Continuity mistake: Early in the film, Lockhart tells his driver to take him to a hotel, and they start down a winding Alpine mountain road before suddenly slamming into a deer. The Mercedes sedan goes off the road, airborne, into the forest, rolling many times before crashing down hard on its side. But, when the camera cuts back to the mortally-injured deer in the road, we see the Mercedes is wrecked on the road shoulder only about 30 feet away from the animal.
Continuity mistake: At the dinner table, the doctor says "My sole concern is for the welfare of my patients." Pay attention to Lockhart during the two following reverse shots: in both those shots the same two elder patients walk by in the background crossing the screen from left to right carrying their plates. (00:46:00)
Continuity mistake: Back after the little adventure at the burg, Hannah gets up from bed. By the window she turns and asks the doctor "When?" and clings to the doll bringing her hands closer, but in the subsequent shot (when Volmer says "Come here") her grip has loosened again and her hands are at distance. (01:23:00)
Continuity mistake: As the train enters the gallery, a close-up shows the box of Nicorette on top of a left corner of the blister pack. When the camera pans (the voice on the phone mentions Delaware), cardboard and blister are side to side, flat. New close-up when he spits the gum, and the two elements are again one on top of the other before he grabs the blister, putting it then back side to side. (00:04:00)
Continuity mistake: When Lockhart suggests Hannah give him her bike, in the frontal shot she is holding her hands away from the proper handle position, but they are back in the correct position in the side view. (01:05:10)
Continuity mistake: When Lockhart sits down to talk to the manager, the glass of water goes from half full to almost entirely full between shots. (00:20:30)
Answer: As a result of the tortures he endured at the hospital, Lockhart lost his mind. At the end, as he pedals away from the hospital and down the road, he grins maniacally because he is now quite mad.
Charles Austin Miller