Henry Barthes is a highly recommended substitute teacher, a compliment he doesn't really accept. His latest job is subbing at an inner city high school for a month, where exam grades are slipping; the pupils are unruly and the head teacher is under fire for the decline in standards there.
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Anna (Michelle Williams) is the vacuous, borderline-underage girlfriend of mobster Billy (Meat Loaf), and the deleterious effect of watching her criminal lover murder a restaurateur (Louis Zorich) - coupled with the recent death of her G.I. brother Dan (Wendell Pierce), who perished after post-WWII electro-shock treatments administered at the request of their nasty parents - has left the girl a psychological mess. Fortunately, frightening Dr. Harold Ashton (Bill Raymond) has just arrived in town promoting a newfangled cure-all that strikes Anna's easily swayed fancy: the transorbital lobotomy, which the neurologist claims will eradicate everything from anxiety and insomnia to alcoholism. The "ice-pick lobotomy" - a popular procedure apparently based on historical fact, and so nicknamed because of the primary instrument used - is immediately appealing to Anna, who sees it as the easiest method of coping with her traumatic life. Will she go through with the dangerous operation, thus choosing to forget, rather than confront, her painful memories? Will the town's new resident Tom (Tim Guinee), an honest Korean War vet being blackmailed by Billy, succeed in convincing Anna that lobotomies are a less-than-reasonable therapeutic solution to one's problems? Will Ledes create something coherent out of his symbolism-saturated story?
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There's already an Oscars buzz surrounding this movie.