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Developmental origins of moral masochism: a failure-to-thrive toddler's interactions with mother.

The case of a toddler diagnosed as failure to thrive with an unusual history of "accidents" illustrates the circumstances which may account for the infant's intense attachment to a sadistic love object and lead to moral masochism in adulthood. The observed behaviors of the toddler in interaction with mother show the pathological consequences of the infant's openness to influences of the social environment. He becomes attuned to his mother's wishes and performs behaviors which successfully evoke her attention and reciprocity even if these behaviors are contradictory to his survival. The mother's own experiences with unempathic and hostile parents are reflected in her attitudes and behaviors to the child. Suffering and victimization evoke her interest although she lacks the capacity for an empathic response to pain. Berliner's work on the origin of moral masochism, as well as the work of Steele on generational repetition, suggest the processes through which the infant's attachment to a sadistic mother gives rise to masochistic tendencies which may be reenacted throughout life in an effort to reproduce the affective feelings associated with mother's love and affection.

Attention↗

Patients reporting ritual abuse in childhood: a clinical syndrome. Report of 37 cases.

Thirty-seven adult dissociative disorder patients who reported ritual abuse in childhood by satanic cults are described. Patients came from a variety of separate clinical settings and geographical locations and reported a number of similar abuses. The most frequently reported types of ritual abuse are outlined, and a clinical syndrome is presented which includes dissociative states with satanic overtones, severe post-traumatic stress disorder, survivor guilt, bizarre self abuse, unusual fears, sexualization of sadistic impulses, indoctrinated beliefs, and substance abuse. Questions relating to issues of reliability, credibility and verifiability are addressed in depth, and the findings and implications are discussed.

Abreaction↗

Prevalence and characteristics of sadistic personality disorder in an outpatient veterans population.

This study is designed to examine the prevalence, demographics, and the Axis I and Axis II diagnoses of sadistic personality disorder (SPD) in a previously unexamined population (outpatient veterans). It also represents the first attempt to examine the family history of those with SPD. Standardized methods were used to select 144 nonpsychotic subjects from a veterans psychiatric outpatient clinic. The population was then divided into three groups: those with SPD, those without SPD but with antisocial personality disorder or traits, and those with no Axis II disorders. A fourth group consisted of 28 control veterans without psychopathology. Subjects with SPD tended to be younger and to have lower scores on the Global Assessment Scale than did clinical control subjects without personality disorders; they also had significantly more bipolar and panic disorder than were found in the antisocial traits group. High levels of depression and alcohol dependence were also present. SPD traits correlated with DSM-III-R dramatic cluster, compulsive, passive-aggressive, and self-defeating personality disorders. The SPD group could be distinguished from other groups on the basis of family history. It was concluded that sadistic personality traits and disorders are prevalent (8.1%), associated with reduced functioning, and may have specific associations with certain Axis I and Axis II disorders. It is possible that they have a distinct familial pattern.

Age Factors↗

Trait modulation of alcohol-induced laboratory aggression.

Modest alcohol and aggressive trait effects on laboratory-induced aggression among men have been reported with some consistency in the literature. Relationships between aggressive personality traits and laboratory-induced aggression appear to become less consistent under the influence of alcohol. Several research teams have found suggestions that the effects of alcohol on laboratory aggression may be reduced or even reversed among individuals with aggressive personality traits. This study examined the effects of alcohol on the aggressive responding on the Point Subtraction Aggression Paradigm (PSAP) of eight undergraduate men who generated evidence on the Million Clinical Multiaxial Inventory-II (MCMI-II) of sadistic-aggressive personality disorder features. This sample was compared with a group of 18 undergraduate male peers without MCMI-II elevations described in a previous study. Neither alcohol ingestion (0.8 ml/kg) nor aggressive personality traits predicted laboratory behavior in isolation, but alcohol was found to selectively attenuate (d = 0.75) PSAP responding for the sadistic-aggressive as opposed to the control subjects (i.e., a significant aggressive trait by alcohol interaction). The possible value of this counterintuitive response tendency in identifying men at elevated risk for alcohol-related aggression was discussed. Large, immediate reductions in laboratory-based aggressive responding while under the influence of alcohol might provide a paradoxical high risk indicator that has not been previously identified.

Adult↗

Ethological, psychological and legal aspects of animal sexual abuse.

This report presents an analysis of sexual abuse of five three-month old calves that died as a result of injury. A subsequent police investigation concluded that the animals had been sexually abused by an individual affected with zoophilia. The calves received injuries in the anogenital region resulting in fatal internal bleeding. The wounds appeared to have been caused by inserting and manipulating an unknown object into the vaginas of the animals. Post-mortem examination showed rupture of both the rectum and vagina in each calf with massive haemorrhage into the abdominal and thoracic cavities. From the psychiatric and animal welfare viewpoints animal sexual abuse is linked to clinical veterinary ethology. Ethical and legal aspects of animal welfare are evaluated with particular regard to the cases described.

Anal Canal↗

Identity confusion, bisexuality, and flight from the mother.

This paper deals with the effects of an oral-sadistic annihilating mother on her male and female offspring. The all-powerful nature of these mothers, and the corresponding helplessness of the fathers, produce in their offspring a sense of identity confusion, a struggle with their bisexuality, and a need to distance themselves from their mother. Everything unwanted in the mother is externalized onto and into the child, particularly suffering and pain, which are necessary for the maintenance of the (pathological) mother-child relationship. Positive movement (i.e., success) on the child's part threatens the balance of this relationship, is perceived by the child as a hostile and destructive triumph over the mother, and causes the Negative Therapeutic Reaction in therapy. The child's inherent masochism acts to preserve the early infantile omnipotence and leads to his/her assumption of all responsibility for the mother's affective states. The child's self-destructiveness also functions as a release for unconscious aggression toward the mother, due to the lack of boundary differentiation between the two.

