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Articles 271 - 300 of 534

Full-Text Articles in Counseling Psychology

La Incorporación De La Dimensión Intercultural Para Pacientes Quechuas En El Centro Comunitario De Salud Mental De Calca, Caroline Parker Oct 2019

La Incorporación De La Dimensión Intercultural Para Pacientes Quechuas En El Centro Comunitario De Salud Mental De Calca, Caroline Parker

Independent Study Project (ISP) Collection

Trastornos mentales afectan a una de cada cinco personas del Perú. Sin embargo, entre las personas que indican una necesidad de atención de salud mental, 69%-85% no buscan servicios. Este problema se amplifica en zonas rurales y comunidades indígenas a lo largo del país. Debido a la falta de servicios en estas regiones, y a la ausencia de investigaciones acerca de la salud mental en comunidades indígenas, investigué los servicios para la salud mental en Calca, una provincia en el sur del Perú con una población substantiva de personas indígenas. Mi pregunta principal es: ¿de qué manera el Centro Comunitario …


Conceptualizing Discursive Analysis As A Culturally Contextualized Activity, Stephen Baffour Adjei Sep 2019

Conceptualizing Discursive Analysis As A Culturally Contextualized Activity, Stephen Baffour Adjei

The Qualitative Report

Discursive psychology recognizes the primacy of the social and relational nature of human life. Research participants whose discourses (empirical data) we analyze do not exist independent of material and social world. In this paper, I attempt to develop an understanding of discursive analysis of social and psychological phenomena as a culturally contextualized activity in which discursive researchers analyze and interpret participants’ discourses in the light of the cultural context in which the discourses are embedded. First, I provide a brief background to discursive psychology. Second, I discuss the cultural embeddedness of discursive analysis. I then conceptualize discursive data analysis as …


Does Ethnic Identity, In-Group Preference, And Acculturation Protect Latinas With A History Of Interpersonal Trauma From Developing Symptoms Of Ptsd?, Evelyn M. Ramirez Sep 2019

Does Ethnic Identity, In-Group Preference, And Acculturation Protect Latinas With A History Of Interpersonal Trauma From Developing Symptoms Of Ptsd?, Evelyn M. Ramirez

Dissertations, Theses, and Capstone Projects

Previous research suggests ethnic identity, a sense of belonging to a particular cultural group, may be protective against symptoms of post-traumatic stress disorder (PTSD). However, the role of ethnic identity, in-group preference (i.e., an individual’s preference for interactions with members of their own ethnic group) and acculturation (i.e., the level of comfort with the mainstream culture) have not been investigated as protective factors for Latinas with a history of interpersonal and sexual trauma. In this study, ethnic identity, in-group preference and acculturation were assessed via self-report on the Scale of Ethnic Experience in two samples of undergraduate Latina and non-Latina …


"We've Been Here All Along" : The Standpoint And Collective Resilience Of Transgender U.S. Service Members., Jacob R. Eleazer Aug 2019

"We've Been Here All Along" : The Standpoint And Collective Resilience Of Transgender U.S. Service Members., Jacob R. Eleazer

Electronic Theses and Dissertations

The 2010 repeal of the Don’t Ask, Don’t Tell (DADT) policy ended the ban on open lesbian, gay, and bisexual (LGB) military service (Alford & Lee, 2016). However, prior to 2015 transgender military personnel were still considered medically and psychologically unfit for service (Kerrigan, 2012; Yerke & Mitchell, 2013). From 2015 through 2017, the Department of Defense (DoD) researched the implications of policy change, developed new policies and trainings, and implemented open service for transgender persons (Belkin, 2016; Carter, 2015). The purpose of this study was to explore the experiences of transgender military service members prior to this transition in …


Same-Sex Sexual Coercion Among Women: The Impact Of Minority Stress On Perpetration And Victimization Experiences Of Women Of Diverse Sexual Identities, Allison Kirschbaum Jul 2019

Same-Sex Sexual Coercion Among Women: The Impact Of Minority Stress On Perpetration And Victimization Experiences Of Women Of Diverse Sexual Identities, Allison Kirschbaum

