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*** This review may contain spoilers ***
In the penultimate scene, the autistic child stands at the window and
turns. While one fully expects a "gripping" "Hollywood" conclusion by
having the son speak for the first time, instead, we are given
something REAL about which to think. "St. Elsewhere" always demanded
more from its viewers than average television and it did not disappoint
in its final moments. That the entire series was a fiction of an
autistic child's imagination took nothing away from the message of the
series. Rather, it enhanced it by adding an element of medical realism
for which the show always strived.
No one knows exactly how an autistic child might "think". The writers left us that to ponder... the television series itself was secondary.
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