In this sequel to The Earth, My Butt, and Other Big Round Things, there is further development regarding the rape case against the protagonist's brother. Specifically, the woman he raped finds her mental health deteriorating and decides to press charges against him, leading to his arrest towards the start of the book. Many characters, especially the protagonist's parents, engage in rape apologism: because they are more concerned with ensuring that he won't have to register as a sex offender than with the wellbeing of the survivor in question. They insinuate that the survivor only pressed charges for financial gain. There are no rape scenes; the survivor mentions in passing that the protagonist's brother overpowered her, but no more detail is provided regarding the event itself. The rape case and potential consequences for the brother are discussed throughout the book.