of the most famous Asian women in the U.S. Connie Aramaki for The New York TimesTo the Editor:Re “I Got My Name From Connie Chung. So Did They,” by Connie Wang (Opinion guest essay, May 14), about the many Asian women named after the TV journalist:It feels strange to know that there are so many Asian Connies out there, all close in age range in our 30s and 40s. But it’s a good strange feeling. It feels as if I have serendipitously entered a vast sisterhood, where the profound bond among us was formed by the influence of one woman on our mothers over 30 years ago.In my family, watching Connie Chung host “CBS Evening News” in the early ’90s was a family event. There were barely any Asian faces on TV at the time, let alone on a major news program. Connie Chung stood out in every way.“You can’t be what you can’t see.” When Ms. Chung came on the screen, my mom saw what was possible for the next generation right in front of her, far from the sights of Asian women working in menial jobs that defined my mom’s day-to-day life as a new immigrant.So when I suggested Connie as my English name, my mother liked it right away. “Keep it. It’s good, it’s just like Connie Chung,” she would say. With that choice of a name, my mom had poured all her hopes for me. Little did I know then that across the country people were being named Connie for that very same reason.Times are different now. There is a lot more diversity in the media and other professions. While we still have much work ahead of us, let us take a moment to celebrate this progress.Connie WuSan FranciscoTo the Editor:My daughter was adopted from Guangdong Province, China, in 1998 when she was 13 months old. She has no memory of the following story except through my retelling.It was a spring afternoon in the year 2000 at the Museum of Life and Science in Durham, N.C. My toddler and I took our places on the open-air train for a ride through the grounds.“It’s who you think it is,” the ticket taker whispered, nodding over her shoulder. Two seats ahead, surrounded by visitors, were Maury Povich and Connie Chung.Celebrity watching prevailed over scenery and animal sighting during that ride. Afterward, as a cluster of visitors lingered with Mr. Povich, Ms. Chung strolled ahead alone. But not for long. My daughter, rarely more than an inch from my side, leery of all strangers, let go of my hand and trotted up to grab Connie’s leg. Surprised, smiling, Ms. Chung lifted my daughter into her arms.Connie Wang’s wonderful article describes the surprise that Ms. Chung expressed when told: “There are so many of us out here. Named after you.” Something about that surprise, of not knowing her effect on others, stays with me.Anne TooheyChapel Hill, N.C.The Dangerous Debt Limit Debate Kiersten EssenpreisTo the Editor:Re “Ignoring the Debt Limit Would Be Dangerous” (Opinion guest essay, May 15):I disagree with my longtime friend Michael McConnell about the politics of the debt ceiling.Of course Congress has the power of the purse. But the problem here is not Congress as a whole; it is a slim majority in the House. And that majority is controlled by a handful of its most extreme members.The debt ceiling debate is certainly not politics as usual. It is a threat to destroy the country’s finances and its position of world leadership unless the Senate and the president give in to that faction’s extreme demands.Neither the country nor the Constitution can function if every choke point in the system of checks and balances is exploited for maximum leverage without regard to consequences. If one side is willing to wreck the economy unless it gets its way, why not both sides? If one faction, why not many different factions with inconsistent demands?The House, the Senate and the president bargain over spending in the budget and appropriations process, not through threats to destroy the economy if I don’t get my way.Douglas LaycockCharlottesville, Va.The writer is a professor at the University of Virginia Law School.Ron DeSantis, AuthoritarianGov. Ron DeSantis of Florida has long been a presumptive but undeclared rival to former President Donald J. Trump.Haiyun Jiang/The New York TimesTo the Editor:The efforts by Gov. Ron DeSantis of Florida to harass Disney for exercising its rights of free speech and to ban books from the classroom that do not support his political or racial beliefs are the mark of an authoritarian tyrant. They show that right-wing politicians are the perpetrators, not the victims, of “cancel culture.”Republicans should consider how they would react if a Democratic governor retaliated against a corporation for opposing a Democratic program or embarked upon a program to ban conservative books.This is not the sort of person who belongs anywhere near the White House, and this is not the sort of person whom anyone should support. Hard to believe that Mr. DeSantis attended two fine academic institutions — Yale and Harvard Law — and learned so little about free speech, democracy and American constitutional values.David S. ElkindGreenwich, Conn.The writer is a lawyer.Forming a Community With Homeless NeighborsIntensive mobile treatment teams meet mentally ill clients where they are. Chris Payton and Sonia Daley