One can't comment with authority on this; however, one would love to hear from psych professionals (Krauthammer, perhaps?) on their views.
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this is from 2011. The author has since shut down and gone quiet, but a very interesting read.
http://thpatriots.blogspot.com/2010/10/shrink-asks-what-is-wrong-with-barack.html
Summed up like this:
“Obama will not change. He will not learn from his mistakes. He will not grow and mature from on-the-job experience. In fact, over time, Obama will likely become a more ferocious version of who he is today.
Why? Because this is a damaged person. Obama’s fate was sealed years ago growing up in his strange and poisonous family. Later on, his empty vessel was filled with the hateful bile of men like Rev. Wright and Bill Ayers.
Obama will not evolve; he will not rise to the occasion; he will not become the man he was meant to be. This is for one reason and one reason alone:
He is not capable of it.”