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The Spirit Catches You and You Fall Down: Critical Book Review
Fadiman’s The Spirit Catches You and You Fall Down looks that the culture clash between the Hmong parents of an epileptic girl and the American doctors at Merced Community Medical Center(MCMC). The novel begins with the predicament of where to assign responsibility for the maltreatment of Lia Lee’s epilepsy. Fadiman uses the tension between the parents of epileptic Lia Lee and the doctors of MCMC as a way to show that the Western culture can be insensitive to other cultures. As the novel progresses, it becomes evident that this battle is rooted to differing cultural/religious beliefs and that neither the American doctors nor Lia’s Hmong parents are to blame. All of which could
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Nao Kao had great appreciation for Jeanine’s actions towards being understanding of the Hmong culture however he believed that he was not required to reciprocate the action. He never really made an effort to be part of a society that was antagonizing to his beliefs. Fadiman writes “It was typically Hmong for patients to appear passively obedient – thus protecting their own dignity by concealing their ignorance and their doctor’s dignity by acting deferential – and then, as soon as they left the hospital, to ignore everything to which they had supposedly assented” (Fadiman, 68). The fact that Nao Kao agreed that he would administer Lia’s medicine instead of attempting to explain that he does not understand how to administer the medications or that it is against his religious beliefs, he gives the doctors a false impression that Lia will be safe at home. Even though the medical professionals viewed Lia’s grand-mal seizures as an illness, The Lee’s considered Lia as being blessed. According to Hmong culture, it is believed that people who are born with epilepsy are believed to be blessed and bound to have powers of divination and healing, like a shaman. The Hmong called this “qaug dab peg,” or “the spirit catches you and you fall down.” The Hmong believed in the relationship between epilepsy and the concept of spirits however the medical professionals failed to do so. Despite the fact that the Hmong people viewed epilepsy as being a blessing, hated the American medical culture, and were unable to communicate effectively, they also understood the danger of the disease and some of the unintentional outcomes. The French missionary, Francois Marie Savina, stated “attributed their ethnic durability to six factors: religion; love of liberty; traditional customs; refusal to marry outside their race; life in
“When I fall” is a lyrical song written by Steven Page and Ed Robertson of the Barenaked Ladies. It is about a window washer who is at a critical moment in his life. The song is structured in such a way that a progression and transformation is seen in the window washers troubles from worrisome to life threatening. The window washer is the persona of the poem, and in the first stanza he expresses a fear. He is somewhere he doesn’t want to be and is scared. This is followed by the chorus of the song in which it is made clear that he wants to make a change in his life, but is afraid of failure. At this point the window washers troubles take on the form of deep mental anguish where he resorts to prayer and laments on the physically and mentally troubling aspects of his world. In the next stanza, the window washer comments on the prestige of the boardroom he looks into as he washes the windows. Here he addresses the change he wants to make in his life and states that he would like to swap places with the business men in the room. However, he realizes that this is impossible because they would never agree to lower themselves to the stature of a window washer. When he realizes this, his thoughts become radical and he contemplates suicide. By the end of the song however, he pulls himself together and realizes that what he does and who is does have some value in the world.
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.
“There was no God in Auschwitz. There were such horrible conditions that God decided not to go there.” Linda Breder-Holocaust survivor.
The Hmong culture is firmly rooted in their spiritual belief in animism, ancestral worship and reincarnation. These beliefs connect them to their sense of health and well-being. They view illness as having either a natural or spiritual cause. A spiritual cause results in a “loss of souls” or is an action or misdeed that may have offended an ancestor’s spirit (California Department of Health Services, 2004, Purnell, 2013, p. 317). The soul escapes the body and may not be able to find its way back home.
A misconception that we often have about family is that every member is treated equally. This fallacy is substantially portrayed in Alistair Macleod’s short story, “In The Fall”. Typically speaking, in a family, the Mother is the backbone for kindness and provides love and support with no unfair judgements. However, when we relate to the portrait of the Mother in Macleod’s short story, we perceive the portrait as a self-centered woman whose affection is only shown upon what interests her. The Mother’s unsympathetic persona is apparent throughout the story as she criticizes all that holds sentimental value to her husband and children.
Share the story of The Spirit Catches You and You Fall Down: A Hmong Child, Her American Doctors, and the Collision of Two Cultures.
Union between two quarrelsome objects can be the most amazing creation in certain situations, take for instance, water. Originally, water was just hydroxide and hydrogen ions, but together these two molecules formed a crucial source of survival for most walks of life. That is how marriage can feel, it is the start of a union that without this union the world would not be the same. A Hmong mother, Foua took it upon herself to perform a marriage ceremony for the author of “The Spirit Catches You and You Fall Down”, Anne Fadiman. In this miniscule event, two cultures with completely conflicting ideas came together to form a union. In this union, an American was celebrating an event in a Hmong way, truly a collision of two cultures.
