Middle age and unattractive??? What a judgement to make on what real women look like. But of course his patients wouldn't be getting proper attention from the men in their lives once the bloom is off the rose. Middle age is deemed unattractive in women....Middle age men have other things that make them "attractive" power, standing, money so why shouldn't they find a young woman to please them. I greatly enjoyed this movie...Maggie is physically attractive but doesn't tow the demure requirements of her time as her sister does therefore she is also "unattractive" and suffering from hysteria. "A very difficult case that one"