The bite of passion: Vampirism as a sexual paraphilia

Although vampirism as a sexual paraphilia has been noted in the academic literature for many years (in fact there are references to it in Richard van Krafft-Ebing’s 1886 text Psychopathia Sexualis), there has been very little empirical research and most of what is known comes from clinical case studies. To complicate things further, vampirism (i) is rarely a single clinical condition, (ii) may or may not be associated with other psychiatric and/or psychological disorders (e.g., severe psychopathy, schizophrenia, hysteria, mental retardation), and (iii) may or may not necessarily include sexual arousal. Other related conditions have been documented such as odaxelagnia (deriving sexual pleasure from biting), haematolagnia (deriving sexual satisfaction from the drinking of blood), and haematophilia (deriving sexual satisfaction from blood in general), and auto-haemofetishism (i.e., deriving sexual pleasure from sight of blood drawn into a syringe during intravenous drug practice).

In 1964, Vandenbergh and Kelly defined vampirism as “the act of drawing blood from an object, (usually a love object) and receiving resultant sexual excitement and pleasure”. In 1983, Bourguignon described vampirism as a clinical phenomenon in which myth, fantasy, and reality converge and that other paraphilic behaviour may be involved including necrophagia, necrophilia, and sadism. Also in 1983, noted that vampirism is a rare compulsive disorder with an irresistible urge for blood ingestion, a ritual necessary to bring mental relief; like other compulsions, its meaning is not understood by the participant”.

In 1985, Herschel Prins published what is arguably the most cited paper in the field (in the British Journal of Psychiatry), and proposed that there were four types of vampirism (although confusingly, one of these sub-types is not actually vampiric as no blood ingestion takes place and some of the satisfaction gained may not necessarily be sexual). These four types were:

  • Necrosadistic vampirism (i.e., deriving satisfaction from the ingestion of blood from a dead person);
  • Necrophilia (i.e., deriving satisfaction from sexual activity with a dead person without the ingestion of blood)
  • Vampirism (i.e., deriving satisfaction from the ingestion of blood from a living person)
  • Autovampirism (deriving satisfaction from the ingestion of one’s own blood).

In Prins’ typology above, vampirism evidently overlaps with that of necrophilia. However, earlier papers (such as Vandenbergh and Kelly’s in 1964) clearly differentiated between necrophilia and vampirism, arguing that vampirism shouldn’t be mixed with necrophilia given that vampirism is often focused on the living. Vandenbergh and Kelly also differentiate vampirism from sexual sadism (due to the fact that vampirism doesn’t always include pain and suffering). In fact, in a literature review of sexual sadism, Yates and colleagues (2008) included the “rare phenomenon” of vampirism in their review. Drawing on the work of Jaffe and DiCataldo (1994), they described those people who get sexual arousal from bloodletting (either through cutting or biting), and for which a small minority enjoy sucking and/or drinking the blood too. Vanden Bergh and Kelly (1964) noted that the sucking or drinking of the blood from the wound is often an important part of the act but not necessarily essential.

Using the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders (DSM), Dr Joel Milner, Dr Cynthia Dopke, and Dr Julie Crouch (2008) argue that if the individual’s vampirism causes pain and suffering in their victims it should be classed as a sexually sadistic paraphilia. However, if the victim does not suffer in any way, the vampirism should be classed as a paraphilia not otherwise specified (P-NOS). Milner and colleagues argue this approach is consistent with other P-NOS classifications involving other body fluids/substances (other than blood) such as urophilia (urine) and coprophilia (faeces).

Any discussion of vampirism wouldn’t be complete without at least a mention of Renfield’s Syndrome (RS) although it has yet to be included in the DSM. Renfield was a fictional mental patient in Bram Stoker’s novel Dracula (1887) who ate living things (flies, spiders, birds) believing that this would bring him greater ‘life force’ powers. The RS disorder, named in 1992 by clinical psychologist Dr Richard Noll (DeSales University, Pennsylvania, USA), is a rare psychiatric compulsion (not necessarily sexual and often linked with schizophrenia) – in which sufferers feel compelled to drink blood. As with some of the papers written on vampirism as a sexual paraphilia, this has also been called ‘clinical vampirism’. Like the character Renfield, RS sufferers believe that they can obtain increased power or strength (i.e., the ‘life force’) through the imbibing of blood.

