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Someone's trying to normalize and deflect a little here.
You'd think, "Oh, maybe he has another strategy: he could be kind and empathetic; or business like and goal-oriented; or ...."

Nope. This is his one strategy, and he always starts out this way: Norm-busting, bullying, and making an outrageous ask.
He's probably done this since the beginning of his life, but I expect he learned it clearly from, and was refined in its use, by Roy Cohn a long time ago. If he's truly impaired, it might be all he has left and is kind of instinctive (ie, it's his real self).

It's followed closely or intertwined with a big bluff, and then carpet-bombing with lies (never truth - ever give anything away for free).
Wall Street seems to have gotten wise to this (or most of it) - TACO.

You know what? It's easier to lie if you're mentally impaired! And you can really believe it, which might make your act even more convincing!