DAVID GREENE, HOST:

If you're the White House press secretary, go off message, reveal too much and the world will know about it. Facing that pressure, the press secretary will often not say much at all.

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DANA PERINO: As frustrating as it is for you to not get answers from me, I mean, it's just as frustrating for me. I can't provide you anything more.

GREENE: That's Dana Perino. She was at the podium at the end of George W. Bush's second term. And she's out with a book this week called "And The Good News Is..." She writes about one way she dealt with the pressure.

PERINO: Some reporters would be peacocking around and be showing off for the cameras. And sometimes, just under the podium, holding my glass of water, I would flip them the bird.

GREENE: Behind the podium, I mean, your middle finger was...

PERINO: Yes, nobody could see me, and I had never told anybody that. I couldn't believe when I was writing the book, I'm like, you know what? If you're just going to be honest and candid, you might as well just be 100 percent going for it. And so I apologized to the reporters. I apologized to President Bush. And I also say that, who knows? Maybe the reporters were flipping me off, too.

GREENE: Dana Perino says she learned to deal with pressure early from her father.

PERINO: My dad chose to have me read the Rocky Mountain News and Denver Post every day before he got home from work, and I had to choose two articles to discuss before dinner. And I look back on that time - I remember being on Marine One once, and the president had asked me my opinion about something. And it was an unpopular opinion, but I expressed it well. And I think I was persuasive at the time. And I thought back to that time with my dad, and I realized that, you know - one of the things I write about in the book is that parents and dads, if they can, should spend some of that time with their daughters because at some point in their lives, they will be working with or for possibly a male dominant figure. And to be able to express yourself well and feel confident in your opinions and not feel like you are needing to be shy about them is very powerful. And I think that that planted the seed for me to be able to be more successful.

GREENE: Success meant being named White House press secretary in her 30s. But the day Dana Perino was promoted from deputy, she actually came to work ready to quit. Hidden pressures were taking their toll on her health, and the promotion did nothing to stop that.

PERINO: Everybody likes to pretend that stress is not affecting them as much as it is. You know, I worked from 4 a.m. to 10 p.m. I didn't sleep that well. And eventually, over time, that all built up to some pretty debilitating things that I masked. I couldn't sleep without taking some sort of sleeping pill. And then even if I did, it was only for a few hours. I didn't eat well. That was something that I advise in the book that if I had to do it again, I would have taken better care of my health, in particular nutrition. I drank a lot of caffeine. And I worried a lot, right? So I fretted all the time - underneath the surface, of course.

GREENE: But Dana Perino also reflected on the pressures she saw on her boss. President George W. Bush launched two wars - one in Afghanistan after 9/11 and one in Iraq that saw public support fall over time. Perino recounts going with the president to visit wounded troops at the old Walter Reed Army Medical Center.

PERINO: Most every family was just delighted that the president was there and so honored that the commander in chief would stop by. And I wasn't sure what it would be like. And on my first trip there, I witnessed that for about the first 25 people he visited.

And then, we went into this room and a mom and dad were there. And the mother was distraught. Her son was on life support. And from what I gathered, his prognosis was that it was unlikely he would survive. And the mother was very distraught. And she's crying, and the husband was trying to calm her. And the president was there, and he also tried to calm her. And then she yelled, you know, why are your children OK, but my son is here?

And the president stopped trying to comfort her because she was inconsolable. But he didn't leave. He stood there almost as if he needed to absorb it and to understand it. Commanders in chief make really tough decisions. And we went on to the next rooms, and I remember those being experiences where the families were very happy to see him.

But when we got on Marine One to fly back to the White House, the president was looking out the window. And then he looked at me. And he said, that mama sure was mad at me. And then he looked out the window and he said, and I don't blame her a bit. And a tear rolled down his cheek, but he didn't wipe it away. And then we flew back to the White House.

GREENE: Had that young man been in Iraq?

PERINO: I'm not sure if it was Iraq or Afghanistan. But certainly he had been fighting in the global war on terror.

GREENE: I mean, I'm interested in moments like that because, I mean, the president was leading a war in Iraq that was, you know, incredibly controversial in this country.

PERINO: Yes.

GREENE: Is that one reason he felt like he had to absorb something like that from...

PERINO: Well, I think any commander in chief that asks his men and women in uniform to go on a mission and then that individual is harmed because of a decision that you have made - yes, of course.

GREENE: You write about something very personal in the book. You know, we talked about your father and your relationship with him. You say President Bush helped to restore your relationship with your dad, you know, who had divorced your mom and you had been sort of separated from him for a while. Tell me about that.

PERINO: I had been at the White House for almost eight years, and my father had not come to visit me and not seen me brief the White House Press Corps. And we were getting towards the end of the administration, and we were in the middle of the financial crisis. But President and Mrs. Bush had invited Prime Minister Berlusconi to the White House from Italy for a dinner, and I got invited. And my husband loves to go to these events. But I told him, I think I just want to invite my dad. And if he comes, great. And if he doesn't, I won't be upset. But to my surprise, my dad accepted the invitation. And a couple of weeks later, my dad arrived. And we walk in, and I'm trying to just play it cool, but it's kind of amazing. So I grew up reading papers with my dad and now I'm on - at the White House. And the first person we see is Justice Alito and Rudy Giuliani - I mean, all these great Italian-Americans who are so glad to see me and giving me hugs, and I think it was very overwhelming for my dad.

GREENE: Who has Italian roots, we should say.

PERINO: Yes, my great-grandparents emigrated from Italy. And so we're in the line to get a photograph with the president and the military aid was about to announce us, and the president says, hold on a second. This man needs no introduction. That's Leo Perino, and we have been waiting for you for years. And then he took my dad off my hands, and he said, do you want to meet Condi Rice? Would like to see this? And he takes him on a little tour of the East Wing, and I didn't have to do anything else but sit back and enjoy it.

GREENE: Dana Perino, thank you.

PERINO: Thank you so much, David.

GREENE: Dana Perino is former White House Press Secretary. Her new book is called "And The Good News Is..." And before we let her go, I did have to ask one more question about that thing she did behind the podium in the briefing room.

Dana, I was in that briefing room covering the White House. Did you ever...

PERINO: Not you.

GREENE: ...Flip me off from behind the - you sure?

PERINO: David Greene of NPR? Absolutely not.

GREENE: OK, I'm going to take your word for it.

PERINO: Guaranteed.

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