This is severe psychosis. He exists in an alternate reality constructed by his own grandiose delusions. This separate world is protected by people who use him for their own purposes, and by people like Natalie Harp who guard him from narcissistic injury.
He is not in this world.
Trump: "They viciously attacked the reflecting pool. Cutting it with probably box knives. Knives or box knives. Uh, boxcutters and uh, it's almost fixed now and finished."