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* NeverGotToSayGoodbye: When Cassie was drinking herself to death in a motel room, she tried to call Lia 33 times, but Lia was still angry at her since Cassie had, months earlier, broken off their friendship and blamed her for everything that went wrong in her life.


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* ObsessedWithFood: Lia, though in her case she's obsessed with avoiding it, eating as little calories as possible, and trying to force herself to stop thinking about being constantly hungry.
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** Dr. Marrigan describes what happens to the body of a bulimia victim as they die in [[NauseaFuel excruciating medical detail]]. On top of that, it's excruciating ''accurate'' medical detail; what Dr. Marrigan describes is really what happens to bulimics.

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** Dr. Marrigan describes what happens to the body of a bulimia victim as they die in [[NauseaFuel excruciating medical detail]].detail. On top of that, it's excruciating ''accurate'' medical detail; what Dr. Marrigan describes is really what happens to bulimics.

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* ShownTheirWork: Anderson did her homework for this novel.
** Lia's twisted self-image, meticulous cataloging of every piece of food or drink she consumes, erratic desire to "purge" the filth inside of her through cutting, rigid mental suppression of hunger, and delusional insistence that the thinner she gets, the stronger she'll be are all very true to life symptoms of anorexia sufferers.
** Dr. Marrigan describes what happens to the body of a bulimia victim as they die in [[NauseaFuel excruciating medical detail]]. On top of that, it's excruciating ''accurate'' medical detail; what Dr. Marrigan describes is really what happens to bulimics.



* TruthInTelevision: Anderson did her homework for this novel. Lia's twisted self-image, meticulous cataloguing of every piece of food or drink she consumes, erratic desire to "purge" the filth inside of her through cutting, rigid mental suppression of hunger, and delusional insistence that the thinner she gets, the stronger she'll be are all very true to life symptoms of anorexia sufferers.

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* MyGreatestFailure: Downplayed, as she spends the entire novel blocking it out, but Lia ignoring thirty-three of Cassie's cries for help on the night that she died haunts her both literally and figuratively.

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* MyGreatestFailure: Downplayed, as she She spends the entire novel blocking it out, but Lia ignoring thirty-three of Cassie's cries for help calls on the night that she died haunts her both Lia, literally and figuratively.



* TheReasonYouSuckSpeech: Jennifer gives one to Lia just before the climax of the book over how her lies have damaged her family and her determination to destroy herself has hurt Emma. [[MyGodWhatHaveIDone It's one of the few times Lia's stunned into silence, unable to come up with any excuses.]]
** Cassie herself gives Lia an even more cruel and vicious one in the psychiatrist's office later that day: she outright calls Lia fat and ugly and insinuates that her own parents don't love or want her.

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* TheReasonYouSuckSpeech: TheReasonYouSuckSpeech:
**
Jennifer gives one to Lia just before the climax of the book over how her Lia's lies have damaged her family family, and her how Lia's determination to destroy herself has hurt Emma. [[MyGodWhatHaveIDone It's one of the few times Lia's stunned into silence, unable to come up with any excuses.]]
** Cassie herself gives Lia an even more cruel and vicious one in the psychiatrist's office later that day: she outright calls Lia fat and ugly and insinuates that her own parents don't love or want her. [[spoiler:Though considering Cassie is dead, it's more like Lia is giving this to herself.]]


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* ToughLove: Lia's on the receiving end of a lot of it. When attempts to reach Lia about her anorexia don't work, people have to start resorting to more drastic measures. This includes giving her a TheReasonYouSuckSpeech about how she's damaging the entire family with her constant lying about her anorexia. At the end, [[spoiler:all of this tough love finally manages to get through to Lia, especially after she realizes that [[KickTheMoralityPet she's hurt Emma]] and that she needs to be better]].
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* [[spoiler:SurprisinglyHappyEnding: After coming very close to a full-blown DownerEnding, Lia is able to pull herself together after running away on Christmas Eve and finally begins making a genuine turn for the better. The book ends on a hopeful note, with Lia repairing her frayed relationship with her family and realising that she does truly value her life.]]
-->''[[spoiler:I am beginning to measure myself in strength, not pounds. Sometimes in smiles.]]''

