Ethan Ralph took a savage beating from those muggers in Portugal, hit hard enough to break his eye socket and give him a concussion. He followed this up not long after with yet another beating by that Brit and his buddy. He drinks whiskey like water and does cocaine as often as he can, which means his sleep patterns are most likely continually disrupted, which in turn means his injuries aren't healing properly. If he took nerve damage, so much the worse for him. So we're talking about someone who's had successive head injuries within a short time span, which have almost certainly caused greater or lesser degrees of brain damage. Brain damage plus excessive alcohol consumption plus heavy drug use equal a total fuck-up as a human being. Every move the man makes is done through a jumbled, chaotic haze.
We laugh at Ralph's antics, but what we're seeing right now is someone on the verge of total collapse. When people ask, 'What will this crazy bastard do next?' The answer is 'likely fall over and die.' It should make him an object of sympathy, but given who and what he is, I can't find it in me to give a damn.