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This research has been important for documenting the brain\u2010 and body\u2010based impacts of prenatal alcohol exposure and the psychosocial vulnerabilities and environmental adversities frequently associated with FASD. It has also supported advocacy efforts and highlighted the necessity of providing FASD services and supports. However, with the focus on deficits and needs, there is a considerable gap in the literature on the strengths and successes of individuals with FASD. The lack of strengths\u2010based FASD research has likely perpetuated the stress and stigma experienced by individuals with FASD and their families. Thus, there is a critical need to shift the direction of the field. Here we provide a narrative review of the literature on strengths in FASD. Our goals are to: (1) understand the state of strengths\u2010based research related to individuals with FASD across the lifespan, and (2) describe positive characteristics, talents, and abilities of individuals with FASD that may be cultivated to promote their fulfillment and well\u2010being. We identified a total of 19 studies, most of which were conducted to explore the lived experiences of adults with FASD. This preliminary but critical body of evidence highlights the intrinsic strengths of individuals with FASD, including strong self\u2010awareness, receptiveness to support, capacity for human connection, perseverance through challenges, and hope for the future. Despite the importance of this emerging evidence, appraisal of the literature indicates a need for more intentional, methodologically rigorous, participatory, and theory\u2010driven research in this area. Findings from this study, including the identified gaps in the literature, can be used to inform research, practice, and policy to meaningfully advance the field of FASD and promote positive outcomes in this population.<\/jats:p>","DOI":"10.1111\/acer.14733","type":"journal-article","created":{"date-parts":[[2021,10,30]],"date-time":"2021-10-30T12:25:45Z","timestamp":1635596745000},"page":"2448-2464","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":86,"title":["Balancing the story of fetal alcohol spectrum disorder: A narrative review of the literature on strengths"],"prefix":"10.1111","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7230-2532","authenticated-orcid":false,"given":"Katherine","family":"Flannigan","sequence":"first","affiliation":[{"name":"Canada FASD Research Network Vancouver British Columbia Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Wrath","sequence":"additional","affiliation":[{"name":"Canada FASD Research Network Vancouver British Columbia Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chantel","family":"Ritter","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Guelph Guelph Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4569-7529","authenticated-orcid":false,"given":"Kaitlyn","family":"McLachlan","sequence":"additional","affiliation":[{"name":"Canada FASD Research Network Vancouver British Columbia Canada"},{"name":"Department of Psychology University of Guelph Guelph Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelly D.","family":"Harding","sequence":"additional","affiliation":[{"name":"Canada FASD Research Network Vancouver British Columbia Canada"},{"name":"Psychology Department Laurentian University Sudbury Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alanna","family":"Campbell","sequence":"additional","affiliation":[{"name":"Northern Ontario School of Medicine Sudbury Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dorothy","family":"Reid","sequence":"additional","affiliation":[{"name":"Canada FASD Research Network Vancouver British Columbia Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacqueline","family":"Pei","sequence":"additional","affiliation":[{"name":"Canada FASD Research Network Vancouver British Columbia Canada"},{"name":"Department of Educational Psychology University of Alberta Edmonton Alberta Canada"},{"name":"Department of Pediatrics University of Alberta Edmonton Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,11,16]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.15353\/cjds.v7i3.452"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.7202\/1058140ar"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/phe\/phv012"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/13603116.2016.1193565"},{"key":"e_1_2_9_6_1","doi-asserted-by":"crossref","DOI":"10.4159\/9780674028845","volume-title":"The ecology of human development: experiments by nature and design","author":"Bronfenbrenner U.","year":"1979"},{"key":"e_1_2_9_7_1","first-page":"1","article-title":"Strengths and challenges: a young adult pictures FASD through photovoice","volume":"14","author":"Burles M.","year":"2018","journal-title":"Review of Disability Studies"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.publhealth.29.091307.083824"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/1540796915592158"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1108\/ADD-05-2018-0005"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1080\/17439760.2015.1015154"},{"key":"e_1_2_9_12_1","first-page":"1","article-title":"Resilience in autism and intellectual disability: a systematic review","author":"Clark M.","year":"2021","journal-title":"Review Journal of Autism and Developmental Disorders"},{"key":"e_1_2_9_13_1","unstructured":"Critical Appraisal Skills Programme. 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