Over a two-year period, author Sana Loue and her research team followed the lives of fifty-three Puerto Rican women living with severe mental illness as they coped with daily challenges in the areas of family, romantic relationships, employment, social services, substance use, and health care. The team interviewed the women and shadowed them at their homes, churches, schools, physicians' offices, family events, and other occasions in order to understand how their mental illness, their gender, their language, and their culture affected their relationships with others, their understandings of their own situations, and their hopes for themselves and their families.

Sana Loue lets us see the remarkable strength of many of the women and hear in their own words about their efforts to survive, despite long histories of childhood physical and sexual abuse, partner violence, substance use, poverty, and severe mental illness. We also witness the violence that surrounds them and the HIV risk that becomes a part of their lives in their efforts to survive economically and emotionally.

Sana Loue is Professor of Epidemiology and Director of the Center for Minority Public Health at Case Western Reserve University. She also holds appointments in the Departments of Bioethics, Psychiatry, and Global Health. Loue is the author of more than a dozen books on gender, ethnicity, immigration, and health. Over a two-year period, the author and her research team followed the lives of fifty-three Puerto Rican women living with severe mental illness as they coped with daily challenges in the areas of family, romantic relationships, employment, social services, substance use, and health care. The team interviewed the women and shadowed them at their homes, churches, schools, physicians' offices, family events, and other occasions in order to understand how their mental illness, their gender, their language, and their culture affected their relationships with others, their understandings of their own situations, and their hopes for themselves and their families.