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* [[spoiler:SurprisinglyHappyEnding: After SurprisinglyHappyEnding: [[spoiler:After coming very close to a full-blown DownerEnding, Lia is able to pull herself together after running away on Christmas Eve and finally begins making a genuine turn for the better. The book ends on a hopeful note, with Lia repairing her frayed relationship with her family and realising realizing that she does truly value her life.]]
-->''[[spoiler:I -->[[spoiler:I am beginning to measure myself in strength, not pounds. Sometimes in smiles.]]'' I am thawing.]]

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* ConsummateLiar: Using some clever tricks, such as tampering with scales and inflating her BMI, Lia successfully fools her father and stepmother into thinking she's in recovery. The latter at least has her doubts, and her mother isn't fooled for a second, but...
** And not only regarding her condition. Lia introduces herself to Elijah using her stepsister's name, not wanting to reveal that she is the "Lia" Cassie was talking about in her last moments. She gets busted by her own mother at Cassie's funeral.

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* ConsummateLiar: Lia becomes this as she keeps tricking her family into thinking she's recovering from anorexia.
**
Using some clever tricks, such as tampering with scales and inflating her BMI, Lia successfully fools her father and stepmother into thinking she's in recovery. The latter at least Lia's stepmom still has her doubts, and her mother isn't fooled for a second, but...second.
** And not only regarding her condition. Lia introduces herself to Elijah using her stepsister's name, not wanting to reveal that she is the "Lia" Cassie was talking about in her last moments. She gets busted by her own mother at Cassie's funeral.



* DespairEventHorizon: The entire novel is one slow crossing for Lia, culminating in her [[spoiler:cutting herself into a coma and preparing to either run away or kill herself for good.]]
* DontSplitUsUp: Lia's mother, more and more certain that Lia is not getting better at all at her father's place, wants her to move back in with her. One of the reasons Lia objects to this is that she wants to live with her stepsister, Emma.
* DyingAlone: Cassie. [[spoiler:Narrowly averted by Lia.]]

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* DespairEventHorizon: The entire novel is one slow crossing for Lia, culminating in her [[spoiler:cutting herself into a coma and preparing to either run away or kill herself for good.herself.]]
* DontSplitUsUp: Lia's mother, more and more certain that Lia is not getting better at all at her father's place, wants her Lia to move back in with her. One of the reasons Lia objects to this is that she wants to live with her stepsister, Emma.
* DyingAlone: Cassie. Cassie died alone in a hotel. [[spoiler:Narrowly averted by Lia.Lia, who almost echoes Cassie's death in the same way, but doesn't go through with it.]]



* GoodStepmother: Jennifer. Lia has a complex, but much better relationship with with her stepmother than she does with her actual mother.

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* GoodStepmother: Jennifer. Lia has a complex, but much better relationship with with her stepmother than she does with her actual biological mother.



* [[HisOwnWorstEnemy Her Own Worst Enemy]]: Lia, who's given to deep self-loathing.
* LonelyRichKid: Lia again.
* MadnessMantra: Infamously. An entire chapter is filled with nothing but Lia's: '''Must. Not. Eat.'''
* MamaBear: Jennifer for Emma, to the point she delivers a TheReasonYouSuckSpeech to Lia after Emma is traumatised by [[spoiler: catching Lia slicing herself up in the bathroom]] and tells her that, while she loves her as if she were her own, she will not let Lia destroy her daughter.
** Chloe tries to be one to Lia, who viciously resists it, but Chloe tells Lia that if her weight keeps dropping, she'll pull strings to have her put back in hospital, much to Lia's outrage.

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* [[HisOwnWorstEnemy Her Own Worst Enemy]]: HisOwnWorstEnemy: Lia, who's given to deep self-loathing.
self-loathing. She keeps tricking her family into thinking she's on the mend, when her anorexia and depression just keep getting worse.
* LonelyRichKid: Lia again.
pushes everyone away from her except for her sister Emma.
* MadnessMantra: Infamously. An entire chapter is filled with nothing but Lia's: '''Must.the words "Must. Not. Eat.'''
" over and over again. The last one of them is written in bold text.
* MamaBear: MamaBear:
**
Jennifer for Emma, to the point she delivers a TheReasonYouSuckSpeech to Lia after Emma is traumatised traumatized by [[spoiler: catching [[spoiler:catching Lia slicing herself up in the bathroom]] and bathroom]]. Jennifer tells her Lia that, while she loves her as if she were her own, she will not let Lia destroy her daughter.
** Chloe tries to be one to Lia, who viciously resists it, but Chloe tells Lia that if her weight keeps dropping, she'll pull strings to have her put back in the hospital, much to Lia's outrage.



