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42 pages 1 hour read

Clare B. Dunkle, Elena Dunkle

Elena Vanishing

Nonfiction | Autobiography / Memoir | YA | Published in 2015

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Chapters 10-14Chapter Summaries & Analyses

Chapter 10 Summary

Content Warning: This section of the guide includes discussion of mental illness (including psychosis), disordered eating (anorexia nervosa and bulimia nervosa), self-harm, rape, pregnancy loss, substance use, and sexual content.

It’s Elena’s first semester of college in Texas, and her parents have moved there with her. On Halloween, Elena gets an 89 on a psychology test, and the voice in her head tells her she isn’t smart enough for college. Elena lives in the dorms with a young woman named Sandra, who pressures Elena into eating a hot dog before going out to a party. Elena enjoys it but feels ashamed about that. She then meets up with her friend Meghan. Kirk, who might be drunk, drives them to the first party. The party is filled with people in costumes and features drinks of all kinds, as well as Ecstasy tablets. Elena refuses the Ecstasy but drinks a dangerous amount of alcohol over the course of the evening. At one point, she tries to go to the bathroom, and a man she barely knows approaches and tries to assault her. Elena defends herself, screaming and hitting him until he backs away. Kirk then takes Meghan and Elena to another party at Meghan’s place.

The next thing Elena remembers, she’s with her parents and a doctor, who suspects that Elena was using drugs the night before. Elena proudly states that she didn’t take any drugs, but the doctor does find that she drank too much alcohol. Elena’s parents are concerned that she is dissociating again, but Elena insists it’s just because she was drinking. Afterward, Elena’s parents take her out to eat, and Elena manages to eat some salad. Her mother mentions inviting Valerie home for Thanksgiving, and Elena can’t wait to show Valerie how in control of her life she is. That night, Elena looks through her journal and finds an entry expressing feelings of despair, but she doesn’t remember writing it. She finds another entry detailing her college plan and the strict regime that she planned to keep up with, which reminds her of her own determination to achieve perfection.

Chapter 11 Summary

Ten months later, Elena is preparing for a new semester and her role as a resident assistant (RA) in the dorms. She gets a free dorm to stay in as well as a salary for the position. Elena is also talking to her sister again and will soon be her maid of honor. However, Valerie recently announced she is pregnant, which Elena thinks is a horrible turn of events. Elena feels like she has her entire life planned out to each exact detail. She looks at the recent tattoo on her back of a mermaid, which to Elena represents her anorexia. She had it put on her back because so that it would always be with her without her having to look at it if she doesn’t want to. Elena was finally diagnosed with anorexia nervosa but continues to refuse to gain weight.

After spending some time decorating her dorm as a safe space for freshmen, Elena shows up for RA orientation. When the group discusses sensitivity training and whether anyone has experienced a disability or psychological condition, Elena bravely announces that she has an eating disorder. Later, Elena gets a call from the RA manager, who wants her to meet early the next morning. Elena agrees and finds that she has been set up to attend a counselling session, but all her manager will tell her otherwise is that she seems stressed. Elena is then told that she should take the rest of the day off and rest. That night, her manager comes to her dorm to check on her and minutes later sends the police. Elena is flabbergasted and claims to be fine, but the next morning, she’s fired from her RA position and evicted. After being told she wouldn’t make a good role model for new students, Elena packs up to leave. She feels robbed of an experience she greatly looked forward to, but she refuses to cry.

Chapter 12 Summary

Various aspects of Elena’s life start to crumble. She missed Valerie’s wedding, she lives at home now, and she is in constant pain. One day, she nearly misses an exam and blames her mother for not waking her up. Elena almost blacks out after her exam and forgets that her mother is supposed to pick her up from school. 

Elena is thinking about a second tattoo, but her mother disapproves of them. Still, Elena convinces her mother to stop at the tattoo parlor and pick up the sketch for the next design. She tries to show her mother because the tattoo features a character from one of Elena’s mother’s books wandering through a forest (Clare Dunkle is a writer). The girl, named Kate, has hair inspired by Tori Amos, who stayed strong after the experience of rape and who is an inspiration to Elena.

Later, Elena tries to sleep, but Meghan keeps calling, wanting her help with an assignment. Elena goes over to Meghan’s place, writes an essay for her, and stops at Burger King afterward. Elena eats two full meals and then hates herself for it, so she throws everything up into a bag. That night, a guy texts Elena for a “booty call” and Elena agrees to go, feeling like such experiences make her powerful and beautiful.

