No way to tell. If Bush had been seen by a real and/or ethical shrink he might well have been diagnosed as being as this writer says but the doctor/patient confidentaility might actually be observed and we will likely never know. At this point we can only assume this is an opinion by a hustler trying to sell a book and his opinion is no better than mine (which is that Bush isn't crazy, just stupid). Speaking of Bush, is it just me or does this guy bear a slight resemblance to GWB himself?