All this stuff was optional, even the violent nurse incident. You needed to hit dice rolls 15-20 just to get those scenes, even then you could out right just fight them. Or don't at all because you could skip the place they were in. Discussions like this just leads to censorship, because of outrage. It's a 17+ game the the ESRB already rated. If you're that sensitive to this type of material, don't partake in it.