picture does indeed look quite absurd. I think it does highlight their mental illnesses.
I think most people will see quite a difference between them and a typical traditional Scottsman in a kilt.
https://external-content.duckduckgo.com/iu/?u=https%3A%2F%2Ftse1.mm.bing.net%2Fth%3Fid%3DOIP.CdBhrVl3-FW1kydazMJ8UwHaLE%26pid%3DApi&f=1