Concept

Sadistic personality disorder

Summary
Sadistic personality disorder is a personality disorder defined by a pervasive pattern of sadistic and cruel behavior. People with this disorder were thought to have desired to control others. It was believed they accomplish this through the use of physical or emotional violence. This diagnosis appeared in an appendix of the Diagnostic and Statistical Manual of Mental Disorders (DSM-III-R). The later versions of the DSM (DSM-IV, DSM-IV-TR, and DSM-5) do not include it. It was removed as psychiatrists believed it would be used to legally excuse sadistic behavior. Sadistic personality disorder was defined by a pervasive pattern egosyntonic of sadistic behavior. Individuals possessing sadistic personalities tend to display recurrent aggression and cruel behavior. People with this disorder will use violence and aggression in an attempt to control and dominate others. When others refuse to submit to their will, they will increase the level of violence they use. Many sadists will verbally and emotionally abuse others rather than physically, purposefully manipulating others through the use of fear or shaming and humiliating others. Some people with this disorder will not abuse others, but will instead display a preoccupation with violence. This disorder was thought to be caused by childhood trauma or being raised in by a family where one spouse is abused. Sadistic personality disorder was considered more common in men than women. Sadistic personality disorder was thought to have been frequently comorbid with other personality disorders, primarily other types of psychopathological disorders. In contrast, sadism has also been found in patients who do not display any or other forms of psychopathic disorders. Conduct disorder in childhood, and Alcohol use disorder were thought to have been frequently comorbid with Sadistic personality disorder. Researchers had difficulty distinguishing sadistic personality disorder from the other personality disorders due to its high levels of comorbidity with other disorders.
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