BEAUTY

AT ANY COST
The Consequences of Americas
Beauty Obsession on Women & Girls
2
BEAUTY AT ANY COST
A YWCA Report on the Consequences of
Americas Beauty Obsession on Women & Girls
Every woman in the United States participates in a daily beauty
pageant, whether she likes it or not. Engulfed by a popular culture
saturated with images of idealized, air-brushed and unattainable
female physical beauty, women and girls cannot escape feeling
judged on the basis of their appearance. As a result, many
women feel chronically insecure, overweight and inadequate, as
these beauty images apply to an ever-shrinking pool of women.
Moreover, the diet, cosmetic and fashion industries are often
too willing to exploit these narrow beauty standards so women
and girls will become cradle-to-grave consumers of beauty
products, cosmetic surgery and diet programs.
The issue is not new, but the extent to which it is invading the
lives of younger girls and women of color, and the lengths to
which women will go to achieve an unattainable look, is an
increasing problem. The pressure to achieve unrealistic physical
beauty is an undercurrent in the lives of virtually all women in
the United States, and its steady drumbeat is wreaking havoc
on women in ways that far exceed the bounds of their physical
selves. From new levels of spending on cosmetic alteration to
health risks and to the emergence of a mean girls culture, the
lifelong burden of an unattainable beauty and body image is
taking a terrible toll in all areas of womens lives, from economic
well-being to health to interpersonal relationships.
ECONOMIC COSTS
The burden of unattainable beauty has far-reaching implications for womens
economic well-being. Not only are women in the United States spending
much of their money on cosmetic products a total of $7 billion spent per
year on cosmetics
1
but they are now taking increasingly drastic measures
to alter their appearances through surgical means. Money spent on cosmetic
surgery and non-surgical aesthetic procedures is increasing drastically among
all women, including younger women and women of color. And the economic
implications reach further, even into the workplace, where research shows
that women who dont adhere to particular standards of beauty are impacted
professionally and nancially.
HOW MUCH
IS BEAUTY WORTH?
HOW MUCH EDUCATION? One
full year of tuition and fees at an in-
state public college is equal to almost
ve years of saving $100 a month
normally spent on cosmetics and
beauty products.
2

One year of tuition and fees is
$6,185; ve years of beauty products
savings is $6,423.
HOW MUCH RETIREMENT
SAVINGS? If a woman invested
the average amount of money she
spends on a monthly manicure-
pedicure treatment ($50) into her
retirement account every year for
ten years, she would have almost
$10,000 in her account at the end of
that time.
3

$
$50
$10K
$9,172
3
Women are spending huge amounts of
money on cosmetic surgical procedures,
and the numbers are increasing. Nearly
11.7 million cosmetic surgical and non-
surgical procedures were performed in
the United States in 2007 that represents
an increase of nearly 500% in the
overall number of cosmetic procedures
in the past ten years. Women are having
most of these procedures accounting
for 91% of cosmetic procedures
performed in the United States during
2007. The most frequently-performed
non-surgical cosmetic procedure in 2007
was Botox injections, and the most
popular cosmetic surgical procedure was
liposuction.
4

Young people are also showing an
increased interest in cosmetic surgery.
In 2008, young people aged 18-24 had
the highest approval rating for cosmetic
surgery. According to a survey of young
people aged 18 and above, 69% of
respondents are in favor of cosmetic
surgery, which is a 7% increase from
2006.
9

Cosmetic surgery is increasing among the
ranks of minority U.S. women, too. In 2007,
almost one-quarter of cosmetic plastic
surgery procedures were performed
on women of color, comprised of
African Americans, Hispanics and Asian
Americans; this represents an increase of
13% from the year before.
10

An expectation of physical beauty
even impacts women economically
through their workplaces. Lookism,
or the prejudice based on physical
appearance and attractiveness, is an
increasing equal-opportunity problem.
Despite the fact that work productivity
has not been scientically linked with
physical attractiveness, one study
found that employers believe that good
looks contribute to the success of their
companies.
11