Dissertations

The purpose of the current study was to investigate women’s experiences with same-sex sexual coercion perpetration and victimization. Specifically, I sought to explore the role that the stress of living as a sexual minority plays in these experiences as well as to determine whether the psychological variables of perceived powerlessness, psychological distress, social support, and alcohol use mediate the relationship between minority stress and perpetration and victimization experiences. Data were collected online from self-identified women and individuals assigned female at birth who reported experiencing genital sexual contact with another woman (N=339). Of the cisgender women in the sample, 31.6% reported …


The “Journey” Of Doctoral Study In Applied Psychology: Lived Experiences Of Students In Counseling, Clinical, And School Psychology, Jason S. Frydman, Linda Cheung, Joseph G. Ponterotto Jun 2019

The “Journey” Of Doctoral Study In Applied Psychology: Lived Experiences Of Students In Counseling, Clinical, And School Psychology, Jason S. Frydman, Linda Cheung, Joseph G. Ponterotto

The Qualitative Report

A qualitative methodology was adopted to explore the lived experiences of doctoral level students in applied psychology. A total of 15 students ranging in age from 24 to 43, who were at varying levels of their doctoral education, participated in individual semi-structured interviews exploring themes related to influences for the pursuit of graduate study, experiences in their program of study, and general reflections of the graduate school journey. All interviews were conducted from a constructivist-interpretivist model, transcribed verbatim, and analyzed using a phenomenological coding approach (Creswell, 2012; Moustakas, 1994). Emergent broad themes included antecedents leading to graduate study, current experience …


Examining Protective Factors That Promote Resilience Among Children With An Incarcerated Parent, Celeste A. Jackson Jun 2019

Examining Protective Factors That Promote Resilience Among Children With An Incarcerated Parent, Celeste A. Jackson

Dissertations

Children of incarcerated parents (CIP) represent one of the most vulnerable, at-risk populations in the United States (Johnston, 1995). Best estimates suggests there are 2.7 million children with an incarcerated parents and African-American children are disproportionately represented at a figure of 1 in 9 children (Glaze & Maruschak, 2008). Much of the research attempting to understand this population and guide intervention efforts has employed a deficit-based approach, highlighting the plethora of adverse risk factors and negative outcomes associated with being the child of an incarcerated parent. This approach fails to acknowledge the presence of resilience inherent in these youth. The …


Religion And Spirituality In Clinical Practice: An Exploration Of Reluctance Among Practitioners., David Drew, Jessica Banks Jun 2019

Religion And Spirituality In Clinical Practice: An Exploration Of Reluctance Among Practitioners., David Drew, Jessica Banks

Electronic Theses, Projects, and Dissertations

Across the United States, an overwhelming majority of the population claim that religion and spirituality beliefs shape their worldview and assist in coping with life stressors. Yet, the literature has shown that mental health practitioners reported discomfort integrating religion and spiritually in clinical practice. The purpose of this study was to explore whether license-holding mental health professionals in Southern California develop reluctance toward addressing religion/spirituality with their clients. Through snowball sampling, 52 clinicians composed of social workers, counselors, marriage and family therapists, nurses, psychologists, and psychiatrists were recruited across Southern California (N =52). The participants were measured descriptively based on …


Watering Black Roots: Exploring Black Ecological Identity Development Within Nature-Based Expressive Arts Therapy, Stormy Saint-Val May 2019

Watering Black Roots: Exploring Black Ecological Identity Development Within Nature-Based Expressive Arts Therapy, Stormy Saint-Val

Expressive Therapies Capstone Theses

Nature-based expressive arts therapy promotes the holistic healing and recovery of individuals by interweaving the practices of ecopsychology, ecotherapy, and expressive arts therapy. These interventions have been proven to mediate ranges of symptomologies, such as anxiety disorders and PTSD. Research conducted by the U.S. National Park Services indicates that African- Americans are less likely to have a positive relationship to nature than all other racial groups. The amplification of this report without introspection of its context perpetuates racialized generalizations. This can limit a black individual’s ability to embrace their ecological identity and be receptive of nature-based expressive arts therapy interventions. …


How Internalized And Externalized Behaviors In Adolescents Impact Academic Achievement In Faith-Based Institutions, Subira Brown, Chioma Tait, Jade Callahan, Deyana Cox May 2019

How Internalized And Externalized Behaviors In Adolescents Impact Academic Achievement In Faith-Based Institutions, Subira Brown, Chioma Tait, Jade Callahan, Deyana Cox

