There are numerous variations of the hero's journey that have been studied since the 1870s. Some are organized into sub-sections and there are a variation of steps put forth by literature experts. Technically, each step of the journey is a preparation for its outcome, but based on general theory I will assume you are referring to the period in which the hero learns what he/she must do, what conflict and struggles to expect, and the effect the journey will have on his/her life and others involved.
The preparation stage as you refer to is presented in the novel using an interesting structure on the author's part. A major conflict in the novel is Anna suing her parents for medical emancipation and the rights to her own body. This is part of Anna's journey in which she pursues a partial termination of parental rights so that she is not forced to donate her kidney to Kate. Anna's journey concludes with being granted these rights, having accepted that Kate wants to die, before she herself dies in a car accident and her kidney is donated to her sister. The preparation stage is provided to the reader through a flashback in court: it is revealed that Kate asked Anna not to give up her kidney and encouraged her to sue their parents, and Kate admits to having wanted this as well. Thus the preparation stage occurs in the lead up to Anna and Kate pursuing partial termination of parental rights for Anna.
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