More than half of this book is given to young people's narratives through phone calls and letters, to reveal personal worlds of deep distress and anxiety, where purging and starvation are the coping mechanisms to contain otherwise overwhelming feelings. Controlling the intake of food and physical exercise can be pivotal for some young people in managing the stresses of adolescent development, family difficulties and the pressure to be successful.
We are given hints of possible key factors such as father absenteeism and relationship difficulties within families. The absence of any feeling of personal power in these callers' lives can lead to self-harming behaviours.
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