Orgasmo is a 1969 giallo film directed by Umberto Lenzi and starring Carroll Baker, Lou Castel, and Colette Descombes. It follows a wealthy American socialite who finds herself preyed upon by two nefarious young siblings who indulge her in sex, drugs, and alcohol while she vacations at an Italian villa. This film helped launch the second phase of Baker's career, during which she became a regular star in Italian productions. After its Italian premiere in February 1969, Orgasmo was released in the United States under the alternative title Paranoia later that same year. It was one of the first films to carry an X rating in the United States under the newly-established Motion Picture Association film rating system, and this fact was sensationalized for its American promotional materials. The film marked the second of four collaborations between Lenzi and actress Carroll Baker, who had previously starred in So Sweet... So Perverse (1969), and subsequently starred in A Quiet Place to Kill (1970) and Il coltello di ghiaccio (1972). Plot American socialite Catherine West arrives in Italy from New York to a flurry of journalists following the car accident death of her husband Robert, a Texas oil baron who left her his $200 million estate. She retreats to an Italian villa rented by her austere lawyer, Brian Sanders. Catherine soon meets Peter Donovan, a young American man from Boston whose car has broken down nearby. Peter manages to manipulate his way into staying with Catherine, who is initially icy toward his romantic advances. However, Peter swiftly manages to seduce her, and the two engage in a passionate affair. Catherine travels to London to visit with her late husband's relatives to discuss property she is bequeathing to them, but finds them to be abrasive and angry with her, believing she married Robert solely for his money. Late one night, Catherine senses someone has broken into the house, but the housekeeper Teresa attributes Catherine's paranoia to her abuse of alcohol and prescription drugs. When Catherine invites Peter to stay with her for a week, his sister Eva arrives at the villa unexpectedly. Catherine enjoys the siblings' companionship and youthful vivaciousness. During a dinner meeting with Brian, Catherine admits she is suffering from liver failure due to her alcoholism. Upon returning to the villa, Catherine finds Peter and Eva in bed together nude. She presumes the two have engaged in incest, but Peter informs