His voice is rough. He suffers, even as he speaks. Martina distances herself from her words, in the very act of saying them. Her tone is plaintive, but also cool and disengaged. There's a misunderstanding here, as there always is between lovers.
Intimacy can be a terrifying thing.
I want you near me, yet I feel smothered by your closeness. You slay me with your tenderness and care. Watch him bleed. The whole song is a stifled cry of pain. The sound is thick, churning, and dissonant.