Sadistic and self-defeating personality disorder criteria in a rural clinic sample

Those who (enjoy to) hurt: The influence of dark personality traits on animal- and human directed sadistic pleasure

BACKGROUND AND OBJECTIVES

Sadistic pleasure - gratuitous enjoyment from inflicting pain on others - has devastating interpersonal and societal consequences. The current knowledge on non-sexual, everyday sadism - a trait that resides within the general population - is scarce. The present study therefore focussed on personality correlates of sadistic pleasure. It investigated the relationship between the Dark Triad traits, and both dispositional and state-level sadistic pleasure.

METHODS

N = 120 participants filled out questionnaires to assess their level of Dark Triad traits, psychopathy subfactors, and dispositional sadism. Then, participants engaged in an animal-directed task in which they were led to believe that they were killing bugs; and in a human-directed task where they could ostensibly noise blasts another participant. The two behavioral tasks were administered within-subjects, in randomized order. Sadistic pleasure was captured by increases in reported pleasure from pre-to post-task.

RESULTS

All Dark Triad traits related to increased dispositional sadism, with psychopathy showing the strongest link. The coldheartedness psychopathy subscale showed a unique combination with both self-reported sadism and increased pleasure following bug grinding.

LIMITATIONS

Predominantly female and student sample, limiting generalizability of findings.

CONCLUSIONS

Out of all Dark Triad components, psychopathy showed the strongest link with gaining pleasure from hurting others. The results underscore the differential predictive value of psychopathy's subcomponents for sadistic pleasure. Coldheartedness can be considered especially disturbing because of its unique relationship to deriving joy from irreversible harm-infliction (i.e. killing bugs). Our findings further establish psychopathy - and especially its coldheartedness component - as the most adverse Dark Triad trait.

Factor Mixture Analysis of the Dark Triad and Dark Tetrad

Abstract. The aim of this research was to examine the structure of the Dark Triad and Tetrad traits by answering the question whether a person-centered or a variable-centered approach is more suitable for their description, or its combination. Moreover, we examined whether the inclusion of sadism into the dark traits constellation would change the results. On a sample of 404 participants, both short and full-length measures of the Dark Triad were used, while sadism was assessed via Short Sadistic Impulse Scale. The results of the factor mixture analysis showed that the variable-centered approach is better at describing the Dark Triad, but the inclusion of sadism resulted in qualitatively different latent profiles, suggesting that the person-centered approach could serve in describing the Dark Tetrad. Inclusion of sadism led to the isolation of higher Dark Tetrad-sadism profile in both short and full-length measures and this profile showed the higher risk behaviors and interpersonal problems. Other isolated profiles could be interpreted as lower and higher Dark Tetrad profiles, with some specificities. Results showed that inclusion of sadism contributed to the isolation of profile more prone to sadism, but also to isolation of other profiles, suggesting that it could change the relations among dark traits.

Psychopathy subfactors distinctively predispose to dispositional and state-level of sadistic pleasure

BACKGROUND AND OBJECTIVES

Sadistic pleasure - the enjoyment of harm-infliction to others - can have devastating interpersonal and societal consequences. The current knowledge on non-sexual, subclinical forms of sadistic pleasure is poor. The present study therefore focussed on the personality correlates of sadistic pleasure and investigated the relationship between the different subcomponents of psychopathy and both dispositional and state-level sadistic pleasure.

METHOD

N = 120 males drawn from a community sample filled out questionnaires to assess their level of psychopathy and dispositional sadism. Then, participants engaged in a bug-grinder procedure in which they were led to believe that they were killing pill bugs. The positive affect they reported after ostensibly killing the bugs served as measures of sadistic pleasure. The bug-grinding task was repeated a second time after installing either a positive victim attitude combined with giving human names to the bugs, or a negative victim attitude combined with labeling the bugs with numbers.

RESULTS

Although the Self-centred Impulsivity component of psychopathy had some relevance to sadism, it was the Coldheartedness subscale that showed the strongest relationship to sadistic pleasure. Specifically, increased Coldheartedness was uniquely related to more positive affect, along with less guilt after bug grinding.

LIMITATIONS

Drawbacks of the study include the unique reliance on a male, community sample, and the potential impact of demand characteristics, including a suggestion that the participant put at least some bugs into the grinder.

CONCLUSIONS

Our findings underscore the differential predictive value of psychopathy components for sadistic pleasure. Coldheartedness can be considered especially disturbing because of its unique relationship to harm-infliction of the most irreversible nature (i.e. killing), and gaining pleasure out of it.

