I find it sad that this provocative, challenging film has such a low rating. This is a film about a serious subject (mental illness) that is portrayed through intense visuals and expressionistic performance. The director positions you so that you feel like you are inside the characters head and its a very distressing place to be. There is strong violence and the film is very tragic but there are also moments of beauty such as when Cocco sings and dances. Yes, the camera work is very "shaky" buy the purpose is to create a realism and disorientation as experienced by the character. If the film had been shot formally it would have lost its impact. This is not a film for mainstream cinema fans. It is a challenging and artistic piece of work that deserves serious attention.