For Trump it is all image management - although he regards as a simply statement of truths.
He cannot accept he is deficient in any respect - he has an almost childlke belief in all he utters.
He is brave, clever, honest, calls out fakery, and is convinced everybody loves and respects him. Or they get fired.
I would call him delusional. Republican politicians who backed him for a second term may now be regretting their stupidity - they will carry the stigma of his presidency for decades to come.
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