Not Otherwise Specified by Hannah Moskowitz

Not Otherwise Specified

by Hannah Moskowitz

From the award-winning author of Break and Teeth comes a raw and honest exploration of complicated identities in a novel about a girl living on the fringe of every fringe group in her small town.

Etta is tired of dealing with all of the labels and categories that seem so important to everyone else in her small Nebraska hometown.

Everywhere she turns, someone feels she’s too fringe for the fringe. Not gay enough for the Dykes, her ex-clique, thanks to a recent relationship with a boy; not tiny and white enough for ballet, her first passion; not sick enough to look anorexic (partially thanks to recovery). Etta doesn’t fit anywhere—until she meets Bianca, the straight, white, Christian, and seriously sick girl in Etta’s therapy group. Both girls are auditioning for Brentwood, a prestigious New York theater academy that is so not Nebraska. Bianca might be Etta’s salvation…but can Etta be saved by a girl who needs saving herself?

Reviewed by Jo on

5 of 5 stars

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Originally posted on Once Upon a Bookcase.

Not Otherwise Specified by Hannah Moskowitz is a novel about Etta - a black bisexual girl with an eating disorder. So intersectionality, I just had to read it! And it was an even better read than I hoped it would be.

Etta recently split up with her boyfriend, but despite that, the Disco Dykes, the group she was formerly apart of, still don't want to know her, and treat her appallingly for stooping so low as to go out with a guy. She's also recovering from an eating disorder - though not one she can be medically diagnosed for, even though she used to starve herself and throw up whatever she did it, because her weight isn't low enough. And because of her curves, she was told by her ballet coach she wasn't quite right for ballet, despite being an incredible dancer. Etta isn't gay enough, not sick enough, not skinny or white enough for anything it seems. But when she's encouraged to try out for Brentwood, a theatre school in New York that could be Etta's ticket out of Nebraska, she meets Bianca, a girl who is also in her recovery group. Bianca is everything Etta isn't, but the two bond over trying to get into Brentwood and over the shared experience of eating disorders. Bianca is the one person accepting Etta as she is, but Bianca is so very sick; can she really lean on someone who can only just hold herself up?

Not Otherwise Specified is an incredible book about body image, sexuality, bullying, going for your dreams, and, most of all, friendship. The relationship between Etta and Bianca is beautiful! Despite the age difference - Bianca is 14 and Etta is 17 - the two get really close. Theirs is a really close friendship, not a romantic relationship, and Bianca brings Etta into the fold with her brother James and their friend Mason. Finally people Etta can just be herself around - whether it's talking about health or getting nervous over auditions.

Etta has a fair number of issues, but there are two things about her that inspired me so much! As mentioned, because of her weight, she's not giving a specific eating disorder, but also because of her weight, there were those, including her mother, who didn't think she had a problem. Doesn't matter that she was starving herself or binging and throwing it back up, because she wasn't skin and bone, some people failed to noticed. The reason she's in recovery? Because she herself decided to get help. Other people may not have seen it, but Etta knew she had a problem, and she got herself the help she needed. That's just amazing. It's hard and it's difficult, and she still struggles with food or with what people say about her eating or her weight, but she decided to try and get better, and I can't help but be in awe of her.

Also, when her lesbian friends dumped her when she got a boyfriend, she knew the problem was theirs. Even though she missed them, even though she still wanted to hang out with them, she knew she had done nothing wrong, and voiced that. She has always been bisexual, she never hid that and pretended to just be lesbian, the girls knew that. And that was ok, until she actually starts dating a boy. The way they behave is atrocious, the bullying - the violence and the names and the taunts, it's disgusting. But Etta knows who she is, and won't apologise for being bisexual. It's not about being a part-time lesbian and straight when it suits her. The girl likes both guys and girls, at the same time. Bisexuality exists, and she owns it! And I love her for it, even if she doesn't completely pull them up on their crap, and still, some of the time, wants to get back into that crowd. But it's like the girls really don't get it:

