Am J Psychiatry 1989; 146:887-891
Copyright © 1989 by American Psychiatric Association
The presumptive role of fantasy in serial sexual homicide
RA Prentky, AW Burgess, F Rokous, A Lee, C Hartman, R Ressler and J Douglas
Research Department, Massachusetts Treatment Center, Bridgewater 02324.
The authors examined the role of fantasy as an internal drive mechanism for
repetitive acts of sexual violence. A sample of 25 serial sexual murderers
with three or more known victims each was compared with a sample of 17
single sexual murderers, with only one known victim each. The drive
mechanism was hypothesized to be an intrusive fantasy life manifested in
higher prevalences of paraphilias, documented or self- reported violent
fantasies, and organized crime scenes in the serial murderers. All three
hypotheses were supported.
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