title: The role of fantasy in a serial sexual offender: a brief review of the literature and a case report.
abstract: Extensive research has attempted to elucidate the role of fantasy in sexual offending. In this paper, the authors summarize the main results of the literature, especially the contents, themes, dynamics, etiopathogenesis, and potential functions of fantasy in sexual offending. Further, the authors analyze the case of a serial sexual offender who assaulted 39 women. The forensic-psychiatric assessment revealed that his fantasies of forced sex, sexual coercion, and dominance, which were linked to narcissistic personality organization and functioning, were the primary drive mechanism in his crimes, because he imagined himself in the role of the aggressor, identified with the power associated with the role of perpetrator, and was sexually aroused by such images of omnipotent control of the victim. In conclusions, the authors suggest that fantasies of sexual aggression, coercion, and dominance of women may stimulate grandiosity and omnipotence and, in a minority of cases, may lead to sexual offending.
authors: Department of Criminology and Forensic Psychiatry, University of Bari, Piazza Giulio Cesare 14, 70124 Bari, Italy. f.carabellese@criminologia.uniba.it
authors: Felice
authors: F
authors: Carabellese
authors: Roberto
authors: R
authors: Maniglio
authors: Oronzo
authors: O
authors: Greco
authors: Roberto
authors: R
authors: Catanesi
mesh_terms: D000328:Adult; D003417:Criminal Psychology; D007174:Disruptive, Impulse Control, and Conduct Disorders / Q000523:psychology; D005201:Fantasy; D005260:Female; D005555:Forensic Psychiatry; D006801:Humans; D008297:Male; D009289:Narcissism; D010554:Personality Disorders / Q000523:psychology; D012742:Sex Offenses / Q000523:psychology*