I don't necessarily have an issue with extreme content in and of itself.

The only thing that really bothers me about it is that I feel it's often the result of a lack of originality, a lack of thought, and someone's inability to be creative.

There are a lot of producers creating very extreme content who do it because they are just incapable of coming up with anything better to do. They're unable or unwilling to create a quality product on "this side of the line", so to speak, and so in order to be able to offer up something different they just push that line or step over it in to territory not yet covered.

A lot of extreme content producers have deluded themselves in to thinking that they're original and unique and that they are pioneers of expression and creativity, but I'm of the belief that could not be further from the truth in the vast majority of cases. They just keep getting more and more extreme because they're unable to compete and so venture off in to territory that shouldn't necessarily be chartered, if you will.

Just because something's not yet been done doesn't make you a genius when you get around to doing it. It just might mean that everyone else has more sound judgement