RS sufferers are predominantly male (although there are known female vampirists), and like many paraphilias, the disorder often originates from a childhood event in which the affected individual associates the sight or taste of blood with psychological and/or physical excitement. It is during adolescence that the attraction to blood can become sexual in nature. Clinical evidence suggests female RS sufferers are unlikely to assault others for blood, but male RS sufferers are potentially more dangerous. It has been noted that RS usually comprises three stages:

  • Stage 1 – Autovampirism (autohemophagia): In the first stage, RS sufferers drink their own blood and often bite or cut themselves to do so (although some pay just pick at their own scabs).
  • Stage 2 – Zoophagia: In the second stage, RS sufferers eat live animals and/or drink their blood. The sources animal blood may come from butchers and abbatoirs if they have no direct access.
  • Stage 3 – True vampirism: In the final stage, RS sufferers drink blood from other human beings. The sources of blood may be stolen from blood banks or hospitals or may be direct from other people. In the most extreme cases, RS sufferers may commit violent crimes including murder to feed their craving.

In a 1981 issue of the Journal of Clinical Psychiatry, Dr M. Benezech and colleagues reported a case study of cannibalism and vampirism in a French paranoid and psychotic schizophrenic. After trying to kill a number of people (mainly neighbours) between 1969 (when he was aged 29 years) and 1978, he attempted a vampiric rape on a child in 1979. Although he was stopped he went on later that day to murder an elderly man and successfully ate large pieces of the victim’s thigh, and attempted to suck his blood. Here, the vampirism was seen as secondary to the schizophrenia. A similar type case report of a 21-year old eastern European schizophrenic vampirist was published in 1999 by Dr Brendan Kelly (St James Hospital Dublin, Ireland) and colleagues in the Irish Journal of Psychological Medicine. However, the patient didn’t attempt to suck blood from himself or others but instead frequented a hospital accident and emergency department in search of their supply of blood for transfusion.

In a 1989 issue of the Journal of the Royal Society of Medicine, Dr A. Halevy and his colleagues reported the case of a 21-year old man (who had been in prison since he was 16 years old) who had anaemia and gastrointestinal bleeding as a result of self-inflicted injuries and blood ingestion on multiple occasions (for instance, one incident involved him cutting his arm with a razor blade, draining the blood into a glass, and then drinking it). He was classed by the authors as an ‘autovampirist’ in Prins’ typology although the authors were unable to determine if there was any sexual motivation involved.

In one of the few papers to examine more than one case study, Dr R.E. Hemphill and Dr. T. Zabow (1983, at the University of Cape Town) examined four vampirists in depth, including John Haigh (the English ‘acid-bath murderer’ who killed six people during the 1940s and drunk the blood of his victims), along with reference to other criminal vampirists. Hemphill and Zabow noted that since childhood all four cases had cut themselves, and that to relieve a craving they had drank their own, and others’ (human and/or animal) blood. All four cases were said to be intelligent with no mental instability or psychopathology in any of their family histories.

Most recently Dr K Gubb and his colleagues at the Tara Hospital Johannesburg (South Africa) published a case study of a 25-year old African man suffering from ‘psychic vampirism’ in the South African Psychiatry Review. In this paper, they argued that this particular type of clinical vampirism had never been reported in the literature before. The man was brought in for psychiatric treatment by his mother after he had become withdrawn, stopped socializing, was undressing in public, and started talking to himself. He claimed to hear the voice of ‘Sasha’, a “flame vampire from the scriptures of Geeta”. The man himself beleived he was “Vasever – lord of the vampires”. He claimed to have survived by hunting as a vampire by hurting more than 1000 humans “zooming in and out of them” (rather than biting them). Schizophrenia was diagnosed. The authors claimed that the vampirism was only of academic interest “because of its relative scarcity” but did not influence the diagnosis or treatment in any particular way.