* ScrewTheRulesIHaveConnections: Emma's basketball team is sponsored by her mother's bank; Jennifer gets the coach to give her daughter more time on the court by threatening to pull the sponsorship if Emma doesn't play enough. Emma is completely unaware of this.
** During a fight about her weight, Dr. Marrigan point-blank tells Lia that she's personally operated on some of the best judges in the country and if she needs to pull strings to get Lia back into hospital, she'll do it.

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* ScrewTheRulesIHaveConnections: ScrewTheRulesIHaveConnections:
**
Emma's basketball team is sponsored by her mother's bank; Jennifer gets the coach to give her daughter more time on the court by threatening to pull the sponsorship if Emma doesn't play enough. Emma is completely unaware of this.
** During a fight about her weight, Dr. Marrigan point-blank tells Lia that she's personally operated on some of the best judges in the country and if country. If she needs to pull strings to get Lia back into the hospital, she'll do it.

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* EverybodyHatesMathematics: Emma isn't that good at math and has trouble with long division. After a long, painful study session with her mother Jennifer, Lia cheers up Emma by whispering to her that "long division is a stupid poophead".



* MyNaymeIs: Lia's name is a homophone/variation of the common "Leah".

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* MyNaymeIs: Lia's name is a homophone/variation of the more common "Leah".
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* CoolBigSis: Despite keeping an emotional distance from everyone else in her life, Lia is very close to her younger stepsister, Emma.
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* MyNaymeIs: Lia's name is a homophone/variation of the common "Leah".


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* SlaveToPR: Jennifer is obsessed with maintaining her image of being a perfect wife, mother and accountant at the bank she works at, which extends to pushing her daughter Emma into various extracurricular activities. The novel opens with Jennifer crumbling the edges of the cookies she's taking to Emma's school so they'll look homemade instead of store-bought.
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* YourCheatingHeart: Lia's father, David, frequently cheated on her mother. Lia observes about halfway through the novel that the same crop of excuses he'd given for his late nights and distant behaviour are starting to resurface, and [[TheReasonYousuckSpeech accuses him of cheating on his new wife Jennifer as well]] during a heated argument.

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* YourCheatingHeart: Lia's father, David, frequently cheated on her mother.mother with at least four or five different women, maybe more. Lia observes about halfway through the novel that the same crop of excuses he'd given for his late nights and distant behaviour are starting to resurface, and [[TheReasonYousuckSpeech accuses him of cheating on his new wife Jennifer as well]] during a heated argument.
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** And not only regarding her condition. Lia introduces herself to Elijah using her stepsister's name, not wanting to reveal that she is the "Lia" Cassie was talking about in her last moments. She gets busted by her own mother at Cassie's funeral.
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** Cassie herself gives Lia an even more cruel and vicious one in the psychiatrist's office later that day: she outright calls Lia fat and ugly and insinuates that her own parents don't love or want her.
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* MoodSwinger: Lia notes that Cassie was moody even when they were little kids and would have explosive temper tantrums at little provocation.


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* TheReasonYouSuckSpeech: Jennifer gives one to Lia just before the climax of the book over how her lies have damaged her family and her determination to destroy herself has hurt Emma. [[MyGodWhatHaveIDone It's one of the few times Lia's stunned into silence, unable to come up with any excuses.]]
** Lia blasts her father for repeating the same pattern with Jennifer he did with Chloe and angrily points out that even though he's noticed she doesn't eat, he only knows because of Jennifer - he's never home.


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** During a fight about her weight, Dr. Marrigan point-blank tells Lia that she's personally operated on some of the best judges in the country and if she needs to pull strings to get Lia back into hospital, she'll do it.

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* ShipTease: Lia and Elijah have a little.

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* ShipTease: Lia and Elijah have a little.little but it doesn't really amount to anything.


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** Also played with for Jennifer, as while she's very concerned that Lia is losing weight again, Lia notes that she also pays very close attention to what Emma eats because she thinks Emma is starting to get fat.
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* TheReveal: Cassie's cause of death, though spoiled very casually on ThatOtherWiki, is a driving point of the story. [[spoiler:Lia learns from her mother, a doctor, that Cassie succumbed to bulimia, compounded by a lot of vodka and pills, and died in a very painful manner. In medical-mode, she goes on to describe ''exactly'' how it happened and what it did to her. It isn't pretty.]]

