For males, underlying the chronic recurring fantasy of murder by forceful insertion of a foreign object (knife, sword, spear, BULLET, corn cob, etc.) into the head or body of a potential victim, is generally stemming from an acute and persistent fear of sexual-social inadequacy, resulting in the sufferer’s use of real-life/imaginary implements of murder, in order to provide himself with a temporary sense of libidinal security, reassurance, and depraved ego pacification.
If/when such 'over-compensating' behaviors of the sufferer’s subconscious are brought to his awareness, he will commonly experience intense feelings of shame and resentment, as well as an overall feeling of self-betrayal. This due to the fact that he may recognize that such fantasies and acts, usually involve a central focus of 'aspired domination over other males, primarily, as opposed to preferred interaction with the female population of his species'. This may therefore represent an open and sometimes public display of 'male to male' relations and interests, of an indirectly sexual nature.
Given, that homosexuality among human males is commonly viewed as the mark of ultimate shame and social inferiority, this reactionary pattern can often thus be perpetually reinforced, by virtue of its own course. The cycle may then continue and escalate indefinitely, or until the sufferer has been identified as a legitimate threat to his immediate society and/or himself, and subsequently confined to captivity (possibly, a psychiatric treatment facility, though most likely, his present region’s state penitentiary, where he may then continue at liberty, to act out, and live out his such fantasies of “male-domination” with his newly acquired, and like-minded fellow inmates....while now however, contributing minimal impact to the functional operation and welfare of the greater surrounding body of his society). 
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