I remember when the notion of sexual addiction was first being mentioned. People treated it as a joke. It was referred to in late-night monologues. The American Psychiatric Association in 1987 defined it as a mental disorder involving "distress about a pattern of repeated sexual conquests … involving a succession of people who exist only as things to be used."

The APA is no longer certain it is a disorder. Whatever it is, Brandon suffers from it. In "Shame," however, he himself is the only thing being used. One or two of his sexual partners may be attracted to him in the sense that some men are attracted to nymphomaniacs. There is such a sadness involved.

"Shame" makes into a lie the universal assumption in movies that orgasms provide a pleasure to be pursued. The film's opening shot shows Brandon awake in the morning, staring immobile into space. He could be a man prepared to commit suicide. He gets out of bed, goes into the shower and masturbates. It will be the first of his many orgasms, solitary and with company, that day. He never reveals emotion. He lives like a man compelled to follow an inevitable course.

He is cold to people. To prostitutes, to co-workers, to strangers. On the subway, he trades eye contact with a woman who may be flirting. Is he flirting? To boldly maintain eye contact is a form of flirting and an aggressive challenge. But he doesn't smile. His is a dreadful life.

One day he comes home and someone is there. We think it may be an intruder. It is Sissy (Carey Mulligan), his sister, although for a time, we don't know that. He flies at her in a rage, telling her to get out. She has nowhere to go. He doesn't care.

His shame is masked in privacy. He wants no witnesses to his hookers, his pornography, his masturbation. Does he think he is incapable of ordinary human contact? In time, we will suspect that Brandon and Sissy shared childhood experiences that damaged them. McQueen wisely is not specific about the incidents.

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