Sadism and Personality Disorders

Curr Psychiatry Rep. 2023 Nov;25(11):569-576. doi: 10.1007/s11920-023-01466-0. Epub 2023 Oct 19.

Abstract

Purpose of review: Sadistic pleasure-the enjoyment of harm-infliction to others-can have devastating interpersonal and societal consequences. The goal of the current review is to illuminate the nomological net of traits related to sadism. We aim to achieve an understanding of the current empirical status on the link between sadism and personality disorders, psychopathy, the Dark Triad, and basic personality traits in clinical and community-based samples.

Recent findings: The field is dominated by self-report studies on the Dark Triad with convenience samples. The link with DSM personality disorders has hardly been empirically studied. Existing evidence shows that sadism is most strongly related to increased psychopathic personality traits. Sadism can originate both from the interpersonal, affective, and behavioural basis of dark personality traits. There are diverging ideas on the differential status between sadism, psychopathy, and other dark traits. Research is needed on the causal impact of the broader range of personality disorders on sadism, in more diverse samples, including behavioural assessments of sadistic pleasure, as well as on the interplay of such personality traits with situational and affective aspects, and victim attitudes.

Keywords: Dark Triad; Personality; Personality disorders; Sadism; Sadistic pleasure.

Publication types

  • Review

MeSH terms

  • Antisocial Personality Disorder / diagnosis
  • Antisocial Personality Disorder / psychology
  • Humans
  • Personality
  • Personality Disorders* / diagnosis
  • Sadism* / diagnosis
  • Sadism* / psychology