Unnngh.
I think this guy is some kind of perv and his subjects get off on it too.
That photo reminds me of the description of what the keepers of Auschwitz would have found in the gas chambers after the screaming had stopped and they had to start the cleanup for the next gassing. They found the bodies tended to pile up in a big heap in the middle of the room.
Where oh where do you find this stuff?