with menopause. Because they are no longer beautiful objects occupied primarily with caring for others, they are free once again to become the subjects of their own lives. They become more confident, self-directed and energetic. Margaret Mead noticed this phenomenon in cultures all over the world and called it “pmz,” postmenopausal zest. She noted that some cultures revere these older women. Others burn them at the stake.
Before I studied psychology, I studied cultural anthropology. I have always been interested in that place where culture and individual psychology intersect, in why cultures create certain personalities and not others, in how they pull for certain strengths in their members, in how certain talents are utilized while others atrophy from lack of attention. I’m interested in the role cultures play in the development of individual pathology. For a student of culture and personality, adolescence is fascinating. It’s an extraordinary time when individual, developmental and cultural factors combine in ways that shape adulthood. It’s a time of marked internal development and massive cultural indoctrination. I want to try in this book to connect each girl’s story with larger cultural issues—to examine the intersection of the personal and the political. It’s a murky place; the personal and political are intertwined in all of our lives. Our minds, which are shaped by the society in which we live, can oppress us. And yet our minds can also analyze and work to change the culture. An analysis of the culture cannot ignore individual differences in women. Some women blossom and grow under the most hostile conditions while others wither after the smallest storms. And yet we are more alike than different in the issues that face us. The important question is, Under what conditions do most young women flower and grow? Adolescent clients intrigue me as they struggle to sort themselves out. But I wouldn’t have written this book had it not been for these last few years when my office has been filled with girls—girls with eating disorders, alcohol problems, posttraumatic stress reactions to sexual or physical assaults, sexually transmitted diseases (STDs), self-inflicted injuries and strange phobias, and girls who have tried to kill themselves or run away. A health department survey showed that 40 percent of all girls in my midwestern city considered suicide last year. The Centers for Disease Control in Atlanta reports that the suicide rate among children age ten to fourteen rose 75 percent between 1979 and 1988. Something dramatic is happening to adolescent girls in America, something unnoticed by those not on the front lines. At first I was surprised that girls were having more trouble now. After all, we have had a consciousness-raising women’s movement since the sixties. Women are working in traditionally male professions and going out for sports. Some fathers help with the housework and child care. It seems that these changes would count for something. And of course they do, but in some ways the progress is confusing. The Equal Rights Amendment was not ratified, feminism is a pejorative term to many people and, while some women have high-powered jobs, most women work hard for low wages and do most of the “second shift” work. The lip service paid to equality makes the reality of discrimination even more confusing. Many of the pressures girls have always faced are intensified in the 1990s. Many things contribute to this intensification: more divorced families, chemical addictions, casual sex and violence against women. Because of the media, which Clarence Page calls “electronic wallpaper,” girls all live in one big town—a sleazy, dangerous tinsel town with lots of liquor stores and few protected spaces. Increasingly women have been sexualized and objectified, their bodies marketed to sell tractors and toothpaste. Soft- and hard-core pornography are everywhere. Sexual and physical assaults