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Multicultural Health
The importance of understanding cultural differences in the medical environment
The importance of understanding cultural differences in the medical environment
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“The Spirit Catches You and You Fall Down” began by setting the tone of the baffling multifaceted clashes that occurred in Merced, in Central California. Dialect obstructions and conviction framework contrasts kept Lia from accepting ideal care, despite the fact that both her family and the specialists did their closest to perfect to help her epilepsy. In spite of the fact that Fadiman concentrates on the Hmong and their experiences with the Western medicinal framework, The Spirit Catches You and You Fall Down portrays a general wonder. Not far into the book perusers can see that what Fadiman presents is more than the anecdote about Lia Lee. The lessons gained from Lia's story can and ought to be connected generally. Lia's story basically gives
In The Latehomecomer, by Kao Kalia Yang shares her story and the story of her family’s search for a home and identity. Her family’s story voices the story of the Hmong people and their plight. From every stage of their journey, from the mountainous jungles of Southeast Asia to the freezing winter of Minnesota, Yang and the Hmong were compelled to redefine their identity, willingly or unwillingly. While growing up, Yang’s parents would often ask her, “’What are you?’ and the right answer was always, ‘I am Hmong.’” (Yang, 1) For “Hmong” to be the right answer, then what does it mean to be “Hmong”? From the personal story shared by Yang, and the universal story of the Hmong people, the Hmong identity cannot be contained in
This book addresses one of the common characteristics, and challenges, of health care today: the need to achieve a working knowledge of as many cultures as possible in health care. The Hmong population of Merced, California addresses the collision between Western medicine and holistic healing traditions of the Hmong immigrants, which plays out a common dilemma in western medical centers: the need to integrate modern western medicinal remedies with aspects of cultural that are good for the well-being of the patient, and the belief of the patient’s ability to recuperate. What we see is a clash, or lack of integration in the example of the story thereof. Lia, a Hmong child with a rare form of epilepsy, must enter the western hospital instead of the Laotian forest. In the forest she would seek out herbs to remedy the problems that beset her, but in the west she is forced to enter the western medical hospital without access to those remedies, which provided not only physical but spiritual comfort to those members of the Hmong culture. The herbs that are supposed to fix her spirit in the forest are not available in the western hospital. The Merced County hospital system clashes with Hmong animist traditions.
“Yellow Woman” written by Leslie Marmon Silko is a short story based on a Native American Legend story. In this Legend story, a woman has been taken away from her family for a period of time. The Yellow Woman are taken by a Ka’tisna spirit which is better known as a mountain spirit. Throughout the story, the reader learns that the narrator is in an overarching battle with her personal identity as a Pueblo Indian Woman. On top of the narrator's battle with understanding her personal identity she is in a constant battle with trying to understand what events are happening in real life as well as what events are remnants of this legend story told by her grandfather. In sum, the struggle that the narrator has is the common theme occurring throughout.
The Hmong people, an Asian ethnic group from the mountainous regions of China, Vietnam and Laos, greatly value their culture and traditions. The film “The Split Horn: Life of a Hmong Shaman in America” documents the seventeen year journey of the Hmong Shaman, Paja Thao and his family from the mountains of Laos to the heartland of America. This film shows the struggle of Paja Thao to maintain their 5000 year-old shamanic traditions as his children embrace the American culture. Moreover, the film shows that one of the major problems refugees like Paja Thao and his family face upon their arrival to the United States is conflict with the American medical system. Despite the dominant biomedical model of health, the film “The Split Horn” shows that
Flannery O’Conner, a woman with lupus and a Southern Gothic novelist, wrote 31 stories all in which each protagonist fights their own battle with the balance between intelligence and faith. The concept is conceptually developed within the two texts Good Country People and The Lame Shall Enter First through the use of character relations and the idea of broken prophets.
Kao Kalia Yang’s The Latehomecomer is a story of one Hmong family’s first hand experience on their trip from the mountains of Laos to a new life in America. It depicts the hardships they faced in their quest to freedom in many instances, showing the reader the realities the Hmong faced during and after the Vietnam War. Yang’s novel displays her family’s story, showing throughout her book the concept that you have to love what you already have, and that love cannot be changed.
The book, “My Soul Is Rested” by Howell Raines is a remarkable history of the civil rights movement. It details the story of sacrifice and audacity that led to the changes needed. The book described many immeasurable moments of the leaders that drove the civil rights movement. This book is a wonderful compilation of first-hand accounts of the struggles to desegregate the American South from 1955 through 1968. In the civil rights movement, there are the leaders and followers who became astonishing in the face of chaos and violence. The people who struggled for the movement are as follows: Hosea Williams, Rosa Parks, Ralph Abernathy, and others; both black and white people, who contributed in demonstrations for freedom rides, voter drives, and
In “The Spirit Catches You and You Fall Down” by Anne Fadiman, the whole story revolves around Lia, the thirteenth child of Lee family. Lee family was a refugee family in USA and Lia was their first child to be born in US. At the time of time of birth, she was declared as a healthy child but at the age of three it was founded that she is suffering from epilepsy. In the words of western or scientific world the term epilepsy mean mental disorder of a person and in Hmong culture, epilepsy is referred to as qaug dab peg (translated in English, "the spirit catches you and you fall down"), in which epileptic attacks are perceived as evidence of the epileptic's ability to enter and journey momentarily into the spirit realm (Wikipedia, 2014)
Morace, Robert A. “Interpreter of Maladies: Stories.” Magill’s Literary Annual 2000 1999: 198. Literary Reference Center. Web. 6 Apr. 2010. .
As this poem characterizes the view of a native woman expressing feelings of passion relating to her culture, it also criticizes society, in particular Christianity, as the speaker is experiencing feelings of discontent with the outcome of residential schools. It does not directly criticize the faith, but through the use of a heavy native dialect and implications to the Christian faith it becomes simple to read the speakers emotions.
Fadiman, A. 1997. The Spirit Catches You and You Fall Down: A Hmong Child, Her American Doctors, and the Collision of Two Cultures. New York: Farrar, Straus, and Giroux.
Anthropological studies on language and communication would be directly related to Lia’s case for a few reasons: Lia and her family were Hmong, her parents could not read or write, they didn’t give her enough medication. Also, Lia was taken away from her parents because of language and communication barriers that led to her parents not administering her medication at all, as well as interpreters not being clear about what to give her.
When I came around a curb I saw Martin. He made the dogs and kids go away. I shook his hand and greeted him. “Hau, Takoza, Grandchild.” He didn’t look very comfortable or excited. I walked to the front steps of Martin’s house and greeted Marie. “Hau, Marie,” I said as I shook her hand. The Lakota didn’t display a lot of affection. Then Cheryl came
This narrator portrayed a true China’s unique tradition by telling the story about her aunt. Even though the narrator and her aunt differ in the cultural region and the age, the narrator who is Chinese American she heard and learned many labels on women such as frivolous, docile, and vulnerable because Chinese culture is an a part of her. In other words, stereotypical notion of fragile women has stood as part of their cultural and ethnic identity. However, she also tried to show the endeavor to find women’s true identity. The narrator was reluctant to be a one of the village people who represent traditional Chinese. Instead, she concerned about the silence. She tried to get her aunt’s voice.
“Whenever she had to warn us about life, my mother told stories that ran like this one, a story to grow up on. She tested our strengths to establish realities”(5). In the book “The Woman Warrior,” Maxine Kingston is most interested in finding out about Chinese culture and history and relating them to her emerging American sense of self. One of the main ways she does so is listening to her mother’s talk-stories about the family’s Chinese past and applying them to her life.