ABSTRACT
The author uses the term psychopathic sexual sadism because it best describes offenders who engage in sexually sadistic activities, including torture, mutilation, and killing, to achieve sexual gratification. This chapter focuses on the practical application of the clinical criteria of antisocial personality disorder and sexual sadism as defined in The Diagnostic and Statistical Manual of Mental Disorders (DMS-IV-TR) (APA, 2000), and in the literature on psychopathy (Hare, 1993, 1999, 2003) and the concept of malignant narcissism in the co-morbidity of psychopathy and sexual sadism.
