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Chapter 11 focuses on a problem that has persisted for adolescent girls across generations, from before Pipher’s time in the 1950s and 1960s until today: the idealization of thinness. It opens with an anecdote about Heidi, who came to Pipher in the 1990s for her bulimia addiction caused by pressure from gymnastics at age 15. Ultimately, Pipher deciphered that Heidi was running from a painful fear of rejection and explains that girls who have bulimia are often “impulsive and they experience themselves as chronically out of control” (227). This contrasts with anorexia, which involves a great deal of rigidity and perfectionism. Both result from a need for acceptance and to meet a culturally imposed weight standard that often poses serious health risks. Prudence, another teen suffering from bulimia, described school as “a breeding ground for eating disorders” (228), with every girl striving for perfection in their daily appearance. She was dealing with these expectations as well as unaddressed grief over the death of her brother by binging and purging.
Anorexia is another eating disorder that plagues young girls. Pipher describes it as a disorder of “starvation in the land of plenty” (231) and a protest against the beauty standards imposed on girls and women. It is a statement of bodily autonomy and control, one that claims that a girl can be even thinner than what society expects of them. Anorexia gives girls a sense of stability in a chaotic and changing environment. “Realizing that anorexia is not [their] friend but [their] enemy” is the most important and most challenging step in the healing process. Pipher helps girls raise their level of awareness of their thoughts and perceptions and how their friends, family, and media influence their perception of themselves.
Pipher also touches on the topic of compulsive eating, clarifying that compulsive eating is a way for women to cope with and process unanswered feelings and desires, such as the need for love, entertainment, or to avoid going to bed. She tells the story of Violet, an 18-year-old homeless girl who associated food with comfort and love and thus compulsively overate. Pipher concludes the chapter by reiterating the significance and impact of beauty standards on girls and women’s health and self-esteem; these issues are compounded by institutional flaws in the types of food Americans tend to consume. Despite this, Pipher points to uplifting trends in recent years toward body positivity, a budding resurgence in fitness, and political action against outrageous expectations.
Rita was a 16-year-old girl who came to Pipher out of her own volition when she was arrested for drunk driving. Her father was an alcoholic, and she was terrified of becoming like him. Like many girls in the 1990s, Rita had developed a problem with alcohol. This problem is decreasing slowly, but teenage girls are still exposed to drugs and alcohol regularly. Pipher clarifies the difference between drug and alcohol addiction and experimentation, stating that the latter is normal while the former is an issue that often requires help from a therapist or support group. Teenage girls use drugs and alcohol often because of peer pressure, but dependency usually has deeper roots such as “despair, social anxiety, problems with friends or family, pressure to achieve, or negative sexual experiences” (246). For this reason, drug and alcohol addictions cannot be treated universally and must be given individual attention and care. Roberta, another client of Pipher’s, used cannabis to rebel against her parents’ expectations and explore her mind. Pipher explains the cultural influence behind drug and alcohol use among adolescent girls, citing media glorification of its use as well as a tendency to promote the avoidance of pain and suffering. She calls this a “feel-good mentality” (250) and asserts that people need to reconstruct their views on the relationship between bad feelings and chemical use. Fortunately, drug and alcohol use for teenage girls is half what it was in the mid-1990s, and academic success is propped up as the mechanism of maturing instead. Pipher speculates that part of the reason for this decrease is the rise in social media use, which provides the dopamine release that substances once did.
Chapters 11 and 12 focus on the physical dependencies that most commonly affect the lives of adolescent girls, both in the 1990s and today. Eating disorders and chemical dependence both result from peer pressure, cultural norms, and an eventual addiction to a behavior or substance. Two common themes that run throughout Reviving Ophelia are the importance of family and the influence of culture on adolescent development. As Pipher notes, “beauty is the defining characteristic for American women” (239). Many girls’ problems with bulimia, anorexia, or alcohol stem from family issues, such as financial struggles, lack of parental support, genetic and observational influences, and a feeling of isolation and loneliness. Adolescent girls rely on their addictions as sources of control, mechanisms to numb or alter emotions, and tools of social acceptance. Pipher seeks to illuminate the deeply personal struggles that teenage girls face with addiction through these chapters. While social media replaced much of the drug and alcohol dependency of previous decades, it is still a major issue. Furthermore, Pipher suggests that social media use is a drug in its own right.
By the end of Chapter 12, Pipher is almost finished painting a vibrant and varied picture of the lives of adolescent girls throughout the 1990s and 2010s. Her choice not to discuss eating disorders or drug and alcohol dependency until near the end is the result of several factors. To fully understand why adolescent girls resort to these behaviors, Pipher first needed to present a detailed description of family issues and influences, the healthy and unhealthy development of adolescent girls, the creation of the false image resulting from cultural expectations, and the state of mental health. Anxiety and depression often lead to control behaviors, such as anorexia or chemical dependency, to maintain a positive or relaxed mood and that provide a “quick, foolproof way to feel good” (249). Family tendencies and genetic legacies influence addictive behavior. On top of this, “without external resources or family support, those habits are difficult to break” (252). Finally, all of these issues may compound to further fracture the self and embolden the false self, solidifying itself deep within a girl’s being.
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