'"This is hard enough as it is, and then you have to go and completely piss on everything we stand for. Did you miss the part where the heteros make our life shit? And now here you are slutting around with the first guy who's nice to you, and what do you think that does besides make us all look like we're just doing the lesbian thing for attention?"' (p9)

I really think Etta's relationship with Rachel - who was her best friend before she got a boyfriend - is really screwed up. Those two do not have boundaries, which can be fine, but theirs is a relationship that needs them, because things get way to blurry. Rachel has this idea of who Etta is and who she should be, and if Etta does something that doesn't quite fit Rachel's image, Rachel will talk her back into her image, and Etta will follow almost without thinking. Who cares if ballet is her passion? Rachel thinks it's not right for her, is causing her too much pain, so she should stop. Rachel actually gets hurt by Etta getting a boyfriend. No worries when it's a girlfriend she has, but a boyfriend, and Rachel acts like Etta has done something terrible to her personally. Because Etta isn't who she thought she was - go figure. And Etta actually feels bad about that, that she hurt her best friend, because she's her whole world, even if she doesn't regret what she did. Their relationship is really toxic, in my opinion. But this isn't a criticism of the book, sometimes people do have toxic friends, and this was shown brilliantly. Rachel isn't necessarily mean, exactly, she does care about Etta, she just wants to control her, and it's really awful to read about.

Something I absolutely loved about this book was the look into sexuality and religion. Bianca is religious. She goes to Church, but her faith is less about organised religion and more about her relationship with god. Her faith tells her homosexuality is bad. And yet Etta, and other people in this book, aren't bad. She really struggles with this, and I love how Etta - who is an atheist as well as bisexual, comes to her defence. (Some names are removed below to avoid spoilers.)

'She's not in this to hate gay people. She doesn't hate gay people. She's just a girl who really loves her God and doesn't want to do anything to pull herself away from that... probably just as much as she doesn't want to be pulled away from [redacted]. And yeah, we can ask her to deal with [redacted] being gay, we can ask her to accept it, but I don't think we can just say that something she believes, something that she fundamentally wants to not hurt anyone, is something she can, or should, just get over.' (p126)


'"Hey. I'm the queer one here and I'm saying leave her alone. She's... fourteen. She doesn't hate anyone. She isn't running around telling people they're going to Hell. She's struggling because her damn God told her something she's questioning and that's really scary for her and she's fourteen. Leave her alone."' (p128)

Isn't that awesome?! This is the first time I've read a book where the actual queer character is defending someone's beliefs. Granted, Bianca isn't telling anyone that who they are is wrong, she is really struggling with what she believes, but Etta isn't saying her beliefs are screwed up either. Whatever your personal beliefs on what religion says about homosexuality, you've got to admit Etta is pretty awesome here? She loves her friend, and so understands her struggle, and doesn't want her to be so upset by it, or get so much grief. It's wonderful.

This review is already a lot longer than I planned, and I haven't even touched on the body image/eating disorders side of things yet. I'm not going to go on, but this is dealt with beautifully; Etta's issues, Bianca's, how Etta feels about Bianca's issues - how she worries about her being so sick, yet also struggles with feeling like she's a failure in comparison... it's heartbreaking to read, but feels so real and honest to me.

And despite the seriousness of the mental illnesses of eating disorders, it's wonderful to read a book that deals with this - and all the other serious elements too, like the bullying - in a way that doesn't make the book feel too heavy, too depressing. I absolutely loved Etta's voice, she's a fantastic character who I'd love to hang out with, and even with everything going on, she keeps things fun, mostly. And you've just got to love all the theatre school auditions/ballet practising. It's just good!

Not Otherwise Specified is a truly beautiful, amazing book, and I would force this book into your hands now if I could. This is my first Moskowitz book, but I'll definitely be picking up her others. Please, read this book.

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Reading updates

  • Started reading
  • 30 March, 2015: Finished reading
  • 30 March, 2015: Reviewed