Adventist Human-Subject Researchers Association

The purpose of this literature review is to address how internalized and externalized behaviors in adolescents impact academic achievement in faith-based institutions. This research intends to bring awareness to the prevalence of mental health concerns faced by adolescents, as well as the need for mental health services in the education system. This research will also identify the relationship between internalizing and externalizing behaviors, and academic achievement. Based on the findings, the next steps will be to evaluate the deficits within the Adventist school system and begin developing programs and resources necessary to support the mental health needs of children and …


Back To Belonging: Nature Connection And Expressive Arts Therapy In The Treatment Of Trauma And Marginalization, Jesse Newcomb May 2019

Back To Belonging: Nature Connection And Expressive Arts Therapy In The Treatment Of Trauma And Marginalization, Jesse Newcomb

Expressive Therapies Capstone Theses

There is increasing research on the benefits of incorporating nature-based approaches into mental health. This can be done in myriad ways both in and out of the counseling office. This literature review focuses on the benefits of incorporating nature as co-therapist and kin rather than only material or metaphor, particularly in the treatment of people who have experienced trauma and or marginalization. According to Herman (1997), wounds made relationally must be healed relationally, and the literature reviewed in this paper suggests that connection with the “more-than-human” world (Abram, 1996), and coming back into a sense belonging in the larger web …


Parental Acceptance Project: Affirming Gender Variant Youth, Shelley Faulkner May 2019

Parental Acceptance Project: Affirming Gender Variant Youth, Shelley Faulkner

Educational Specialist, 2009-2019

The number of gender expansive and gender variant youth has risen dramatically, leading to a mental health and education service gap that must be addressed. The author reviews relevant literature supporting the importance of the parent-child relationship via the lens of attachment theory, affirming that parental support for gender variant children is critical to their well-being and overall positive life outcomes. A curriculum for parents of gender variant children is proposed, in an effort to educate and support parents of gender variant children, so that they may in turn develop affirmative and supportive practices toward their children. The ultimate goal …


“It’S Happiness And Relief And Release”: Exploring Masturbation Among Bisexual And Queer Women, Carolyn Meiller, Candice N. Hargons Apr 2019

“It’S Happiness And Relief And Release”: Exploring Masturbation Among Bisexual And Queer Women, Carolyn Meiller, Candice N. Hargons

Journal of Counseling Sexology & Sexual Wellness: Research, Practice, and Education

Researchers have argued that masturbation contributes to sexual health, yet historically, masturbation has been stigmatized (Coleman, 2003). Only a handful of qualitative studies have investigated masturbation (e.g., Fahs & Frank, 2014), and none of these studies have specifically examined queer women’s masturbation. In the current study, ten bisexual and queer women (age 19-48; 4 Black, 6 White) were interviewed about their masturbation. Using thematic analysis (Braun & Clarke, 2006), six themes were identified: reasons for masturbating, politics of pornography, use of sex toys, feelings after masturbation, promoting masturbation, and silence around masturbation. Implications for sexual health and counseling are discussed.


“Uno Logra Olvidar La Tortura”: Impactos De Las Dictaduras Militares Y Conversaciones Sobre Las Secuelas De La Tortura En El Instituto De Terapia E Investigación, Em Rosner Apr 2019

“Uno Logra Olvidar La Tortura”: Impactos De Las Dictaduras Militares Y Conversaciones Sobre Las Secuelas De La Tortura En El Instituto De Terapia E Investigación, Em Rosner

Independent Study Project (ISP) Collection

Investigué el impacto real de las dictaduras militares, y específicamente cómo las experiencias de tortura continuan marcando las vidas de los sobrevivientes y su habilidad de procesar los eventos de sus propias vidas, compartir sus experiencias con otras personas y hacer conexiones interpersonales. Mis preguntas primarias eran, ¿Cómo la tortura ha marcado la vida a largo plazo de las personas que la sufrieron? ¿Cómo impactan las experiencias de represión y tortura en las formas en que se construyen relaciones sociales y proyectos de vida? Para investigar este tema, entrevisté a personas que han tenido experiencias de tortura o que han …


Multiple And Intersecting Experiences Of Women In Prostitution: Improving Access To Helping Services, Kathryn Hodges, Sarah Burch Apr 2019

Multiple And Intersecting Experiences Of Women In Prostitution: Improving Access To Helping Services, Kathryn Hodges, Sarah Burch

