What is the title and/or author of this book?

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LBgirl36

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I read it in the seventh grade and believe it was about my reading level. It was about a family with I think three little girls, one of whom was an infant. One of the girls was very messed up. For example, she always hunched over and held her arms across her stomach so her guts wouldn't fall out, and she once carved a penetration symbol into her younger sister's leg. The girls were all being sexually molested and when they took them away from their parents, the oldest girl became a happy and normal little girl, but the middle daughter became messed up. I believe the girls were all named after jewels or flowers.
 
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