When I was little I had a doctor's toy kit which included a fake injection, and it never seemed inappropriate - neither to my parents, obviously - nor to myself, in hindsight. Jodelle Ferland was essentially participating in a grandiose version of play acting here, and it is testament to her formidable precocious talent that you felt so strongly while watching it.
As I understand it (it is shown in the extra features on the DVD) her mother was present throughout the shoot, and the filmmakers were careful as to how they arranged proceedings to make sure they didn't ask too much of her, given her age. As with Mysterious Skin, which similar arguments have been made about, it has been cleverly edited together to give a certain appearance, and it is perhaps also testament to the talent of the editor that you believed everything you saw.
I obviously wouldn't advocate the exploitation of children, or anyone else for that matter, for the sake of an artistic agenda, but I don't think that's what is going on here. Personally, I get more creeped out by the average kid's clothing line than I did watching this film. If you have TJ Hughes where you come from, there's a girls clothing range for ages approx 4-8 in there, whose brand name is "Minx". I don't think I need to point out how inappropriate that is. Kids, and girls especially, are increasingly being sold into an idea of fashion which encourages them to play up to a sexuality that they are simultaneously supposed to know nothing about. In this week's Grazia magazine, there is an advert for Dolce and Gabbana's Kids line (which is ridiculous enough already, let's face it) which features a girl of around 10, airbrushed to within an inch of her life, and wearing leopard print hot pants. In short, I think your concerns regarding this film are gravely misdirected.
It is extreme in some ways, yes, and undoubtedly an uncomfortable watch at times. But I think it is one of the only films I've seen which treats childhood as a real and complex experience that children have to engage and negotiate in, rather than something magical which happens in and around them. It is to Gilliam's credit that he includes all of the murky depths of adolescent imagination, and contrary to the OP's opinion, I think that it actually shows a great deal of respect for childhood and those who live in it.
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