It could mean I have it. Or not. But the only way I can put myself in the shoes of Republicans is a little like the "As Good As it Gets" line about how Jack Nicholson's character wrote women so well. ("Think of a man - and then take away reason and accountability.")
To get in the head of a Republican, the only thing I can think of is take away any sense of direction or consequences to actions, and insert instead aggression, vindictiveness, a comical sense of assureddness, and inability to give due credit. Want to blow trillions of dollars attacking a country that has no affect on us? It's fine. 'Murica. Obviously any number who die as a consequence, any region completely destabilized is morally acceptable, because we did it, and we're always right. You're pro-life, but don't mind a couple innocent people being put to death so we can keep the death penalty going at any cost? They probably did something wrong to be there anyway? It's fine. Justice, blind vengeance, what's the difference? You took advantage of being in the richest nation on earth, publicly funded and subsidized education and training to use the limited natural resources we all share over the infrastructure society came together to build, but you're a self made man and taxes are the government stealing? Okay buddy.
I feel it's more that they can't understand the mindset of society working as a unit. So. Conflict neurosis, or trying to take on that which actually makes little to no sense?