Wikipedia describes a Psychological thriller as a:
"Specific sub-genre of the wide-ranging thriller genre. However, this genre often incorporates elements from the mystery and drama genre in addition to the typical traits of the thriller genre. Also, occasionally this genre will border into the also wide-ranging horror genre."
Other definitions include:
Psychological
"Elements that are related to the mind or processes of the mind; they are mental rather than physical in nature. Sometimes the suspense comes from within one solitary character where characters must resolve conflicts with their own minds. Usually, this conflict is an effort to understand something that has happened to them. These conflicts are made more vivid with physical expressions of the conflict in the means of either physical manifestations, or physical torsions of the characters at play."
Thriller
"Generally, thrillers focus on plot over character, and thus emphasize intense, physical action over the character's psyche. Psychological thrillers tend to reverse this formula to a certain degree, emphasizing the characters just as much, if not more so, than the plot."
Psychological Thriller
Characters are no longer reliant on physical strength to overcome their brutish enemies (which is often the case in typical action-thrillers), but rather are reliant on their mental resources, whether it be by battling wits with a formidable opponent or by battling for equilibrium in the character's own mind. The suspense created by psychological thrillers often comes from two or more characters preying upon one another's minds, either by playing deceptive games with the other or by merely trying to demolish the other's mental state.
Literary devices and techniques
Stream of consciousness
"A literary technique which seeks to describe an individual's point of view by giving the written equivalent of the character's thought processes. In psychological thrillers, the narrative tries to manifest the character's psyche through word usage, descriptions, or visuals."
First-person narrative
"a literary technique in which the story is narrated by one or more of the characters, who explicitly refers to him or herself in the first person, that is, "I". This direct involvement that the characters have with the story in turn makes the reader more involved with the characters themselves, and thus able to understand the mechanics of the characters' minds. This technique is often paired with the concept of the unreliable narrator. "
Back-story
"the history behind the situation extant at the start of the main story. This deepens the psychological aspect of the story since the reader is able to more fully understand the character; more specifically, what the character's motivations are and how his past has shaped his current cognitive perceptions."
Themes
Reality
"The quality of being real. Characters often try to determine what is true and what is not within the narrative."
Perception
"A person's own interpretation of the world around him through his senses. Often characters misperceive the world around them, or their perceptions are altered by outside factors within the narrative (see Unreliable narrator). "
Mind
"The human consciousness; the location for personality, thought, reason, memory, intelligence and emotion. The mind is often used as a location for narrative conflict, where characters battle their own minds to reach a new level of understanding or perception. "
Existence/Purpose
"The object for which something exists; an aim or a goal humans strive towards to understand their reason for existence. Characters often try to discover what their purpose is in their lives and the narrative's conflict often is a way for the characters to discover this purpose. "
Identity
"The definition of one's self. Characters often are confused about or doubt who they are and try to discover their true identity. "
Death
"The cessation of life. Characters either fear or have a fascination with death."
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