The film focuses strictly on the nuclear family unit and its psychological disintegration. There are no LGBTQ+ characters or narratives addressing non-cisnormative identities.

Dorothy serves as a central protagonist with extreme, pathological agency. While she disrupts the 'nurturing mother' trope, her instability is used primarily as a horror device.

The narrative centers on a homogeneous familial unit. There is no indication of a diverse or non-Anglo-Saxon majority cast within this domestic thriller.

The film deconstructs the traditional Western family by framing the domestic sphere as a site of cannibalism. It critiques the stability of the ideal family institution.

The plot revolves around mental health and institutionalization. However, 'criminal insanity' is utilized largely as a suspense device rather than a nuanced depiction of neurodivergence.