They concluded that vampirism may be representative of some pathology other than schizophrenia (or simply represent an alternative belief system). Unlike other vampirism cases in the clinical literature, there was an absence of a fully developed psychopathic personality, along with a complete absence of sexual and gender identity disorders. This, they speculated, “may have protected the man from developing the homicidal, cannibalistic, libidinal and sexual features of vampirism seen in the other cases”.

Dr Mark Griffiths, Professor of Gambling Studies, International Gaming Research Unit, Nottingham Trent University, Nottingham, UK

Further reading

Benezech, M., Bourgeois, M., Boukhabza, D. & Yesavage, J. (1981). Cannibalism and vampirism in paranoid schizophrenia. Journal of Clinical Psychiatry, 42(7), 290.

Gubb, K., Segal, J., Khota1, A, Dicks, A. (2006). Clinical Vampirism: a review and illustrative case report. South African Psychiatry Review, 9, 163-168.

Halevy, A., Levi, Y., Ahnaker, A. & Orda, R. (1989). Auto-vampirism: An unusual cause of anaemia. Journal of the Royal Society of Medicine, 82, 630-631.

Hemphill R.E. & Zabow T. (1983) Clinical vampirism. A presentation of 3 cases and a re-evaluation of Haigh, the ‘acid-bath murderer’. South African Medical Journal, 63(8), 278-81.

Kelly, B.D., Abood, Z. & Shanley, D. (1999). Vampirism and schizophrenia. Irish Journal of Psychological Medicine, 16, 114-117.

Jaffe, P., & DiCataldo, F. (1994). Clinical vampirism: Blending myth and reality. Bulletin of the American Academy of Psychiatry and the Law, 22, 533-544.

Miller, T.W., Veltkamp, L.J., Kraus, R.F., Lane T. & Heister, T. (1999). An adolescent vampire cult in rural America: clinical issues and case study. Child Psychiatry and Human Development 29, 209-19.

Milner, J.S. Dopke, C.A. & Crouch, J.L. (2008). Paraphilia not otherwise specified: Psychopathology and Theory In Laws, D.R. & O’Donohue, W.T. (Eds.), Sexual Deviance: Theory, Assessment and Treatment (pp. 384-418). New York: Guildford Press.

Noll, R. (1992). Vampires, Werewolves and Demons: Twentieth Century Reports in the Psychiatric Literature. New York: Brunner/Mazel.

Prins, H. (1985). Vampirism: A clinical condition. British Journal of Psychiatry, 146, 666-668.

Vanden Bergh, R. L., & Kelly, J. F. (1964). Vampirism: A review with new observations. Archives of General Psychiatry, 11, 543-547.

Wilson N. (2000) A psychoanalytic contribution to psychic vampirism: a case vignette. American Journal of Psychoanalysis, 60, 177-86.

Yates, P.M., Hucker, S.J. & Kingston, W.A. (2008). Sexual sadism: Psychopathology and theory. In Laws, D.R. & O’Donohue, W.T. (Eds.), Sexual Deviance: Theory, Assessment and Treatment. pp.213-230. New York: Guildford Press.

About drmarkgriffiths

Professor MARK GRIFFITHS, BSc, PhD, CPsychol, PGDipHE, FBPsS, FRSA, AcSS. Dr. Mark Griffiths is a Chartered Psychologist and Distinguished Professor of Behavioural Addiction at the Nottingham Trent University, and Director of the International Gaming Research Unit. He is internationally known for his work into gambling and gaming addictions and has won many awards including the American 1994 John Rosecrance Research Prize for “outstanding scholarly contributions to the field of gambling research”, the 1998 European CELEJ Prize for best paper on gambling, the 2003 Canadian International Excellence Award for “outstanding contributions to the prevention of problem gambling and the practice of responsible gambling” and a North American 2006 Lifetime Achievement Award For Contributions To The Field Of Youth Gambling “in recognition of his dedication, leadership, and pioneering contributions to the field of youth gambling”. In 2013, he was given the Lifetime Research Award from the US National Council on Problem Gambling. He has published over 800 research papers, five books, over 150 book chapters, and over 1500 other articles. He has served on numerous national and international committees (e.g. BPS Council, BPS Social Psychology Section, Society for the Study of Gambling, Gamblers Anonymous General Services Board, National Council on Gambling etc.) and is a former National Chair of Gamcare. He also does a lot of freelance journalism and has appeared on over 3500 radio and television programmes since 1988. In 2004 he was awarded the Joseph Lister Prize for Social Sciences by the British Association for the Advancement of Science for being one of the UK’s “outstanding scientific communicators”. His awards also include the 2006 Excellence in the Teaching of Psychology Award by the British Psychological Society and the British Psychological Society Fellowship Award for “exceptional contributions to psychology”.

