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i Chapter 1: Introduction & Review of Literature 4 Motivating this thesis from a qualitative epistemology 5 Reviewing patient agency 5 History of the breast cancer advocacy movement 6 A shift from paternalistic to patient-centered medicine 6 Self-determination theory 6 The goals of the present thesis 5 Chapter 2: Data & Method 1 Data Context 2 Open Coding 2 Saturation 2 Axial Coding 2 Selective Coding 2 Theme Generation 2 Interactional Positing of Units and Themes 2 Chapter 3: Results 1 Chapter 4: Discussion 1 Asserting a Preference for Surgical Option 2 Asserting a Preference – Scheduling Surgery ASAP 2 Asserting a Preference for Reconstructive Surgery 2 Summarizing Recommendation to Surgeons 2 Thematic Density 2 Interactional Position 2 Limitations 2 Future Directions 2 References 64

Elaborating Patient Agency in Breast-Cancer Care: A Grounded Theoretical Analysis of Patients Asserting Treatment Preferences