visited M in Lower Manhattan.To the Editor:“In New York City, Making the Invisible Visible” (The Story Behind the Story, May 7) yields a question: To what extent is the mental illness we see in homeless people the result of — not the cause of — their being homeless?Hundreds of people silently pass them by each day, turning away, ignoring a hand held out for a donation. In plain sight, day after day, they live in public solitary confinement, the sort that is now being attacked in the courts as an inhumane, cruel and unusual punishment that often leads to mental illness when used in prisons.A civic organization I belong to in Florida recently began refurbishing a public park, long known as the home of the homeless in our city, by organizing periodic cleanups by volunteers and painting a mural honoring a local eccentric woman, long dead.After a while, the homeless folks began approaching our volunteers and the painter, viewing the art and then striking up tentative conversations. One homeless woman turned out to be an amateur painter, and a small portion of the mural was turned over to her to design and paint.Within weeks, the homeless frequenting the park began policing it — picking up trash and chastising people who dropped it. And, most important, collectively and individually, some bizarre behaviors faded away, replaced by social interaction.I now wonder what the results would be if the public at large began acknowledging the homeless, even by saying, “Hello,” or “I don’t have any cash with me today, sorry,” rather than simply walking on.As someone who lived in New York City for 30 years, I know that the city is filled with visible-yet-invisible people and am, frankly, ashamed that I didn’t catch onto this notion earlier.Stephen PhillipsSt. Petersburg, Fla.U.S. Role in Sex Exploitation in South KoreaTo the Editor:Re “South Korea Created a Brutal Sex Trade for American Soldiers” (front page, May 3):As your article so painfully makes clear, the brutal forced prostitution of young and vulnerable South Korean women and girls was caused not just by the government of South Korea but by the United States as well.There is much that the U.S. can and should do. It should be paying reparations. The government and the armed services chiefs should offer apologies to the women who went through this and to their families.And those who are in charge of curbing sexual harassment in the military today should redouble their efforts as they grow to understand just how systemic sexual assaults and misogyny have been in the armed forces for so long.Jean ZornFort Lauderdale, Fla. More

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    A ‘Rude and Inaccurate’ Trump at the CNN Town Hall

    More from our inbox:George Santos and Republican Profiles in Cowardice‘Anxious Nation’: A 14-Year-Old Cast Member Speaks OutInformal ConnectionsReporters at St. Anselm College in Manchester, N.H., watched the live CNN town hall in a separate room at the event on Wednesday.Joseph Prezioso/Agence France-Presse — Getty ImagesTo the Editor:Re “Trump Repeats False Election Claims at CNN Event” (news article, May 11):Thank you for your thorough and factual reporting on Wednesday’s CNN town hall with former President Donald Trump. You summarized each of the mischaracterizations, exaggerations and untruths spoken by Mr. Trump in your Fact Check and related articles.Unfortunately, it’s likely that many right-leaning voters drawn to watch the town hall will not be inclined to read them. Likewise, the studio audience for the show, evidently chosen to represent Trump supporters, won’t realize or doesn’t care about the damage his rude and inaccurate statements do to the body politic of our country.CNN made a grievous mistake following through with its plan to air the program after the verdict in the E. Jean Carroll case was announced on Tuesday.Mr. Trump benefited greatly from the undiscriminating and constant coverage of his untruths in the 2016 election. It’s time for responsible print and television journalists to pull the plug and refuse to provide a platform for Mr. Trump’s lies and vulgarity.Jim LinsellTraverse City, Mich.To the Editor:I think it was appropriate for CNN to invite Donald Trump to appear at its town hall. The former president, after all, is the leading candidate for the presidential nomination of one of our two major political parties.I don’t subscribe to the philosophy held by some of the louder voices in the media that “I may disagree with what you say, but I’ll defend to the death my right to prevent you from saying it.”If there was a problem with Wednesday night’s broadcast it was the format. Specifically, making the host, Kaitlan Collins, function as both the facilitator of the event’s question-and-answer framework and the fact checker for Mr. Trump’s responses. Being effective in one of those roles is challenging enough; doing both is impossible.John E. StaffordRye, N.Y.To the Editor:Re “The MAGA King, Back in Prime Time” (Opinion, May 10):Michelle Cottle, in her defense of CNN’s decision to air a town hall with Donald Trump, doesn’t mention an important point.The problem is not just that the network is giving a platform to a man who tried to