Karen (Emily Mortimer) and they are stunned. They don't know what to say to Lars or Bianca -- because she is a life-size doll, not a real person and he is treating her as though she is alive. They consult the family doctor Dagmar (Patricia Clarkson) who explains this is a delusion he's created -- for what reason she doesn't yet know but they should all go along with it. What follows is an emotional journey for Lars and the people around him. ... Lars and the real girl ryan gosling sidney ...