Numerous sexual references throughout the movie.

Horrendous physical sexual harassment and abuse shown, including a rape of a child by a teacher.

A teenage girl is raped by her teacher (no skin shown).

Semen is found in a locker. A rubber phallus is found at a cafeteria.

A scantily clad woman on a calendar is briefly seen.

A husband and wife kiss in a couple of scenes.

A man tries to kiss a woman and she pushes away from him.

A brief glimpse of a woman's slightly bloodied face after implied spousal abuse.

The aforementioned rape.

A man grabs a woman's crotch while pinning her (both are in mining attire).

A portable toilet is tipped over and covers a woman with urine.

A woman is shown in the serious stages of Lou Gehrig's Disease.

13 uses of 'fuck," 8 uses of 'shit,' 6 uses of 'ass,' 5 uses of 'bitch,' 3 uses of 'whore,' 2 uses of 'homo,' 2 uses of 'son of a bitch,' and separate uses of 'tits' and 'dick.' Also 7 instances of "hell," 6 uses of "crap," 5 uses of "damn," 4 uses of "god," and 4 uses of "jesus."

Some drinking, including a bar scene. Occasional smoking. A pre-teen boy appears drunk in one scene.

A sympathetic protagonist takes a lot of verbally-charged abuse.

A rape scene.

Potentially distressing material throughout.