Abstract
This chapter focuses on serial killer and study subject John Wayne Gacy, exploring what can happen when antisocial personality disorder (ASPD) reaches its worst potential. At the time of his arrest and conviction, Gacy was the most prolific serial killer in American history, and he remains one of the best-known members of a hideous fraternity—men who kill again and again, often for no apparent motive. Despite differences, their biographies often read like textbook studies of ASPD manifested in a most deadly way. Not all serial killers are antisocial and, certainly, few antisocial persons rise to the heights of violence reached by men like Gacy, Jeffrey Dahmer, Ted Bundy, Henry Lee Lucas, and David Berkowitz. However, ASPD symptoms—unruly childhoods, failures at school and work, legal skirmishes, instability, impulsiveness, and the like—are common themes in their lives.
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