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In Chapter Eleven, to help Nora cope with the recent hurt, Ruby pulls her into the bathroom, has her write down Kim and Cricket's name on a pieces of toilet paper, and then tear them up into small pieces and flush them down the toilet. Nora is hesitant, but it's actually a liberating experience. Although it's impossible to truly flush away your sadness, flushing their names down the toilet is a symbolic way of taking back emotional control, which leads to emotional health.

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