Medoff's debut novel, the well-received Hunger Point, leavened the serious topic of eating disorders with a healthy dose of wry humor. In her sophomore effort Medoff takes aim at therapy, female bonding, low self-esteem and revenge—with mixed results. Janey Fabre joins group therapy when she admits to herself that obsessing about (and semi-stalking) a man who dated and dumped her might not be entirely healthy. An actuary, the 30-something Janey also spends her time composing highly methodical lists of ways to commit suicide, and despairs of ever being married or having children. The six other women in the group represent a grab-bag of recognizable psychological profiles: bossy Laura sleeps around, overweight Valentine can't stop eating, nervous Natasha fears germs, Ivy is a plastic surgery junkie, Bethany still lives with her mother, and Suzanna is more connected to her dog than to other people. What they all have in common is low self-esteem—as well as a seemingly pathological distrust of men, even though they complain incessantly about not meeting Mr. Right. Rather formulaically, Medoff tracks the members of the "pussy posse" as they learn to stand up for themselves. The plot takes an unexpected twist, however, when a plan to get revenge on Janey's ex turns violent, but all is cozily resolved in the end. The metaphorical use of actuarial probability (à la John Lanchester's Mr. Phillips) is clever, but the psychological insights, such as they are ("maybe it's never been them... maybe it's us") are less than revelatory. Still, readers in thrall to the current crop of light gal-power lit may find some kick to the antics on display here. (Oct.)