One analysis found that workers
with below average looks tended
to earn about 9% less money than
workers who were above average in
appearance, and that those who were
above average in appearance tended
to make about 5% more money than
those who were average looking.
12
Discrimination against overweight
people in the workplace is a widespread
practice. According to one researcher
who has examined 30 studies about
weight-based discrimination, weight-
based discrimination consistently
affects every aspect of employment,
from hiring to ring, promotions,
pay allocation, career counseling and
discipline.
13
COSMETIC SURGICAL PROCEDURES:
APPEARANCE-BASED WORKPLACE DISCRIMINATION:
IN 2007 the top ve
surgical cosmetic procedures for
women in the United States (by
numbers of procedures performed)
were: breast augmentation,
lipoplasty, eyelid surgery,
abdominoplasty (tummy tuck)
and breast reduction. Together,
expenditures for these procedures
totaled $5.3 billion.
5

TOP 5
SURGICAL COSMETIC
PROCEDURES FOR
WOMEN
6

The top ve surgical cosmetic
procedures for women in 2007,
next to average costs for each
procedure, and total spent per year.
5
$ spent per
procedure
$ spent
per year
Breast Aug.
(silicone gel
& saline)
$3,889 $1.5 B
7
Lipoplasty $2,942 $1.3 B
8
Eyelid Surgery $2,840 $684 M
Abdominoplasty
(tummy tuck)
$5,350 $992 M
Breast Red. $5,417 $829 M
4
According to a study of women between
the ages of 25-45 in the United States,
67% of women (excluding those with
actual eating disorders) are trying
to lose weight; 53% of dieters are
already at a healthy weight and are still
trying to lose weight.
14

39% of women have concerns about
what they eat or weigh interfere with
their happiness.
15

According to a study, 13% of women
smoke to lose weight.
17

According to the American Lung
Association, Women have been
extensively targeted in tobacco
marketing dominated by themes of an
association between social desirability,
independence, weight control and
smoking messages conveyed through
advertisements featuring slim, attractive,
and athletic models.
18

Also according to the American Lung
Association, Teenage girls often start
to smoke to avoid weight gain and to
identify themselves as independent
and glamorous, which reect images
projected by tobacco ads. Social images
can convince teens that being slightly
overweight is worse than smoking.
Cigarette advertising portrays
cigarettes as causing slimness and
implies that cigarette smoking
suppresses appetite.
19

The American Lung Association also
states that Smoking is directly
responsible for 90 % of all lung cancer
deaths in the United States each
year. In 1987, lung cancer surpassed
breast cancer as the leading cause of
cancer deaths among women in the
U.S. Current female smokers aged 35
or older are 12 times more likely than
nonsmoking females to die prematurely
from lung cancer. Women who smoke
double their risk for developing coronary
heart disease.
20

In the United States, nearly 10 million
women suffer from an eating disorder
such as anorexia or bulimia. More
than 80% of women are reported to be
dissatised with their appearance.
21

40% of newly-diagnosed cases of eating
disorders are in girls 15-19 years old,
but symptoms can occur as young as
kindergarten.
22

As minority women become acculturated
into the dominant culture of white
women and dominant standards of
beauty are internalized they may
become more vulnerable to eating
disorders. Anecdotal evidence shows
that rates of eating disorders are on
the rise for minority women, though
more research is needed because of
the historically biased view that eating
disorders only affect white women.
23

People with eating disorders tend to
suffer from low self-esteem.
24
HEALTH IMPLICATIONS
The health implications that impact women on the never-ending treadmill of
unrealistic beauty attainment are substantial. Through chronic and unhealthy
dieting, using smoking as a weight-loss aide, taking unnecessary risks during
cosmetic surgical procedures, and absorbing unsafe chemicals through cosmetics,
women are placing themselves in precarious health situations to maintain some
semblance of their idealized physical selves. Women and girls are at risk for
lifelong health problems and the problems start at an early age.
UNHEALTHY DIETING & DIET-RELATED BEHAVIORS:
OVER 1/2 of
teenage girls use unhealthy
weight control behaviors such as
skipping meals, fasting, smoking
cigarettes, vomiting, and taking
laxatives.
16

5
According to Barry L. Friedberg,
M.D., an expert in cosmetic surgery
anesthesia, General anesthetic (GA),
the predominant choice of anesthesia
for cosmetic surgery, includes many
unnecessary, avoidable and potentially
fatal risks to patients choosing to have
surgery that has no medical reason or
indicationincluding blood clots to
the lungs, airway mishaps leading to
lack of oxygen to the patients brain,
postoperative nausea and vomiting
(PONV), and postoperative cognitive
disorder (POCD). All of these risks
can and should be avoided by having
patients and doctors choose a different
anesthetic technique.
25

