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Joseph and Kathleen had an unstable, violent marriage, ultimately leading Kathleen to abandon the family when Carangi was eleven years old.
In an attempt to quit drugs, she moved back to Philadelphia with her mother and stepfather in February 1981. She was arrested in March 1981 after she drove into a fence in a suburban neighborhood.
Carangi immediately became infatuated with Linter and pursued her, though the relationship never became stable.
Carangi was a favorite model of various fashion photographers, including Von Wangenheim, Francesco Scavullo, Arthur Elgort, Richard Avedon, Denis Piel, and Marco Glaviano.
she was featured on the cover of fashion magazines, including multiple editions of Vogue and Cosmopolitan, and appeared in advertising campaigns for such fashion houses as Armani, Chanel, Christian Dior, Versace, and Yves Saint Laurent.
Carangi was born in Philadelphia, the third and youngest child of Joseph Carangi, a restaurant owner, and Kathleen Carangi (née Adams), a homemaker. Her father was Italian, and her mother was of Irish and Welsh ancestry.