Narrative interaction: creating a space for therapeutic communication.

This theoretical article explores the impact of ethnic appearance on the nurse-client encounter from the perspective of Chicanas, women of Mexican descent. The issues raised for Chicanas, however, are applicable for members of many other ethnic groups, individuals whose identity is often constructed from the stereotypes and myths their appearance evokes. Ethnic minority women often experience a feeling of double jeopardy, enduring the consequences of living in a society that devalues both women and members of specific racial or ethnic groups. Research from nursing, counseling psychology, and sociology provide the bases for an examination of the mental health consequences of this double jeopardy. Narrative interaction, the sharing of personal stories, is offered as a therapeutic form of communication. Through narrative interactions, nurses may begin to understand the context of women's lives and learn what is meaningful for them, from their perspective. It is from the women themselves that nurses will begin to learn new meanings for their appearance and gain some understanding of their world.