According to a recent article in The
New York Times, Unlicensed cosmetic
procedure practitioners, who include
doctors trained in other countries, nurses,
medical aides and even beauticians,
attract patients with low fees, a
willingness to use illegal permanent
wrinkle llers, a congenial atmosphere or
the convenience of not needing to make
an appointment weeks in advance.
26

Within the past several years, the
number of non-surgical cosmetic
procedures, often performed in retail
or spa-like settings, has increased
dramatically. However, these spa-like
centers may have limited or no full-
time medical staff, and they may be
ill-equipped to handle more than
routine beauty services, as opposed
to physician ofces where medical
professionals oversee treatments and
maintain medical records. Recent cases
of patients receiving some cosmetic
procedures in homes or beauty salons
without proper licensure or training
are causing public health concerns.
27

Breast augmentation complications, in
rare instances, may include scar tissue,
infection, sagging of implants, rupture
or deation of implants, and implants
settling toward the middle of the chest.
28

Tummy tuck complications can include
infection and bleeding under the skin
ap, blood clots leading to pulmonary
embolus, a potentially life-threatening
blood clot in the lungs.
29
Liposuction
complications may include infection
and skin discoloration.
30

In the United States, cosmetics are not
subject to testing by the U.S. Food and
Drug Administration (FDA), and the
FDA is not required to give premarket
approval before cosmetics are offered
to consumers. Cosmetics companies
are not required to register information
on cosmetics ingredients, or cosmetics-
related injuries, to the FDA. Individual
cosmetics companies are responsible
for substantiating the safety of their
ingredients.
31

Several ingredients found in U.S.
cosmetics products including hair
sprays, nail polishes, and perfumes
contain phthalates, which have been
shown to cause damage to the liver
and reproductive system in animal
studies; this chemical can be inhaled or
absorbed through the skin. In 2003, the
European Union acted to ban the use of
phthalates in cosmetics in Europe, but
the United States currently has no such
ban on U.S. cosmetics products.
32

The 2003 European Unions Cosmetics
Directive states that substances classied
as carcinogenic, mutagenic or toxic
for reproduction should be prohibited
from use in cosmetics products.
33
The
U.S. Food and Drug Administration,
which regulates cosmetics products in
the United States, does not specically
prohibit such substances from cosmetics
products in the U.S.
34

UNSAFE COSMETICS:
COSMETIC SURGERY RISKS:
6
One study found that teenaged
girls who watched TV commercials
depicting underweight models lost
self-condence and became more
dissatised with their own bodies. Girls
who spent the most time and effort on
their appearance suffered the greatest
loss in condence.
36

One study found that only 30 minutes of TV
programming and advertising can change
the way a young woman perceives the
shape of her body, indicating that body
image can be inuenced by observing
ideal body shapes.
37

Young women of this generation have
learned from a very young age that the
power of their gender was tied to what they
looked like and how sexy they were
than to character or achievement.
38

Sexualization of women the sole
focus on ones physical and sexual
attractiveness and increasingly of
young girls and teens, occurs in virtually
every form of American media. Women
are much more likely than men to be
shown with unrealistic standards of
physical beauty, and the consequences
are great, including negative effects on
mental health, cognitive functioning and
their beliefs about ideal standards of
beauty.
39

Research links sexualization with three
of the most common mental health
problems of girls and women: eating
disorders, low self-esteem and
depression or depressed mood.
40

Girls are encouraging the negative
effects of sexualization and unrealistic
physical appearance by policing each
other to ensure conformance with
standards of thinness and sexiness,
creating a kind of competition among
themselves.
41

The association between self-
objectication and anxiety about
appearance and feelings of shame
has been found in adolescent
girls (1213-year-olds) as well as in
adult women. And cognitively, self-
objectication has been repeatedly
shown to detract from the ability to
concentrate and focus ones attention,
thus leading to impaired performance
on mental activities.
42

Young boys also pick up on sexualization
and appearance-based objectication
of girls early by learning to sexually
harass and objectify girls.
43