overthrow our democratic process. CNN is also giving him more airtime than his challengers, which is what got us into this mess in the first place.From the moment Donald Trump descended the escalator to announce his candidacy in 2015, the cable networks gave him unprecedented free coverage — cementing his status as a serious candidate in a way no other presidential hopeful had ever been treated.The election is more than a year away, and already Mr. Trump is manipulating the media, pitting Fox against CNN and grabbing an hour’s worth of prime time.To Ms. Cottle’s most important question: No, we have learned nothing.Betty J. CotterShannock, R.I.George Santos and Republican Profiles in CowardiceRepresentative George Santos, leaving federal court in Central Islip, N.Y., after his arraignment on Wednesday.Johnny Milano for The New York TimesTo the Editor:Re “Santos Is Indicted as Inquiry Claims 3 Finance Schemes” (front page, May 11):It was satisfying to read of George Santos being charged, especially after enduring months of his smug defiance. Mr. Santos doesn’t represent New York’s Third District; he represents the worst type of person — one who lies to get ahead, one who preys upon the less fortunate, one who cheats the system.That such a fraud should help decide the laws of our nation is appalling. Mr. Santos doesn’t serve his constituents; he serves himself. And in his refusal to admit to his alleged fraud, he serves as the epitome of political cowardice.Not surprisingly, House Republican leaders have shown their own political cowardice in winking at Mr. Santos’s bad behavior, even as he’s taken to task for it, in an effort to maintain their tight majority.I applaud House Republicans who have called for Mr. Santos’s resignation and encourage more to follow suit. In “Profiles in Courage,” John F. Kennedy wrote, “Not all Senators would agree — but few would deny that the desire to be re-elected exercises a strong brake on independent courage.”Would that more members of Congress could depress the accelerator.Gary J. WhiteheadNorwood, N.J.To the Editor:Re “Santos Pushed Campaign Money Abuse Past the Usual Line,” by David Firestone (Opinion, May 11):Mr. Firestone writes that George Santos’s alleged scheme to funnel money to himself through a 501(c)(4) organization was “spectacularly dumb.” In fact, it was brilliant and would have succeeded if he hadn’t made the mistake of actually getting elected to Congress.Frauds are discovered because the victim eventually figures out what is going on. In the case of misappropriated election contributions, contributors virtually never check whether the contributions actually went to the campaign, and indeed they didn’t here. If he had not been elected, The New York Times would have never checked his assertions, contributors would not have complained and prosecutors would have never investigated.If Mr. Santos had lost, as he may have intended, he could have walked away with the money.James FogelBronxThe writer is a former chief of the Frauds Bureau of the Manhattan district attorney’s office and a former judge of the New York City Criminal Court.‘Anxious Nation’: A 14-Year-Old Cast Member Speaks OutKameron Johnson as seen in the documentary “Anxious Nation.”Anxious Nation/Area 23a/Lasega FilmsTo the Editor:Re “Anxious Nation” (movie review, May 5):I’m a 14-year-old cast member of “Anxious Nation.” This film is much more than talking to “a handful of struggling teenagers and some of their parents.” Over four years, we made a brave decision to share our struggles with mental health to help others who are struggling too.I found your use of the word “tantrums” especially upsetting. The raw videos you see are real panic attacks. Not “tantrums.” Panic attacks that kids as young as 3 are having.I know this. That is me. Parents don’t realize or understand it.The courage displayed throughout the film is extraordinary and deserves to be acknowledged. It’ll give families a tool to learn from. It’ll give kids my age someone to relate to, and that’s so dear to my heart. I didn’t have that growing up.You are entitled to your opinion of “Anxious Nation,” but to steer away families who really need this film feels wrong and irresponsible.Families need this. My generation is in a crisis.Seveann MortonCardiff, Calif.Informal ConnectionsThe Brookdale Park dog owners have become real friends beyond the park, going to dinner, movies and comedy shows together.Bryan Anselm for The New York TimesTo the Editor:Re “They Know Your Face, Maybe Not Your Name” (The New Old Age, Science Times, April 25):I worked for a company I loved for 13 years, and the last year I was there, I stopped every morning at a Dunkin’ Donuts on the way to the office. On my final day of work, I went there as usual and told them of the occasion.As the Dunkin’ staff all wished me well, I was on the verge of tears (and simultaneously laughing about crying) as I carried the coffee to my car. It made me truly appreciate the importance of those informal connections we encounter as part of our daily lives.Amy S. RichOrange, Conn. More

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    Walker Says His Mental Illness Is Healed. Experts Say It’s Not So Simple.

