Opening the record, 'Shut up! Shutu ..' with the Japanese actress, Michi Hirota included Bowie said 'to break down a particular sexist attitude regarding Japanese girls and women in general' with Bowie screaming out the English translation of 'as if he's literally tearing out his intestines'. Check out this page for Bowie-related japonaiserie, which includes a picture of Bowie and Hirota together.
The song makes use of an earlier unreleased track called 'Tired of my life' recorded in 1970 and apparently written when Bowie was only 16, here's the demo:
Certainly the opening is beautiful in itself, but the cool delivery part 2 speaks to me: especially now in this era of TV-prototype fascist tendencies, where the potential dictators and politico-confidence tricksters, have bad make-up and wayward hair.