- A variety of shot types are used during the opening but the predominant ones are CUs and BCUs to place the audience in the centre of action and close to the individual presented despite only framing their hands.
- Canted angles are used to connote the psych of the person presented to be erroneous in nature and insecure serving to unease the audience and create a sense of unknowing to what could happen.
- The use of solely static camera allows the edting and actor to control the movement and pace of the scene which ultimately means the audience feels less in control of the situation conveying an edgy atmosphere.
Mise-en-scene
- Distorted handwritten typography connoting insanity and setting a sinister tone for the opening.
- Razor blades being used on hands with cracked skin creating a uneasy atmosphere as, being combined with other aspects, gives the impression to the audience that more disturbing acts could be performed with the prop.
- The lighting in general is low key and conveys the mysterious nature of the hidden person as well as serving to conceal them more.
- The act of crossing out certain words such as "transexual" and "intercourse" as well as highlighting some including "God" has religious connotations, presenting the faith as being evil; reinforcing an emergent ideology with the rise of atheism really becoming apparent at the time the film was released. Also the crossing out of people's eyes and faces conveys the individuals murderous intent and holds menacing undertones giving a nervous effect on the audience.
- Non-diagetic sound dominates the scene with the inclusion of various clanging objects that and the sound of a typewriter, whilst not directly relating to the action on screen, unnerves the audience and creates an abnormal effect.
- The score used is discordant with an atonal key being used as well as featuring clashing timbre choices to displease the listeners' ears. Also, some instruments use a diminished scale to convey a sinister ambience and to unsettle the audience.
- White noise is used extensively throughout to fill the audial space without relating musically to the score giving the whole scene a sense of disconnection connoting the same disconnection within the presented individual's mind.
Editing
- The fast cutting rate places the audience in a suspenseful eratic state both shocking them and creating a fear of what is going to happen.
- The combination of intercutting of titles and having some overlay (as well as having some intercut in and staying into overlay the next shot) creates a confusing effect with no sense of regularity connoting the mental instability of the individual presented.
- The distorted shaking effect on the text further reinforces the idea of insanity and presents the residual ideolgy of mental illness being frightening and negative.
- Shots are also overlayed and cross-disolved as if the viewer is unable to focus, positioning the audience with the presumably mentally ill individual being presented.
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