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* TheReveal: Cassie's cause of death, though spoiled very casually on ThatOtherWiki, Wiki/{{Wikipedia}}, is a driving point of the story. [[spoiler:Lia learns from her mother, a doctor, that Cassie succumbed to bulimia, compounded by a lot of vodka and pills, and died in a very painful manner. In medical-mode, she goes on to describe ''exactly'' how it happened and what it did to her. It isn't pretty.]]
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* BrokenBird: Lia and Cassie both, suffering from anorexia and major self-esteem issues. Cassie in particular had to contend with a three-ring circus of abusive and controlling parents, rejection by her peers, and failing grades.


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* DCupDistress: In fifth grade, Cassie had a growth spurt and her breasts grew large enough to need a bra. She was sexually harassed by the boys and ostracized by the other girls.
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* NoSympathy: When Lia and Cassie were in fourth grade, Cassie's pet mouse died and she was heartbroken. Her father's only reaction was to tell her to stop crying because he would put the corpse in the trash after he finished watching his football game.


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* ReallyGetsAround: Lia's father cheated on her mother with at least four different women before they got a divorce.
* ScrewTheRulesIHaveConnections: Emma's basketball team is sponsored by her mother's bank; Jennifer gets the coach to give her daughter more time on the court by threatening to pull the sponsorship if Emma doesn't play enough. Emma is completely unaware of this.
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* HeelFaceDoorSlam: After dumping Lia as a best friend and having a huge fight with her parents, Cassie ran to a motel where she went on a drinking binge. In the throes of desperation, she tried to call Lia, who ignored her because she assumed Cassie just wanted to hurt her more. That night, Cassie ended up drinking herself to death.


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* ShotgunWedding: Lia's parents had one when her mother realized she was pregnant. By the time Lia was born, they couldn't stand each other.

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* AbusiveParents: Cassie's father is definitely guilty of some pretty bad emotional abuse to his daughter - Lia notes Cassie tended to have explosive tantrums because of her father's constant scolding of her as a kid, and his reaction to her anguish over her beloved pet mouse dying was to tell her to stop crying because she was interrupting his football game. Dr. Marrigan also mentions that the Parrishes had a huge fight with Cassie before she flipped out and fled to the motel where she died.



* MamaBear: Jennifer for Emma, to the point she delivers a TheReasonYouSuckSpeech to Lia after Emma is traumatised by [[spoiler: catching Lia slicing herself up in the bathroom]] and tells her that, while she loves her as if she were her own, she will not let Lia destroy her daughter.
** Chloe tries to be one to Lia, who viciously resists it, but Chloe tells Lia that if her weight keeps dropping, she'll pull strings to have her put back in hospital, much to Lia's outrage.



* StartOfDarkness: Cassie began starving herself after going away to drama camp and meeting girls who were doing it. She started making herself sick after meals, and Lia, though initially concerned by this behaviour, began trying it too (while good at staying thin, Lia was actually terrible at puking and forewent it entirely). Years later, Lia crashed her car (with Cassie inside) after an extensive fasting session, and was institutionalised by her parents when the full scope of the truth came out. Instead of making an effort to recover, Lia [[FromBadToWorse doubled down on her bad habits]].

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* StartOfDarkness: Cassie began starving herself after going away to drama camp and meeting girls who were doing it. She started making herself sick after meals, and Lia, though initially concerned by this behaviour, began trying it too (while good at staying thin, Lia was actually terrible at puking and forewent it entirely). Years later, Lia crashed her car (with Cassie inside) after an extensive fasting session, and was institutionalised by her parents when the full scope of the truth came out.out, while Cassie got away scot-free. Instead of making an effort to recover, Lia [[FromBadToWorse doubled down on her bad habits]].
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* TheReveal: Cassie's cause of death, though spoiled very casually on ThatOtherWiki, is a driving point of the story. [[spoiler:Lia learns from her mother, a doctor, that Cassie succumbed to bulimia, compounded by a lot of vodka and pills, and died a very painful manner. In medical-mode, she goes on to describe ''exactly'' how it happened and what it did to her. It isn't pretty.]]

