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The film does explain the cause of Dewhurst's overbearing nature and there is resolution to the story, though to be more specific than that would be to "spoil." I agree that the tension for most (but not all) of the picture is grueling, but the end product is one of the most realistic portrayals I've seen of what it is like to provide in-home care for a family member. I was glad that the characters weren't Hollywood-obvious "good" and "bad" and that the plot wasn't tied in a neat and tidy (tiresome and clichéd) manner. The choice of opera in the soundtrack and the inclusion of W.B. Yeats poem, "The Second Coming" is especially powerful.There's a lot between-the-lines here too about vulnerability in the guise of brashness, masking insecurity with micro-management, and how the sins of one generation are spilled to the next. This is a film worth watching several times.
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