Evaluating Presidential Fitness: The 25th Amendment and Presidential Disability

The 25th Amendment to the U.S. Constitution offers procedures to address presidential disability. However, it omits a standard and process by which inability to discharge the duties of the office should be judged. Formulation of a standard and an approach to evaluation should begin by recognizing the similarities with workplace fitness-for-duty evaluations. Thus, operationalizing the 25th Amendment would involve developing a job description, considering the degree of impairment that would render a president unable to function, and clarifying an approach to evaluation. Establishing an independent work group could mitigate the intensely political environment in which this process would unfold.

Authors

Institutions

Publication Details

Journal
Psychiatric Services
Published
2026-10-29
DOI
https://doi.org/10.1176/appi.ps.20260571
Primary Topic
History, Medicine, and Leadership
Type
article
Field-Weighted Citation Impact
0.00
Controls
|||
ALL TIME
JAN
FEB
MAR
APR
MAY
JUN
JUL
AUG
SEP
OCT
article

Evaluating Presidential Fitness: The 25th Amendment and Presidential Disability

Paul S. Appelbaum
Psychiatric Services
History, Medicine, and Leadership
article

Evaluating Presidential Fitness: The 25th Amendment and Presidential Disability

Paul S. Appelbaum
article en

Abstract

The 25th Amendment to the U.S. Constitution offers procedures to address presidential disability. However, it omits a standard and process by which inability to discharge the duties of the office should be judged. Formulation of a standard and an approach to evaluation should begin by recognizing the similarities with workplace fitness-for-duty evaluations. Thus, operationalizing the 25th Amendment would involve developing a job description, considering the degree of impairment that would render a president unable to function, and clarifying an approach to evaluation. Establishing an independent work group could mitigate the intensely political environment in which this process would unfold.

Psychiatric Services
Columbia University (US)
Openalex Percentile: Top 4%
History, Medicine, and Leadership
AI Navigator

Ask Laika to Summarize, Analyze, and Connect papers live on the map.

Summarize Papers & Methodologies

Extract key findings, datasets, and comparative methods across publications.

Benchmark Rankings & Visual Analytics

Rank top research institutions, authors, funders, topics, and journals by Field-Weighted Citation Impact (FWCI) and paper volume with instant charts.

Connect Distant Disciplines

Bridge topological clusters on the map to find hidden collaborative intersections.

Laika access coming soon