Todd Solondz spent his entire life's saving on making the movie because no studios would back it.
The names of the characters Aviva, Bob, and Otto are all palindromes - as per the title of the film.
As some characters' names are palindromes, this clever palindrome is trickier to catch. The exact second Dawn's videotaped funeral comes on screen, starting the film, in the upper right hand corner is the video's time. It clearly displays, 01.22:10 = a numerical palindrome, then continues counting down.