As someone has already pointed out, but failed to elaborate on,
Little Alex in Clockwork is the archetypal unreliable narrator, in both the film and the book. Crucial to securing our sympathy for the little monster, he addresses the audience as friends and himself as humble, and putting an altogether winning twist on his crimes. Along with the aestheticization of violence in the film, his voice allows us to enjoy his ultraviolence.
Patrick Bateman in American Psycho is a unique case, for he is unreliable to himself as well as to the audience. He can't distinguish reality from hallucination, and, as a result, neither can we.
Dan
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