She ran her hands over her body as if to bid it good-bye. The hipbones rising from a shrunken stomach were razor-sharp. Would they be lost in a sea of fat? She counted her ribs bone by bone. Where would they go?

She lay on her back and walked her fingers down her ribs, skipped them over her abdomen, and landed on her pelvic bones. She tapped them with her Knuckles. [. . .] I can hear my bones, she thought. Her fingers moved up from her pelvic bones to her waist. The elastic of her underpants barely touched the center of her abdomen. The bridge is almost finished, she thought. The elastic hung loosely around each thigh. More progress. She put her knees together and raised them in the air. No matter how tightly she pressed them together, her thighs did not touch.

She began to be reassured by these pains, tangible symbols of her success in becoming thinner than anyone else. Her only identity was being "the skinniest." She had to feel it.

She ran her hands over her body as if to bid it good-bye. The hipbones rising from a shrunken stomach were razor-sharp. Would they be lost in a sea of fat? She counted her ribs bone by bone. Where would they go?

Soon I'll be thinner than all of you, she swore to herself. And then I'll be the winner. The thinner is the winner.

Self-mutilation is a frightening barrier that keeps us from seeing a person who is lost, in pain, and in desperate need of help.

Repetition brings familiarity, and familiarity is the opposite of the unknown.