On being ethnic: The politics of identity breaking and making in Canada,or, Nevra on Sunday

The creation of ethnically sensitive health care is a major federal and provincial government concern in Canada at present. The concept of multiculturalism is used to reinforce the notion of rights for minority groups and the Canadian mozaic is explicitly contrasted with the American melting pot. In this paper, the lives of Greek immigrant women in Montreal are used to illustrate how class and gender are as relevant to the immigrant experience as is ethnicity. It is shown how values which were central to female identity in Greece can become a liability after immigration and how the notion of Greek identity in Canada is a fluid category which is subject to repeated transformations. It is suggested that medical anthropologists who ignore the complexity of social categories and whose focus is limited to the cultural construction of illness and the expression of distress are in danger of reinforcing a notion of the quaint ethnic, a stereotype to which the concept of multiculturalism is often reduced.

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Résumé La création de services de santé sensibles aux besoins des différents groupes ethniques est présentement un socci majeur des gouvernements fédéral et provincial au Canada. Le concept de multiculturalisme est utilisé pour renforcer I'idée des droits des groupes minoritaires et la mosaïque canadienne est explicitement contrastée avec the American melting pot. Dans cet exposé, j'utilise la vie des femmes immigrantes grecques à Montréal pour démontrer que la classe et le sexe sont aussi pertinent par rapport à l'expérience des immigrants que l'ethnicité. On montre de quelle façon les valeurs qui sont centrales à l'identité féminine en Grèce peuvent en venir à constituer un problème après l'immigration et comment la notion d'identité grecque au Canada est une catégorie fluide qui est sujette à de multiples transformations. On suggère que les anthropologues médicaux qui ne tiennent pas compte de la complexité des catégories sociales et dont le centre d'intérêt est limité à la cultural construction of illness et à l'expression of distress courent le danger de renforcer la notion de quaint ethnic, un stéréotype auquel le concept de multiculturalisme se trouve souvent réduit. Notes 1 See, for example, Low 1985; Davis 1989; Dunk 1989; Guarnaccia et al. 1989; Van Schaik 1989. 2 Data for this study were obtained initially from eighty-three fast generation Greek immigrant women living in Montreal who were given semi-structured interviews in Greek in their homes. It became apparent in the course of carrying out these interviews that the concept of nevra was central in the narratives given by virtually all of the respondents. This term was inevitably used to link environmental and psychosocial variables to distress and painful physical states. In the second phase of the research, 19 of the original women were selected for in-depth open-ended interviews during which the concept of nevra was discussed in detail. A further data set was obtained from twenty five women who were interviewed in the office of a Greek Canadian general practitioner and 15 more attending a poly-clinic in a Montreal teaching hospital. These interviews were carried out in order to establish if nevra is used as a presenting complaint in clinical settings, and if so, how it is managed by health care professionals. Several internists, psychiatrists, family and general practitioners, and social workers who have daily contact with Greek patients were also interviewed.