Cleanse Fold and Manipulate is the third studio album by Canadian electro-industrial group Skinny Puppy. The album was released in 1987 and was supported by a single, "Addiction". The album was further supported by the Head Trauma tour, which spanned across North America and Europe. Ain't it Dead Yet?, a recording of the group performing in Toronto, Ontario, Canada, was released on video in 1989 and CD in 1991. Music Cleanse Fold and Manipulate explores a number of different topics concerning medicine, society, and politics. The song "First Aid" addresses what was the growing AIDS epidemic of the 1980s, while "Second Tooth" concerns with the struggles faced by Vietnam War veterans, namely post-traumatic stress. The song "Deep Down Trauma Hounds" was written following a string of teenage suicides in the United States. Nivek Ogre, the group's vocalist and songwriter, said of the suicides: Other songs on the album pay homage to horror films. The song "The Mourn" is based on the Japanese extreme horror movie Flower of Flesh and Blood from the Guinea Pig film series. According to the group, the film was the closest they had ever come to seeing what they felt was a real snuff movie. Footage from the film has since been used in their live shows. Release Cleanse Fold and Manipulate was released on June 25, 1987. Eyeball paperweights were distributed by Capitol Records to help promote the album. The record sold 80,000 copies by October 1988, with 90 percent of sales being outside Canada. Critical reception Tim DiGravina of Allmusic said the album was "hard to recommend". He went on to say while it did contain one of the band's best songs, "Deep Down Trauma Hounds", much of the album was ambient and fragmentary. Still, he added, "fans of industrial music will appreciate the album's formidable beats and coarse sound samples that seem to be generated from warping the sounds of heavy machinery. Perhaps more than other any place in Skinny Puppy's discography, Ogre's vocals work like spoken-word stream-of-conscious dementia, with more emphasis on evil tones than on any relation to their music". He concluded by saying the album was primarily recommendable to die hard fans. Evelyn Erskine from the Ottawa Citizen gave the album a favorable review, saying the album was "dark and frightening", and described the flow of its songs as "cinematic". Erskine remarked that the album was weakened by the band's