Lyric discussion by Welles-radio 

I think Elliott's father, Gary, is a doctor (retired now). Correct me on that if I'm wrong. Also, Son of Sam WAS a "couple killer." He shot at couples making out in alleys or cars with .44 caliber. Usually the men were just badly wounded and one man DID die. So he didn't just kill women, theough his anger was probably more fixed towanrds them. Elliott might be saying that his failed relationships make him a couple killer and that he didn't feel particularly great about it. He felt guilty, and that makes him no better than Son of Sam, because he knew he harbored a messed up love and hate for those women in his love. Since his dad was a doctor whom he repsected and loved, his mom was probably the nurse. Although the images are pretty sterile, aren't they? BTW, Elliott's relationship with his mom was strained. He got along much better with his dad, probably blaming his mom for letting him be abused by his step-dad. "You tears are cheap" he once wrote of her. I can understand why he said this song was written without Berkowitz in mind, creativity can be very sub-conscious.

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