I think that in many cases, the shaky-cam technique actually diminishes the sense or illusion of reality that it attempts to create (if *reality* is the director's intent). Many and perhaps most viewers, I would think, are conscious of the fact that there's a hand-held camera being used to record the images that they're viewing when the shaky-cam technique is used. Maybe it's time to question or re-examine the assumptions as to what the psychological effects really are on an audience of the shaky-cam technique. Maybe the way it affects an audience is actually the opposite of what the film-maker intended. Perhaps a scientific study would provide some definitive answers. I happen to think that with a little more imagination and effort, the intended sense or level of reality or unreality of a scene or an entire film can be realized with the traditional fly-on-the-wall paradigm and without the use of shaky-cam, thus sparing a significant percentage of the audience physical discomfort or a sense of queasiness (why would anyone truly want this to be experienced by an audience?). Just my $.02.