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                                                What It Takes to Pull Me Through
Why Teenagers Get in Trouble and How Four of Them Got OutBy David L. MarcusHoughton Mifflin Company
Copyright © 2006 David L. Marcus
All right reserved.ISBN: 9780618772025Introduction
The girl on the phone, a reporter for a high school newspaper, had just read 
an article about teenagers I"d written for a national newsmagazine. One of her 
best friends was crushing Adderall pills and snorting them. Another friend had 
such severe bulimia that she purged every day. "You don"t know what it"s like 
to be a teenager now," she said. If I didn"t know, I was getting an idea. A 
doctor from Florida called to say that his sixteen-year-old daughter had just 
been expelled from school for selling Ecstasy. A mother in California wrote 
that her fourteen-year-old boy had run away after using the family"s credit 
card to download pornography.
 Adolescence has always been turbulent, but it is more 
complicated today than it was just a couple of generations ago. An extensive 
study published in the journal Pediatrics found that nearly one in five children 
and adolescents suffers from some sort of behavioral or emotional illness— 
nearly triple the level of twenty years before. Another study found that the 
onset of bipolar disorder, once called manic depression, has fallen from the 
early thirties to the late teens. At the same time, the number of young people 
in America who committed suicide tripled over thirty years before leveling off 
in the 1990s.
 While researching the magazine story, I dropped into meetings of 
parents in the suburbs of Washington, D.C., where I lived. Befuddled mothers 
and fathers agonized about their kids" Internet addictions, eating disorders, 
and attention deficit–hyperactivity disorder. They worried about studies 
showing that hyperactive, impulsive kids have higher-than-normal rates of 
school failure, drug use, and delinquency. Some of the parents turned to 
books such as Now I Know Why Tigers Eat Their Young: Surviving a New 
Generation of Teenagers. Other parents sought solace in online chat rooms 
that seemed to start every month: DifficultChild.com, DefiantTeen.com, 
HelpYourTeens.com. One of the most popular, Struggling Teens.com, 
attracted mothers and fathers from across the country. The message lines 
hinted at heartbreaking stories: "Help needed for 12-year-old," "16-year-old 
son needs rehab," "13-year-old with anorexia," "What"s next for my 14-year-
old truant?" "Out of control 15-year-old daughter," "Ripping my hair out," "Teen 
giving up on school—help!" "How can I help this child? How can I help 
me?" "What do I do?"
 In many ways, of course, middle- and upper-class concerns 
differed from those of the poor. Less than twenty miles from my 
neighborhood, in Washington"s blighted Southeast side, parents worried 
about basics such as decrepit classrooms and abysmal graduation rates. In 
both affluent and poor areas, though, parents agreed that teenagers have less 
support than they used to. Families are overstressed, many schools 
resemble factories, and few communities have adults around in the afternoon. 
Traveling the country as a reporter covering education, I kept meeting 
teenagers from all income and ethnic backgrounds who were falling through 
the cracks.
 To deal with these kids, more than two dozen special schools 
have opened across the country since the 1970s. Called emotional-growth or 
therapeutic schools, they are spartan versions of traditional boarding schools. 
They remove students from a toxic environment—a home where they clash 
with their parents, a high school where they are bullied, a neighborhood 
where they hang out with drug dealers—and offer adult role models and a 
new set of peers. The schools cram their schedules with academic classes, 
exercise, and six or more hours a week for group therapy. Counselors lead 
seminars on time management, responsible sexual behavior, and addictions.
 The special schools form one sector of a burgeoning industry. Not 
long ago, parents could send disruptive boys to a military academy or to 
Aunt Mabel"s farm to work off energy. Now educational consultants charge 
thousands of dollars to help overwhelmed families decide what"s best for their 
kids. Nonprofit agencies and for-profit corporations have opened wilderness 
academies in the mountains of Utah, boot camps on the Texas plains, 
equine therapy ranches in Wisconsin, cocaine detox programs in the Arizona 
desert, and fundamentalist Christian reform schools in Missouri. Jamaica and 
the Czech Republic have behavioral modification programs for American kids. 
Transporters, also called "escorts," employ muscular men and women to 
take hostile kids away from home.
 All this captivated me as a parent as well as a journalist. After 
bouncing around the world for nearly a decade as a foreign correspondent, I 
returned in the 1990s to an America I barely recognized—a country that had 
been strip-malled and Wal-Marted. Soulless, look-alike exurbs were 
sprouting everywhere as downtowns died; companies were downsizing faithful 
employees right out the door. While on a fellowship at Harvard in 1995, I 
invited a history professor named Robert Putnam to dinner. He had just 
written a provocative essay, "Bowling Alone," which analyzed declining 
participation in PTAs, bridge clubs, and other groups. Putnam put into words 
something I"d noticed: In the era of the five-hundred-channel TV and the 
ubiquitous franchise, Americans were disengaged and disenfranchised.
 Putnam"s theory continued to haunt me as I struggled to balance 
a family and a demanding job. I settled in the suburbs for the quality of the 
schools but found myself disillusioned with the quality of life. When I 
managed to get home from work early, I spent afternoons crawling through 
traffic with my kids—the Monday-swim-lessons, Tuesday-library, Thursday- 
gymnastics circuit—cell phone in hand for calls from the office. My relatives 
and in-laws were scattered far away; my son and daughter didn"t have the 
frequent contact with extended family that I"d taken for granted growing up. I 
kept wondering what I could do to instill resilience in my children—to 
inoculate them from the harried, consumption-crazed society around them.