Dignity: A Journal of Analysis of Exploitation and Violence

When women involved in prostitution experience multiple and intersecting needs, they may face barriers in accessing help and support. These barriers can include geographical location and opening hours of agencies, limited childcare support, and a lack of female-only provision. As a result, women are frequently disadvantaged, and their personal safety put at risk, as they become increasingly vulnerable to exploitation, particularly if they do not have access to secure accommodation. This research project seeks to understand the choices and decisions women make when they engage with helping services. The findings report on an in-depth qualitative study with 11 women involved …


When A Stone Is Not A Stone: Memories Of Clerical Abuse, Charles V. Sords Apr 2019

When A Stone Is Not A Stone: Memories Of Clerical Abuse, Charles V. Sords

Dignity: A Journal of Analysis of Exploitation and Violence

From the fourth to the sixth grades, Charles V. Sords suffered traumatic sexual abuse by Catholic clergy. He suppressed these memories, yet the pain of what happened impacted every aspect of his life. As an adult, several strong, sensory experiences brought the truth of his childhood into focus. He confronted the Church—and the system that protected clerical criminals. This memoir is an account of childhood sexual abuse, the particularly shameful nature of being raped by priests, and how the Catholic Church’s method of handling this and similarly horrifying revelations has re-traumatized survivors.


Painting Intimacy: Art-Based Research Of Intimacy, Michal Lev Mar 2019

Painting Intimacy: Art-Based Research Of Intimacy, Michal Lev

Expressive Therapies Dissertations

This art-based research explores whether — and, if so, how — the process of painting, together with witnessing and reflection on the process and imagery, further an understanding of intimacy. The research also examines the conditions that favor intimacy, the obstacles to intimacy, and the particular features of artistic media, processes and reflection, through the editing of video footage, that can further the intimate experience. The participants in the study were five adults (including the researcher) between the ages of thirty and eighty who were familiar with the creation of visual art. Among them were three women and two men …


Online Blaming And Intimate Partner Violence: A Content Analysis Of Social Media Comments, Jason Whiting, Rachael Dansby Olufowote, Jaclyn D. Cravens-Pickens, Alyssa Banford Witting Jan 2019

Online Blaming And Intimate Partner Violence: A Content Analysis Of Social Media Comments, Jason Whiting, Rachael Dansby Olufowote, Jaclyn D. Cravens-Pickens, Alyssa Banford Witting

The Qualitative Report

Social media has become a ubiquitous form of interacting and sharing information. However, comments on social media sites are often aggressive and contemptuous, especially when topics are controversial or politically charged. For example, discussion of intimate partner violence (IPV) tends to provoke strong reactions from outsiders, who make angry or blaming remarks about those involved. Although IPV is common, it has not been widely discussed in popular media until recent years when high-profile cases of abuse have come to light. In 2016, a celebrity accusation of domestic violence led to thousands of comments on social media, with outsiders weighing in …


A Physical Therapy Intervention To Advance Cognitive And Motor Skills: A Single Subject Study Of A Young Child With Cerebral Palsy, Stacey C. Dusing, Reggie T. Harbourne, Michele A. Lobo, Sally Westcott-Mccoy, James A. Bovaird, Audrey E. Kane, Gullnar Syed, Emily C. Marcinowski, Natalie A. Koziol, Shaaron E. Brown Jan 2019

A Physical Therapy Intervention To Advance Cognitive And Motor Skills: A Single Subject Study Of A Young Child With Cerebral Palsy, Stacey C. Dusing, Reggie T. Harbourne, Michele A. Lobo, Sally Westcott-Mccoy, James A. Bovaird, Audrey E. Kane, Gullnar Syed, Emily C. Marcinowski, Natalie A. Koziol, Shaaron E. Brown

Nebraska Center for Research on Children, Youth, Families, and Schools: Faculty Publications

No abstract provided.


Ignatian Banners Of Hope And Support For Recently Detained Immigrant Families, Daniela Domínguez Jan 2019

Ignatian Banners Of Hope And Support For Recently Detained Immigrant Families, Daniela Domínguez

Psychology

University of San Francisco (ASUSF) decided to allocate a portion of its annual budget each year to assist undocumented students with non-tuition dollars, most often used for the growingly expensive cost of living within the Bay Area. One year prior, in 2015, USF’s School of Law launched its Immigration and Deportation Defense Clinic to represent unaccompanied children and migrant women with children in Northern California and the Central Valley.