Chapter 13 Summary

Elena finds out that she’s pregnant after getting into a semi-relationship with someone named Kevin, whom Elena was seeing because she pitied him. When Elena gets an ultrasound and hears the heartbeat, she is overcome with emotion and love for her future child. Moments later, she is told that her pregnancy isn’t viable because her body is too low in nutrition. When Kevin hears about the pregnancy, he tells Elena to get an abortion, which she finds extremely hurtful. That night, Elena lies in bed, hoping that by some miracle she will be able to have her baby. Instead, contractions begin and she miscarries in the bathroom. Elena stares at the “infinitesimally tiny pale form” and washes it down the sink (169). As she does so, she realizes that anorexia is killing her and that it killed her chance to have a child as well.

Chapter 14 Summary

Elena spends three weeks in bed mourning the loss of her pregnancy and what she thinks is a hopeless existence before her. She admits to her mother that she regrets not going into treatment a year ago, and her mother gets to work arranging for treatment now. She finds a space for Elena at a treatment center called Clove House, and Elena and her mother begin preparing for her to go. At the same time, Valerie has her baby and names her Gemma. Seeing the pictures makes Elena want a family of her own one day and motivates her to become a strong and supportive role model for Gemma.

Chapters 10-14 Analysis

As Elena’s health declines and her illness worsens, she begins acting out recklessly as well as self-harming. Her emotional state spirals out of control, fluctuating as she grapples with the physical and psychological toll of her illness. Though The Desire for Perfection and Total Self-Control is as strong as ever, Elena recognizes that her battle is becoming more difficult as her health worsens and people no longer envy her appearance. She tells herself, “Every hour I am forcing myself to do things that don’t come easy is an hour when I am building perfection” (125); in reality, Elena’s goal of “perfection” is killing her. This internal conflict highlights the destructive nature of her disorder, as she equates suffering with success. 

One night, Elena drinks too much at a party, risking her health in the process. When a man tries to force himself on her, she is instantly triggered by memories of being raped years earlier. This moment shatters any illusion of control she thought she had over her body and her life, leaving her feeling more vulnerable and powerless than ever. Everything seems to unravel as Elena becomes further disconnected from the person she once was, unable to remember what it’s like to feel excitement or passion outside of her fixation on thinness. Despite her deteriorating condition, she somehow survives this period, though it marks a turning point in her journey. 

Ten months later, she is brutally reminded of the way people see her because of her eating disorder. Elena experiences discriminatory treatment when she admits she has an eating disorder at college, and the whole process of shaming and firing her does nothing to help her already fragile self-image. Feeling humiliated and defeated, she moves back home, which she views as a significant regression in her life. This setback intensifies her feelings of isolation as she distances herself from her family, the very people who could offer her the support she needs.

While Elena is experiencing these struggles, she simultaneously enters a period of learning to acknowledge, honor, and understand herself, including the parts of her that are flawed. She gets a mermaid tattoo to represent her anorexia but places it where she can only see it if she makes an effort to look—a symbolic acknowledgment that it is part of her, but also one that speaks to her desire for control. Elena also gets a tattoo of a character from one of her mother’s books, which honors her relationship with her mother (however damaged it might be at this point), celebrates the resilience of those who have experienced sexual assault, and symbolizes how lost Elena feels wrapped up in her illness. She describes the tattoo as “the girl lost in the forest. A forest that isn’t even there” (163). Her remark about a “forest that isn’t there” is a sign that Elena is beginning to understand that her perceptions are distorted, and it is the first step in opening up to the possibility of a true recovery.

Elena’s lowest point comes when she has a miscarriage. This devastating loss forces her to confront the broader consequences of her illness, as it becomes clear that her self-destructive behaviors affect more than just herself. She reflects, “This isn’t a lifestyle. It’s suicide. I’m killing myself. And I just killed my baby” (169). Elena has always had maternal instincts, which is what made her want to become a nurse; it also means that she always wanted to have a child, and losing her first opportunity at doing so comes as a shock to Elena. It is an undeniable sign that she is doing damage to her body.

Determined to change, Elena decides to return to treatment. This decision is important, as it represents a recognition of the need for help, even if Elena remains skeptical of the process. However, Elena still does not trust the people who are trying to help her, and these nuances of The Patient-Practitioner Relationship continue to hinder her progress. Her reluctance to fully commit to recovery underscores the complexity of her disorder, where even the desire to heal is often entangled with fear, denial, and resistance.

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