Krauthammer defined Bush Derangement Syndrome as "the acute onset of paranoia in otherwise normal people in reaction to the policies, the presidency nay the very existence of George W. Bush". While Krauthammer's column was somewhat tongue-in-cheek (e.g., "What is worrying epidemiologists about the Dean incident, however, is that heretofore no case had been reported in Vermont, or any other dairy state"), the term indicates a belief that some extreme criticisms of President Bush are of emotional origins rather than based on facts or logic. The term has been widely adopted by other writers in the political arena