In Anne Fadiman’s, A Spirit Catches You and You Fall Down, there’s a conflicting battle going on between cultures. While it might never be specifically stated, Anne Fadiman attempts to convey a neutral understanding to her readers of the Hmong beliefs and culture alongside of the culture of biomedicine western society is mostly familiar with. While the Hmong beliefs and practices in medicine are taboo to western society, readers gradually see that Hmong medicine is just as equal or more powerful than biomedicine that we’re so familiar with. It’s an important concept to understand in this book is that the doctors are there to treat Lia’s disease, not precisely concerned with Lia as a person. Hmong medicine seems to be more related to in helping
The author of this book is called Anne Fadiman. It is based on a story of a Hmong child known as Lia Lee who suffered from epilepsy. The demise of this condition shows the harm that can be contributed by absence of cross-cultural communication especially in the area of medicine. At the age of three months, the elder sister to Lia known as Yer banged a door which caused Lia to have the first seizure.
‘The spirit catches you and you fall down’ was published in 2012 by essayist and reporter Anne Fadiman. This introductory book review analyzes the way in which different cultures perceive illnesses and diseases. It focuses on the story of the Lees a Hmong family, who moved to the United States and experiences difficulties with language, culture and biomedicine method of healing, which contradict to Hmong’s way of healing. The chapters describe the differences between the ways childbirth is conducted in Hmong society compared to the western society. As well as the struggle the Lees family has with the cultural differences in diagnoses and treatment of their ill daughter.
“The Spirit Catches You and You Fall Down” by Anna Fadiman tells the story of Lia Lee, a Hmong child with epilepsy, whose life could have been different if only her family was caught up in western medicine. This book reveals the tragic struggles between a doctor and patient because of lack of communication. When Lia was around three months old, her older sister Yer accidentally slammed a door and Lia had suddenly fallen into the floor. This is the first recorded time that Lia was experiencing an epileptic shock.
The “Spirit Catches You and You Fall Down” by Anne Fadiman is the story of a refugee family from Laos in the United States. The story develops over the tragic case of one of the family’s daughters named Lia, who suffers from epilepsy. The book describes the Hmong’ beliefs and medical Western practices in medicine and how it influences Lia’s life. In addition, the book relates the barriers of becoming part of a new culture, the Western perspective in medicine, and the misunderstanding between the doctors and the Hmong due to the collision of the cultures and the differences of knowledge.
A young Hmong man presents a five-minute oral report in French. The topic he chose was a recipe for la soupe de possion: Fish Soup. He extensively detailed the whole ordeal in a ‘in order to, you must ‘manner. His complex example of something simple extended to forty-five minutes long oral report. The ending results of his presentation left the classroom black board with factors, options and a flowchart written in French with Hmong.
In the book Panic, Lauren Oliver creates the character Heather Nill whose determination and bravery helps illustrate her strength and faith in herself. Heather and her other friends participate in the competition of their lifetime for the chance to win a large cash prize. Panic is the legendary game that occurs yearly in the small town of Carp, NY. Any graduating seniors are welcome to compete in the dangerous games to win the prize. Those who want to participate in panic must jump of a cliff the day after graduation, then the more challenging games begin.
The Vietnam war of 1955-1975 had an immense effect on the Hmong population in Laos. Traditional Western medicine is commonly held as the gold standard of medical care worldwide, while in recent days, the Western approach is attempting to gradually recognize the values of alternative medicine used in diverse cultures/populations. The Spirit Catches You and You Fall Down by Anne Fadiman (2012), is a prime example of the clash of two cultures and two opposite medicinal approaches. This paper discusses the humanistic perspective in clinical/medical social work and the systems theory in macro/administrative social work. Based on the humanistic perspective, a micro analysis is conducted on the main character of the book (Lia Lee).
Cultural insensitivity is prevalent throughout the Hmong’s journey with the American health care system. Between 8 months and 4.5 years Lia was in the hospital seventeen times and made more the one hundred visits to ER and paediatric clinic. The health care system failed to attempt to understand the Hmong language and culture, which lead to the Hmong adapting their cultural traditions and familiarities to please
Puerto Rican Culture Religion, culture, beliefs, and ethnic customs can influence how patients understand health concepts, how they take care of their health, and how they make decisions related to their health (U.S. Department of Health & Human Services, 2015). As a nurse, it is important to understand that not every patient shares the same healthcare beliefs. A nurse must be able to perform his or her duties without judgement and care for each patient with respect for their own unique set of beliefs and morals. In this paper, the Puerto Rican culture will be discussed, from family units to religious and cultural beliefs, as well as how Western Medicine fits into their healthcare. Explain the culture.
Before fully getting into the details of this major problem, it’s important to quickly summarize the Hmong culture. The Hmong originated in China and fought the Chinese to maintain their culture. During the Vietnam War, they fought against the Communist forces but were forced to leave their homes to escape persecution when the US withdrew their support. Most of the Hmong people then immigrated to the United States and tried to rebuild their lives as best they can. Their tenacity and unwillingness to surrender, both during the war and in every-day life, helped them survive, but also made their visits to the doctor extremely difficult, to say the
Family and group solidarity are important to the Hmong, yet they were forced to split apart during their journey to America. The Hmong also partook in ceremonies, dances, and sacrifices that were important to them and their religion, however, the doctors and other people were wary of these practices and didn’t condone them, especially when it came to patients such as Lia Lee. Lee’s doctors were constantly giving her shots, medicine, and feeding her through tubes. Her parents didn’t approve of this at all and thought that the medicines they were giving her was what was killing her.
Dreams, contrary to popular belief, are terrible. The best thing to do, is to stop chasing dreams because all dreams do is distract people from more important responsibilities. People spend their time chasing their dreams, but they don’t perform their day to day tasks they need to survive on their own. In the memoir, The Glass Castle by Jeannette Walls, Jeannette’s mother, Rose Mary, has a dream of becoming an artist. Instead of getting a job to provide for her poverty stricken family, she decides to stay home and paint all day.
The different ways one can look at Paja’s illness is by acknowledging the Hmong culture and by looking at the perspective of the biomedical world.
Over the progression of the book the view points and relationships between the Lees and the doctors develops slightly. The medical staff was not prepared with a translator or a cultural understanding of the Hmong and how their beliefs would not match up with their medical practices. “Not only do the Hmong fail resoundingly to improve the payer mix- more than eighty percent are on Medi-Cal- but they have proved even more costly than other indigent patients, because they generally require more time and attention, and because there are so many of them that MCMC has to hire bilingual staff members to mediate between patients and providers” (Fadiman 25). This theme in the story was immensely eye opening for all of the cultural gaps that exist throughout the United States. The solution to this problem is for both sides standing on opposite sides of the gap to take the time to bridge the gap together.
During it 's two hour runtime it depicts the both the hardships of pioneering in uncharted territories of medicine as well as the racial discrimination and segregation of America in the 40s. It is a mirror of both great capacity for good and progress as well as inhumane detachment from one another based on race such as with Vivian Thomas or even gender such as with Dr. Helen Taussig. The struggle to advance the discipline of medicine with all cost and at the same time bringing us closer together as human beings under the same purpose no matter the differences is worthy of discussing. The ethical dilemmas depicted on the movie can be divided in two categories; social and medical.