A family of three generations gather over a weekend to say goodbye to Esther who suffers from an incurable disease, amyotrophic lateral sclerosis, and with the help of her husband Poul has chosen to pursue euthanasia when the weekend is over. But as the end approaches, the mother's decision becomes more and more difficult to handle for the daughters Heidi and Sanne, and old conflicts come to the surface.
The topic of August's film is euthanasia. The film is a family drama about three generations coming together over a weekend to say goodbye to their wife, mother, mother in law, grandmother and friend.
Film critic Morten Piil in Filmmagasinet Ekko [da] gave the film 5 out of 6 stars and wrote: "All in all, Silent Heart is Bille August's most complete film since The Best Intentions."[3] Jonathan Holland for The Hollywood Reporter wrote positively from San Sebastián that "After the disappointing Night Train to Lisbon, Heart signals a return to form for the former Oscar-winner Bille August, who here explores with practised ease and an alertness the emotional truth of the dynamics of an ordinarily neurotic family in an extraordinary situation. Accessible without being easy, and played to perfection by a superbly directed cast, Heart looks set to beat at festivals and in the European arthouse."[4]
Jay Weissberg for Variety on the other hand wrote that "Silent Heart is a standard-issue tearjerker about a dying matriarch gathering her family around on the weekend she plans to off herself. The only surprise is when the script goes from merely stereotyped to spectacularly silly with a late revelation that would feel idiotic even in a farfetched 1940s meller."[5]
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