I decided to write in depth about teenagers who"d gotten in a crunch and who, 
along with their parents, were getting help. I wanted to look mostly at the 
sons and daughters of the middle class, but I hoped for a broad sample, from 
urban working-class kids to teens from bustling suburbs where families 
appear to have it all. Following a group of students through a therapeutic 
boarding school seemed the best way to get inside a world that most adults 
never see. Again and again psychologists and educational consultants 
recommended the Academy at Swift River, a school I had visited for my 
magazine article. Tucked in the hills of western Massachusetts, Swift River 
started with a wilderness program and concluded fourteen months later with a 
service-learning project in Costa Rica.
 Swift River charged $5,000 a month for tuition, room, and board (at 
the time, Harvard cost $3,800 a month). Nonetheless, the school was so 
deluged with applications that it rejected two-thirds of prospective students. 
Like many other therapeutic programs, Swift River was a for-profit business. 
Its corporate parent was a privately held California company that had started 
in the hospital and healthcare business but had turned into the nation"s 
fastest-growing provider of adolescent treatment programs.
 When Swift River admitted a student, in many ways it was also 
admitting the mother and father. Parents had to write frequent letters and talk 
regularly on the phone with their child and with counselors. Something had 
gone wrong in the family, and the parents had to own up to their 
responsibility. Every three months they had to come to campus for seminars 
and group therapy; then they joined their sons and daughters for the final 
days in Costa Rica. By the end of the fourteen months, the parents in a 
group knew the details of each other"s lives—from alcoholism to affairs, from 
dad"s fiery temper to mom"s anxiety disorder.
 Several parents declared that Swift River had rescued their 
children. Mike Nakkula, a professor at Harvard"s Graduate School of 
Education and an expert on intervention programs, called the therapeutic 
schools "parenting by proxy." He explained: "Some people who feel they have 
failed as parents face the fact that they can"t adequately help their children. 
They turn to those who can provide a tougher form of love." Other experts I 
contacted took a more cynical view, saying that parents were simply 
outsourcing nettlesome children the way they turned to a lawn service to get 
rid of crabgrass. Anyway, the critics said, a year or so in a residential 
program could do only so much to treat depression, alcoholism, or other 
illnesses with complex biological and environmental origins. These conflicting 
messages of hope and caution made me more curious.
 In June 2001, I began observing as the Swift River admissions 
department selected a peer group—a dozen students who would go through 
the program together. Swift River allowed me complete access to group 
therapy, classes, and supervisors" meetings. The parents let me sit in on 
their seminars and informal discussions. The most important access came 
from the kids, who allowed me to immerse myself in their lives while they 
played guitars, threw snowballs, and hashed things out during family therapy. 
On breaks, I accompanied them to their neighborhoods, their old high 
schools, and hangouts. During the last phase of the program, the five-week 
trip to Costa Rica, I joined them in kayaks, on mountain bikes, and on 
horseback.
 By the end of the fourteen months, I"d heard about the traumas 
they"d endured, the friends they"d made and lost, the dreams they clung to. I 
learned the secrets that they had kept for years from their parents, teachers, 
and guidance counselors—the very people who might have helped them.
 When I began my research, America was finishing a decade-long 
boom. By quite a few measures, teenagers were doing extraordinarily well. 
Teen pregnancy rates were declining, as were deaths from drunk-driving 
accidents; college enrollment was soaring. Teenagers I knew were far more 
sophisticated than my friends and I had been in the 1970s. They knew sushi 
from sashimi. They debugged Windows, memorized the lines from entire 
episodes of Buffy the Vampire Slayer, and volunteered at the soup kitchen 
after soccer practice.
 For some reason, though, the students at Swift River had taken 
more risks than their brothers and sisters or their childhood friends. They did 
hard drugs; they got drunk and sneaked out in mom"s car for a ninety-mile- 
per-hour spin; they went through a dozen sexual partners in a few weeks. Or 
they simply gave up on everything and withdrew to a world of electronic 
games. But they weren"t freaks. I found kids like them at massive public 
schools and at elite private academies. Every teenager in America sits in 
classrooms with them and ends up at parties with them. Seeing snapshots of 
them dressed as camels in kindergarten skits, or watching videos of them 
pitching in Dad"s Club baseball tournaments, I"m struck by how much they 
remind me of boys and girls I grew up with in another generation, one that 
was defined by the Kennedys, Watergate, and Vietnam rather than 
Columbine, 9/11, and war in Iraq. We can all learn from them.
 From the start of this project, three questions seemed the most 
important:
· Why had the kids gotten into so much trouble at home and at 
school even as their friends and siblings thrived?
· How could their families have helped earlier?
· What lessons can the rest of us—parents, teachers, religious 
leaders, lawmakers—draw from a fourteen-month program that most people 
can"t afford?
 I hope the stories that follow—the true stories of what happened to 
these complicated, misunderstood, extraordinarily talented boys and girls —
offer some answers.
Copyright © 2005 by David L.Marcus. Reprinted by permission of Houghton 
Mifflin Company.
Continues...Excerpted from What It Takes to Pull Me Throughby David L. Marcus Copyright © 2006 by David L. Marcus. Excerpted by permission.
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