<P> David soon realizes that he must do something before time runs out and he loses the first girl he has ever loved . However, despite his efforts, his plan to rescue Meg is foiled when Meg tries to bring her sister Susan with her and Ruth catches them trying to leave . As punishment, Ruth allows her son Donny to rape Meg . Willie also wants to rape her, but Ruth refuses to let him, saying it is incest for him to do so after his brother . Ruth then carves the words "I FUCK / FUCK ME" into Meg's stomach, saying she is doing it so no man will ever want Meg . Ruth then takes it a step further and decides she will end all sexual desire on Meg's part and gives her a clitorectomy . </P> <P> In the meantime, David decides to create a plan to get Meg, Susan, and himself out of the house alive . After one final act of torture, Meg dies, shortly after the police arrive . As David and Ruth are being led upstairs, David sees Ruth wearing Meg's mother's wedding band . Remembering a promise to get it back to Meg, he vengefully pushes Ruth down the stairs, killing her . The officer with David realizes he did this intentionally, but knowing how evil Ruth was the officer claims that the fall was accidental, and David is never charged with Ruth's death . As David grows up he continually tracks the whereabouts of the other children who helped to torture Meg, discovering that they either end up dying young as a result of reckless lifestyles or go on to lead lives blighted by poverty and crime . After reading of a brutal crime spree perpetuated by one of the now grown children of Ruth, David is left to wonder what has become of the children he was unable to track . </P> <P> Sylvia Likens and her younger sister Jenny were left in the care of Gertrude Baniszewski, a single mother of seven children, by their parents, who were traveling carnival workers . They paid Gertrude Baniszewski to take care of their girls, but money slowly stopped coming in . For each missed payment the abuse of Sylvia worsened . As the months passed, Sylvia became the target of horrendous abuse at the hands of Baniszewski, who not only senselessly beat the young girl, but allowed her children to do so, as well as the neighborhood children who frequently visited the household . The final days of young Sylvia's life were spent locked in the basement of the home, where she was tied up, starved, beaten, burnt and tortured . </P> <P> A feature film based on Ketchum's novel was released in 2007 . Entitled The Girl Next Door, the film stars Blanche Baker, Blythe Auffarth, William Atherton, and Daniel Manche . It was directed by Gregory Wilson from a screenplay by Daniel Farrands and Philip Nutman . After a successful series of screenings at film festivals around the world, the film was released by Starz Home Entertainment on December 4, 2007 . </P>

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