Allow me to lay it all out for the homies
SPOILERRRRRRRRRRRRRRRRRRRRRRRRRRRRRRR RRRRS
Okay, you know all the scenery you pass by through your disjointed romp in the darkness?
In particular, level 29 exposes most to all of what happened. Just take a look at them pictures.
Seriously, you don't get it? You were driving, there was a storm and then you slammed into a tree. Heck, didn't you notice the tree and the burning car in the first area? I bet you just completely ignored it.
You're stuck in a strange, halfway amalgamation of the hospital and the streets, so uh....try not to get lost.
What I want to know is if the creator purposely made it so that you wouldn't realize you were female up until the point where you grab so many light orbs that your ponytail becomes visible. Or does it represent the minds of both the man and the woman, or just one thinking of the other? It's all very unclear.
And that's the point of the game!