Board Thread:General Discussion/@comment-6192846-20140612134000/@comment-6192846-20140708235354

It's definitely an odd situation, no matter how you look at it. That said, Evils Court does bring up more evidence to that idea:

"If I were to make a bold hypothesis, Mrs. Blankenheim might've intentionally spawned an incarnation of the demon."

The meaning behind Gammon's words isn't made clear, but he definitely makes that sound like the situation Banica seems to be working towards. While it still doesn't explain how/why Margarita may have triggered the Doll to awaken (assuming MotC is the Demon of Sloth), it would at least hint that we're getting more info in the upcoming Gift novel.