Spike offers to send for the doctor, but his mum says she will be fine. She asks Spike to sit with her, and instead of sitting like a normal person in the chair, he lowers himself down to the floor to rest his head against her knee. She begins to hum and sings the song that is Spike's trigger. Close up on Spike's age-ravaged face. It seems, in their zeal to make sure we realize that Spike is human, that they turned him orange. And then lit him in fluorescent light. No one looks good lit by fluorescents, and those huge pores and crappy wig aren't doing him any favors either.
Back in the basement, Spike vamps out. He grabs Buffy and throws her into the laundry station, then struggles against his chains while roaring. Dude. Why did they get Olaf the Troll God of Bad Retconning to dub Spike's roars? Those sounds are way too deep to be coming from that little body. Spike upends his cot and throws it at Dawn. Dawn is down! Dawn is down! Spike rips one of his chains out of the wall, but then abruptly the magic booger falls out of eye, inert, and he's once again in control of himself.