The document describes the sounds and visual effects in a horror film and their impact on the audience over time. It starts with screaming and ripping sounds as clothes are removed. Then there is silence as the character makes a weird face while examining their hand. Bones start cracking and moving as the character's hand enlarges and they scream for help as their body contorts and transforms, with cracking sounds as their shape shifts in a disturbing manner and hair grows while their face and spine change form.