The BFI this month posted a list of 10 great lesbian films. Recently released titles included wereThe Kids Are Alright, Tomboy and Break My Fall, but there was no place for Blue is the Warmest Colour. Time will tell whether Abdellatif Kechiche’s Palme d’Or winner will still be celebrated in a couple of decades, but for now it feels like a Trojan horse for same-sex cinema.

The lakeside beach that is the only scene of action in Alain Guiraudie’s Stranger by the Lake is a concentrated crucible of desires. The sense of languid summer and the limpid beauty of the lake itself, beautifully and compellingly caught throughout in Claire Mathon’s widescreen cinematography, are deceptive: this gay cruising area is a place of urgent, largely silent action, and deadly undercurrents, where sexual fascination can become potentially fatal.

Stranger by the Lake is something of a wonder, a superbly made amalgam of Hitchcockian psychological thriller and explicit homoerotica, whose very presence in commercial cinemas defies convention. Yet the sheer quality of Frenchman Alain Guiraudie’s film can’t be denied. Since proving one of the must-sees of Cannes in 2013, where Guiraudie won a directing prize and his film the Queer Palm, it built a word-of-mouth momentum that led to it featuring high on critics’ best-of-year film lists.

Back in the 1950s the Zurich underground club Der Kreis was a rare beacon of tolerance of homosexuality in Europe. Fitting then that Swiss director Stefan Haupt’s drama-documentary of the same name, The Circle (****), won this year’s Teddy award at the Berlinale, in the documentary category: the Teddies have been going since 1987, making them no less of a pioneer in the gay world, their brief to acknowledge and support LGBT cinema from around the world.

Gay cinema in Poland is emerging slowly, for understandable reasons, which makes Malgoska Szumowska’s accomplished, if somewhat traditional drama In the Name of something of a ground-breaker. Not least because its story is centred around the country’s most established institution, the Catholic church, putting the subject of homosexuality squarely into the national debate. Interestingly, and encouragingly, the film topped local box office results for its opening weekend last autumn.

Extreme physical transformation is a double-edged sword for actors. Setting aside the metabolic repercussions of shedding huge amounts of weight from an already lean frame, as Matthew McConaughey did for the role of rodeo cowboy and accidental AIDS activist Ron Woodroof, there’s a risk that the aesthetic will distract from the work.

This is a performance for which McConaughey is almost guaranteed to net the Best Actor Oscar next month, composing the highest peak yet in what has been one of the most efficient and absolute career turnarounds ever witnessed in Hollywood. It’s a full-blooded, ferocious turn, and a much-needed shot of adrenalin to the heart of Jean-Marc Vallée’s oddly staid drama.

We’re introduced to Ron days before his diagnosis with advanced AIDS in 1986, doom already writ large on McConaughey’s emaciated form. The calm before the storm unfolds in brutal, staccato snapshots: the presumed moment of his infection, his day job as an electrician interrupted by abrupt bloodshed, his eventual collapse. As a red-blooded, openly homophobic Texan and renowned “pussy addict”, Ron’s kneejerk response to his death sentence is belligerent denial, followed swiftly by proactive denial.His never-say-die tenacity leads him into semi-inadvertent battle with the FDA – in a bid to extend his own life, he drives across the border to Mexico having been denied access to the still-in-trials drug AZT, and ends up instead with an early version of the AIDS "cocktail" still widely prescribed today. Where AZT had only landed him back in hospital, the cocktail restores him to some measure of health, and thus begins the caper movie element of Dallas Buyers Club, with Ron dreaming up increasingly inventive ways to smuggle and distribute these medications to a growing HIV-positive community.

Running alongside all this is the touching relationship between Ron and fellow patient Rayon (Jared Leto), a transgender woman whose blithe sweetness gradually sands down Ron’s rougher edges. While the erosion of Ron’s bigotry isn’t always convincingly drawn – his cartoonishly thuggish friends are rolled out as less-than-subtle benchmarks – every moment between McConaughey and Leto feels genuine.But as the film becomes more bogged down in a half-hearted morality story about federal government and a related subplot surrounding Jennifer Garner’s bland doctor Eve (pictured left), you’re left longing for more time with Leto’s achingly moving performance. Garner does nothing to improve what’s already a clunky role; spouting indignant lines like “What do the FDA know about treating patients?”, she’s a morality delivery device rather than a character, which makes her dynamic with Ron ring hollow.

It’s Craig Borten and Melisa Wallack’s script that most consistently rankles; the strangely sporadic use of title cards to mark the passage of time is symptomatic of an overall awkwardness. The thread of Ron’s motivation – much like in Steven Spielberg’s Schindler’s List, the question is where the line sits between shrewd business sense and genuine philanthropy – becomes less and less well defined, but McConaughey’s work is so rigorously consistent it’s hard to notice.

Dallas Buyers Club feels closer to a wasted opportunity than a triumph, although its success in bringing a remarkable and little-told story to a wider audience must be lauded. It’s a dated, often clumsy drama buoyed by two eminently fresh and graceful performances. 

Overleaf: watch the trailer to Dallas Buyers Club