Along with metafiction, sexual abuse by Catholic priests, transsexuality and drug use are also important themes and devices in the plot, which led the MPAA to give the film an NC-17 rating.
Seksualno zlostavljanje katoličkih svećenika, transseksualnost, uporaba droga i metafikcija također su važne teme i elementi radnje što je nagnalo MPAA da filmu dodijeli ocjenu NC-17.