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Let's
Scare Jessica to Death
Psychological horror is frightening to some viewers
because of the tension built upon throughout the story.
Splatter films usually rely upon sudden "jolts" and
direct physical threats to sympathetic characters, such
as a monster jumping out from behind a corner.
The
primary effect of psychological horror is to play upon
the anticipation of a perceived threat, or to confuse
the viewer regarding the nature, or existence, of the
threat (examples of the latter approach can be seen in
the films Let's Scare Jessica to Death and Hour
of the Wolf, and the games Rule of Rose and Silent Hill
2).

The use of psychological horror on the hit horror
game, The Suffering and it's sequel: The Suffering: Ties
That Bind, was used by implementing a sudden vision,
usually with some method of death on the main character,
as well as quotes by other characters, and Torque's (the
main character) "inner demons" telling him to perform
evil acts.
Often, psychological horror films have no recourse to
the "gore" prevalent in splatter films.
However, some
violence may be used to reinforce the notion of possible
physical danger, while still keeping true to the
psychological nature (an example would be the 1999
Japanese film, Audition).
Psychological horror - Index
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