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Television’s “Crazy Lady” Trope: Female Psychopathic Traits, Teaching, and Influence of Popular Culture



This article describes notable illustrations of female psychopathy on modern television to review various characters that will have utility in teaching students about female psychopathy in distinction to male psychopathy and to encourage consideration of the potential effects that viewing these countless examples may have on a generation of young women.


The authors use examples from soap operas, crime procedurals, reality television, fantasy, comedies, and young adult programs to illustrate gender differences in psychopathy and make specific teaching points. They also review the research literature related to popular culture’s impact on behavior and gender roles.


Gender differences in real-world psychopathy are mirrored in television portrayals. For example, female psychopaths, on TV and in reality, use sexual manipulation, demonstrate unstable emotions, and employ social aggression to achieve their ambitions. The examples of female psychopathic traits are prevalent on TV and easily accessible for teaching purposes. Research does give some support for a popular culture impact on behavior and gender roles.


As compared to male psychopathy, female psychopathy is less recognized, and there are some notable differences in how the psychopathic traits manifest. Television provides myriad teaching examples that can highlight the gender distinctions such as use of sexual manipulation, emotional instability, and social aggression. Research suggests that the prevalence of “crazy ladies” on television may be negatively impacting gender stereotypes and normalizing bad behavior in young women.

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  1. 1.

    Harris T. The Silence of the Lambs. New York: St Martin’s Press; 1988.

    Google Scholar 

  2. 2.

    Logan C. La femme fatale: the female psychopath in fiction and clinical practice. Ment Health Rev J. 2011;16:118–27.

    Article  Google Scholar 

  3. 3.

    LaSalle M. Complicated women: Sex and power in pre-code Hollywood. New York: St. Martin’s Press; 2000.

    Google Scholar 

  4. 4.

    Double Indemnity. Paramount Pictures, 1944

  5. 5.

    Snyder S. Personality disorder and the film noir femme fatale. J Crim Justice Pop Cult. 2001;8:155–68.

    Google Scholar 

  6. 6.

    The Manchurian Candidate. MGM, 1962.

  7. 7.

    One Flew Over the Cuckoo’s Nest. Fantasy Films, 1975.

  8. 8.

    Mommie Dearest. Paramount Pictures, 1981

  9. 9.

    Fatal Attraction. Paramount Pictures, 1987

  10. 10.

    Misery. Castle Rock Entertainment, 1990.

  11. 11.

    Basic Instinct. Carolco Pictures, 1992

  12. 12.

    Malice. Castle Rock Entertainment, 1993.

  13. 13.

    Back to Basics: ESPN, The Magazine, November 29, 2010.

  14. 14.

    Criminal Minds. CBS, 2005–present.

  15. 15.

    CSI (Crime Scene Investigation): Las Vegas. CBS, 2000–present.

  16. 16.

    Pretty Little Liars. ABC Family, 2010–present.

  17. 17.

    Gossip Girl. The CW, 2007–2012.

  18. 18.

    Friedman SH, Cerny CA, Soliman S, et al. Reel forensic experts: forensic psychiatrists as portrayed on screen. J Am Acad Psychiatry and the Law. 2011;39:412–7.

    Google Scholar 

  19. 19.

    Friedman SH, Cerny CA. From Hannibal Lecter to Alex Cross: forensic mental health experts in popular fiction. Acad Psychiatry. 2013;37:345–51.

    PubMed  Article  Google Scholar 

  20. 20.

    American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition—Text Revision Arlington, VA, American Psychiatric Publishing Inc, 2000.

  21. 21.

    Wynn R, Hoiseth MH, Pettersen G. Psychopathy in women: theoretical and clinical perspectives. International Journal of Women’s Health. 2012;4:257–63.

    PubMed Central  PubMed  Article  Google Scholar 

  22. 22.

    American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition Arlington, VA, American Psychiatric Publishing Inc, 2013.

  23. 23.

    Cleckley HM. The mask of sanity: an attempt to reinterpret the so-called psychopathic personality. Oxford: England, Mosby; 1941.

    Google Scholar 

  24. 24.

    Friedman SH. Psychopathic personality. In: Loue S, Sajatovic M, editors. Encyclopedia of immigrant health. New York: Springer; 2012.

    Google Scholar 

  25. 25.

    Hare RD. Psychopathy: a clinical and forensic overview. Psych Clin N Amer. 2006;29:709–24.

    Article  Google Scholar 

  26. 26.

