Fassbinder's genius is making you feel as trapped and desperate as Elvira, you really feel empathy for the character. Only the visit with her family is there a brief respite from her pain. Kudos for Fassbinder for his good taste in using Suicide's "Frankie Teardrop" on the soundtrack--a song about a man who feels trapped, but directs his anger outward, rather than inward, like Elvira.