Someone with sadism experiences pleasure, satisfaction, or a sense of reward in the form of causing or observing someone else’s physical or emotional hurt. Sadism can manifest in commonplace forms of activity, such as smiling at jokes made in bad faith about others, using harsh words toward others, bullying on the street, humiliating someone in front of others, or sending nasty messages on the Internet, among other things. It’s not important that not all those who commit a single cruel act are classified as sadistic.
Rather, mental health specialists seek consistent patterns of behaviour, underlying motivation, and the effects this behaviour has on others. A knowledge of the psychopathology of sadism may aid in recognizing unhealthy patterns of behavior, lessen the stigma associated with experiencing problematic thoughts and behaviors, and allow people to request a professional evaluation and/or seek mental health assistance when they do have thoughts or behaviors that may be disturbing or unhealthy.
What Is Sadism?
Sadism refers to an individual’s proclivity towards deriving enjoyment, satisfaction, or arousal from another person’s pain and suffering. This term derives its roots from the Marquis de Sade, a French nobleman. He went to prison for his violent sexual assaults and wrote erotic and notorious novels that describe sexual torture and abuse.
Though clinicians once saw this psychological disorder as a sexual matter only, contemporary psychology now recognizes it in various gradations, which range from mild behaviors to serious personality disorders. Telehealth services provide confidential access to licensed mental health professionals who can assess and treat concerns related to sadism through secure online appointments. Early evaluation and personalized care can help individuals develop healthier thoughts, behaviors, and relationships.
Sadism Psychology: Understanding the Sadist Personality
To learn more about the psychology behind sadism, one can study the concept of the Dark Tetrad. It includes four dark social tendencies that define the individual’s personality:
What distinguishes the personality type of a sadist from other dark personalities is the intention of doing evil deeds.
1. Narcissism (Grandiosity and self-entitlement)
2. Machiavellianism (Deception and cold manipulation)
3. Psychopathy (Lack of empathy and antisocial behavior)
4. Sadism (Enjoying the suffering of others)
What Causes Sadism?
There is no particular stimulus that can explain the factors that bring about sadism. It is thought to emerge out of a combination of:
- Neuro-biological triggers: An intense reward system in the brain that connects to aggressive and domineering behavior.
- Traumatic environmental events: Childhood experience of harsh physical or emotional abuse at home.
- Sense of helplessness: People who feel helpless in their individual lives or have grown up in very harsh conditions use sadism as a way of feeling absolute control.
Signs and Symptoms of Sadism
How do you identify a sadistic person? While a psychiatrist may use specific techniques to recognize a sadistic personality, such as a sadism test (such as the Assessment of Sadistic Personality), some behavioral and psychological indicators might suggest that you deal with sadism and/or sadistic symptoms:
- Exposing to Social Humiliation: Always embarrassing, belittling, and making fun of others publicly in a hostile manner.
- Violence Against Animals: A past of abuse towards animals and finding pleasure in their suffering, especially when they were young.
- Violence Enthrallment: An unusual fixation on guns, torture, and real-life examples of violence.
- Overly Aggressive Control: Intimidating those who are under their subjection (such as children, employees, lovers, etc.).
- Emotional Sadism: Deliberately playing psychological tricks on and manipulating close people to make them cry or suffer to gain power.
- Absence of Empathy and Remorse: Experiencing no regret for causing emotional pain to someone.
4 Main Types of Sadism
Sadistic behavior does not follow just one pattern. Theodore Millon, an eminent psychologist, describes four different forms of sadism: According to Psychology Today, sadism is the tendency to derive pleasure from another person’s pain or suffering, and it can involve physical, psychological, or emotional harm.
Spineless Sadism
This form is based on strong insecurity and fearfulness. Such people are afraid of danger and therefore attack first. They choose victims who can become their scapegoats and thus raise their low self-respect.
Tyrannical Sadism
This form of sadistic personality is the most terrifying one. Tyrannical sadists enjoy threatening people, beating them, and making them obey. They are always verbally abusive, merciless,s and destructive.
Enforcing Sadism
These individuals often hold positions of authority, such as strict bosses, prison guards, or police officers who rigidly enforce rules.
Explosive Sadism
People who have an explosive,e sadistic personality exhibit sudden bursts of anger. Once they realize no hope remains and experience deep frustration and humiliation, they burst into violence.
Sadism Examples in Everyday Life
Internet Trolls
Internet trolls deliberately post provocative or offensive statements to irritate others online. In most cases, they target vulnerable people like those undergoing emotional pain or grief. The objective behind this behavior is to irritate someone and cause some emotional disturbance or get some satisfaction.