    WASHINGTON — Confronting a barrage of accusations about his personal life — including claims he threatened women and paid for an abortion despite his public opposition to the procedure — Herschel Walker has repeatedly invoked his history of mental illness in his defense.“As everyone knows, I had a real battle with mental health, even wrote a book about it,” Mr. Walker, the Republican candidate for Senate in Georgia, said in a television ad released at the height of the abortion controversy. “And by the grace of God, I’ve overcome it.”In the ad, and on the campaign trail, Mr. Walker, a former football star, does not elaborate. But in his 2008 memoir, “Breaking Free,” he revealed that he had been diagnosed with dissociative identity disorder, formerly known as multiple personality disorder. He described his 12 “alters” — distinct identities that helped him cope with the trauma of being bullied as a child. He wrote of rage and “out-of-control behavior”; he played Russian roulette with a loaded gun.Now, as he tries to steady a campaign that could determine control of the Senate, Mr. Walker often speaks of these events in religious, not medical, terms. He either denies the accusations or says he does not remember what happened. Still, he casts himself as a redemption story, saying he is a Christian “saved by grace.”But experts say Mr. Walker’s assertion that he has “overcome” the disorder is simplistic at best: Like other mental illnesses, dissociative identity disorder cannot be cured in the classic sense. Psychiatrists say that while patients can learn to manage this disorder — and even live symptom-free for extended periods — the symptoms can recur, often triggered by stress.“You can get better,” said Dr. David Spiegel, a Stanford University psychiatry professor who studies and treats dissociative identity disorder. “But it doesn’t just evaporate.”Dr. Spiegel and other experts interviewed for this article have not treated Mr. Walker and could not speak to the specifics of his case.Mr. Walker’s retelling does not account for other complicating details. Experts say the disorder does not cause violent behavior. Some of the episodes — including an ex-girlfriend’s accusation that he had threatened her — took place after Mr. Walker claimed to have his disorder under control.The Walker campaign did not respond this week to questions about his health history and has not released his medical records.Last Friday night, during a debate with his Democratic opponent, Senator Raphael Warnock, Mr. Walker said he no longer needed treatment: “I continue to get help if I need help, but I don’t need any help. I’m doing well.”The State of the 2022 Midterm ElectionsBoth parties are making their final pitches ahead of the Nov. 8 election.G.O.P. Gains Edge: Republicans enter the final weeks of the contest for control of Congress with an advantage as the economy and inflation have surged as the dominant concerns, a Times/Siena poll found.Codifying Roe: President Biden pledged that the first bill he would send to Capitol Hill next year if Democrats expand their control of Congress in the midterm elections would be legislation to enshrine abortion rights into law.Florida Senate Race: In the only debate of the contest, exchanges between Senator Marco Rubio and his Democratic challenger, Representative Val Demings, got fiery at times. Here are four takeaways.Aggressive Tactics: Right-wing leaders are calling on election activists to monitor voting in the midterm elections in search of evidence to confirm unfounded theories of election fraud.In an interview with Axios last year, Mr. Walker likened his condition to a broken leg, saying, “I put the cast on. It healed.”A supporter at a Walker campaign event. Mr. Walker casts himself as a redemption story, saying he is a Christian “saved by grace.” Nicole Craine for The New York TimesDemocrats have said Mr. Walker’s description of his mental illness does not fully explain his previous behavior. In a statement, Mr. Warnock’s campaign manager, Quentin Fulks, said only that Mr. Walker had “not given Georgians an honest accounting of his violent past.”Health issues have been front and center for other candidates this year; in Pennsylvania, John Fetterman, the Democratic candidate for Senate, is facing questions from Republicans about whether he is fit to serve after a stroke. Even Republican strategists say Mr. Walker should answer similar questions.