I've been reading up on the definition and I've noticed that as the Dragonborn....in the game we follow a pattern of grandiosity, glibness, contempt, lack of empathy, and superiority in the game. None of the Dragonborn's victims means anything.

Sure, we're out killing bandits, vampires, and other vagabonds as well as taking part in killing in the civil war.

He/she recognizes other people only as means to obtain what he desires. Not only does he feel no guilt for destroying their lives, he doesn't grasp what they feel.

The truly hard-core psychopath doesn't quite comprehend emotions like love or hate or fear, because he has never experienced them directly. "Because of their inability to appreciate the feelings of others, some psychopaths are capable of behavior that normal people find not only horrific but baffling," "For example, they can torture and mutilate their victims with about the same sense of concern that we feel when we carve a turkey for Thanksgiving dinner."

"Psychopaths are not disoriented or out of touch with reality, nor do they experience the delusions, hallucinations, or intense subjective distress that characterize most other mental disorders," - Dr. Robert Hare

The point is, it seems the Dragonborn is stimulated by violence. Perhaps the Dragonborn was supposed to be this way in a mental state in order to fullfill his destiny. I don't know, but it really feels this way.