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* TheReveal: Cassie's cause of death, though spoiled very casually on ThatOtherWiki, is a driving point of the story. [[spoiler:Lia learns from her mother, a doctor, that Cassie succumbed to bulimia, compounded by a lot of vodka and pills, and died in a very painful manner. In medical-mode, she goes on to describe ''exactly'' how it happened and what it did to her. It isn't pretty.]]
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* WeUsedToBeFriends: Cassie dumped Lia after deciding she was a bad influence; they didn't speak for six months, and then then Cassie died. Although they consider the death a tragic one, Lia's parents were pretty happy that [[PoisonousFriend Cassie]] called off their friendship. Lia, though bitter enough about how Cassie ended things to turn a deaf ear to 33 back-to-back calls from her ex-best friend, never really got over it and spends a lot of time looking up memories of them together online.

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* WeUsedToBeFriends: Cassie dumped Lia after deciding she was a bad influence; they didn't speak for six months, and then then Cassie died. Although they consider the death a tragic one, Lia's parents were pretty happy that [[PoisonousFriend Cassie]] called off their friendship. Lia, though bitter enough about how Cassie ended things to turn a deaf ear to 33 back-to-back calls from her ex-best friend, never really got over it and spends a lot of time looking up memories of them together online.
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* TruthInTelevision: Anderson did her homework for this novel. Lia's twisted self-image, meticulous cataloguing of every piece of food or drink she consumes, erratic desire to "purge" the filth inside of her through cutting, rigid mental suppression of hunger, and delusional insistence that the thinner she gets, the stronger she'll be are all very true to life.

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* TruthInTelevision: Anderson did her homework for this novel. Lia's twisted self-image, meticulous cataloguing of every piece of food or drink she consumes, erratic desire to "purge" the filth inside of her through cutting, rigid mental suppression of hunger, and delusional insistence that the thinner she gets, the stronger she'll be are all very true to life.life symptoms of anorexia sufferers.
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* DespairEventHorizon: The entire novel is one slow crossing for Lia, culminating in her [[spoiler:cutting herself into a coma and preparing to kill herself for good.]]

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* DespairEventHorizon: The entire novel is one slow crossing for Lia, culminating in her [[spoiler:cutting herself into a coma and preparing to either run away or kill herself for good.]]
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The book was a hit and went on to earn both critical acclaim and controversy. Best known for its intimate, graphic take on extremely sensitive subject material, ''Wintergirls'' is at times abstract, at times gruesome, and does not shy away from the ugly and destructive effects of its subject material. For all that, and much to the author's dismay, ''Wintergirls'' is held up in certain circles as the [[MisaimedFandom pro-anorexia bible, its self-destructive and deeply disturbed protagonist an inspiration rather than a warning]].

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The book was a hit and went on to earn both critical acclaim and controversy. Best known for its intimate, graphic take on extremely sensitive subject material, issues, ''Wintergirls'' is at times abstract, at times gruesome, and does not shy away from the ugly and destructive effects of its subject material. For all that, and much to the author's dismay, ''Wintergirls'' is held up in certain circles as the [[MisaimedFandom pro-anorexia bible, its self-destructive and deeply disturbed protagonist an inspiration rather than a warning]].
Is there an issue? Send a MessageReason:
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The book was a hit and went on to win both critical acclaim and controversy. Best known for its intimate, graphic take on extremely sensitive subject material, ''Wintergirls'' is at times abstract, at times gruesome, and does not shy away from the ugly and destructive effects of its subject material. For all that, and much to the author's dismay, ''Wintergirls'' is held up in certain circles as the [[MisaimedFandom pro-anorexia bible, its self-destructive and deeply disturbed protagonist an inspiration rather than a warning]].

to:

The book was a hit and went on to win earn both critical acclaim and controversy. Best known for its intimate, graphic take on extremely sensitive subject material, ''Wintergirls'' is at times abstract, at times gruesome, and does not shy away from the ugly and destructive effects of its subject material. For all that, and much to the author's dismay, ''Wintergirls'' is held up in certain circles as the [[MisaimedFandom pro-anorexia bible, its self-destructive and deeply disturbed protagonist an inspiration rather than a warning]].
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* NoAntagonist: Lia's own twisted psyche drives much of the conflict, manifesting Cassie's "ghost" a persisting malignancy that pushes Lia further and further to going the save way.

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* NoAntagonist: Lia's own twisted psyche drives much of the conflict, manifesting Cassie's "ghost" as a persisting malignancy that pushes Lia further and further to going go the save same way.

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[[quoteright:260:http://static.tvtropes.org/pmwiki/pub/images/wintergirls.jpg]]
[[caption-width-right:260:"Who wants to recover? It took me years to get that tiny. I wasn't sick; I was strong."]]