“I think it’s fair, and Herschel obviously thinks it’s a big part of his life,” said Scott Jennings, a former adviser to Senator Mitch McConnell, the minority leader. “If I were Herschel’s campaign I would say Americans live with mental health challenges every day — we just happen to be the first campaign to talk openly about it.”Dissociative identity disorder, known by its acronym D.I.D., is a relatively rare psychiatric condition usually triggered by childhood trauma, including sexual or physical abuse, or war. Studies show it affects about 1 percent of the population, said Dr. Paul S. Appelbaum, a professor of psychiatry at Columbia University, though “many of those people may have quite mild cases and do not experience problems from it and never come to clinical attention.”It is characterized by changes in behavior that occur when a patient fails to develop a unified sense of self, and instead “disassociates” into competing “self-states” that emerge in different situations. Many patients experience amnesia.Dr. Spiegel drew a comparison to healthy people who opt to act like “a different person” in different settings. But people with dissociative identity disorder, he said, “often don’t experience having choice.”Treatment typically involves intensive therapy; Dr. Spiegel often uses hypnosis, he said. While there is no medication to treat this disorder, some patients take medicine for conditions that occur alongside it, such as depression. Patients are required during treatment to take responsibility for their behavior; Mr. Walker says he has done so.“One of the core aspects of successful treatment for D.I.D. is holding people with the disorder responsible for their behavior, even when they say they don’t remember it, or that another self-state did it,” said Dr. Richard J. Loewenstein, a professor of psychiatry at the University of Maryland and a leading expert in the disorder, which was known as multiple personality disorder until 1994, when the name was changed to reflect a more nuanced understanding of the condition.In his book, written with two ghostwriters, Mr. Walker recounts his childhood as a “daily assault of verbal and sometimes physical abuse” by classmates who thought he was stupid because he stuttered. His doctors later told him he had created other personalities to help him cope.He says his “alters” were at times a positive force, helping him to “forget most of the awful things that had happened to me.” After he understood them, he wrote, he gave them titles.The General, or Coach, oversaw the other identities. The Hero “put on the facade” of a tough guy. The Sentry served as an emotional guard who “never let anyone get really close to me.” The Warrior “loved the physical contact” of football and did not feel pain; in the book, Mr. Walker describes having his wisdom teeth extracted without anesthesia. The Indifferent Daredevil “didn’t care about what other people would think or what was right and wrong.”In a 2014 ESPN documentary. he said he thought that in high school he might join the Marines, because it would give him license to “shoot people.” Instead, he pursued a career in sports. Football became his “coping mechanism.”But after he retired from the Dallas Cowboys in 1997, Mr. Walker wrote, his life spun out of control. He had an extramarital affair. He played Russian roulette, “risking my life with a gun at my head.” (The book does not recount an episode in which his ex-wife, Cindy DeAngelis Grossman, said he put a gun to her head and threatened to “blow my brains out.” Mr. Walker has not denied the allegation, but says he does not remember doing so.)In 2001, Mr. Walker writes, things came to a head when he grew enraged at a car salesman who was late in making a delivery. He could feel “my jaw pulsing and my teeth grinding,” he wrote, as a voice prodded him to pull out his pistol and kill the man. Another voice countered: “No Herschel, that’s wrong. You can’t shoot a man down in cold blood over this.”At that point, Mr. Walker sought help from Jerry Mungadze, a therapist who gave him a diagnosis of D.I.D. and arranged for him to be treated as an outpatient at Del Amo psychiatric hospital in Torrance, Calif., where doctors confirmed the diagnosis, Mr. Walker wrote.Walker has, at times, used his campaign to urge others to speak more candidly about mental illness.Nicole Craine for The New York TimesDr. Mungadze, who wrote the introduction to Mr. Walker’s book, has since stirred controversy with his methods. Dr. Mungadze, who holds a doctorate in “counselor education,” according to his website, and is not a medical doctor, specializes in Christian counseling and employs a technique he calls brain mapping, in which he diagnoses patients by