I probably missed a fine point somewhere in the book and/or am a bit cynical about Lenore’s headaches because I always took those headaches as a convenient excuse to avoid having conversations she needed to have with Norma. After all, it’s a little hard to “prove” someone has a headache and given Lenore’s propensity for drama, her headaches were a passive way for her to further control everyone around her.
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I think she was mentally unstable due to her miscarriages but I also feel that she knew what she had done was wrong. There was no excuse for her actions but I really blame her sister and husband for not doing something about her taking Ruthie and they should have done something as soon as they were aware what happened.
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