The extreme regressive reaction of a psychopath.

Recent work on the phenomena associated with the concept of psychopathy has made more confident the clinician's identification of the syndrome, and enables a better examination of certain behaviors related to the diagnosis. One of these is an extreme form of regressive reaction often associated with adaptation to a new restrictive environment. In dynamic terms this can be seen as a primitive attempt to seize control of the maternal universe, perhaps re-enacting a successful strategy of the infant past. The case of a convicted offender with an extensive psychiatric history is described, and consideration is given to the management of such a case in the institutional environment.