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Psychopathy and Sexual Fantasy

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Dr. Todd Grande

This video attempts to answers question: Can I discuss the relationship between psychopathy and sexual behavior and sexual fantasies? The construct of psychopathy is interesting. It's not a mental disorder, although it has a relationship to antisocial personality disorder, which is a Cluster B personality in the Diagnostic and Statistical Manual. Psychopathy is really a set of personality traits and it's measured on a continuum.
Psychopathy has a subclinical component, so somebody could have psychopathic traits and not qualify for a diagnosis of antisocial personality disorder, but also there appears to be a clinical element at the higher expression of psychopathy.

There two different types of psychopathy: Factor 1 and Factor 2 (sometimes called primary and secondary). Factor 1 has superficial charm, grandiosity (similar to what we see with narcissism), callous/unemotional, pathological lying, manipulation, and a lack of remorse.
Factor 2 psychopathy we see some of the traits that more closely aligned with antisocial personality disorder like impulsivity, irresponsibility, and engaging in criminal behavior.


Visser, B. A., DeBow, V., Pozzebon, J. A., Bogaert, A. F., & Book, A. (2015). Psychopathic Sexuality: The Thin Line Between Fantasy and Reality. Journal Of Personality, 83(4), 376–388.

Anderson, S. L., Zheng, Y., & McMahon, R. J. (2017). Predicting Risky Sexual Behavior: The Unique and Interactive Roles of Childhood Conduct Disorder Symptoms and CallousUnemotional Traits. Journal of Abnormal Child Psychology, 45(6)

Lawing, K., Frick, P. J., & Cruise, K. R. (2010). Differences in offending patterns between adolescent sex offenders high or low in callousunemotional traits. Psychological Assessment, 22(2), 298–305

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