TABLE OF CONTENTS

LIST OF TABLES …………………………………………………………………………….. ix
CHAPTER
1. INTRODUCTION ………………………………………………………………. 1
Specific Aims ………………………………………………………………. 1
Background and Significance ………………………………………… 3
2. RESEARCH DESIGN AND METHODS ………………………………. 30
Participants …………………………………………………………………. 30
Procedure …………………………………………………………………… 33
Grounded Theory Analysis …………………………………………… 36
3. RESULTS ………………………………………………………………………… 40
Cluster 1 ……………………………………………………………………… 41
Cluster 2 ……………………………………………………………………… 45
Cluster 3 ……………………………………………………………………… 52
Cluster 4 ……………………………………………………………………… 60
Cluster 5 ……………………………………………………………………… 66
Cluster 6 ……………………………………………………………………… 71
Core Category ……………………………………………………………… 75
4. DISCUSSION …………………………………………………………………….. 78
Discipline and Control ………………………………………………….. 79
A Sense of Brokenness …………………………………………………. 81
Cultivating Acceptance …………………………………………………. 85
Implications for Clinical Practice …………………………………… 87
Limitations ………………………………………………………………….. 91
Future Research …………………………………………………………… 91
Conclusion ………………………………………………………………….. 92
APPENDIX
A. DEMOGRAPHICS QUESTIONNAIRE ……………………………….. 106
B. INTERVIEW PROTOCOL………………………………………………….. 111
REFERENCES ……………………………………………………………………………… 116