Objectifcation of women plays into a
general culture of tolerance of unhealthy
sexual behaviors for young girls. One
survey found a surprising level of
acceptance for forced or coerced sex
among both boys and girls.
44
OBJECTIFICATION & SEXUALIZATION OF WOMEN:
The beauty and body image obsession is cyclical, contributing to widespread cultural
messages and norms that are negative and harmful for women and girls, which in
turn create interpersonal dynamics that are damaging for women and between
women. Media portrayals of women through advertising and characters who are
thin, airbrushed and perfect contribute to norms that reinforce this unattainable
image of beauty. According to Maggie Vlazny, a mental health professional, Self-
esteem is a core identity issue, essential to personal validation and our ability to
experience joy. Once achieved, it comes from the inside out. But it is assaulted or
stunted from the outside in. A woman with low self-esteem does not feel good about
herself because she has absorbed negative messages about women from the culture
and/or relationships.
35
Consequently, women nd themselves in a cultural stew that
promotes sexualization of women and competition among themselves.
INTERPERSONAL & PERSONAL
RELATIONSHIPS
7
Interpersonal problems between
women start young. The use of
aggressive bullying between girls has
been on the rise since the early 1990s,
based on issues such as physical
attributes and social status.
45

Mean girls, or those who display
relational aggression or the use of
relationships to hurt another through
verbal violence often dont grow
out of the behavior, and they become
adult women who exhibit the same
behavior.
46

The amount of relational aggression
among women is related to their
roles in the culture. A major cultural
difference in men and womens roles
is the emphasis placed on physical
appearance. Women want to be
attractive and men want to have
attractive partners, which may result in
rivalries within both genders.
47

In a research study about the unhealthy
culture of competition between women,
nearly 80% of women interviewed said
that they competed with women over
physical appearance. This competition
over unrealistic beauty extends to
women competing with younger
women, women competing with their
younger selves and seeking cosmetic
procedures to attain younger and
more beautiful images of themselves.
48

These women are driven by an
unhealthy belief that winning the looks
competition will somehow gain them
the husband, the career, or the self they
desire.
49

