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

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.

Kessa began to cut her meat into tiny pieces. As a whole it was unmanageable, frightening; but divided and arranged, the meat could be controlled. She cut four pieces. She'd count to four between each bite.

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

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?

Kessa ran her fingers over her stomach. Flat. But was it flat enough? Not quite. She still had some way to go. Just to be safe, she told herself. Still, it was nice the way her pelvic bones rose like sharp hills on either side of her stomach. I love bones. Bones are beautiful.

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.