I really think he has a fvcked up perception of the world.
he does BUT he isn't as crazy as you think he is
let me say that again but in a different way--he's "crazy" BUT he knows well enough to exploit sort parts of his "craziness" and to turn up certain parts of his "craziness" for youtube hits
ex---that infamous "i want to kill babies" clip is legit BUT he's "in" on the fact that he's about to purge himself for the sake of making a youtube clip for hits
watch that clip---he LOSES IT!!! however- he allowed himself to lose it knowing that while he is exploiting a part of his psychosis he knows that it will generate hits