I have learned through my research into the monster transformations that both high levels of emotional and physical pain can provoke a transformation. My theory is that you're caught in a recurring cycle with your monster that is difficult to break free from.
You hurt people in the caves. You're upset with yourself for doing it and seek punishment. That punishment, either physical from another or emotionally self-inflicted, is hurting you enough that it causes your monster to start to come out. That makes you want to or actually hurt people, which then starts the cycle over again.
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You hurt people in the caves. You're upset with yourself for doing it and seek punishment. That punishment, either physical from another or emotionally self-inflicted, is hurting you enough that it causes your monster to start to come out. That makes you want to or actually hurt people, which then starts the cycle over again.
Does that make any sense?