Évaluation du trouble de la personnalité sadique en relation avec la psychopathie auprès de patients internés en hôpital psychiatrique sécuritaire

The population was composed of 76 male patients (mean age=36.14). All of them having committed a violent offence indexed in their institutional file: (1) sexual offences on children; (2) rapes of adult women; (3) homicide offence; and (4) assaults and batteries. TPS was defined by the following 8 diagnostic criteria as described in DSM III-R: 1) has used physical cruelty or violence for the purpose of establishing dominance in a relationship; 2) humiliates or demeans people in the presence of others; 3) has treated or disciplined someone under his or her control unusually harshly; 4) is amused by, or takes pleasure in, the psychological or physical suffering of others; 5) has lied for the purpose of harming or inflicting pain on others 6) gets other people to do what he or she wants by frightening them 7) restricts the autonomy of people with whom he or she has a close relationship; 8) is fascinated by violence, weapons, martial arts, injury, or torture. These criteria were assessed from (a) clinical and institutional files and (b) clinical collateral informations. TPS assessment was conducted by two -trainees in clinical psychology (kappa=0.87; n=20). The assessment of psychopathy was conducted according to the guidelines of the Hare psychopathy checklist manual (PCL-R, 1991, 2003): coding of clinical and institutional files and semi-structural clinical interviews. The PCL-R is mainly composed by 2 factors: factor 1 "Emotional detachment" describing the core psychological component of psychopathy, and factor 2 "Chronically antisocial factor" reflecting behavioral instability and antisocial life style. The total cut-off score for the inclusion of the diagnosis was 25. The prevalence of TPS in the population was 25% (n=19) and is congruent with the large range described in the literature (0.5 to 33%). The most frequent criteria were 6 (gets other people to do what he or she wants by frightening them), 1 (has used using physical cruelty or violence for the purpose of establishing dominance in a relationship) and 3 (has treated or disciplined someone under his or her control unusually harshly). The most sensible criteria were: 7 (restricts the autonomy of people with whom he or she has a close relationship), 8 (major interest for violence) and 4 (pleasure in the psychological or physical suffering of others). The most specific criteria were: 3 (has treated or disciplined someone under his or her control unusually harshly), 6 (gets other people to do what her or she wants by frightening them), 4 (takes pleasure in the psychological or physical suffering of others) and 1 (has used physical -cruelty or violence for the purpose of establishing dominance in a relationship). As concerns psychopathy, the mean of factor 1, factor 2 and the PCL-R total scores were 7.40, 9.08 and 18.67. Thus, 38% of patients were considered as "low psychopaths", 36% were considered as "moderate psychopaths" and 26% were considered as "high psychopaths". In spite of few significant positive correlations between some TPS and PCL-R criteria, TPS diagnosis was not significantly correlated with factors 1, factor 2, nor with total score of the PCL-R. The mean psychopathy total score did not differ between sadistic and non-sadistic patients. Moreover, a two ways ANOVA comparing PCL-R factors 1 and 2 did not reveal any differences between sadism and non-sadism. Again, these comparisons did not support hypothesis of a strong association between TPS and psychopathy.

Sadistic personality disorder in perpetrators of human rights abuses: a South African case study

Although state-sponsored human rights abuses have long been commonplace, the psychological profiles of perpetrators are not well delineated. This article examines the utility of the diagnosis of sadistic personality disorder (SPD) in explaining the commission of atrocities. The history of, and controversies surrounding, SPD are briefly reviewed. Using a case study from the amnesty trials of the Truth and Reconciliation Commission (TRC) in South Africa, the relevance of the SPD diagnosis for an infamous perpetrator of political violence is debated. Sources of data include the perpetrator's autobiography, transcripts from the amnesty trial, and Structured Clinical Interview for DSM-IV Axis II Personality Disorders (SCID-II; First, Spitzer, Gibbon, & Williams, 1994) ratings provided by four people who had contact with the perpetrator during his trial. The authors provide arguments for and against the use of the SPD diagnosis in this case and in similar contexts of perpetration. It is proposed that neither psychological reductionism nor social reductionism can adequately account for the motivations of political perpetrators, and an integrative approach to the understanding of perpetrators is advocated. Implications for diagnostic criteria are discussed.

Sadistic personality disorder in sex offenders: relationship to antisocial personality disorder and sexual sadism

To investigate the relationship of sadistic personality disorder (SPD), as defined in the appendix of DSM-III-R, to other personality disorders and to sexual sadism, 70 sex offenders (27 child molesters, 33 rapists, and 10 murderers) were assessed by the International Personality Disorder Examination. In 19 subjects (27.2%) from the total sample, SPD was diagnosed. The highest overlap appeared with borderline personality disorder (31.6%) and antisocial personality disorder (42.1%). However, in four cases SPD was the only personality disorder diagnosed. Factor analysis of the antisocial and sadistic criteria resulted in four major factors--one factor with high loadings on the sadistic criteria and the violent criteria of antisocial personality disorder, two factors with different forms of adult and juvenile aggression, and a fourth factor with high loadings on the antisocial criteria covering exploitative behavior. The results do not support SPD as a discrete disorder. Nevertheless, SPD may be seen as an important subdimension of antisocial personality disorder, distinct from more exploitative forms of antisocial behavior with less violence. Of those patients with SPD, 42.1% also had a DSM-III-R diagnosis of sexual sadism, which may be the most dangerous configuration.