The earliest account of Michaels purported mental illness began when he was a little boy. James quoted Karen Clarke who wrote in a 1992 Police magazine article saying that, as a little boy, he had fantasies about women - about bringing them to a special underground place, hiding them and keeping them to love him. She was further quoted as saying that as a teenager, he molested several little neighborhood girls...as an adult his fantasies grew more sexual and progressively more violent. Some believe that Michaels anger towards his mother was one of the primary contributors to his aggressive feelings towards women. However, it has also been suggested that his violent behavior was actually due to a hormonal imbalance in the brain. What is most likely is that it was a combination of both factors.

In his writings from jail, Michael often described his violent sexual urges as a separate uncontrollable entity that would suddenly take him over without warning and propel him to do things he knew that were wrong. He wrote in a 1998 article titled Its Time for Me to Die: An Inside Look at Death Row, that his urges were like living with an obnoxious roommate that he could not escape because it was always present. He further stated that he would often get orgasmic pleasure from his fantasies and acting them out, yet he would also be disgusted later by the exact same thoughts. After relieving himself from his fantasies he said he felt such a sense of loathing and self hatred that he often longed for death to liberate him from his mental torture.

However, the relief was temporary. Michael developed liver problems as a direct result of the hormones and had to discontinue using his medication. Soon afterwards, he complained that the violent sexual urges re-emerged. A little more than a year later, Michael was given an alternative form of female contraception, which allowed him to regain control over his sadistic impulses to attack women.




