The story focuses on Wren (Susan Berman), a young woman who has run away from her home in New Jersey to live in New York and find a way into the punk scene. And the conversations that Frank and Anna have about the power of photography to capture someone and make them yours are thematically rich, especially in the context of Frank's mannequin collection, which seems to be his attempt to make the women he kills "belong" to him.
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The romance aspect of the movie makes it even more interesting, as (spoiler) Anna becomes the final girl of the film even though she is not the narrative focus.
It's a movie that's equally terrifying for its incredibly well-crafted horror sequences and its portrait of Frank as a man who can be charming and jovial one moment, and a frantic and murderous maniac the next. The film follows Frank as he mutters to himself, seemingly having conversations with his dead mother that he gives voice to (the parallels to "Psycho" are significant and purposeful), goes out to kill sex workers, young couples, and nurses, scalps the women and places the mementos on mannequins that adorn his apartment, and somehow begins a romance with beautiful photographer Anna (Caroline Munro).