her comfort in her foster homes and her fat felt like a defense mechanism against men who would be sexually interested in her. She met with Pipher for a while, but left for California after a few months. Drugs and alcohol This section focuses on the culture of substance abuse and its effect of adolescent girls. Tracy (13): She was expelled from school for having alcohol in her backpack, and her parents had discovered cigarettes in her dresser. Pipher encouraged the parents to give Tracy more privacy and encouraged Tracy to channel her energy into non-chemical activities. Rita (16): She came in after being arrested for drunk driving. She had grown up with an alcoholic father and wanted to avoid alcoholism herself. She was dating a 19 year old alcoholic boy. Pipher encouraged Rita to look for and create healthy relationships. Casey (18): Casey's parents brought her in to see Pipher after the discovery of diet pills substantiated her parents' suspicion that Casey was using drugs. Casey told Pipher that she had started drinking so that she could have sex with boys with the goal of winning their approval. Pipher encouraged Casey to take control of her sexuality. Kelli (15): She came into therapy after her parents found marijuana in her bedroom. Kelli also admitted to Pipher that she had used LSD and hallucinogenic mushrooms. Pipher encouraged Kelli to explore non-chemical ways to alter her consciousness. Sex This section focuses on the effect of sex and gender roles on the lives of adolescent girls. Christy (14): She was the child of Catholic parents. She expressed frustration at the pressures that she felt to have sex. Lizzie (17): She had been experiencing trouble at school because she had cheated on her boyfriend while at summer camp. Pipher helped Lizzie work through the situation emotionally and gradually things improved for Lizzie at school. Angela (16): Her family disowned her after she became pregnant. The baby's father, Todd, did not help her with the pregnancy or the baby. Pipher helped Angela define what she wanted in a relationship. Sexual violence This section focuses on the effect of sexual violence on the lives of adolescent girls and their families. Ellie (15): Three men had raped Ellie after following her out of a bowling alley. Pipher helped Ellie and her family cope emotionally with this event. Terra (15): She was involved in an abusive relationship