Anxiety Disorders↗

Validity of the psychopathy checklist-revised in male methadone patients.

The psychopathy checklist-revised (PCL-R) has been shown to be reliable when used with male methadone patients, but validity has not been established in this population. This paper examines the PCL-R's validity in 251 male methadone patients. Correlations between the PCL-R and background variables, Axis I and Axis II disorders, and several self report measures of related constructs are evaluated. Correlations with Axis I disorders were low except for substance dependencies, but strong correlations between Cluster B personality disorders were found. Results provide evidence of construct validity for the PCL-R, particularly total and Factor 2 scores, in male methadone patients.

Adolescent↗

Cruelty's rewards: the gratifications of perpetrators and spectators.

Cruelty is the deliberate infliction of physical or psychological pain on other living creatures, sometimes indifferently, but often with delight. Though cruelty is an overwhelming presence in the world, there is no neurobiological or psychological explanation for its ubiquity and reward value. This target article attempts to provide such explanations by describing three stages in the development of cruelty. Stage 1 is the development of the predatory adaptation from the Palaeozoic to the ethology of predation in canids, felids, and primates. Stage 2, through palaeontological and anthropological evidence, traces the emergence of the hunting adaptation in the Pliocene, its development in early hominids, and its emotional loading in surviving forager societies. This adaptation provides an explanation for the powerful emotions - high arousal and strong affect - evoked by the pain-blood-death complex. Stage 3 is the emergence of cruelty about 1.5 million years ago as a hominid behavioural repertoire that promoted fitness through the maintenance of personal and social power. The resulting cultural elaborations of cruelty in war, in sacrificial rites, and as entertainment are examined to show the historical and cross-cultural stability of the uses of cruelty for punishment, amusement, and social control. Effective violence prevention must begin with perpetrators, not victims. If the upstream approaches to violence prevention advocated by the public-health model are to be effective, psychologists must be able to provide violence prevention workers with a fine-grained understanding of perpetrator gratifications. This is a distasteful task that will compel researchers to interact with torturers and abusers, and to acknowledge that their gratifications are rooted in a common human past. It is nonetheless an essential step in developing effective strategies for the primary prevention of violence.

Aggression↗

(Serious) sadomasochism: a protected right of privacy?

Several adult male members of a sadomasochistic sex club were arrested for violating a U.K. statute passed in 1861--The Offences Against the Person Act. The sex acts spanned a 10-year period and were videotaped. They involved manipulation of the genitalia with hot wax, sand paper, fish hooks, and needles. The sexual interactions were consensual. This analysis tracks the case from trial, to the Court of Appeal, to the House of Lords, and on to the European Court of Human Rights. It examines whether or not these sexual behaviors should be protected under a right to privacy. It contrasts state concerns of bodily harm, albeit consented to, in sex with those incurred in sport.

Boxing↗

Investigating the underlying structure in sadomasochistically oriented behavior.

This study explores the extent to which 29 individual sexual behaviors, previously identified in L. Alison, P. Santtila, N. K. Sandnabba, and N. Nordling (2001), as each being associated with 1 of 4 different broad themes of sadomasochistically oriented behavior, represent different scales of intensity within each theme. The themes were as follows: hypermasculinity, administration and receipt of pain, physical restriction, and humiliation. For example, we wanted to establish whether skinbranding is a more intense expression of pain than spanking; whether faceslapping is a more intense expression of humilitation than flagellation, and so on. One hundred and eighty-four participants (22 women and 162 men) who were members of two sadomasochistically oriented clubs gave information concerning which of the 29 sexual behaviors they had participated in during the preceding 12 months. A multivariate analysis (POSAC; Shye, 1994) supported the existence of cumulative scales in each of the 4 themes, suggesting that the order in which people engage in different sadomasochistic behaviors is not random and that specific, less intense behaviors generally precede more intense behaviors.

Adult↗

Subtypes of psychopathy: proposed differences between narcissistic, borderline, sadistic, and antisocial psychopaths.

Atascadero State Hospital (ASH) is a maximum-security forensic hospital that houses male patients with a wide range of psychiatric diagnoses. Psychopaths at this institution appear to be a heterogeneous group of individuals who, while sharing core personality characteristics, manifest substantial variability in their behavior. Identifying subtypes within this clinical classification can have implications for patient treatment and management, as well as for the safety of the staff who work with them and for the communities to which they will eventually return. Several means of identifying subtypes have been proposed in the literature, and potential subgroups have been identified. Clinical observations at ASH have suggested 4 possible subtypes of psychopathy: narcissistic, borderline, sadistic, and antisocial. Issues related to the conceptualization of psychopathy are addressed, recognizing that additional data are needed to understand the observed variations in cases of psychopathy.

Antisocial Personality Disorder↗

Two systems of self-regulation and the differential application of psychoanalytic technique.

Out of our work over the years on child development, clinical technique, and sadomasochism, we have begun to formulate a model of development that describes two possible ways of responding to feelings of helplessness in the face of the challenges of internal and external experience. Any psychoanalytic model has implications for how we think about technique and can be tested on the basis of its utility in generating technical ideas and enhancing our therapeutic repertoire. At this juncture in the history of our field, it is crucial for us to demonstrate that psychoanalytic techniques are effective in helping people enter treatment, change, and finish in a way that consolidates their gains. In this paper we explore the utility of our two-systems model for expanding the discourse about psychoanalytic technique.

Female↗