    Dolan M, Vollm B. Antisocial personality disorder and psychopathy in women: a literature review on the reliability and validity of assessment instruments. Int J Law Psychiatry. 2009;3:2–9.

    Article  Google Scholar 

  27. 27.

    Nicholls TL, Ogloff JRP, Brink J, et al. Psychopathy in women: a review of its clinical usefulness for assessing risk and aggression in criminality. Behav Sci Law. 2005;23:779–802.

    PubMed  Article  Google Scholar 

  28. 28.

    Soderstrom H. Psychopathy as a disorder of empathy. Eur Child Adol Psychiatr. 2003;12:249–52.

    Article  Google Scholar 

  29. 29.

    Schulte-Ruther M, Markowitch H, Shah H, et al. Gender differences in brain networks supporting empathy. Neuroimag. 2008;42:393–403.

    Article  Google Scholar 

  30. 30.

    Honk J, Schutter D, Bos P, et al. Testosterone administration impairs cognitive empathy in women depending on second-to-fourth digit ratio. Proc Nat Acad Sci USA. 2011;108:3448–52.

    PubMed Central  PubMed  Article  Google Scholar 

  31. 31.

    Welborn B, Papademetris X, Reis D, et al. Variation in orbitofrontal cortex volume: relation to sex, emotion regulation and affect. Soc Cogn Affect Neurosci Adv Access. 2009;4:328–39.

    Article  Google Scholar 

  32. 32.

    Raine A, Yang Y, Narr KL, et al. Sex differences in orbitofrontal gray as a partial explanation for sex differences in antisocial personality. Mol Psychiatry. 2011;16:227–36.

    CAS  PubMed Central  PubMed  Article  Google Scholar 

  33. 33.

    Fritz G, Poe R. The role of a cinema seminar in psychiatric education. Am J Psychiatry. 1979;136:207–10.

    CAS  PubMed  Google Scholar 

  34. 34.

    Hyler S, Moore J. Teaching psychiatry? Let Hollywood help: suicide in the cinema. Acad Psychiatry. 1996;20:212–9.

    CAS  PubMed  Article  Google Scholar 

  35. 35.

    Schlozman S. Vampires and those who slay them: using the television program Buffy the Vampire Slayer in adolescent therapy and psychodynamic education. Acad Psychiatry. 2000;24:49–54.

    Google Scholar 

  36. 36.

    Wong R, Saber S, Ma I, et al: Using television shows to teach communication skills in internal medicine residency. BMC Med Educ 2009; 9

  37. 37.

  38. 38.

    Berk R. Multimedia teaching with video clips: TV, movies, YouTube, and mtvU in the college classroom. Int J Tech Teach Learn. 2009;5:1–21.

    Google Scholar 

  39. 39.

    Gross J, Levenson R. Emotion elicitation using films. Cognition and Emotion. 1995;9:87–108.

    Article  Google Scholar 

  40. 40.

    Neilsen: Factsheet: The US media universe, 2011; Last accessed 11/26/13

  41. 41.

    Law and Order. NBC, 1990–2010.

  42. 42.

    Coyne SM, Archer J. Indirect aggression in the media: a content analysis of British television programs. Aggressive Behavior. 2004;30:254–71.

    Article  Google Scholar 

  43. 43.

    All My Children. ABC, 1970–2011.

  44. 44.

    Dynasty. Aaron Spelling Productions, 1981–1989.

  45. 45.

    General Hospital. ABC, 1963–present.

  46. 46.

    Desperate Housewives. ABC, 2004–2012.

  47. 47.

    Revenge. ABC, 2011–present.

  48. 48.

    Dexter. ShowTime, 2006–present.

  49. 49.

    Real Housewives of New Jersey. Bravo, 2009–present.

  50. 50.

    The Apprentice. NBC, 2004–present.

  51. 51.

    Survivor. CBS, 2000–present.

  52. 52.

    The Hills. MTV, 2006–2010.

  53. 53.

    The Bachelor. ABC, 2002–present.

  54. 54.

    Game of Thrones. HBO, 2011–present.

  55. 55.

    Once Upon A Time. ABC, 2011–present.

  56. 56.

    Stack T: The Witching Hour. Entertainment Weekly 2013 available at,,20690850,00.html. Last accessed 11/26/2013.

  57. 57.

    Vampire Diaries. CW, 2009–present.

  58. 58.

    The Originals. CW, 2013–present.

  59. 59.

    American Horror Story: Coven. FX, 2013.

  60. 60.

