OK, so if the end result was that the two girls died and Pauline didn't succeed in the surgery, then that means she has no redeeming qualities to her whatsoever, she is just a blood-thirsty sociopath who needs to be shot and buried in the same ocean as OBL for the betterment of society.
The acting and atmosphere were great for this movie, I'll give it that, but the story overall didn't click with me, and I just don't feel for that monkey they call Pauline.
..that's kind of the entire point of this movie.
she is a severely depressed, bipolar mess of a sociopath with grandiose and delusional ideas and thoughts. She needed severe help. I think she truly did want to help her sister and thought she had the ability to do so, and it makes it a sadder ending for that, in my opinion.
Pauline is a young girl with severe mental problems that never got any help for it because of her parents either never recognizing how truly messed up she is, or not wanting to admit to themselves that she was that ill so they just ignored it. Likely the latter. It doesn't actually take a rocket scientist to recognize your daughter is acting beyond moody-bitchy teen-girl antics and might need help, not a pastor with no psychiatric training.
In the end, I think as her mother held her and screamed in both anger and sorrow over how truly messed up Pauline is, perhaps finally admitting to herself that her daughter was that
ill, that Pauline had a moment of clear-headedness and realized the implications of what she had done and that she hadn't helped at all, but destroyed two lives, two families (the other family being Jump Rope Girl's) and her own life and future.
Perfectly stated, Wrenny. Right on the money.
What do you expect when John Waters is your shrink.