Nerves and nostalgia: expression of loss among greek immigrants in montreal.

The authors interviewed first-generation Greek immigrant women in Montreal about nonspecific somatic symptoms. The concept of nevra (nerves), which was central to these discussions, was used to link environmental and psychosocial variables with distress and painful physical states. The authors discuss the cultural construction of female identity in Greece and analyze the negative effect of immigration on self-esteem, often manifested as attacks of nevra. Metaphorical concepts, such as nevra, can be used to improve physician understanding and to facilitate communication with, and enhance care of, immigrant patients.