Those conservatives who believe that the confirmation of Justice Neil M. Gorsuch is sufficient justification for the Trump presidency are ignoring Trump’s psychic and moral destruction of the conservative movement and the Republican Party. Clinton, with a small number of changed votes, would have defeated Republicans. But Trump is doing a kind of harm beyond anything Clinton could have done. He is changing the party’s most basic moral and political orientations. He is shaping conservatism in his image and ensuring an eventual defeat more complete, and an eventual exile more prolonged, than Democrats could have dreamed.

The conservative mind, in some very visible cases, has become diseased. The movement has been seized by a kind of discrediting madness, in which conspiracy delusions figure prominently. Institutions and individuals that once served an important ideological role, providing a balance to media bias, are discrediting themselves in crucial ways. With the blessings of a president, they have abandoned the normal constraints of reason and compassion. They have allowed political polarization to reach their hearts, and harden them. They have allowed polarization to dominate their minds, and empty them.

Conspiracy theories often involve a kind of dehumanization. Human tragedy is made secondary — something to be exploited rather than mourned. The narrative of conspiracy takes precedence over the meaning of a life and the suffering of a family. A human being is made into an ideological prop and used on someone else’s stage. As the Rich family has attested, the pain inflicted is quite real.