Editing Cleanse Fold and Manipulate (section)

==Music==
''Cleanse Fold and Manipulate'' explores a number of different topics concerning medicine, society, and politics. The song "First Aid" addresses what was the growing [[HIV/AIDS|AIDS]] epidemic of the 1980s, while "Second Tooth" concerns with the struggles faced by [[Vietnam War]] veterans, namely [[Posttraumatic stress disorder|post-traumatic stress]].<ref name="Bulky">{{cite journal|last1=Shurtluff|first1=Kevin|title=Bulky and Surrealistic: Skinny Puppy|journal=Alternative Press|date=December 1988|volume=3|issue=14|url=http://litany.net/interviews/shurt88.html|access-date=29 May 2016}}</ref> The song "Deep Down Trauma Hounds" was written following a string of teenage [[suicide]]s in the United States.<ref name="DogDay">{{cite journal|title=Dog Day Afternoon|journal=Melody Maker|date=21 May 1988|url=http://litany.net/interviews/mm88.html}}</ref> [[Nivek Ogre]], the group's vocalist and songwriter, said of the suicides:

{{blockquote|It seemed very scary to me that all these kids had such a bleak prospect on their future. I was on the tail-end of the generation that grew up with [[Walt Disney Animation Studios|Walt Disney]] and ''[[Fantasia (1940 film)|Fantasia]]'' and ''[[Bambi]]'' and all those things that were so beautiful and important to grow up with. You need those things to perpetuate [yourself] through the years when you become cynical, instead kids are just growing up into this dark world.<ref name="DogDay" />}}

Other songs on the album pay homage to [[horror film]]s. The song "The Mourn" is based on the [[Japan]]ese extreme horror movie ''[[Flower of Flesh and Blood#Flower of Flesh and Blood|Flower of Flesh and Blood]]'' from the ''[[Guinea Pig (film series)|Guinea Pig]]'' film series. According to the group, the film was the closest they had ever come to seeing what they felt was a real [[Snuff film|snuff movie]].<ref name="DogDay" /> Footage from the film has since been used in their live shows.