asking them to color in a map of a brain. Experts say it has no basis in science.Mr. Walker has not said whether he still sees Dr. Mungadze, who declined an interview request.Dissociative identity disorder has long been the subject of intense debate; some psychiatrists say it is vastly over-diagnosed, and others have questioned whether it exists.Americans are most likely familiar with it from popular culture: It is central to the 1957 film “Three Faces of Eve” and to the 1973 blockbuster book “Sybil,” about a woman with 16 personalities. There is now a growing D.I.D. community on TikTok.In a 2011 book, “Sybil Exposed,” the writer Debbie Nathan reported that the personalities were pressured into existence by the therapist, who was invested in the idea of having a patient with the condition so she could speak about it at professional meetings. She cites a letter in which the real “Sybil” wrote that she was “essentially lying” — only to later recant.“In my view, it’s a metaphor rather than a true condition,” said Dr. Allen J. Frances, chairman emeritus of the Department of Psychiatry at Duke University School of Medicine. “It’s a way of expressing distress in people who have an internal conflict.”In 1994, while leading a task force that revised the Diagnostic and Statistical Manual of Mental Disorders — often called “psychiatry’s Bible” — Dr. Frances sought to eliminate “multiple personality disorder” from the manual. Instead, the task force changed the name. Dr. Frances said diagnoses often surge when the disorder turns up in popular culture.Dr. Appelbaum, who is also a past president of the American Psychiatric Association, said there was a consensus in the field that D.I.D. is “a real phenomenon, a real disorder.”Admissions of mental illness were once a barrier to a career in politics. In 1972, Thomas Eagleton was forced to drop off the Democratic presidential ticket as George McGovern’s running mate after disclosures that he had been hospitalized for depression and treated with electroshock therapy. But those stigmas are easing, and some mental health experts give Mr. Walker credit for raising awareness.As he campaigns, Mr. Walker has cast himself as a “champion for mental health,” and hits back at critics by saying they are perpetrating a stigma. At Friday night’s debate, he railed against “people like Senator Warnock that demonize mental health.” (Mr. Warnock has introduced a series of bills to expand mental health services.)Then, Mr. Walker turned to the camera, as if to deliver a public service announcement, and declared, “I want to tell everyone out there, you can get help.” More

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    Warning Signs of a Future Mass Killer

    More from our inbox:The Republican Checklist After Another ShootingNew York Mayor’s Rejection of Covid MandatesVoters, Defend DemocracyEstonia’s Tough Voice Against Russian AggressionAbortion Funds Already ExistA crowd gathered Sunday outside Tops Market for a vigil the day after the shooting in Buffalo.Joshua Rashaad McFadden for The New York TimesTo the Editor:Re “Before Attack, Solitary Teen Caused Alarm” (front page, May 16):In the days after the mass shooting in Buffalo we have witnessed a heightened focus on the mental health of adolescents. A few months ago, after the Michigan school shooting, we heard a similar concern.In each case the youths, when confronted with their potentially homicidal “behaviors,” denied them. They offered explanations that were accepted by school authorities and mental health professionals.Having worked in an emergency room where individuals were brought by the police for “behavioral issues,” I needed after assessing each of them to decide whether they should be hospitalized or discharged. These assessments frequently occurred in the middle of the night. In all cases the individuals I assessed assured me that they were fine and would harm no one. Some I hospitalized and some I allowed to leave the emergency room.One morning when my rotation was completed, I was afraid to turn on my car radio for fear I would hear of a shooting by two young men I let leave. I did not.Mass shootings are not simply a mental health problem that mental health workers can fix. They are also societal problems fueled by the availability of guns and the ubiquity of prejudice.Sidney WeissmanChicagoThe writer is a clinical professor of psychiatry and behavioral science at Northwestern University Feinberg School of Medicine.To the Editor:Re “Others Joined Chat Room With Suspect Before Attack” (news article, May 18):I’m a 70-year-old