Bondage Is Bad: Surprisingly averted; it's the motivation that can be bad, yes, but not the act itself. Of course, you probably won't want to run off and play with some handcuffs right after reading this.
The Darkness Gazes Back: Jessie never is sure whether or not there is someone in the shadows, watching her at night.
Determinator: In between increasingly unsettling and haunting flashbacks that go way back to her childhood, the book is sectioned with Jessie's various attempts at releasing herself from the handcuffs.
Gory Discretion Shot: Due to her angle on the bed, Jessie is mostly able to only hear Prince eating Gerald's corpse. Mostly.
I Love the Dead: The creepy stranger Jessie sees is Raymond Andrew Joubert, a necrophiliac serial killer and cannibal, who regularly broke into crypts and mortuaries for years and violated male corpses.
I'm a Man, I Can't Help It: How Goody Burlingame, the more submissive voice Jessie's head, tries to rationalise Gerald's attempt at rape.
Kinky Cuffs: After a while, Gerald only finds Jessie sexually attractive if she's tied to the bed. Unfortunately, he likes to use real handcuffs. However, he could only get the type made for males; this is what makes Jessie's escape possible.
Life or Limb Decision: Not exactly, but close enough. Jessie eventually breaks a glass and effectively scalps her hand, so blood would serve as a lubricant and allow her to pull her hand through the cuff.
Room Full of Crazy: Insane and mortally wounded woman chained to a bed, a naked, half-eaten corpse lying on the floor, a carnivorous, emotionally volatile dog, and an ominous stranger covered with human bones standing in the corner of the room? You just hit the jackpot.
Signature Style: Stream-of-consciousness writing? Italicized, parenthetical snatches of phrases representing the main character's little brainfarts? Multiple contexts for the same phrase, all of them disturbing? Must be a Stephen King book.
Vomiting Cop: Sheriff Norris Ridgewick throws up, when he finds what is in the truck of Raymond Andrew Joubert, a necrophiliac cannibal (for example, a sandwich with a human tongue). A character says that "the State Police would have torn him a new asshole if he'd puked on the evidence. On the other hand, I'd have wanted him removed from his job for psychological reasons if he hadn't thrown up."