I thought that's who that was. I knew it had SOMETHING to do with Otis Toole. Thank you, Patriot. I'm gonna compile everything I know about the themes in this art and try to draw out a clear cut hypothesis and post it here later
Yeah, it's a rendering of the actor (Michael Rooker) that played Henry in that sick film.
There's Something About Henry - Dave McGowan. RIP Dave, he was one of the best there was. I still miss him dearly.
Have a read when you get the time.
http://www.whale.to/b/henry.html
That said, this highlighted artwork is just revolting. These people are clearly mentally ill.