tech dinosaur. I don’t understand what an algorithm is, but I do know that we have a significant problem if a racist openly discussed in chat rooms his plans to carry out an atrocity and no one did anything to stop it.Robert SalzmanNew YorkTo the Editor:Pages and pages about the recent tragic shooting in Buffalo. And in newspapers across the country, other incidents of gun violence involving young people as shooters. In schools, churches and places where people shop. The beat goes on, and the conversation remains the same. Hate. Gun control. Political bickering. And inaction.What’s missing in all too many of these gun tragedies are parent controls. Parents asleep at the wheel or parents being complicit or enabling seems to be a common thread. But not much discussion about that, by either journalists or political leaders. Maybe there should be.George PeternelArlington Heights, Ill.The Republican Checklist After Another ShootingTo the Editor:The Republican checklist after a mass shooting:Thoughts and prayers: Check.This is not the time: Check.Let’s not politicize: Check.Guns are not the problem: Check.Just enforce the laws we have: Check.More mental health care: Check.(Repeat.)Jon MerrittLos AngelesNew York Mayor’s Rejection of Covid MandatesSuzette Burgess, 79, of Morris Heights in the Bronx, gave out free masks on Thursday as part of her own personal campaign to fight the virus.Dave Sanders for The New York TimesTo the Editor:Re “Adams Resists New Mandates as Covid Rises” (front page, May 20):We just don’t get it. Every time we “open up” and remove protective measures, Covid soars. Over a million Americans have died from the virus, depriving their loved ones of their presence. And needless hospitalization costs more than prevention and taxes the health system, already enormously overwhelmed.As physicians, we aim to prevent disease. New York City’s mayor thinks that it is better to treat Covid (with expensive drugs that don’t always work and can cause serious side effects) than to take the necessary steps to avoid it. And it may be more than just the mayor’s “tickle in my throat” if you wind up in the I.C.U. or get long Covid.Yes, the economy is vital, but more disease makes fewer people able to shop or eat out or go to work. And we don’t yet know the long-term effects on the brain and body. So prevention is key, and we need to follow the advice of public health experts who should be in control of this, not politicians.It is not a burden to get vaccinated and boosted and wear a good-quality mask. It is a responsibility to our fellow citizens and ourselves. We used to care about each other. Taking these steps would help us finally emerge from this scourge.Stephen DanzigerBrooklynThe writer, a physician, is a member of the Covid-19 Task Force of the Medical Society of the County of Kings (Brooklyn).Voters, Defend Democracy Jason Andrew for The New York TimesTo the Editor:Re “In Primaries, G.O.P. Voters Reward a Lie” (news analysis, front page, May 19):In November, voters must decide to cast their ballots either for congressional candidates who view fidelity to the rule of law as sacrosanct or for those who consider the oath to “support and defend the Constitution” a hollow pledge. The outcome may determine whether or not our constitutional republic survives.John Adams pessimistically asserted: “Democracy never lasts long. It soon wastes, exhausts, and murders itself.” If, as Adams suggested, our form of government is on a path toward suicide, then we must look to the electorate for intervention.To prove Adams wrong, the electorate must once again rise to the occasion as it did in the 2020 presidential election when it ousted Donald Trump for undermining democratic governance.Jane LarkinTampa, Fla.Estonia’s Tough Voice Against Russian AggressionPrime Minister Kaja Kallas of Estonia in Brussels just after Russia invaded Ukraine in February.Pool photo by John ThysTo the Editor:Re “Estonian Leader Warns Against Deal With Putin” (news article, May 17):As an American living in Estonia, I have watched with great admiration Prime Minister Kaja Kallas’s leadership on all issues related to Russia’s invasion of Ukraine. She has been a firm and unyielding voice urging tough measures against Russian aggression.Estonia is a small country, but it punches well above its weight in terms of its commitment to NATO, its commitment to helping Ukraine, including taking in a huge number of refugees relative to its population, and its commitment to freedom and democracy.Ms. Kallas has advocated a 21st-century strategy of “smart