Jr. Meloy et S. Gothard, DEMOGRAPHIC AND CLINICAL COMPARISON OF OBSESSIONAL FOLLOWERS AND OFFENDERS WITH MENTAL-DISORDERS, The American journal of psychiatry, 152(2), 1995, pp. 258-263
Objective: The purpose of this study was to compare certain demographi
c and clinical variables in a group of obsessional followers and in a
group of offenders with mental disorders. Method: A static group desig
n comprised of a nonrandom group of convenience and a randomly selecte
d comparison group was used. Twenty obsessional followers in custody a
nd 30 offenders with mental disorders in custody were evaluated by psy
chiatrists and psychologists for court-ordered reasons during their cr
iminal proceedings. Both groups were evaluated during the same period,
in the same court diagnostic clinic, and for the same psycholegal rea
sons. The group of obsessional followers was measured on demographic,
clinical, and victim variables. Inferential comparisons that used nonp
arametric statistics were done between groups on selected demographic
and clinical variables. Results: The obsessional followers were signif
icantly older, more intelligent, and better educated than the offender
s. There were no significant differences in DSM-III-R axis I diagnoses
. Axis II diagnoses showed significant differences, with the obsession
al followers more likely to have a personality disorder other than ant
isocial personality disorder and less likely to have antisocial person
ality disorder. Conclusions: The likelihood of obsessional followers h
aving a nonantisocial axis II personality disorder (related to attachm
ent pathology) distinguishes them from offenders with mental disorders
in general. They are also likely to be older, smarter, and better edu
cated, consistent with their resourcefulness and manipulativeness. Idi
ographic aspects of the obsessional followers further illuminate their
psychological defenses and object relations.