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cancer that was her reward for believing, as a teenager, too many doctors’ X-ray radiation cures. (The enormous amount of radiation she received was thought to be the likely cause of her breast cancer and death at 51.) In a faded photograph of her brother wearing khaki in Okinawa, his face appeared to be on fire. A doctor at Stanford Hospital told my sister that he was the most decorated dermatologist in the Bay Area and there wasn’t a thing he could do to improve the quality of her skin until she was at least 21. Only my father’s face was impressively blemish-free, although whenever he cut himself shaving or the impress of his glasses left a red mark at the eyebrows, my mother would claim that he, too, had had problems. They used to have perfectly absurd arguments over who was responsible for the cluster forming on my chin.
    My sophomore year of high school my zit trouble reached such catastrophic proportions that twice a month I drove an hour each way to receive liquid nitrogen treatments from a dermatologist in South San Francisco. His office was cattycorner to a shopping center that housed a Longs drugstore, where I would always first give my prescription for that month’s miracle drug to the pharmacist. Then, while I was waiting for the prescription to be filled, I’d go buy a giant bag of Switzer’s red licorice. I’d tear open the bag, and even if (especially if) my face was still bleeding slightly from all the violence that had just been done to it, I’d start gobbling the licorice while standing in line for the cashier. I’m hard-pressed now to see the licorice as anything other than some sort of Communion wafer, as if by swallowing the licorice, my juicy red pimples might become sweet and tasty. I’d absorb them; I’d be absolved. The purity of the contradiction I remember as a kind of ecstasy. My senior yearbook photo was so airbrushed that people asked me, literally, who it was.
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    In “Is Acne Really a Disease?” Dale F. Bloom argues that, “far from being a disease, adolescent acne is a normal physiological process that functions to ward off potential mates until the afflicted individual is some years past the age of reproductive maturity, and thus emotionally, intellectually, and physically fit to be a parent.” Dale F. Bloom’s thesis seems to me unassailable.
    In one study, of teenage boys with the highest testosterone levels, 69 percent said they’d had intercourse; of boys with the lowest levels, 16 percent said they’d had intercourse. The testosterone level in boys is eight times that of girls. Testosterone is responsible for increasing boys’ muscle mass and initiating the growth spurt, which peaks at age 14. From ages 11 to 16, boys’ testosterone levels increase 20-fold. By age 16, the cardiovascular system has established its adult size and rhythm.
    Hair grows about half an inch a month; it grows fastest in young adults, and fastest of all in girls between ages 16 and 24. Brain scans of people processing a romantic gaze, new mothers listening to infant cries, and subjects under the influence of cocaine bear a striking resemblance to one another. According to Daniel McNeill, “Our pupils reach peak size in adolescence, almost certainly as a lure in love, then slowly contract till age sixty.” As Natalie would say—as she actually did say—“That’s awesome.”
    When she asked me why people write graffiti, I tried to explain how teenage boys need to ruin what’s there in order to become who they are. I talked about boys at the swimming pool who simply wouldn’t obey the pleasant female lifeguard asking them to leave the pool at closing time; they left only when asked gruffly by the male African-American lifeguard, and then they left immediately.
    â€œOne Sunday morning,” my father reminisced to me over the phone, “my father announced that he