* MadnessMantra: Infamously. An entire chapter is filled with nothing but Lia's: '''Must. Not Eat.'''

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* MadnessMantra: Infamously. An entire chapter is filled with nothing but Lia's: '''Must. Not Not. Eat.'''
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* {{FakeBrit}}: Cassie returned from drama camp with a fake British accent.
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* FakeBrit: Cassie returned from drama camp with a fake British accent.

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* FakeBrit: {{FakeBrit}}: Cassie returned from drama camp with a fake British accent.
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->''"I failed eating, failed drinking, failed not cutting myself into shreds. Failed friendship. Failed sisterhood and daughterhood. Failed mirrors and scales and phone calls. [[SarcasmMode Good thing I'm stable]]."''

''Wintergirls'' is a 2009 fiction novel by Laurie Halse Anderson. It follows Lia Overbrook, a long-term sufferer of anorexia and self-harm, who indulges more and more in these unhealthy addictions after hearing that her estranged (and equally troubled) best friend, Cassie, [[DyingAlone died alone]] in a local hotel... the very same night Lia ignored her calls for help. 33 of her calls for help. Falling deeper and deeper into despair, and convinced she's being haunted by Cassie's ghost, Lia must balance her compulsive need to starve and cut her body with the never-ending struggle to keep her family ignorant of just how sick she really is.

The book was a hit and went on to win both critical acclaim and controversy. Best known for its intimate, graphic take on extremely sensitive subject material, ''Wintergirls'' is at times abstract, at times gruesome, and does not shy away from the ugly and destructive effects of its subject material. For all that, and much to the author's dismay, ''Wintergirls'' is held up in certain circles as the [[MisaimedFandom pro-anorexia bible, its self-destructive and deeply disturbed protagonist an inspiration rather than a warning]].

