It would be my guess that Madonna is not a very happy woman. From my own experience having gone through persona changes like that that kind of clawing need to be the center of attention is not a pleasant place to be.
I suppose for me as an artist it wasn't always just about expressing my work...
It evolved from my experience in the fifties growing up during the McCarthy...
There are two freedoms - the false where a man is free to do what he likes the true where he is free to do what he ought.