A boy is abused, gets hit on the head, is institutionalized and has a daydream.
Raises the bar for acting with this character. A good movie, but definitely not traditional. Riveting without a particularly obvious thread. It could have been a whole lot better, but it would have needed to delve into the true and far darker roots of the main character; his mother, and you can't do that because she's a woman.
After watching this movie I just realized I didn't see the earlier one. Whoops.