I got the impression that he deeply believed everything he said...which I could tell about twenty minutes into the debate that he was telling you things that just weren’t truthful or factual. He believes that though. I think Reagan did a fair job in his last two years of the Presidency....even though he probably was having such problems as well.
Biden has been known for making up his own history as he goes along, and for some time. This, and the obvious impairment of impulse control, inappropiate affect, poor judgment displayed by his conduct, suggest defective frontal lobe executive function. His MRI would be very interesting to look at.