This review contains NO SPOILERS and I suggest you skip the reviews with spoilers until after you see the film.
In my opinion this film is a gem in a sea of gravel. Although it could be more polished it nevertheless retains its value.
The actors performances range from competent to stellar (Alexia Rasmussen was particularly impressive but everyone involved held their own and had their moments to shine) and this is in no small part due to good writing and direction. Cinematography is a similar affair ranging from adequate to mesmerizing. It is certainly a mixed bag but you'd be pressing pretty hard to go so far as to call any of it bad. I personally felt the score was superb and fit the tone of the scenes well.
With the exception of a fairly brutal scene in the first act of the film there really isn't much violence or gore on screen here and what little of it there is was handled tastefully. Visually there is nothing here you won't have seen before. What makes it disturbing is the context, the emotional and psychological mayhem rippling through the characters affected and the cold distance maintained by those less/ unaffected around them. The behavior of the main characters may be extreme but they are the extremes of common conditions.
This is where the film truly shines, as a study of the human condition when emotional needs are not satisfied, the common phenomenon of loneliness and isolation within a dense population and the resulting psychoses. The way empathy is handled in a clinical fashion by professionals and dished out superficially by peers when it suits their agenda, the way people within various relationships, genders (or rather, levels of masculinity or femininity within both genders) as well as how deserving a person may actually be of true empathy anyway are all bouncing off each other here and it's really engrossing to behold if this sort of thing interests you.
I really don't want to spoil anything for any of the viewers for whom this film is intended so I hope it suffices to say that there are "twists" resulting from the nontraditional narrative structure that create an unpredictable thriller spliced with elements of drama/ horror. Every time I made an educated assumption of where things were headed the film surprised me and seemed to revel in doing so until the credits rolled.
If you are the type of person who thinks a character in a film who happens to be of a certain gender or sexual orientation being portrayed as flawed is an accusation directed at everyone in that category or, more importantly, are enduring the loss of a loved one . . . viewer discretion is advised.
I hope this film isn't lost in the horde of mediocre entries in the genre(s). From me this film scores a solid 8/10.
