A psychotic (sexual) psychopath: "I just had a violent thought ...".
The case of a 33-year-old White male with a history of sexual assault is presented. His Rorschach is analyzed and interpreted using both psychostructural (Exner, 1986) and psychodynamic (Cooper & Arnow, 1986; Kwawer, 1980; Meloy & Gacono, in press-b) methodologies. Findings are used to understand the presence and interaction of both psychopathic character and psychotic personality organization in this mentally ill, sadistic, and sexually predatory young man.
Meloy
J R
JR
Department of Psychiatry, University of California, San Diego.
Gacono
C B
CB
D000328:Adult; D000987:Antisocial Personality Disorder / Q000175:diagnosis / Q000523:psychology*; D005201:Fantasy; D006708:Homicide / Q000523:psychology; D006801:Humans; D007298:Insanity Defense; D008297:Male; D019965:Neurocognitive Disorders / Q000175:diagnosis / Q000523:psychology; D010262:Paraphilic Disorders / Q000175:diagnosis / Q000523:psychology*; D011574:Psychoanalytic Theory; D011594:Psychometrics; D011618:Psychotic Disorders / Q000175:diagnosis / Q000523:psychology*; D011902:Rape / Q000523:psychology; D012392:Rorschach Test / Q000706:statistics & numerical data; D012563:Schizophrenia, Paranoid / Q000175:diagnosis / Q000523:psychology; D013850:Thinking; D014754:Violence