Clinically exploring 'a richly diversified collection of erotic endowments and inclinations: hermaphroditism, pedophilia, sodomy, fetishism, exhibitionism, sadism, masochism, coprophilia, necrophilia' among them, Freud concluded that 'all humans are innately perverse'.
The Oxford English Dictionary calls "carnelian" a perversion of "cornelian", by subsequent analogy with the Latin word caro, carnis, flesh.
The album was inspired by Michel Foucault's book The Birth of the Clinic, and Masami Akita wrote Anagram of Perversion, his first book, during the recording of the album.
Ronald F. Duska, holder of the Charles Lamont Post Chair of Ethics and the Professions at The American College, extends Ladd's objection, saying that it is a perversion of ethics and virtue for one's self-will to be identified with anything, as Royce would have it.
While just as bloody and disturbing as the collection it is based on, Bloody Ukiyo-e also show cases a higher degree of full frontal nudity, sexual perversion and includes pop-culture references and modern real life events, such as painting a gun wielding Marc Bolan as a mercenary or the suicide of Adolf Hitler.