----
!!This book contains examples of:
* TheAloner: Lia. She has no social life whatsoever, no friends beyond her nine-year-old stepsister, and abuses her fragile medical history to sleep away sessions in the nurse's office or flunk school altogether whenever she can.
* BigSisterWorship: Emma ''adores'' Lia, and their loving relationship is probably the purest thing in Lia's life.
* BiTheWay: Lia twice reflects that she could see herself with either a boy or a girl, and doesn't dwell at all on how to classify her sexuality.
* BloodOath: As kids, Lia and Cassie swore to always be friends using berry juice to supplement actual blood. Years later, they swore a real one on a snowy midnight: Cassie swore she'd be skinny and hot and free to do whatever she wanted, and Lia swore to be the skinniest girl in school. They made it a bet, then agreed to be the skinniest together. [[spoiler:One of Cassie's last thoughts was that Lia won.]]
* BookEnds: [[spoiler:Cassie died in Charlie and Elijah's hotel; Lia retreats there at the climax and very nearly follows in Cassie's footsteps.]]
* BrokenPedestal: Lia's attitude towards her distant father. She'd still rather live with him and his new family than her mother, though.
* ConsummateLiar: Using some clever tricks, such as tampering with scales and inflating her BMI, Lia successfully fools her father and stepmother into thinking she's in recovery. The latter at least has her doubts, and her mother isn't fooled for a second, but...
* DespairEventHorizon: The entire novel is one slow crossing for Lia, culminating in her [[spoiler:cutting herself into a coma and preparing to kill herself for good.]]
* DontSplitUsUp: Lia's mother, more and more certain that Lia is not getting better at all at her father's place, wants her to move back in with her. One of the reasons Lia objects to this is that she wants to live with her stepsister, Emma.
* DyingAlone: Cassie. [[spoiler:Narrowly averted by Lia.]]
* FakeBrit: Cassie returned from drama camp with a fake British accent.
* GoodStepmother: Jennifer. Lia has a complex, but much better relationship with with her stepmother than she does with her actual mother.
* [[HisOwnWorstEnemy Her Own Worst Enemy]]: Lia, who's given to deep self-loathing.
* LonelyRichKid: Lia again.
* MadnessMantra: Infamously. An entire chapter is filled with nothing but Lia's: '''Must. Not Eat.'''
* ManicPixieDreamGirl: Elijah is arguably a gender-flipped deconstruction of this. Although he's a mysterious and somewhat unreliable new presence in Lia's life, his passion for life is exactly the influence Lia needs [[spoiler:and his actions at the end help her to realise what she wants is to '''live'''.]]
* MoralityPet: Emma, Lia's stepsister, is the most positive influence in her life and the person she dotes on the most. Which makes [[spoiler:Emma being the one to catch Lia slashing herself into a bloody coma all the more heartbreaking.]]
* MyGreatestFailure: Downplayed, as she spends the entire novel blocking it out, but Lia ignoring thirty-three of Cassie's cries for help on the night that she died haunts her both literally and figuratively.
* NeverMyFault: Cassie is very guilty of this. Lia goes in [[ItsAllMyFault the opposite direction]].
* NoAntagonist: Lia's own twisted psyche drives much of the conflict, manifesting Cassie's "ghost" a persisting malignancy that pushes Lia further and further to going the save way.
* ParentsAsPeople: Each of the adult figures in Lia's life are shown to be flawed, but very human characters who want the best for Lia.
* ScrewThisImOutOfHere: [[spoiler:Elijah backs out of his deal with Lia and drives off alone on Christmas Eve night, knowing that taking her with him would be an absolutely horrible idea. Lia doesn't hold this against him and, in a crucial moment, very positively interprets the note he left behind for her.]]
* SelfHarm: Lia is addicted to it, viewing it as the only way to expunge all the dirt inside of her.
* ShipTease: Lia and Elijah have a little.
* StartOfDarkness: Cassie began starving herself after going away to drama camp and meeting girls who were doing it. She started making herself sick after meals, and Lia, though initially concerned by this behaviour, began trying it too (while good at staying thin, Lia was actually terrible at puking and forewent it entirely). Years later, Lia crashed her car (with Cassie inside) after an extensive fasting session, and was institutionalised by her parents when the full scope of the truth came out. Instead of making an effort to recover, Lia [[FromBadToWorse doubled down on her bad habits]].
* [[spoiler:SurprisinglyHappyEnding: After coming very close to a full-blown DownerEnding, Lia is able to pull herself together after running away on Christmas Eve and finally begins making a genuine turn for the better. The book ends on a hopeful note, with Lia repairing her frayed relationship with her family and realising that she does truly value her life.]]
-->''[[spoiler:I am beginning to measure myself in strength, not pounds. Sometimes in smiles.]]''
* TheReveal: Cassie's cause of death, though spoiled very casually on ThatOtherWiki, is a driving point of the story. [[spoiler:Lia learns from her mother, a doctor, that Cassie succumbed to bulimia, compounded by a lot of vodka and pills, and died a very painful manner. In medical-mode, she goes on to describe ''exactly'' how it happened and what it did to her. It isn't pretty.]]
* ToxicFriendInfluence: Cassie to Lia, who introduced her to fasting and is considered such by Lia's parents, and also Lia to Cassie. The latter is especially interesting, as Lia paradoxically encouraged ''and'' discouraged Cassie's bad habits, wanting her friend to get better, afraid that she'd be left alone if Cassie did, and being just as guilty of them herself.
** Cassie herself cited this as her reason for calling their friendship off, blaming Lia for everything that went wrong in her own life when her parents caught wind of her purging; she claimed Lia was to blame for her failing grades and cutting school, generally dragging her down. Lia quite justifiably considers this bullshit.
* TruthInTelevision: Anderson did her homework for this novel. Lia's twisted self-image, meticulous cataloguing of every piece of food or drink she consumes, erratic desire to "purge" the filth inside of her through cutting, rigid mental suppression of hunger, and delusional insistence that the thinner she gets, the stronger she'll be are all very true to life.
* WeightWoe: Very much PlayedForDrama. Anorexia is a main theme of the novel and given the gravity it deserves.
* WeUsedToBeFriends: Cassie dumped Lia after deciding she was a bad influence; they didn't speak for six months, and then then Cassie died. Although they consider the death a tragic one, Lia's parents were pretty happy that [[PoisonousFriend Cassie]] called off their friendship. Lia, though bitter enough about how Cassie ended things to turn a deaf ear to 33 back-to-back calls from her ex-best friend, never really got over it and spends a lot of time looking up memories of them together online.
* YourCheatingHeart: Lia's father, David, frequently cheated on her mother. Lia observes about halfway through the novel that the same crop of excuses he'd given for his late nights and distant behaviour are starting to resurface, and [[TheReasonYousuckSpeech accuses him of cheating on his new wife Jennifer as well]] during a heated argument.
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