    Witches of East End. Lifetime, 2013.

  61. 61.

    Arrested Development. Imagine Entertainment, 2003–2013.

  62. 62.

    Glee. Fox, 2009–present.

  63. 63.

    Jermyn D. Rereading the bitches from Hell: a feminist appropriation of the female psychopath. Screen. 1996;37:251–67.

    Article  Google Scholar 

  64. 64.

    Thompson CY. The psycho-femme: identity norm violations and the interactional dynamics of assignment. Deviant Behav. 1998;19:207–26.

    Article  Google Scholar 

  65. 65.

    Pozner JL. Reality bites back: the troubling truth about guilty pleasure TV. Berkley, CA: Seal Press; 2010.

    Google Scholar 

  66. 66.

    Collins RL, Elliot MN, Berry SH, et al. Watching sex on television predicts adolescent initiation of sexual behavior. Pediatrics. 2004;114:e280–9.

    PubMed  Article  Google Scholar 

  67. 67.

    O’Hara RE, Gibbons FX, Gerrard M, et al. Greater exposure to sexual content in popular movies predicts earlier sexual debut and increased sexual risk taking. Psychol Sci. 2012;23:984–93.

    PubMed Central  PubMed  Article  Google Scholar 

  68. 68.

    Rivadeneyra R, Lebo M. The association between television-viewing behaviors and adolescent dating role attitudes and behaviors. J Adol. 2008;31:291–305.

    Article  Google Scholar 

  69. 69.

    Phillips DP. The influence of suggestion on suicide: substantive and theoretical implications of the Werther effect. Am Sociol Rev. 1974;39:340–54.

    Article  Google Scholar 

  70. 70.

    Schmidtke A, Hafner H. The Werther effect after television films: new evidence for an old hypothesis. Psychol Med. 1988;18:665–76.

    CAS  PubMed  Article  Google Scholar 

  71. 71.

    Hawton K, Simkin S, Bulstrode C. Effects of a drug overdose in a television drama on presentations to hospital for self poisoning: Time series and questionnaire study. BMJ. 1999;318:1131.

    Article  Google Scholar 

  72. 72.

    Veysey M, Kamanyire R, Volans G. Effects of drug overdose in television drama on presentations for self poisoning. BMJ. 1999;319:972–7.

    Article  Google Scholar 

  73. 73.

    Hall RCW, Friedman SH: Guns, schools, and mental illness: potential concerns for physicians and mental health professionals. Mayo Clin Proceed. 2013;88:1272–1283.

    Google Scholar 

  74. 74.

    Krahe B, Busching R, Moller I. Media violence use and aggression among German adolescents: associations and trajectories of change in a three-wave longitude study. Psychol Popular Media Cult. 2012;1:152–66.

    Article  Google Scholar 

  75. 75.

    Coyne SM, Archer J. Indirect aggression in the media: a content analysis of British television programs. Aggressive Behavior. 2004;30:254–71.

    Article  Google Scholar 

  76. 76.

    Coyne SM, Archer J. The relationship between indirect and physical aggression on television and in real life. Soc Dev. 2005;14:324–38.

    Article  Google Scholar 

  77. 77.

    Coyne SM, Archer J, Eslea M. “We’re not friends anymore! Unless…:” The frequency and harmfulness of indirect, relational and social aggression. Aggressive Behavior. 2006;32:294–307.

    Article  Google Scholar 

  78. 78.

    Coyne SM, Nelson DA, Graham-Kevan N, Tew E, Meng KN, Olsen JA. Media depictions of physical and relational aggression: connections with aggression in young adults’ romantic relationships. Aggressive Behavior. 2011;37(1):56–62.

    PubMed  Article  Google Scholar 

  79. 79.

    Coyne SM, Robinson SL, Nelson DA. Does reality bite back? Physical, verbal and relational aggression in reality television programs. J Broadcasting & Electronic Media. 2010;54:282–98.

    Article  Google Scholar 

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Conflict of Interest

On behalf of all the authors, the corresponding author states that there is no conflict of interest.

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Correspondence to Cathleen Cerny.

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This paper was presented at the American Academy of Psychiatry and the Law annual meeting, San Diego, October 2013.

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Cerny, C., Friedman, S.H. & Smith, D. Television’s “Crazy Lady” Trope: Female Psychopathic Traits, Teaching, and Influence of Popular Culture. Acad Psychiatry 38, 233–241 (2014).

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  • Media
  • Young adults
  • Television
  • Female psychopathy