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By rights, child psychologist Dr. Nina Moss (Mare Winningham) should be pleased and proud that her daughter Beth (Alison Lohman) is a slim, eternally upbeat overachiever. But Nina suspects that all is not well with Beth--and she's right. Desperate to be accepted by her family and friends, and determined to be fully in control of her own destiny, Beth has become bulimic, "binging" and "purging" whenever things threaten to get out of hand in her life--or whenever she gains a single pound beyond