Totally different genre, but German industrial/art/whatever band Einstürzende Neubauten has a song titled 'Hör mit Schmerzen' (Listen with/in pain) - which, as far as titles go, is pretty descriptive.
(I love the Neubauten, by the way - but I will admit to preferring their output from Zeichnungen des Patienten O.T. onwards - where at least fragments of melody can be heard... The debut Kollaps is... Well, challenging.)
There is some extreme metal that will never be mainstream or widely listened to but that mainly comes down to the amount of work that's required to listen to it (Deathspell Omega) or the purely misanthropic production quality (Darkthrone's Panzerfaust, an album I adore). This sort of music is "shocking" in the sense that most people assume bands make music because they actually want people to listen to it.