A MEAN CULTURE BETWEEN WOMEN:
1
Hoovers.com. Cosmetics, Beauty Supply and Perfume Stores Industry Overview.
http://www.hoovers.com/cosmetics,-beauty-supply,-and-perfume-stores/--ID__294--/
free-ind-fr-profle-basic.xhtml
2
Source for college costs: College Board Press Release on Trends in College Pricing
2007 report. One full year of tuition and fees at a four-year public college or univer-
sity is $6,185. http://www.collegeboard.com/press/releases/189547.html]
Calculation: $100 starting amount, $100 contribution per month, in savings
account with 2 percent interest compounded annually for ve years. See online
calculator at: http://www.nance.cch.com/sohoapplets/CompoundSavings.asp]
3
Calculation: $50 starting amount (an average manicure-pedicure treatment cost),
$50 contribution per month, invested into a retirement account with 8 percent interest
compounded annually for ten years equals $9,172. See online calculator at: http://
www.nance.cch.com/sohoapplets/CompoundSavings.asp
4
The American Society for Aesthetic Surgery. Cosmetic Plastic Surgery Research:
Statistics and Trends for 2001-2006. http://www.cosmeticplasticsurgerystatistics.
com/statistics.html#2007-NEWS
5
The American Society for Aesthetic Surgery. Cosmetic Plastic Surgery Research:
Statistics and Trends for 2001-2006. http://www.cosmeticplasticsurgerystatistics.
com/statistics.html#2007-NEWS
6
The American Society for Aesthetic Surgery. Cosmetic Plastic Surgery Research:
Statistics and Trends for 2001-2006. http://www.cosmeticplasticsurgerystatistics.
com/statistics.html#2007-NEWS.
7
The American Society for Aesthetic Surgery. Cosmetic Plastic Surgery Research:
Statistics and Trends for 2001-2006. http://www.cosmeticplasticsurgerystatistics.
com/statistics.html#2007-NEWS
Average of breast augmentation with silicone and breast augmentation with saline;
total provided by adding sums of each total procedure expenditure.
8
The American Society for Aesthetic Surgery. Cosmetic Plastic Surgery Research:
Statistics and Trends for 2001-2006. http://www.cosmeticplasticsurgerystatistics.
com/statistics.html#2007-NEWS. Average of lipoplasty suction assisted with lip-
oplasty ultrasound assisted; total provided by adding sums of each total procedure
expenditure.
9
The American Society for Aesthetic Surgery. New Study Suggests Young Adults
More Approving of Cosmetic Surgery. http://www.surgery.org/public/consumer/
trends/new_study_suggests_young_adults_more_approving_of_cosmetic_surgery
10
American Society of Plastic Surgeons. Cosmetic Plastic Surgery Procedures
for Ethnic Patients Up 13 Percent in 2007. http://www.plasticsurgery.org/media/
press_releases/Cosmetic-Plastic-Surgery-Procedures-for-Ethnic-Patients-Up-13-
Percent-in-2007.cfm
11
Tietje, Louis, and Cresap, Steven. Journal of Libertarian Studies, Volume 19, No. 2
(31-50). Is Lookism Unjust? The Ethics of Aesthetics and Public Policy Implications.
http://mises.org/journals/jls/19_2/19_2_2.pdf
12
Armour, Stephanie. Your Appearance, Good or Bad, Can Affect the Size of Your
Paycheck. USA Today. (July 20, 2005). http://www.usatoday.com/educate/college/
business/articles/20050724.htm
13
Forbes.com. Is Your Weight Affecting Your Career? (May 21, 2008). http://www.
forbes.com/2008/05/21/health-weight-career-forbeslife-cx_avd_0521health.html
14
Disordered Eating Is Widespread among U.S. Women.Online Survey by SELF
magazine in partnership with the University of North Carolina at Chapel Hill. 2008.U.S.
Department of Health & Human Services. National Womens Health Information
Center. http://www.womenshealth.gov/news/english/614866.htm
15
Disordered Eating Is Widespread among U.S. Women. Online Survey by SELF
magazine in partnership with the University of North Carolina at Chapel Hill. 2008.U.S.
Department of Health & Human Services. National Womens Health Information
Center. http://www.womenshealth.gov/news/english/614866.htm
16
National Eating Disorders Association Fact Sheet (May 2008).
http://www.nationaleatingdisorders.org/uploads/le/in-the-news/NEDA-In-the-News-
Fact-Sheet.pdf
17
Disordered Eating Is Widespread among U.S. Women. Online Survey by SELF
magazine in partnership with the University of North Carolina at Chapel Hill. 2008.U.S.
Department of Health & Human Services. National Womens Health Information
Center. http://www.womenshealth.gov/news/english/614866.htm (online poll of more
than 4,000 women between the ages of 25 and 45)
18
American Lung Association. Women and Smoking Fact Sheet (2007). http://www.
lungusa.org/site/c.dvLUK9O0E/b.33572/k.985F/Women_and_Smoking_Fact_Sheet.
htm
19
American Lung Association. Women and Smoking Fact Sheet (2007). http://www.
lungusa.org/site/c.dvLUK9O0E/b.33572/k.985F/Women_and_Smoking_Fact_Sheet.
htm
20
American Lung Association. Women and Smoking Fact Sheet (2007). http://www.
lungusa.org/site/c.dvLUK9O0E/b.33572/k.985F/Women_and_Smoking_Fact_Sheet.
htm
21
National Eating Disorders Association Fact Sheet (May 2008).
http://www.nationaleatingdisorders.org/uploads/le/in-the-news/NEDA-In-the-News-
Fact-Sheet.pdf
22
National Eating Disorders Association Fact Sheet (May 2008).
http://www.nationaleatingdisorders.org/uploads/le/in-the-news/NEDA-In-the-News-
Fact-Sheet.pdf
23
National Eating Disorders Association. Eating Disoders in Women of Color:
Explanations and Implications. http://nationaleatingdisorders.org/nedaDir/fles/docu-
ments/handouts/WomenCol.pdf
24
Substance Abuse and Mental Health Services Administration (SAMHSA). Be a
Good Role Model, Not a Runway Model. http://www.family.samhsa.gov/be/EDA.
aspx
25
Friedberg, Barry L., M.D., a Globally Recognized Expert in Cosmetic Surgery Anes-
thesia. Florida Teen Death: Anesthesia Choice Creates Another Avoidable Tragedy
in Plastic Surgery. Reuters 2008. http://www.reuters.com/article/pressRelease/
idUS135249+27-Mar-2008+PRN20080327
26
Singer, Natasha. Beauty on the Black Market. The New York Times. (February 16,
2006). http://www.nytimes.com/2006/02/16/fashion/thursdaystyles/16skin.html
27
Medical News Today. Dangers Of Unlicensed Personnel Performing Medical
Cosmetic Procedures In Non-clinical Settings, 2006. http://www.medicalnewstoday.
com/articles/36237.php
28
Christopher K. Livingston, MD, assistant professor of plastic surgery, University
of Texas Medical School, Houston. 2008 WebMD Medical Reference provided in
collaboration with The Cleveland Clinic: Breast Augmentation. Direct Link: http://
www.webmd.com/skin-beauty/plastic-surgery-guide-8/breast?procedure=20&gend
er=female
29
Christopher K. Livingston, MD, assistant professor of plastic surgery, University of
Texas Medical School, Houston. 2005 WebMD Medical Reference provided in col-
laboration with The Cleveland Clinic: Tummy Tuck (Abdominoplasty). Direct Link:
http://www.webmd.com/skin-beauty/plastic-surgery-guide-8/tummy-stomach?proced
ure=25&gender=female
30
Christopher Livingston, MD, assistant professor of plastic surgery, University of Texas
Medical School, Houston. 2005 WebMD Medical Reference provided in collaboration
with The Cleveland Clinic: Liposuction. Direct Link: http://www.webmd.com/skin-
beauty/plastic-surgery-guide-8/tummy-stomach?procedure=31&gender=female
31
U.S. Food and Drug Administration. FDA Authority Over Cosmetics. http://www.
cfsan.fda.gov/~dms/cos-206.html
32
About.com. Environmental Issues. http://environment.about.com/od/
healthenvironment/a/phthalates.htm
33
DIRECTIVE 2003/15/EC OF THE EUROPEAN PARLIAMENT AND OF THE COUN-
CIL of 27 February 2003 amending Council Directive 76/768/EEC on the approxima-
tion of the laws of the Member States relating to cosmetics products. Available on
www.safecosmetics.org Web site: http://www.safecosmetics.org/docUploads/DIREC-
TIVE%202003_15_EC.pdf
34
U.S. Food and Drug Administration. FDA Authority Over Cosmetics. http://www.
cfsan.fda.gov/~dms/cos-206.html
35
Vlazny, Maggie. Women and Self-Esteem. Mental Health Matters. http://www.
mental-health-matters.com/articles/article.php?artID=577
36
Media Awareness Network. (2008) Media and Girls. http://www.media-aware-
ness.ca/english/issues/stereotyping/women_and_girls/women_girls.cfm
37
Sex Roles: A Journal of Research (March 1999). Television situation comedies:
female body images and verbal reinforcements. http://ndarticles.com/p/articles/
mi_m2294/is_5-6_40/ai_55082333
38
Brumberg, Joan Jacobs. The Body Project: An Intimate History of American Girls.
(Random House, 1997) p.195.
39
The American Psychological Associations Task Force on the Sexualization of Girls.
http://www.apa.org/pi/wpo/sexualizationsum.html
40
The American Psychological Associations Task Force on the Sexualization of Girls.
http://www.apa.org/pi/wpo/sexualizationsum.html
41
The American Psychological Associations Task Force on the Sexualization of Girls.
http://www.apa.org/pi/wpo/sexualizationsum.html

