the Hell Realms are vivid descriptions of aggressive and anxiety states; beings are seen burning with rage or tortured by anxiety. They do not recognize their torturers as products of their own minds
Epstein provides the definitive psychodynamic reading of the Hell Realm as a phenomenology of unrecognized projection, where rage and anxiety are experienced as externally inflicted tortures rather than self-generated states.
, Thoughts Without a Thinker: Psychotherapy from a Buddhist Perspective, 1995thesis