Posted on March 22, 2012, in Case Studies, Compulsion, Crime, Eating disorders, Obsession, Obsessive-Compulsive Disorder, Paraphilia, Pica, Psychiatry, Psychology, Sex and tagged , , , , , , , , , , . Bookmark the permalink. 5 Comments.

  1. The Vampirism and Energy Work Research Study (Suscitatio Enterprises, LLC; 2006-2009) provided a number of correlations which suggest existing mental illnesses such as clinical depression, schizophrenia, bipolar disorder, and even a higher than normal prevalence of gender identity disorder or F64 transsexualism among those who self-identify as “real vampires”. However, based on the collective data from nearly 1,000 self-identified “real sanguinarian and/or psychic vampires” the overwhelming majority of those who self-identify or practice the act of “vampirism” do so as part of a larger identity group or social structure reinforced by shared participatory or peer influenced behaviors or beliefs — not as a result of a psychosis or even an offshoot of fetishism or paraphilic tendencies. See also; Vampires Today: The Truth About Modern Vampirism, Joseph Laycock, PhD, Praeger 2009.

    • Thanks for the information, Can you tell me which refereed journals these findings were published in? Thanks. Mark

      • Real Vampires as an Identity Group: Analyzing Causes and Effects of an Introspective Survey by the Vampire Community
        Joseph Laycock, PhD – Author of Vampires Today: The Truth About Modern Vampirism
        Nova Religio – The Journal of Alternative and Emergent Religions
        August 2010, Vol. 14, No. 1, Pages 4–23

        See Also:

        Vampires Today: The Truth About Modern Vampirism
        Joseph Laycock, PhD Boston University & MTS Harvard Divinity School
        Praeger Publishers (2009); Pages 7-8, 13-14, 18, 26, 33, 34, 37-38, 60-61, 67-68, 82, 84, 106-07, 110, 118, 121-122, 125, 133-34, 138-42, 145, 158, & 161-63

        Contemporary Vampires and (Blood-Red) Leisure: Should We Be Afraid of the Dark?
        DJ Williams, LCSW, PhD – Idaho State University
        Leisure/Loisir – Volume 32 (2) (2008); Pages 513-539

        See Also:
        “Idaho State University Professor Studies Self-Identified Vampires”
        Idaho State Journal Press Release – January 20, 2011

        Handbook of Hyper-Real Religions; Brill Handbooks On Contemporary Religion
        Adam Possamai, PhD – Editor
        Brill (2012); Pages 141-164

        “Predatory Spirituality:” Vampire Religion In America
        David and Kiara Falk of Trinity Evangelical Divinity School
        Sacred Tribes Journal – Volume 3 Number 2 (2008); Pages 102-131

        Note: The Paraphilias Subworkgroup of the Sexual and Gender Identity Disorders Work Group for DSM-V (2013 Forthcoming) has no plans to recommend the inclusion of vampirism as a listed paraphilia or even to give vampirism as an example of a paraphilia under Paraphilias Not Elsewhere Classified.

      • Thanks. They look like some great resources for readers of this blog to check out. I wasn’t sure to the extent that these references concentrate on clinical vampirism and sexual paraphilia but they certainly look like interesting reading. If you have a copy of the paper in the Journal of Alternative and Emergent Religions, I would certainly like to read it. If you have a copy then send it to my work email address ( Mark

  2. Excuse me but I am not a sexual deviant or a pervert in fact I am a very Spiritual person and an ordained minister. I have performed several weddings for those like myself as well as am happily married. For real Vampyres there is nothing sexually fulfilling about blood unless they are also a Blood Fetishist but those are two separate things. Many would like there need to cease to be Vampyres but it is something we are stuck with

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