I've made blanket statements about hating DSBM and what it represents, but I suppose my outlook has changed somewhat. It really depends on the band. Some do it very well. Gris, for example. I think early Bethlehem is great and Silencer's Death - Pierce Me is amazing even if I think Nattramn sounds like a pig being raped, and find his whole 'crazy' schtick to be totally absurd -- even if his lyrics and delivery on that album are 100% serious and genuine, I can't quite take it seriously. There are still some bands that I find totally disgusting, or simply painful to listen to -- like Pensées Nocturne.
So yeah, it really depends.