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Trump vs. Musk, the psychiatrist: “Clash between two narcissistic egomaniacs”

The co-president of Sinpf, Italian psychiatrist Claudio Mencacci, analyzes the conflict that has erupted between the US president and the billionaire: “Two boundless egos fighting to dominate the scene. Neither will back down, each wants to make history.”

From honeymoon to head-on collision. The political relationship between Donald Trump and Elon Musk, once seemingly solid, has turned into open warfare. Offering a psychological interpretation of the conflict is Claudio Mencacci, psychiatrist and co-president of the Italian Society of Neuropsychopharmacology (Sinpf), who defines both as “egomaniacs” with a strongly accentuated narcissistic structure.

“It was predictable,” Mencacci explains to Adnkronos Salute, “we are talking about two personalities who have a pathological need to compete and dominate. After the initial phase of mutual esteem, rivalry set in. Now they are facing each other in a battle of delegitimization and insults.”

Trump, according to the psychiatrist, “is more theatrical,” while Musk “is a tech-savvy narcissist.” Both, however, act according to the same logic: “There is only room for my ego in this room,” comments Mencacci. Musk’s attack—which even evoked Trump’s ties to the Epstein case—and the US president’s contemptuous responses reflect, according to the specialist, a struggle for dominance in which “neither wants to give in.”

When asked how the clash might end, Mencacci replies: “It is rare for a conflict between two narcissists to be resolved peacefully. It is more likely that we will see a momentary rapprochement, followed by a new escalation. Because there is only room for one on the stage.”

Meanwhile, the media duel between Trump and Musk continues to unfold. The US president remains the undisputed leader of the Republican Party, while the founder of Tesla has launched the idea of a new political movement, “The America Party,” backed by 80% approval in a poll on X.

The clash is not only political and personal, but also economic: Musk has already lost $33 billion as a result of the deterioration in relations. But according to the psychiatrist, “the collateral damage of this war does not only affect them: it affects the whole world.”

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