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I think she's talking more about his character and basic personality, major psychiatric flaws and all. She is a licensed, formerly practicing psychologist. She is not guessing from afar.
Personally, IMHO, I think he's simply lost some steps mentally and hos "filter" is now skewed or broken completely. His public veneer that he wore for decades pretending to be a decent sort has shattered. He can no longer hide his scrambled thinking or his terrible self, so it constantly comes out and he doesn't give it a second thought.




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