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Sarah repeatedly becomes involved with a series of men who treat her and Jeremiah poorly, and uses them as an excuse to abandon her son.
She disappears to Atlantic City with her current boyfriend, Emerson ( Jeremy Renner ), whom she then abandons ; Emerson returns to their home and rapes Jeremiah.
After a trip to the hospital, Jeremiah's grandmother takes him to a West Virginian radical Christian cult led by his grandfather ( Peter Fonda ).
After three years with the cult, Sarah returns to reclaim a now 11-year-old Jeremiah.
Sarah's current lover, Kenny, a truck driver, eventually abandons them at a truck stop while Sarah is soliciting herself.
Sarah realizes that if she is going to keep her men, then she cannot say Jeremiah is her son.
Jeremiah allows his mother to persuade him into cross dressing so he can act as her ' little sister ', and Jeremiah's crossdressing evolves to include his mother's seduction techniques.
After dressing up as a ' baby doll ' version of Sarah, Jeremiah / Sarah seduces Jackson ( Marilyn Manson ), his mother's latest man, who initially tries to rebuff the boy's advances, but then he gives in.
Furious with Jackson for giving in to the boy's advances and with Jeremiah for ruining her panties, she takes Jeremiah and leaves.

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