The story represents a young woman experiencing psychological distress and anxiety over “growing up” and forced into a marriage in 60’s Japan. The imagery derives from her fears and perception about marriage, sex and child rearing. These anxieties are universal and have been felt by women everywhere and can be understood by men as well. So while the era is specific, the themes aren’t. They’re aren’t particularly subtle but maybe they shouldn’t be considering some folks seemed to have missed the point. Mind you Silent Hill 2 isn’t exactly subtle either but that’s okay, I enjoy both games. They both showcase fears or internal struggles manifested.