42
The American Psychological Associations Task Force on the Sexualization of Girls.
http://www.apa.org/pi/wpo/sexualizationsum.html
43
The American Psychological Associations Task Force on the Sexualization of Girls.
http://www.apa.org/pi/wpo/sexualizationsum.html
44
Brumberg, Joan Jacobs. The Body Project: An Intimate History of American Girls.
(Random House, 1997) p.190.
45
U.S. Department of Health and Human Services, Health Services and Resource
Administration (HRSA). A Troubling Trend: Girls and Bullying Fact Sheet. http://
stopbullyingnow.hrsa.gov/adult/indexAdult.asp?Area=prothrow
46
Dellasega, Cheryl. Mean Girls Grown Up: Adult Women Who Are Still Queen Bees,
Middle Bees, and Afraid-to-Bees. (John Wiley and Sons, Inc., 2005). Chapter One
Excerpt provided on ABC News Good Morning America online: http://abcnews.
go.com/GMA/Story?id=1195438&page=1
47
Dellasega, Cheryl. Mean Girls Grown Up: Adult Women Who Are Still Queen Bees,
Middle Bees, and Afraid-to-Bees. (John Wiley and Sons, Inc., 2005). Chapter One
Excerpt provided on ABC News Good Morning America online: http://abcnews.
go.com/GMA/Story?id=1195438&page=1
48
Barash, Susan Shapiro. Tripping the Prom Queen: The Truth About Women and
Rivalry. (St. Martins Press, 2006). p. 89-91.
49
Barash, Susan Shapiro. Tripping the Prom Queen: The Truth About Women and
Rivalry. (St. Martins Press, 2006). p. 91.
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