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I can't remember the name of the book now, but in high school we read a 'true' story of child abuse. I'm sure it was edited to both tone down and turn up certain elements, but it was pretty much a brutal shock to people who are mostly from decent families that love them. Whether the kids were rich, poor, or middle class in my school, just about everyone there could at least return home to parents that didn't commit those horrors.
I remember the diapers, the exposure to the elements, and the way the other children were pitted against the abused kid, and honestly? It was the emotional abuse that was the worst to read.
Like reading https://elan.school - just completely outside of what happy people can imagine.
I think the book you're referring to is The Girl Next Door by Jack Ketchum. That book make me sick to read, and yes, it is based on a true story. One of very few books I've ever finished with a sense of profound disgust and vowed never to return to - not because it's a bad book, on the contrary Ketchum manages to capture the wrongness of it all in compelling detail - but the subject of its story was just completely unpalatable. I was too young for that story when I read it and that was my first real taste of the sort of horrible fucked up shit that humans can do to each other. And God, there was an awful lot of horrible fucked up shit in that story. Sylvia Likens (the real life poor dead girl the book is based on) deserves to have her story told to the world but part of me wishes I didn't read it.