Altogether, these acts of solidarity demonstrate how Jesuit institutions have strived for greater acceptance and empowerment of migrants and refugees. Contributing to this effort, the collection of essays in this book …


The Effects Of Parental Divorce And Remarriage On Emerging Adult’S Romantic Attachment Styles, Bailey Mortis Jan 2019

The Effects Of Parental Divorce And Remarriage On Emerging Adult’S Romantic Attachment Styles, Bailey Mortis

Theses and Dissertations--Family Sciences

This study shined light on the gap in literature about the impact of communication and involvement of stepparents has on emerging adult’s romantic attachment styles. A sample of 289 college students between the ages of 18 and 22 at the University of Kentucky was recruited to complete an online survey about their perceived experience with their stepparent and parental figures and the effects on their romantic attachment styles. Parental involvement in children’s lives and having good communication, sets the foundation for individuals to have secure attachment styles. Emerging adults who experience parental figures and stepparents as being uninterested or passive …


Development Of The Sexual Minority Affirmative Practice Scale, Ryan Craig Ebersole Jan 2019

Development Of The Sexual Minority Affirmative Practice Scale, Ryan Craig Ebersole

Legacy Theses & Dissertations (2009 - 2024)

Literature on the practice of affirmative psychotherapy with sexual minority (SM) clients has steadily increased over the past two decades in recognition of the unique experiences and mental health needs of this marginalized population. SM-affirmative psychotherapy is an approach to psychotherapy that is culturally-responsive, actively affirms the validity of SM identities and experiences, and promotes the resilience of SM clients in the face of stigma. To date, much of the extant research on SM-affirmative psychotherapy has focused on therapist factors and perspectives. Further, most previous research on SM clients’ experiences in therapy has been qualitative, due in part to the …


Beneficial Mourning By Inmates Who Have Lost A Significant Person, James Bradley Shoemaker Jan 2019

Beneficial Mourning By Inmates Who Have Lost A Significant Person, James Bradley Shoemaker

Theses and Dissertations (Comprehensive)

Incarceration is already replete with loss before someone of significance to an inmate dies. The prison environment challenges every aspect of grieving, and failing to effectively mourn pathologizes grief, reduces quality of living, and results in behaviours that cause recidivism. It is a poignant interaction between this researcher in his role as a chaplain and a particular inmate that provides the impetus for this study. This study begins with a qualitative meta-synthesis that examined 10 qualitative articles and dissertations published over the last 30 years to explore how some inmates manage to effectively grieve the loss of a significant person. …


Exploring Locus Of Control In Offender Cognition And Recidivism Paradigms, Anistasha Lightning, Danielle Polage Jan 2019

Exploring Locus Of Control In Offender Cognition And Recidivism Paradigms, Anistasha Lightning, Danielle Polage

All Master's Theses

Working with four Washington State county jails to administer surveys to currently incarcerated inmates, we investigated locus of control and beliefs in the likelihood of continued legal involvement as possible antecedents to criminal recidivism. The surveys examined whether there was any connection between legal involvement frequency and the externalization of locus of control. We investigated external locus of control with specific respect to involvement with the law, the prospect of future incarceration, and feelings concerning the overall cause of original and/or sustained legal involvement utilizing the Revised Causal Dimension Scale (McAuley, Duncan, & Russell, 1992). We identified statistically significant interactions …


Counselor Self-Efficacy Re-Examined: Components Of Racial Identity Development And Impostor Phenomenon Among Counseling Graduate Students Of Color, Erica Denise Wade Jan 2019

Counselor Self-Efficacy Re-Examined: Components Of Racial Identity Development And Impostor Phenomenon Among Counseling Graduate Students Of Color, Erica Denise Wade

Graduate Research Theses & Dissertations

The focus of this study was to explore the relationships among racial identity development, impostor phenomenon, and counseling self-efficacy among counseling graduate students of color. There is evidence supporting the importance of a client’s racial identity. However, there is limited research exploring the impacts of a counselor’s racial identity and the development of counseling self-efficacy (Tomlinson-Clarke, 2013; Holcomb-McCoy, Hines, & Johnston, 2008; Owens, Bodenhorn, & Bryant, 2010; Crockett & Hays, 2015). The following research questions were used to provide a frame of inquiry for this study and each research question pertained to counseling graduate students of color: (1) What are …


