One significent factor in social isolation is the amount of time devoted to obsession about a single interest. Usually for males, it may consist of pornography, and for sociopathic predation, it has to be violent pornography. Horror films can be considered soft-corn "porn" since sometimes gratuitous sex and sexualization of gratuitous violence occurs. Thus it is not abnormal for breasts to be exposed in certain horror films. As well, violent pornography is merely hardcore adult horror.
Therefore, the continuum of horror ranges from classical to adult violent i.e. classical to violent pornography.
The viewer may fantasize revenge on his former oppressers, who may have bullied or teased him in childhood. Both horror films and violent pornography may fuel this obsession.
What this indicates is that such viewing of violent films need to be monitored since a fan who is social isolated may mistake fantasy for reality, and try to act out what he sees on the screen.
IMHO video rental places who refuse to monitor their creepier clients' viewing habits are as morally reprehensible as drinking establishments who pickle the gills of their patrons to the point of alcohlism.
As well, hikikomori is not unique to Japan.
The etiology for some serial killers consists of the triad of bedwetting, torture of pets and small animals, and arson. As well, in the case of socially isolated individuals, which is often a given for this class of serial killer, it also includes collecting violent pornography - both movies and anime - and classic horror films.
As well, social isolation and the violent porn, including that in some classical horror films, are symptoms of an underlying personality disorder which has its roots in childhood, possibly due to bullying and teasing in childhood, isolation from one or both parents due to their depression or other psychiatric condition (alcoholism, drug abuse, or personality disorder).
No culture is immune to hikikomori-like symptoms of an underlying personality disorder and its comorbidity with a mood disorder. In certain cultures, a culture of shame implies depression to be inherent. As well, depression may have some types of psychoses present. When depression becomes chronic, bipolar disorder may arise with schizotypal impact on the personality.
However, it does not follow that mental illness will result in acting out of violent fantasies. Psychoses with physical acting out requires some indication of child abuse to be present, whether that is by beatings by a parent or a school mate.
A person with a psychosis will only use violence if violence has been used against it. No one spontaneously harms another person without someone previously harming that person.
Thus, a serial killer "learns" to use violence to meet his perverse needs.
In most cases of violence by socially isolated people, child abuse is a significent factor in the etiology of their personality disorder which always has asocial personality disorder as the predominant disorder. The antisocial personality disorder becomes comorbid when they act hostile (antisocial) towards other people, and some schizotypies are present, but not enough to confirm schizophrenia.
And yes, it is possible to have difficulty communicating, have confused thinking, and some psychotic symptoms without schizophrenia since it is the social isolation that is both symptom and causal agent of these dysfunctions.
So, if you look at the serial murderers of Japan and the recent stabbing incidents, both in March and the beginning of June, one of the factors in the etiology of all the perpetrators is child abuse, be it by parents or even classmate bullying and teasing.
Violence also tends to occur first during the teenaged years.
Therefore, bullying and teasing in school, child abuse and disrespectful behavior of parents towards their children, are all roots of future violence in adolescence and adulthood.
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