ArticlePenetrating the Dark SilenceCrocker, Susan H. PhD, RNAuthor Information Liberty University, Lynchburg, Virginia; George Mason University, Fairfax, Virginia. Corresponding Author: Susan H. Crocker, PhD, RN, 6582 Smith Creek Rd, New Market, VA 22844 (firstname.lastname@example.org, email@example.com). This study was supported in part by the Epsilon Zeta Chapter of Sigma Theta Tau International. The author thanks Dr Jeanne Sorrell for her editorial assistance. Jeanne has been the author's mentor, both in phenomenology and in writing. She also expresses appreciation to Dr Nancy Falk for her encouragement and editorial assistance. Advances in Nursing Science: October-December 2009 - Volume 32 - Issue 4 - p 295-306 doi: 10.1097/ANS.0b013e3181bd693d Buy Metrics Abstract This study articulates women's lifeworld experience of unexplained and unexpected fatigue. Interpretive phenomenology situated within the perspective of Maurice Merleau-Ponty provides the study framework. Using purposive sampling, the study investigated the unexplained fatigue of 12 women in a southeastern state. Data analysis of interviews revealed a lost voice within the phenomenon of fatigue, providing new insights into this diffuse and dehumanizing experience. Ethical considerations are addressed for recognizing, hearing, and caring for women living with disabling fatigue to extend the goals of Healthy People 2010 by addressing new ethical priorities for quality of life over the next decade. © 2009 Lippincott Williams & Wilkins, Inc.