1987 April,Barbara Ehrenreich,“The Unfastened Head of State”, inMother Jones, volume 12, number 3, page 10:
Someday our grandchildren will look up at us and say, "Where were you, Grandma, and what were you doing when you first realized that President Reagan was, er, not playing with a full deck?"
[E]very single person, who Grandma said were family members, appeared to be either mentally ill, retarded, or strung out on drugs. Grandma seemed to be playing with a full deck, but no one else was.
The Bulls were closer to playing with a full deck Monday night when coach Tom Thibodeau announced that Derrick Rose and Pau Gasol would be in the starting lineup.
Usage notes
(Sense: behave in a manner suggesting normal intelligence): Almost always used with the present participle and in negative constructions—not playing with a full deck—meaning "behaving in a manner that is odd, suggestive of diminished mental capacity, or not altogether sane".