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This case study investigates the co-construction communication patterns that emerged during a Human Immunodeficiency Virus (HIV) intervention designed to reduce negative and critical self-talk. Eight intervention sessions between a therapist and two medically nonadherent HIV-infected women were analyzed using Giorgis (1989, 1994, 1997, 2006) phenomeonlogical method of inquiry. The findings lends support to comforting message research and suggests that distinctions between everyday comforting messages and chronic illness support strategies may be more similar than anticipated.