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Overall, Dr. Frank concludes that George W. Bush is wholly unfit for the office he holds, and believes the country and world is at great risk if Bush is re-elected. A sample of one area of Bush's mental and character disorders is explored in chapter 6, where the doctor delves into what's behind Bush's special smirks:
Long before he led our nation into war, George W. Bush exhibited an appetite for destruction. As a child, Bush inserted firecrackers into the bodies of [live] frogs, lighting the fuses and blowing the creatures up. As president of his fraternity at Yale, he used a branding iron to maim young pledges. As governor of Texas, he was observed smirking over the executions of death-row inmates, many of whom were later found to have received inadequate legal protection.....Dr. Frank doesn't discuss the Afghanistan and Iraq torture and abuse scandals (these stories broke after his book went to press), but based upon Bush's pattern of behavior one can readily see a strong likelihood that Bush had a direct and active role in setting the cruelest possible policies toward prisoners—for fun.
I recommend this book to readers with a strong stomach.