I think you're all taking her anorexic look out of context. My impression if you look from an artistic point of view she is trying to emphasise the control of this "monster", the whole underlying them of her new album and that song. Obviously it is the anorexic look but the disease is like a monster that one can lose control with. It doesn't look sexual to me. She looks like shes been taken over by more than just an eating disorder, she looks like shes become almost like an alien, therfore, back to the monster theme.
What was the rape bit you guys were talking about?
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