Though Lia’s parents and her doctors wanted the best for her, the above barriers were creating a hindrance to her treatment. They both were not understanding each other and the interpreter was also not there, doctors wanted to transfer her to another best hospital because they were not getting with her disease but her parents misunderstood the situation and thought they were shifting her for their own benefit. In expansion to these convictions, Hmong likewise have numerous traditions and folks that are negotiated by those of the American standard and therapeutic groups; for instance, some Hmong customarily perform custom creature sacrifice and in view of extremely particular entombment customs and the alarm of every human's numerous souls potentially getting away from, the accepted Hmong convictions don't consider anybody experiencing obtrusive restorative surgery. The Hmong medicinal framework is dependent upon nature-based hypothesis that lets life stream as it may be, while the western restorative framework is dependent upon the modernized humanism-based medicinal science. So when Lia was dealt with by the American specialist with western pharmaceutical, Lia's guardians don't concur with them....
All informants and sources are listed according to the chapters in which they contributed. Her major helpers, such as her interpreter, the Lees, the doctors who treated Lia, and a few others, have a special thanks from the author at the beginning of this section. Fadiman consulted a vast array of sources from both perspectives of Lia’s story. She also read nearly all of the available literature about the Hmong at that time, which admittedly was not abundant compared to now. Overall, those she spoke to seemed to be open and willing to talk about what had happened. The doctors freely admitted mistakes they made or may have made, and showed an interest in learning where they went wrong so that they could avoid any future
The two Hmong cultural values that were demonstrated by the Lee family are portrayed by their belief and view about the cause and method of cure for an illness. The Lee family comes from a culture that believes in holistic healing. They have an animalistic view about health and medicine. For instance an epileptic is seen as someone who has been chosen to be a healer. Most Hmong epileptic are shamans, therefore even though the Lee’s wish that their daughter’s illness will be cured, they also have a mixture of pride because “although shamanism is an arduous calling that require years of training with a master in order to learn the ritual techniques and chants, it confers an enormous amount of social status in the community and publicly marks the triv neeh as a person of high moral character since a healing spirit will never choose a no account host” (Fadiman,1997, p.21). It is not surprising that their view about health is reflected mostly in their traditional belief in the causes and the cure of an illness. For i...
Likewise, after Lia was thought of being possessed by an evil spirit, the community thought of her as a poor girl disturbed by the lost souls. Apparently, the community never considered Lia suffering from psychiatric disorder and mental illness. Instead of seeking professional assistance, the family resorted towards alternative healers and along the lines of negative attitudes and expectations from modern science application and therapy. It was not at all wrong to humanize medicine, but apparently, as a multi-cultural community, the Hmong people became too ignorant and indignant over the applications and benefits of modern medicine applications. Staying firm over their religious affiliations and conduct, the maximum effect of healing becomes misaligned and ineffective.
Kleinman, A. 1980. Patients and Healers in the Context of Culture: An Exploration of the Borderland between Anthropology, Medicine, and Psychiatry. University of California Press.
...ation could have been improved between doctors and patients in simple ways. Interpreters were used and children went to school and helped translate for family members. These helped communication somewhat, but it wasn’t enough. There may not have been any other way to help, but some people tried to and doctors tried to be patient with the Hmong to understand what they wanted and to make them understand what was going on.
Traditional Hmong’s believe in their Shaman rather than western doctors, they choose to detain their treatment by hosting their rituals to save them. A shaman is “a person who acts as intermediary between the natural and supernatural worlds, using magic to cure illness, foretell the future, control spiritual forces, etc” (dictionary.com). Hmong individual’s have a belief that ancestral spirits, including the spirits of shamans, are reincarnated into the same family tree. Hmong consider being a shaman an honor because they carry the duty of helping mankind according to Hmong mythology. Differences between Hmong traditional beliefs and Western biomedical beliefs create a lack of understanding. Negative health care experiences result in Hmong community members’ mistrust and fear of Western medicine. However, when there’s mistrust between a doctor and a patient there could be lack of treatment because of the differences between our ...
Must race confine us and define us?’ The story The Girl Who Fell From The Sky, written by Heidi W. Durrow, revolves around the protagonist Rachel, who has bi-racial parents. After her mother and two siblings plunge to their deaths from a Chicago building, young Rachel Morse survives and is sent to Portland. Furthermore, part of her story is learning about how she conform into the world while dealing with her ethnicity. Additionally, when Rachel’s moves in with her grandmother, she is faced with racial expectations at home and at school.