Kurutta ippêji (1926)
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Don't worry about the Japanese only; it's silent with no intertitles. It does help to read a bit about it before you watch it though to clarify the plot. Here, for example: http://www.midnighteye.com/features/silentfilm_pt1.shtml
Without the live narrator silent Japanese cinema traditionally used, A Page of Madness is a little difficult to follow, especially the meaning of certain flashbacks. Let's just say I read the synopsis on Wikipedia afterwards and found Teinosuke Kinugasa's early film was a lot deeper than I realized at first viewing. Set in an insane asylum, it is the story of a man who gets a job there to break his wife out, but he may find though the institution is a terrible place, the outside may not be the place for her. The reason for her madness, is hinted at and seems much more awful than the film's synopsis would have it, but you can't trust anything you see. Not only are we often in the inmates' head space, but the third act is made of the man's visions, several alternate takes on what he might do to get her out. A disjointed fever dream, Kinugasa uses editing and camera tricks to create bizarre effects - I really don't think it gets any better than the opening rainstorm sequence, personally - that film makers today could do worse than study and steal from. I saw it on TCM with a pretty great soundtrack too. And intended story be damned, the fact this exists as visuals alone (no interstitial text) means you can lay your own interpretations on it, so if I kind of like some of my own more than Kinusaga's, well, it's part of the experience.
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In 10 official lists
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This movie ranks #40 in The British Film Institute: 360 Classics
This movie ranks #66 in Harvard University's Suggested Film Viewing List: Narrative Films (2012)
This movie ranks #67 in Jonathan Rosenbaum's Essential Films
This movie ranks #69 in The Story of Film: An Odyssey
This movie ranks #78 in Asian Cinema: A Field Guide
This movie ranks #139 in The Top 300 Silent Era Films
This movie ranks #214 in Doubling the Canon
This movie ranks #277 in Silent but not Forgotten: The best silent films
This movie ranks #321 in 366 Weird Movies (Certified Weird)
This movie ranks #394 in They Shoot Zombies, Don't They?