Serial homicide, as a psychopathological condition, has been described
as long ago as 1886. The traits and characteristics of serial murdere
rs are varied, as are the theories that attempt to explain their motiv
ation. Theorists have emphasized, for example, traumatic events in ear
ly life, sexual disturbance and dynamics, and neurobiological abnormal
ities. in the past fifteen years, as narcissistic disturbance in gener
al has been better understood, a relationship has been noted between p
athological narcissism and serial homicide. Narcissistic personality d
isorder, narcissistic injury, underlying feelings of inadequacy and hu
miliation, self-glorifying compensatory fantasies, and the erection of
narcissistic defenses have all been mentioned as important factors in
understanding the serial killer. An illustrative case report, which e
ncompasses many of these characteristics, is presented here along with
a review of clinical research, theory, and findings.