containment,” appropriately building on the 20th-century Cold War “containment” policy first advocated by George F. Kennan. She has insisted on Western resolve to stop Russia before Vladimir Putin’s desire to re-form the Soviet Union through war is realized.The West should heed Ms. Kallas, especially her forceful argument that Russia must lose this war, and any result short of that is unacceptable. Tragically, if her policy of “smart containment” had been largely implemented before the Russian invasion, Mr. Putin would have never invaded.It’s not as if the war in Ukraine was a surprise — certainly not to those in the Baltics who through history and proximity know Russia well.Michael G. BrautigamTallinn, EstoniaAbortion Funds Already ExistTo the Editor:Re “An Abortion Fund” (letter, May 16):We appreciate Jack Funt’s interest in a national fund that would support people traveling for abortion after the Supreme Court’s decision in Dobbs v. Jackson. Mr. Funt will be delighted to learn that a network of more than 80 abortion funds already exists.Legal abortion has never meant accessible abortion. The cost of a first-trimester abortion averages $575, but can exceed $1,000. Three-quarters of abortion patients are low income. Even with Roe in effect, many Americans struggle to pay for their abortions and travel to clinics. Since before 1973, abortion funds have helped people access care that would otherwise have been out of reach.We encourage people to learn about and support the work already being done to ensure abortion access. Readers can find their local abortion fund by visiting the website of the National Network of Abortion Funds.Rhian LewisAriella MessingThe writers direct the Online Abortion Resource Squad, which connects people to high-quality information about abortion. More

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    Turn Empty N.Y.C. Hotels Into Permanent Housing for Homeless, Adams Says

    Hotels in New York City that have been left empty by the pandemic would be converted into “supportive housing” that provides a wide range of assistance to people struggling with mental illness or substance abuse and to people leaving the prison system, under a plan proposed on Monday by Eric Adams, who is likely to be the city’s next mayor.More than 20 percent of the city’s hotels are now closed, a trade association says. At the same time, the city faces a homelessness crisis, growing sentiment against warehousing homeless people in barrackslike shelters and a lot of severely mentally ill people living in the streets.“The combination of Covid-19, the economic downturn and the problems we’re having with housing is presenting us with a once-in-a-lifetime opportunity,” Mr. Adams, who won the Democratic primary for mayor in June, said as he stood outside a boarded-up hotel in Sunset Park, Brooklyn. “Use these hotels not to be an eyesore, but a place where people can lay their eyes on good, affordable, quality housing.”Details of the plan were thin. Mr. Adams mentioned the possibility of 25,000 converted hotel rooms, but he said that he would focus on boroughs outside Manhattan, where the number of rooms in closed hotels is much smaller than that.He was not clear about whether there was any overlap between his plan and those that the current mayor, Bill de Blasio, and the former governor of New York, Andrew M. Cuomo, have already launched to build 25,000 supportive housing units in the city by about 2030. A spokesman for Mr. Adams’s campaign said that Mr. Adams was also considering converting rooms in former hotels that have already become homeless shelters into permanent supportive-housing apartments, something that Mr. de Blasio has also discussed.The nexus of hotels and homelessness has been a contested one during the pandemic. Early in the lockdown imposed to stem the spread of the coronavirus, thousands of people who had been living in dorm-style shelters were moved to hotel rooms, mostly in Manhattan where their presence led to complaints from some residents about harassment and sometimes violence. The city has since moved most of those people back to group shelters.Several advocates for homeless people and for supportive housing endorsed Mr. Adams’s plan and stood with him at the news conference. “Adams can be the mayor who uses this inflection moment to change the trajectory on homelessness,” Laura Mascuch, executive director of the Supportive Housing Network of New York, said in an interview. “We look forward to working with Adams to implement the strongest supportive housing program in the nation.” More