Bullying
Bullying is the repetitive act meant to threaten, humiliate, and weaken another individual. In the workplace, a manager can arrange things deliberately to make the employee feel incompetent and stressed. This kind of behavior affects confidence and job performance negatively.
Toxic Partners
The toxic partner deliberately creates conflict and emotional tension to dominate the relationship. For instance, they may instigate arguments before some significant events in order to make the other person anxious and preoccupied.
Narcissistic Sadism: A Dangerous Combination
Mischievous associations are narcissism and sadism combined, which then leads to a very unhealthy association pattern. This behaviour pattern is sometimes also referred to clinically as malignant narcissism.
Individuals with narcissistic sadism need to feel important and privileged. Regular narcissists demand attention – they need compliments. Narcissistic sadists then get their fill of the self-esteem by fragmenting the other’s self-esteem.
Masochist vs. Sadism: What’s the Difference?
The terms “sadist” and “masochist” are frequently paired together, but they represent opposite sides of the same coin:
| Concept | Definition | Primary Focus |
| Sadism | Deriving pleasure from inflicting pain, humiliation, or discomfort on others. | The active inflictor of pain. |
| Masochism | Deriving pleasure from receiving pain, humiliation, or discomfort themselves. | The recipient of pain. |
Medications
Medication management services helps ensure that prescribed medications for co-occurring mental health conditions are monitored, adjusted, and optimized for safety and effectiveness. The use of medications is possible in case any mental disorder is behind aggression or impulsiveness. Antidepressant and mood-stabilizing drugs may help cope with emotional problems and control one’s behavior. In case of sexual sadism, anti-androgens are an option.
Sadism Test
The purpose of sadism tests is to determine whether the individual being assessed tends to experience enjoyment when inflicting or observing pain on someone else. Sadism tests are mostly used for research purposes or by mental health specialists in the process of conducting an overall psychological assessment. The sadism test by itself does not provide the diagnosis of any mental disorder.
Psychotherapy (CBT/DBT)
Cognitive Behavioral Therapy (CBT) is effective for detecting and correcting the detrimental ways of thinking that are behind such behavior. On the other hand, DBT will promote improvement in emotional regulation, impulse control, and interpersonal skills.
Empathy Training
Empathy training involves learning how to understand and acknowledge the emotions of other people. Perspective taking is a technique that aims at reducing satisfaction in seeing someone else feeling pain or distress. This training is aimed at increasing empathy and building healthy relationships.
Final Thoughts
Whether it be the trolling one does online, bullying,g or simply the fun to be had in others’ pain, everyday Sadism could just be much more than bad conduct. It can be a symptom of a more significant psychological problem that requires proper care and treatment. The first step towards change is becoming aware and empathetic about yourself, and understanding why you do those things. Therapy can help to change the way one feels and cope.
If there are other mental health challenges, someone might require more extensive mental health evaluation and treatment when using medication. As mothers at MAVA Behavioral Health, we offer individual one-on-one behavioral health care, using effective medication treatment.
FAQs
Is this a recognized diagnosis?
No. The DSM manual excludes the term “Sadistic Personality Disorder.” Instead, clinicians treat these behaviors under different diagnoses (Antisocial Personality Disorder, etc.) or study them within the Dark Tetrad.”
Is there any chance a sadist can change?
Yes, but only when he/she is willing to change. It cannot happen suddenly. Years of therapy are needed.
BDSM and Clinical Sadism: Differences?
All BDSM activities are consensual, safe, and have set boundaries. Clinical sadists are hurting people who did not give consent for personal gain.
Is sadism a mental illness?
No, the DSM-5 (Diagnostic and Statistical Manual of Mental Disorders) does not list sadism as a separate mental illness or personality disorder. Although writers of the DSM-III-R introduced sadistic personality disorder in 1987, subsequent editions of the manual exclude it because it heavily overlaps with antisocial and narcissistic personality disorders.
What is emotional sadism?
Emotional sadism is non-physical sadism whereby an individual gains pleasure from inflicting mental anguish or suffering on others. Such examples include publicly humiliating another person, gaslighting them, or playing on their insecurities to make them feel fear, sadness, or worthlessness.
How do psychologists evaluate sadism?
Clinicians usually evaluate these personality traits with a standard sadism test. This test includes the Short Sadistic Impulse Scale (SSIS) and the Assessment of Sadistic Personality (ASP). The assessment measures self-reports of pleasure in causing harm to others.


