The Sadistic Patient - A Case Study


"Personality Disorders Revisited" (450 pages e-book) - click HERE to purchase!

By: Dr. Sam Vaknin

Malignant Self Love - Buy the Book - Click HERE!!!

Relationships with Abusive Narcissists - Buy the e-Books - Click HERE!!!

READ THIS: Scroll down to review a complete list of the articles - Click on the blue-coloured text!
Bookmark this Page - and SHARE IT with Others!

Subscribe to narcissisticabuse
Powered by


The Sadistic personality disorder was included in the DSM III-TR but removed from the DSM IV and from its text revision, the DSM IV-TR. This was criticized by some scholars, notably Theodore Millon.

Notes of first therapy session with Jared, male, 43, diagnosed with Sadistic Personality Disorder

"A little discipline never hurt nobody." - repeats Jared, clearly amused. Beating a three year old and letting her freeze to near death on your doorstep in subzero temperatures, is this his idea of discipline? "It's one way or getting the message across" - Jared laughs heartily and then composes himself: "Listen, Doc, I am as merciful and compassionate as they come, believe you me. But what I can't stand is cry-babies, weaklings, and whining bitches. Besides, it's fun to see how a little ice does wonders to their sirens."

(continued below)

This article appears in my book "Malignant Self-love: Narcissism Revisited"

Click HERE to buy the print edition from Amazon (click HERE to buy a copy dedicated by the author)

Click HERE to buy the print edition from Barnes and Noble

Click HERE to buy the print edition from the publisher and receive a BONUS PACK

Click HERE to buy electronic books (e-books) and video lectures (DVDs) about narcissists, psychopaths, and abuse in relationships

Click HERE to buy the ENTIRE SERIES of sixteen electronic books (e-books) about narcissists, psychopaths, and abuse in relationships




Follow me on Twitter, Facebook (my personal page or the book’s), YouTube


Why did he force the mother to dump her by now limp and profusely bleeding infant daughter outside the door? If she were a proper caretaker none of this would have happened. He wanted to show her wretched family who is the only boss in the household. "They were getting on my nerves, her mother and sister. They needed some re-education, like in them Chinese camps."- he chuckles. They all claim to be terrified of him and intimidated by his capricious and violent behavior. "I sure hope so!" - he smirks.

The kid says that you pinched her repeatedly and that's why she cried. "I was just kidding with her." Pinching hurts. "Sure does!" - he roars and slaps my shoulder across the desk - "I like you, Doc!" The slap hurt, too. Could he please refrain from doing it in the future? "Whatever turns you own, ma'shrink" - he accepts my interdict jovially.

The mother says that about a year ago you beat the same child and caused her grave injuries because she wouldn't cry when you pinched her and kicked her around. You kept yelling "cry, you bitch, cry." Then you mauled her because she wouldn't cry and now you spanked her because she did cry. "She has to make up her mind and stick to it. I respect that. But she can't change her behavior every time I pinch her. That's why I disciplined her. I want her to have a spine." It seems to me that he is the one who keeps changing the rules. his face darken and he leans forward, whispering hoarsely:

"I like you, Doc, and all - but don't cross the line here or you may get a taste of the same medicine yourself." Is this a threat? He merely glowers at me malevolently. Doesn't he like me any more? "(Expletive deleted) off."

Click on these links to learn more:

Sadistic Personality Disorder

The Narcissist as a Sadist

Other People's Pain (Narcissism, Sadism, and Masochism)

The Misanthropic Altruist (Philanthropy as Sadistic Narcissism)

Case Studies

The Narcissist

The Psychopath

The Paranoid

The Borderline

The Schizoid

The Histrionic

The Avoidant

The Schizotypal

The Obsessive-Compulsive

The Dependent

The Masochist

Negativistic (Passive-Aggressive)

The Depressive

Many additional Frequently Asked Questions (FAQs) about Personality Disorders - click HERE!

Copyright Notice

This material is copyrighted. Free, unrestricted use is allowed on a non commercial basis.
The author's name and a link to this Website must be incorporated in any reproduction of the material for any use and by any means.

Go Back to Home Page!

Malignant Self Love - Narcissism Revisited

More Journal Entries

Frequently Asked Questions about Pathological Narcissism

Excerpts from the Archive of the Narcissism List

The Narcissism List Home Page

Philosophical Musings

World in Conflict and Transition

Internet: A Medium or a Message?

Write to me:  or