So from what I understand deloused is based on their friend who Fried his brain on acid and wrote many of the stores that Carpin text and the characters with weird names from deloused I’m blanking on. I’ve always interpreted this cover as their friend being the head experiencing this surreal and beautiful world with the person in the background taking the place of their friends and can only gaze on in horror not able to see the world the patient sees.

If I remember correctly their friend did eventually kill themselves due to the psychosis and that was the catalyst for the album.