“<i>I Have Not a Want But a Hunger to Feel No Pain”</i>Mexican Immigrant Women with Chronic Pain: Narratives and Psychotherapeutic Implications

Abstract

We present a foundation for psychotherapy for Mexican immigrant women with chronic pain. We describe research on health care and the multiple identities that influence health behavior, including identity as Mexican, as immigrant, as Mexican woman, and as Christian. The importance of situating the pain narrative within the client’s life narrative is illustrated by interviews with five Mexican immigrant women with moderate to severe chronic pain. Emergent themes revealed the profound impact of culture and gendered imperatives: matriarch, worker, sufferer, stoic. Suggestions for psychotherapy are provided, guided by awareness of core value systems, socioeconomic impact on access to care, and experiences as immigrant.