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The American people are under systematic assault from disinformation, misinformation and propaganda, including conspiracy theories, often spread by malign actors who have successfully undermined the public’s ability to engage in what psychologists describe as “reality testing.”

Trump's sense of reality testing is very fluid.

To a large degree, they have lost the ability to engage in what psychologists describe as "reality testing."

What about their ability to engage in reality testing?

“In reality, testing reflected extremely low levels of PCBs in this school.”