The fact that the movie made you uncomfortable does not make it a bad movie. (In a later post, you object to LATRG in the grounds that movies should make you think, wonder, and internalize; evidently, Lars did make you think--you just came to different conclusions than some others of us did.)
We don't know "that EVERYONE in the town went along with it"; what we know is that the people who know Lars and his family through work or church went along with it. Contrary to some later posts, such level of community is not only possible but it actually exists. Amish communities are well-known for their commitment to each other, for example. Of course, such connections are much harder to sustain outside of small towns, or small interrelated communities in larger towns.
You may not think "it's healthy to enable crazy behaviors like this," and you're entitled to your opinion, but the fact that the fictional doctor thought otherwise did not ruin the movie for me. In fact, I don't find it hard to believe that her strategy is the right one to use in certain circumstances. If a child had an imaginary friend, would you refuse to participate in his or her "delusional-touched world," or would you recognize it as part of a stage of the child's development? Well, in some ways, Lars's development was stuck in childhood and he hit upon "Bianca" as a way to help himself get unblocked.
LATRG is one of my all-time favorite films. I see it as a fable (so yes, it does use exaggeration for dramatic effect) about the power of love and community. (In fact, the clergy leader at my humanist "church" will be using it as the springboard for a Sunday talk on those themes this summer.) I am genuinely sorry that you weren't able to suspend your disbelief to enjoy it on that level.
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