It's an American R rated movie from 1990. It is a horror/thriller. The title is two words with the first being "The". There are actually two mental patients. One of the actors is in his 60's. The director of the film is a male who is still living. Is that all correct?
Is the director well known?
Was he born in the US?
UK?
France?
Germany?
Somewhere Else?
Is he still doing films?