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ReSSLER, BURgESS, AND DOUgLAS different reasons than the lust-murderer. One reason, The woman died from 21 stab wounds to the left Rada suggested, is that in some rapists there appears to side of the thorax and upper abdomen. be a progressive increase in aggressive fantasies about Rupe victim 10. The ofender had decided to kill this women that over time may eventually lead to murder. woman, bur her talking saved her life ("She told me The case we have reported suggests that for some her tather was dying of cancer'). Her talk evidently rapists there is a progression in the offender's intent or neutralized his aggression due to his identification with decision making toward killing. With the frst 3 mur- the situation ("I thought of my own brother who had ders the offender made the decision to kill the women cancer. I couldn't kill her. She had it bad already'). He during the period he interacted with them, but in the threw her car keys out ot the window and ran off inco last 2 murders, he decided ahead of time to kill them. the woods. This case also suggests an additional dimension to Murder victim 4, rape victim 11. The offender had motive in rape-murder. The modern view of rape decided to kill this woman. Her resistance and attempt regards it as an act of violence expressing power as one to escape triggered his violence. motive (5). We suggest that the psychological motive of She scratched me across the face. I got mad; she started power expands for the rapist-murderer from a need for to run. I got up from falling down and chased her. She ran power over one person ("It was a real turn on to into a tree. I caught her. We wrestled, rolled over the realize the victims weren't reporting or identifying embankment into the water. I landed with my face in the me") to a need for power over a collective group (*l'm .. Thar's where the idea to drown her came. too slick tor them') that included the police, judges, vater She was fighting and she was strong but i put her head psychiatrists, and psychologists. under the water and just sat there with my hands on her This case illustrates the intluence of an individual's neck. affective state when combined with various degrees of intent to commit murder. A review of the otfender's The cause of death was drowning. last 6 offenses suggests that 2 affecrive states may Murder victim 5, rape victim 12. This woman's talk intluence the decision to kill: Escalating the anger led the offender to realize thar she knew him. This motive in the rapist may trigger aggressive behavior knowledge escalated his fear of being apprehended aimed at establishing dominance and authority, and and, in turn, led him to confess the 4 previous murders. stimulating fear and decreasing the power motive in The decision to kill was made quickly. the rapist may trigger aggressive behavior aimed x self-preservation (5). We were walking along, through the culverts, under. neath the highway. That's when I pulled out the knife and Interviewing Patients Charged with Crimes without tven saying anything, I stabbed her ... maybe 50-100 times. The fact that the offender was under psychiatric He buried the victim's body in a shallow grave. supervision when he committed most of his criminal. acts suggests that close attention be paid to psychiatric interviewing techniques. We offer the following cwo Behavior Following the Murders suggestions. 1. When interviewing a patient who has been Following each murder, the offender would usually charged with crimes, one should pay careful attention take an item of jewelry from the woman's body for a to the deviant behavior and focus on all dimensions of. souvenir, go back to the woman's car and search the interactional aspects of the crime. If possible, and if through her purse for money, drive her car for an it is within agency policy, one should gather supple- extended period of time, park the car several blocks mentary data regarding the crime scene; the victim's. from his apartment, return to his apartment and go to statements, police interviews, and official reports and bed, and watch television and newspapers for reports talk with staff who have worked with the patient. about the discovery of the body. These corroborating data will lend a perspective other than the patient's for assessment of and challenge to the patient. The interviewer should maintain a high DISCussiON index of suspicion when the patient denies committing or refuses to talk about the crime or deviant behavior Psychodynamics of Rape-Murder and should consider the possibility that he or she is concealing other secretive and dangerous behavior. A Some reports have suggested that rapists rarely parallel can be drawn between the dynamics of sex and murder (1) bur that when they do, the motives are secrecy (6) and incest and treatment. social rather than personal; that is, they murder to 2. Rape and attempted rape behavior should be silence the victim and prevenr detection (2). This viewed as serious and chronic and thus repetitive. The motive differs from lust-murder, whereby sexuality interviewer should not assume that a patient with a and aggression fuse into a single psychological experi- history of sexual assault has commirted it only the ence known as sadism (3). Rada (4) argued, and we number of times for which he or she is charged. When agree, that rapists are capable of murder bur for 1AC