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At the American Film Market (AFM) this week in Santa Monica, there have been plenty of movies using shock tactics to attract the attention of the world's distributors.
One US distributor fainted as he tried to leave a screening of A Serbian Film earlier this year, hit his head on the door and ended up needing stitches.
What has proved alarming to censors isn't just the imagery. Spasojevic clearly didn't expose these children directly to images of torture, rape and death.