Not saying it only happens in boonie redneck country but I'm picturing a scene from texas chainsaw. I mean in that movie show, even without the chainsaw guy, the people living there were highly disturbed.
When you are in isolation, you play god and can make up your own rules. I know a hmong guy who rented a home just because it has a big azz backyard and since it is out in no where land, he ran a cock operations. Triangle looking boards all over the place. Count each one and you know how many he got. Now imagine if he was sick, he would have one human tied to each one.