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Maggie will shoot it straight into your vein

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Surprisingly, that’s not a Velvet Underground lyric.

As a high school student in Queens, Ms. Trump writes, Donald Trump paid someone to take a precollegiate test, the SAT, on his behalf. The high score the proxy earned for him, Ms. Trump adds, helped the young Mr. Trump to later gain admittance as an undergraduate to the University of Pennsylvania’s prestigious Wharton business school.

Mr. Trump has often boasted about attending Wharton, which he has referred to as “the best school in the world” and “super genius stuff.” . ..

Donald Trump has often remarked that his brother’s departure from the family business opened space for him to move into and succeed. “For me, it worked very well,” Mr. Trump told The New York Times during his presidential campaign about serving under his father. “For Fred, it wasn’t something that was going to work.”

Fred Trump Sr. could be brutal to his namesake, shouting at him once as a group of employees looked on, “Donald is worth ten of you,” Ms. Trump writes.

Freddy Trump died in 1981 from an alcohol-induced heart attack when he was 42, and Ms. Trump tells the story in her book about how his family sent him to the hospital alone on the night of his death. No one went with him, Ms. Trump writes.

Donald Trump, she added, went to see a movie.

Even at the start of Mr. Trump’s campaign, his sister, Maryanne Trump Barry, a retired federal appeals court judge, had deep reservations about his fitness for office, Ms. Trump writes.

“He’s a clown — this will never happen,” she quotes her aunt as saying during one of their regular lunches in 2015, just after Mr. Trump announced that he was running for president.

Maryanne Trump was particularly baffled by support for her brother among evangelical Christians, according to the book.

“The only time Donald went to church was when the cameras were there,” Ms. Trump quotes her aunt as saying. “It’s mind boggling. But that’s all about his base. He has no principles. None!”

Ms. Trump, a clinical psychologist, asserts that her uncle has all nine clinical criteria for being a narcissist. And yet, she notes, even that label does not capture the full array of the president’s psychological troubles.

“The fact is,” she writes, “Donald’s pathologies are so complex and his behaviors so often inexplicable that coming up with an accurate and comprehensive diagnosis would require a full battery of psychological and neurophysical tests that he’ll never sit for.”

At another point she says: “Donald has been institutionalized for most of his adult life, so there is no way to know how he would thrive, or even survive, on his own in the real world.”

Like other critics of the president, Ms. Trump takes issue in the book with the notion that Mr. Trump is a strategic thinker who operates according to specific agendas or organizing principles.

“He doesn’t,” she writes. “Donald’s ego has been and is a fragile and inadequate barrier between him and the real world, which, thanks to his father’s money and power, he never had to negotiate by himself.”

The most shocking aspect of these shocking revelations is that not a single one of then is even slightly shocking.

Soundtrack for a collapsing empire:

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