Almost as difficult to write about, as to watch, this harrowing film is a nightmare from start to finish. Single mother, Kotoko is played by Cocco, who we understand co-wrote the film basing it on her own experiences. Some experiences they must have been, too, if this is to be believed. For some considerable stretch she is struggling inside and out the house carrying, awkwardly, her screaming child. The next phase seems to involve real or imagined violence upon this child. All the time the camera, our viewpoint, is skewed and uneven as the sound around deafens. And all the time the lead lady is self harming, in a big way. As if this were not enough the film's director and co-writer also appears and attempts a relationship with this ongoing nightmare, crazy lady. Uncompromising, as ever, this is quite different from Tsukamoto's other work but then I guess that remarkably they are all quite distinctive with just the one thing in common that makes them his own and makes them so difficult to watch. This is raw and desperate humanity desperately trying to maintain the slenderest grip on something the least bit tolerable in the face of rampant madness.

Tormented by frightening visions, a single mother who struggles to take care of herself and her newborn child realizes that the key to figuring out how to save herself is with a new relationship only to realize her madness hasn't left her and is always close to being fully unleashed on others.

This was a fantastic effort with a lot to enjoy about it. One of the finest aspects of the film is the strength of the central character who has so much going on that she's worthy of being this kind of central figure. Being given such a strong personality, the film gets quite a lot of mileage out of her. The torment she feels trying to raise her child alone in the city causes such stress and frustration that she frequently daydreams about killing it to start her life over, so the peace and tranquility she feels being around her sister out in the countryside is a welcome relief contrasting with the cold city scenes. To top it off, she also struggles with an ability to separate fantasy from reality where she constantly imagines evil doppelgangers of those around her who often viciously attack her that forces her into a self-destructive pattern of self-mutilation and creates an overall frantic central premise here. Still, this one doesn't forget it's a horror film at its heart so there are plenty of fantastic scares here. These revolve around the doppelganger attacks which are striking and utterly haunting here with frantic editing, chaotic sounds blaring along through the sequence and a dark intent behind them rushing towards her, these scenes leave a strong impression with the feverish intent and frequency that they're featured in the first half. There's a brutality on display here with the way these occur which gives this a striking tone and feel that goes hand-in-hand with the madness she displays, which is furthered by the scenes of her cutting herself or the way she beats up those that try to get between her and child as this is quite the dark and frantic tale. While these here offer up plenty to like, the film does have a few minor issues on display. The vast majority of the film is a character study so those expecting traditional jump-scares or slashings will be disappointed. This takes it's time to tell this story, so although the horror scenes do occur and are absolutely stellar during those times, frankly the film doesn't have that much else going on. It still moves along well but it's mostly brief spurts of action followed by other scenes that focus on her madness and lost sanity so the action doesn't get featured here at all. This can leave the film feeling dull for long stretches of time to some which really is the main problem.

Rated Unrated/R: Graphic Violence, Language and scenes of violence towards children.

In a story that is co-written by its star, Cocco, we're also allowed into her personal life. The themes of this film are based on her real personality. Although it's very likely it goes to this extreme: Kotoko is a single mother that is suffering from an illness that gives her double vision. This double vision is not your typical optical issue, but more like an hallucination. It causes her to see two of the people she meets, and one of the two is usually the good or bad opposite of the other. The question is, which one is real? She has learned that she doesn't have double vision as long as she sings. But this is not something she seems to take advantage of. Because of this, she's terrified of letting her child meet strangers. Ultimately, this causes her to decide that they need to isolate themselves in the apartment. But after a big breakdown which causes authorities to think she is abusing the child, they take it from her and give the custody to Kotoko's sister. Kotoko is allowed to meet her child now and then, but things are not the same. Kotoko's inevitable downfall involves her harming herself more and more. This is where Tanaka (played by Tsukamoto himself) steps in. He found himself fascinated by Kotoko after hearing her sing on the bus, and begins to stalk her in hopes to get her hand marriage. After realizing she is deeply troubled, he is still set on getting her love, so he (obsessively) tries to help her through it. By letting her harm him, instead of herself.

One of the opinion-dividing things about "Kotoko" is how much you feel that you have to understand about her. Her character is suffering greatly, but we're not fully being allowed into her mind. Personally, this made it all the stronger to me. As an audience, I quite enjoy feeling disoriented when dealing with mentally instable characters. It makes sense to me that you wouldn't be allowed to know it all. If you know how she thinks and how her illness works, you'll be able to figure out the consequences to actions in her surroundings. And that takes out a big load of the intensity that I get from "Kotoko". The moment we're forced to understand an illness, we're going to judge it accordingly. What Kotoko is suffering from is therefor a stranger to us, and it keeps it uncalculated.

The visual style of Shinya Tsukamoto is on top in this one. The shaky camera feels a lot more appropriate here than in "Tetsuo: The Bullet Man" (one of the things I at times found annoying in that film) because it feels part of the journey. Wherein "Tetsuo: The Bullet Man" it probably served as a modern tool to make it intense, and maybe get away with some effects. Here it's to visually present what's in her mind, it seems. The cinematography overall is great in this one. Some shots are among his best to date. A quite experimental scene towards the end where the kid toys starts to "live" and move around Kotoko is incredible. Equally great are the hallucinations, even though they are kept a lot more realistic (often violent, though).

You can rest assured that "Kotoko" offers some Shinya Tsukamoto trademark violence - quite over-the-top effects that somehow still remain realistic. It's what he does best. It's never as crazy as in the world of Tetsuo, and not as genre-bending as in "Toyko Fist". Rather it's exaggerated to make it more effective. And successfully so. The scenes of self-inflicted harm are pretty damn raw, while the scenes of a beaten Tanaka are more exaggerated. Then there's a scene towards the end that I think will work wonders with most viewers. Very strong and effective FX in "Kotoko" overall.

How can I wait until the sixth paragraph before I get into the acting of Cocco? It's not the violence nor the visuals that keeps this so intense. It's the acting of Cocco. Her intense screams are especially harrowing and can bring a chill up your spine in some scenes. You simply want her to stop, because they're so chaotic and quite frankly built a feeling of angst and panic in me. Of course, her acting isn't great only because of the screaming, but that's one thing that I think will leave everyone slightly scarred. They also use her musical expertise as a painkiller for her character, and even though this is not really a musical you can expect lots of music. In contrast to her horrific screams, her singing is slow and beautiful.

There is more to be said about "Kotoko", but I think I have to limit myself. Simply put, I really liked "Kotoko". Devastating, insane, intense and creative in a way that only Shinya Tsukamoto knows how. This is a lot more personal than many of his films, and one that I feel affects me more than most of them as well. Although it's not as good as his best work, I do think this ranks up high. Somewhere near "A Snake of June", I'd say. If you want to go through a series of tonal shifts, from depressing and sad, to violent, to semi-surreal and finally to almost comedic at times, then check it out. Shinya Tsukamoto remains on top!

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