After an analysis of the concerning literature we conceptualized a question
naire with 124 items, which describes the most common characteristics of se
xual murderers. The relevance of these characteristics was examinated on th
e basis of psychiatric records. The hypothesis was, that persons who murder
ed more than once show these characteristics more evidently than single mur
derers. We compared 20 psychiatric records about single sexual murderers wi
th those about 10 repetitive sexual murderers. Planned offenses, chronic is
olation, narcism and tendency to perversity were found more often in person
s that murdered more than once. Especially the psychosocial factors were fo
und less often than in the angloamerican literature. More pronounced were t
he differences between a group of sadistic murderers compared with nonsadis
tic murderers, using criteria for sadism extracted from Kafft-Ebings first
description (1892), Schorsch and Becker (1977), MacCulloch et al. (1983) an
d Ressler et al. (1988). A case example illustrates the importance of an el
aborated concept of sadism and its relation to personality disorder.