A sample of incarcerated sexual homicide perpetrators (n = 18) were co
mpared to a sample of non-sexually offending but violent male psychopa
ths (n = 23) on select Rorschach variables using the Comprehensive Sys
tem (Exner, 1991). Results suggest that sexual homicide perpetrators a
re similar to psychopaths in their attachment abnormality, characterol
ogical anger, pathological narcissism, moderate and pervasive formal t
hought disorder, and borderline reality testing. They are distinguishe
d, however, by a more frequent affectional hunger, a tendency to engag
e in more dysphoric rumination, and abnormal elevations of nonvolition
al ideation (obsessional thoughts) due to unmet instinctual need state
s. They also show a greater interest in others as whole, real, and mea
ningful objects. Five psychodynamic factors, supported by the empirica
l findings, are proposed to partially explain the intrapsychic mechani
sms involved in an act of sexual homicide.