If one examines the behavior and speech of Donald Trump, it becomes apparent that his entire emotional core is off kilter. He does not experience true lover of others, esthetic exhilaration, empathy, compassion, intellectual curiosity or desire to learn, deep joy, shame, or guilt. The only real emotions he shows are fear, anger, hatred and glee from demeaning or taking advantage of others.
These are the emotions of a true sociopath, of a person without a moral or intellectual core. Such a person can only do damage to anything or anyone he touches.
I know this seems counter-intuitive, but he demeans others, lies, and spreads fear because he has a very low self-esteem. He doesn't like himself, that's why he throws sand and smokescreens.
I agree, off kilter is the best way to describe it.