Internalized Heterosexism, Outness, Athletic Identity, And Perceived Stress Among Queer Female Athletes, Olivia C. Scott Jan 2019

Internalized Heterosexism, Outness, Athletic Identity, And Perceived Stress Among Queer Female Athletes, Olivia C. Scott

Graduate Theses, Dissertations, and Problem Reports (ETD)

The historical presence of heterosexism in sport has been discussed in numerous publications, with unique considerations for female athletes (Anderson, Magrath, & Bullingham, 2016; Cahn, 1993; Griffin, 1998; Rankin, 1998). Unfortunately, few studies have examined the impact of this climate on female athletes with minoritized sexual identities. Most research pertaining to this population has been qualitative and largely focused on lesbian athletes (Fynes & Fisher, 2016; Stoelting, 2011). Consequently, more generalizable conclusions about queer female athlete experiences has been limited. The present study was an attempt to address this research gap, by assessing the internalized heterosexism, outness, athletic identity, and …


Discovering Themes: Disability Identity Development As It Pertains To People Born With Spina Bifida, Elizabeth H. Scriven Jan 2019

Discovering Themes: Disability Identity Development As It Pertains To People Born With Spina Bifida, Elizabeth H. Scriven

Antioch University Dissertations & Theses

To date, disability identity development is a highly understudied construct. There are many models of disability, each interpret disability through a specific lens, but do not address the influence of disability on identity development. The few theories of disability identity that do exist have not been widely adopted. In addition, there is a lack of empirical evidence to support them. Another difficulty is that these theories do not separate different disability groups. Rather, the theories are applied to a broad heterogenous group of disability types. This is a problem because each disability type is quite distinct from the others and …


Polyamorous Millenials In Therapy: Interpreting Experiences To Inform Care, Rebecca Calhoun-Shepard Jan 2019

Polyamorous Millenials In Therapy: Interpreting Experiences To Inform Care, Rebecca Calhoun-Shepard

Antioch University Dissertations & Theses

Polyamory (poly) refers to a way of loving involving multiple concurrent romantic relationships. It has been suggested that consensual non-monogamies are becoming increasingly visible, particularly in the millennial generation. This warrants exploration of cultural considerations and the unique needs of this population to inform care and minimize potential for harm. The present study used interpretative analysis to explore the phenomenon of polyamorous millennials in therapy as described across semi-structured interviews with therapists and poly clients. Three primary themes emerged from aggregate data, including Idiographic Experiences in Therapy, Therapy with Polyamorous Millennials, and information about Polyamory and Millennials beyond a therapy …


Bully-Victimization, Depression, And School Connectedness In Early Adolescent Students, Irene Gonzalez-Herrer Jan 2019

Bully-Victimization, Depression, And School Connectedness In Early Adolescent Students, Irene Gonzalez-Herrer

Cal Poly Humboldt theses and projects

During early adolescence, schools play a significant role in the development of students. An issue that continues to be a serious concern for students, parents, teachers, and school officials in the U.S. and around the world is bullying. The primary purpose of this study was to examine school connectedness as a mediator between bully-victimization and depressive symptomatology in early adolescence. The secondary purpose of the study was to explore how gender and bullying classification groups (i.e., bully, victim, bully-victim, and non-involved) may relate to levels of reported school connectedness. The current study found low school connectedness partially mediated the relationship …


A Multicase Study Exploring Women’S Narratives Of Infertility: Implications For Counselors, Staci L. Born, Christin L. Carotta, Kristine Ramsay-Seaner Dec 2018

A Multicase Study Exploring Women’S Narratives Of Infertility: Implications For Counselors, Staci L. Born, Christin L. Carotta, Kristine Ramsay-Seaner

The Qualitative Report

Infertility affects 6.7 million women in the United States (Chandra, Copen, & Stephen, 2013). Women’s experiences with infertility are not only influenced by biological health factors, but also by social, cultural, and personal variables. Given the prevalence and complexity of infertility, additional research is needed to further examine the nuances of women’s experiences. The purpose of this multicase study, as informed by four individual cases, was to explore how women construct their infertility narratives. Review of reflective journals found five common elements: (1) Emotional Rollercoaster, (2) Mind-Body (Dis)Connection, (3) Secret Identity, (4) Supportive vs. Constrained Communication Patterns, and (5) Fatalistic- …